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TESTBANK FOR Critical Care Nursing, 10th Edition Urden

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, TESTBANK FOR
Critical Care Nursing, 10th Edition Urden

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, Test Bank – Chapter 01




Test Bank – Chapter 01

Q1. During World War II, what types of wards were developed to care for critically injured patients?
Intensive care Triage Shock Postoperative
A) Intensive care
B) Triage
C) Shock
D) Postoperative

Q2. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
complex clinical and system issues? Registered nurses Advanced practice nurses Clinical nurse
leaders Intensivists
A) Registered nurses
B) Advanced practice nurses
C) Clinical nurse leaders
D) Intensivists

Q3. What type of practitioner is instrumental in ensuring evidence-based care and that safety
programs are in place? Clinical nurse specialist Advanced practice nurse Registered nurses Nurse
practitioners
A) Clinical nurse specialist
B) Advanced practice nurse
C) Registered nurses
D) Nurse practitioners

Q4. Which professional organization administers critical care certification exams for registered
nurses? State Board of Registered Nurses National Association of Clinical Nurse Specialist Society
of Critical Care Medicine American Association of Critical-Care Nurses
A) State Board of Registered Nurses
B) National Association of Clinical Nurse Specialist
C) Society of Critical Care Medicine
D) American Association of Critical-Care Nurses

Q5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are
interdependent and inseparable. This statement describes which methodology of care? Holistic
care Individualized care Cultural care Interdisciplinary care
A) Holistic care
B) Individualized care
C) Cultural care
D) Interdisciplinary care

Q6. The American Association of Critical-Care Nurses (AACN) has developed short directives that
can be used as quick references for clinical use that are known as Critical Care Protocol. Practice
Policies. Evidence-Based Research. Practice Alerts.
A) Critical Care Protocol.
B) Practice Policies.
C) Evidence-Based Research.
D) Practice Alerts.

Q7. What type of therapy is an option to conventional treatment? Alternative Holistic
Complementary Individualized

, Test Bank – Chapter 01




A) Alternative
B) Holistic
C) Complementary
D) Individualized

Q8. Which aspects are fundamental to the critical care nurse-patient relationship and the holistic
care approach? High-quality care using appropriate technologies and indifferent interactions Skillful
care delivery and ignoring the patient's unique needs Consideration of body, mind, and spirit, and
recognizing the patient's uniqueness Emotional absence and the use of all appropriate technologies
A) High-quality care using appropriate technologies and indifferent interactions
B) Skillful care delivery and ignoring the patient's unique needs
C) Consideration of body, mind, and spirit, and recognizing the patient's uniqueness
D) Emotional absence and the use of all appropriate technologies

Q9. Which of the following accurately describes the practice and benefits of mindfulness,
particularly in a healthcare setting? Mindfulness requires significant financial investment and
specialized equipment. Mindfulness involves focusing on the past and future to reduce stress.
Mindfulness positively impacts conditions such as stress, anxiety, and chronic pain. Mindfulness is
a passive activity that involves detachment from present experiences.
A) Mindfulness requires significant financial investment and specialized equipment.
B) Mindfulness involves focusing on the past and future to reduce stress.
C) Mindfulness positively impacts conditions such as stress, anxiety, and chronic pain.
D) Mindfulness is a passive activity that involves detachment from present experiences.

Q10. Which of the following statements accurately describes the applications of animal-assisted
therapy (AAT) in healthcare settings? AAT has limited applications in adult healthcare. AAT can
improve patients' overall well-being. AAT requires the presence of a licensed therapist. AAT is a
cost-prohibitive therapy
A) AAT has limited applications in adult healthcare.
B) AAT can improve patients' overall well-being.
C) AAT requires the presence of a licensed therapist.
D) AAT is a cost-prohibitive therapy

Q11. A patient was admitted to a rural critical care unit in Montana. Critical care nurses assist with
monitoring and care of patients from the closest major city. What is this type of practice termed?
Tele-nursing Tele-ICU Tele-informatics Tele-hospital
A) Tele-nursing
B) Tele-ICU
C) Tele-informatics
D) Tele-hospital

Q12. What was the primary goal of the Interprofessional Education Collaborative (IPEC) when they
developed the Core Competencies for Interprofessional Collaborative Practice? To increase the
number of healthcare professionals entering the workforce To establish a set of competencies for
professional socialization of healthcare professionals To create a standardized curriculum for all
healthcare education programs To reduce the costs associated with healthcare education
A) To increase the number of healthcare professionals entering the workforce
B) To establish a set of competencies for professional socialization of healthcare professionals
C) To create a standardized curriculum for all healthcare education programs
D) To reduce the costs associated with healthcare education

Q13. What is the primary role of the Rapid Response Team (RRT) in a hospital setting? To handle
routine patient care tasks To intervene early in cases of clinical deterioration To replace the primary

, Test Bank – Chapter 01




nurse's responsibilities To handle administrative duties related to patient care
A) To handle routine patient care tasks
B) To intervene early in cases of clinical deterioration
C) To replace the primary nurse's responsibilities
D) To handle administrative duties related to patient care

Q14. What is the stepwise decision-making flowchart for a specific care process named? Algorithm
Practice guideline Protocol Order set
A) Algorithm
B) Practice guideline
C) Protocol
D) Order set

Q15. Which patient care issue continues to be one of the most error-prone for critical care nurses?
Basic patient care delivery Nurse–practitioner interactions Protecting patients from falls Medication
administration
A) Basic patient care delivery
B) Nurse–practitioner interactions
C) Protecting patients from falls
D) Medication administration

Q16. Which of the following events significantly contributed to the organization of critical care
nursing as a specialty less than 60 years ago? Advances in medical technology and interventions
The rise of private duty nursing in general wards A decrease in the number of critically ill patients
The development of home healthcare services
A) Advances in medical technology and interventions
B) The rise of private duty nursing in general wards
C) A decrease in the number of critically ill patients
D) The development of home healthcare services

Q17. Which of the following statements correctly describes the role of progressive care units
(PCUs) in the continuum of critical care? PCUs do not utilize advanced technology or monitoring
capabilities. PCUs serve as a bridge between critical care units and medical-surgical units,
providing high-quality, cost-effective care for less complex and more stable patients. PCUs are
exclusively used for postoperative care immediately after surgery. Patients in PCUs have a higher
need for physiologic monitoring compared to those in critical care units.
A) PCUs do not utilize advanced technology or monitoring capabilities.
B) PCUs serve as a bridge between critical care units and medical-surgical units, providing
high-quality, cost-effective care for less complex and more stable patients.
C) PCUs are exclusively used for postoperative care immediately after surgery.
D) Patients in PCUs have a higher need for physiologic monitoring compared to those in critical
care units.

Q18. What is a key strategy that nurses can use to maintain balance and avoid compassion
fatigue? Ignoring feelings of being overwhelmed Avoiding emotional connections with patients
Using self-care activities and self-reflection to maintain balance Increasing workload to stay busy
A) Ignoring feelings of being overwhelmed
B) Avoiding emotional connections with patients
C) Using self-care activities and self-reflection to maintain balance
D) Increasing workload to stay busy

Q19. Which of the following statements accurately describes bullying behaviors in the nursing
profession? Bullying is characterized by occasional, mild disagreements and misunderstandings

, Test Bank – Chapter 01




between colleagues. Bullying involves repeated, unwanted, harmful actions intended to humiliate,
offend, and cause distress to the recipient. Bullying behaviors include helping colleagues and
providing constructive feedback. Bullying is rare in the nursing profession and has minimal impact
on the work environment.
A) Bullying is characterized by occasional, mild disagreements and misunderstandings
between colleagues.
B) Bullying involves repeated, unwanted, harmful actions intended to humiliate, offend, and
cause distress to the recipient.
C) Bullying behaviors include helping colleagues and providing constructive feedback.
D) Bullying is rare in the nursing profession and has minimal impact on the work environment.

Q20. What type of workplace violence (WPV) is most common in healthcare settings, and which
group is at the highest risk? Worker-on-worker violence; administrative staff Criminal intent
violence; security personnel Personal relationship violence; physicians Client-on-worker violence;
nurses
A) Worker-on-worker violence; administrative staff
B) Criminal intent violence; security personnel
C) Personal relationship violence; physicians
D) Client-on-worker violence; nurses

Q21. What considerations are taken into account in evidence-based nursing practice? (Select all
that apply, one, some, or all.) Clinical expertise of the nurse Availability of staff and facility
equipment Research evidence on the topic Patient knowledge of the disease Patient preference
regarding care
A) Clinical expertise of the nurse
B) Availability of staff and facility equipment
C) Research evidence on the topic
D) Patient knowledge of the disease
E) Patient preference regarding care

Q22. The concept of diversity encompasses what thoughts and actions? (Select all that apply, one,
some, or all.) Sensitivity to ethnic differences Openness to different lifestyles Openness to different
values Reticence to different beliefs Lack of concern regarding different opinions
A) Sensitivity to ethnic differences
B) Openness to different lifestyles
C) Openness to different values
D) Reticence to different beliefs
E) Lack of concern regarding different opinions

Q23. According to the American Association of Critical-Care Nurses, what are the responsibilities of
a critical care nurse? (Select all that apply, one, some, or all.) Respecting the values, beliefs, and
rights of the patient Intervening when the best interest of the patient is in question Helping the
patient obtain necessary care Making decisions for the patient and the patient’s family Monitoring
and safeguarding the quality of care the patient receives Acting as a gatekeeper for the patient, the
patient’s family, and other healthcare professionals
A) Respecting the values, beliefs, and rights of the patient
B) Intervening when the best interest of the patient is in question
C) Helping the patient obtain necessary care
D) Making decisions for the patient and the patient’s family
E) Monitoring and safeguarding the quality of care the patient receives
F) Acting as a gatekeeper for the patient, the patient’s family, and other healthcare
professionals

, Test Bank – Chapter 01




Q24. According to Healthy People, which of the following factors contribute to health disparities that
adversely affect certain groups of people? (Select all that apply, one, some, or all.) Socioeconomic
status Geographic location Individual health behaviors Gender identity Access to technology
A) Socioeconomic status
B) Geographic location
C) Individual health behaviors
D) Gender identity
E) Access to technology

Q25. Which of the following principles are essential for effective interprofessional collaboration in
healthcare settings? (Select all that apply, one, some, or all.) Working with individuals of other
professions to maintain a climate of mutual respect and shared values. Utilizing knowledge of one's
role exclusively to address the healthcare needs of patients. Communicating with patients, families,
communities, and professionals in a manner that supports a team approach to health promotion
and disease treatment. Applying relationship-building values and principles of team dynamics to
effectively plan, deliver, and evaluate patient-centered care and population health programs.
Ensuring that professionals work in isolation to maintain focus and avoid external influences.
A) Working with individuals of other professions to maintain a climate of mutual respect and
shared values.
B) Utilizing knowledge of one's role exclusively to address the healthcare needs of patients.
C) Communicating with patients, families, communities, and professionals in a manner that
supports a team approach to health promotion and disease treatment.
D) Applying relationship-building values and principles of team dynamics to effectively plan,
deliver, and evaluate patient-centered care and population health programs.
E) Ensuring that professionals work in isolation to maintain focus and avoid external influences.

Q26. Which of the following symptoms are associated with compassion fatigue in nurses? (Select
all that apply, one, some, or all.) Exhaustion and headaches Increased empathy towards patients
Anxiety and forgetfulness Depersonalization and lack of connection to patients Improved work
performance and concentration
A) Exhaustion and headaches
B) Increased empathy towards patients
C) Anxiety and forgetfulness
D) Depersonalization and lack of connection to patients
E) Improved work performance and concentration

Q27. Which of the following factors contribute to the creation and sustainability of healthy work
environments (HWEs) in healthcare settings? (Select all that apply, one, some, or all.) Financial
constraints and regulatory requirements Leadership styles and characteristics Unhealthy work
situations leading to medical errors Staff mentoring new staff members and role modeling behaviors
Ineffective communication among healthcare providers
A) Financial constraints and regulatory requirements
B) Leadership styles and characteristics
C) Unhealthy work situations leading to medical errors
D) Staff mentoring new staff members and role modeling behaviors
E) Ineffective communication among healthcare providers

, Test Bank – Chapter 02




Test Bank – Chapter 02

Q1. What is the difference between ethics and morals? Ethics is more concerned with the “why” of
behavior. Ethics provides a framework for the evaluation of the behavior. Ethics is broader in scope
than morals. Ethics concentrates on the evaluation of behavior based on cultural values.
A) Ethics is more concerned with the “why” of behavior.
B) Ethics provides a framework for the evaluation of the behavior.
C) Ethics is broader in scope than morals.
D) Ethics concentrates on the evaluation of behavior based on cultural values.

Q2. The practitioner has informed the patient’s spouse that the patient has permanent quadriplegia.
The spouse states that they do not want anyone to tell the patient about his injury. The patient asks
the nurse about what has happened. The nurse has conflicting emotions about how to handle the
situation. What is the nurse experiencing? Autonomy Moral distress Moral doubt Moral courage
A) Autonomy
B) Moral distress
C) Moral doubt
D) Moral courage

Q3. Which of the following actions best enhances the principle of autonomy? Presenting only the
information to prevent relapse in a patient Assisting with only tasks that the patient cannot do
Providing the patient with all the information and facts Guiding the patient toward the best choices
for care
A) Presenting only the information to prevent relapse in a patient
B) Assisting with only tasks that the patient cannot do
C) Providing the patient with all the information and facts
D) Guiding the patient toward the best choices for care

Q4. Which ethical principle is most important when soliciting informed consent from a patient?
Nonmaleficence Fidelity Beneficence Veracity
A) Nonmaleficence
B) Fidelity
C) Beneficence
D) Veracity

Q5. A nurse working in a busy hospital unit witnesses a situation where a patient's care plan is
being neglected due to understaffing. The nurse feels strongly that the patient deserves better care
and considers speaking up, even though this could lead to tension with colleagues and possibly
negative repercussions from management. What action would demonstrate moral courage in this
situation? Remaining silent to avoid conflict and maintain a harmonious work environment Informing
the patient's family about the understaffing issue and suggesting they file a complaint Speaking up
and advocating for the patient’s care despite the risk of negative outcomes Leaving the job to find a
position where advocacy is more supported
A) Remaining silent to avoid conflict and maintain a harmonious work environment
B) Informing the patient's family about the understaffing issue and suggesting they file a
complaint
C) Speaking up and advocating for the patient’s care despite the risk of negative outcomes
D) Leaving the job to find a position where advocacy is more supported

Q6. Which action best reflects the concepts of beneficence and nonmaleficence? Advocating for
equitable healthcare Promoting safe patient care Ensuring equal access for those with the same

, Test Bank – Chapter 02




condition or diagnosis Confirming technological advances are available to all in a community
A) Advocating for equitable healthcare
B) Promoting safe patient care
C) Ensuring equal access for those with the same condition or diagnosis
D) Confirming technological advances are available to all in a community

Q7. Which of the following situations is an example of paternalism? Encouraging the patient to
ambulate after surgery Demanding the patient get out of bed to sit in a chair Following the patient’s
advance directive despite family objections Administering antibiotics for a viral infection
A) Encouraging the patient to ambulate after surgery
B) Demanding the patient get out of bed to sit in a chair
C) Following the patient’s advance directive despite family objections
D) Administering antibiotics for a viral infection

Q8. Which statement regarding the ANA Code of Ethics for Nursing is accurate? It highlights laws
and legal procedures that are prominent in nursing practice. It outlines beliefs about right or wrong
nursing behavior. It describes the specifics of practice in various settings and subspecialties. It
provides the primary source of ethical guidance for the nursing profession.
A) It highlights laws and legal procedures that are prominent in nursing practice.
B) It outlines beliefs about right or wrong nursing behavior.
C) It describes the specifics of practice in various settings and subspecialties.
D) It provides the primary source of ethical guidance for the nursing profession.

Q9. Ethical decisions are best made by performing which action? Following the guidelines of a
framework or model Having the patient discuss alternatives with the practitioner or nurse Prioritizing
the greatest good for the greatest number of persons Studying by the Ethics Committee after all
diagnostic data are reviewed
A) Following the guidelines of a framework or model
B) Having the patient discuss alternatives with the practitioner or nurse
C) Prioritizing the greatest good for the greatest number of persons
D) Studying by the Ethics Committee after all diagnostic data are reviewed

Q10. What is the first step of the ethical decision-making process? Consulting with an authority
Identifying the health problem Delineating the ethical problem from other types of problems
Identifying the patient as the primary decision-maker
A) Consulting with an authority
B) Identifying the health problem
C) Delineating the ethical problem from other types of problems
D) Identifying the patient as the primary decision-maker

Q11. A practitioner is suggesting treatments to a patient that are contrary to the patient’s
preferences. What is this practice called? Invaluable deficiency Physiologic uselessness Ethical
futility Situational insufficiency
A) Invaluable deficiency
B) Physiologic uselessness
C) Ethical futility
D) Situational insufficiency

Q12. Institutional ethics committees (IECs) review ethical cases that are problematic for the
practitioner. What is the primary function of an IEC? Consultation with essentially binding mandates
Support and education to healthcare practitioners Conflict resolution for moral dilemmas
Recommendations that are binding in all cases
A) Consultation with essentially binding mandates

, Test Bank – Chapter 02




B) Support and education to healthcare practitioners
C) Conflict resolution for moral dilemmas
D) Recommendations that are binding in all cases

Q13. Developing an organizational policy that supports unobstructed access to the ethics
committee by healthcare team members is one example of a proactive approach to dealing with
what issue? Moral distress Surrogate decision-makers Paternalism Patient advocacy
A) Moral distress
B) Surrogate decision-makers
C) Paternalism
D) Patient advocacy

Q14. A new nurse is working on a busy intermediate care unit floor and encounters a complex
patient case that requires knowledge beyond their current expertise. The nurse feels uncertain
about the best course of action and considers the virtues essential for ethical nursing practice.
Which action best demonstrates the virtue of humility in this scenario? Attempting to manage the
case independently to avoid appearing inexperienced Ignoring the complexity of the case and
following routine procedures Seeking guidance from more experienced colleagues and admitting
the limits of their knowledge Waiting until the end of the shift to address the patient's needs, hoping
the next nurse will handle it
A) Attempting to manage the case independently to avoid appearing inexperienced
B) Ignoring the complexity of the case and following routine procedures
C) Seeking guidance from more experienced colleagues and admitting the limits of their
knowledge
D) Waiting until the end of the shift to address the patient's needs, hoping the next nurse will
handle it

Q15. A patient with advanced heart failure and multiple organ failure is in the ICU. Despite
aggressive treatment, the patient's condition continues to deteriorate. The medical team recognizes
that the treatments are not improving the patient’s overall condition and may be causing more harm
than benefit. The patient's family insists on continuing all possible treatments, believing it is in the
patient’s best interest. Considering the concept of medical futility, what action should the medical
team take? Continue all aggressive treatments as per the family's wishes to respect their autonomy
Unilaterally decide to withdraw all treatments without discussing it with the family Engage in a
conversation with the family about the potential harms of continuing nonbeneficial treatments
Transfer the patient to another facility where the family can continue the desired treatments
A) Continue all aggressive treatments as per the family's wishes to respect their autonomy
B) Unilaterally decide to withdraw all treatments without discussing it with the family
C) Engage in a conversation with the family about the potential harms of continuing
nonbeneficial treatments
D) Transfer the patient to another facility where the family can continue the desired treatments

Q16. What is the legal standard of care for a nurse’s actions? The minimal competency under the
state Nurse Practice Act and ANA Code of Ethics for Nursing The ability to distinguish what is right
or wrong for the patient in any given circumstance A satisfactory knowledge of policies and
procedures through demonstration and exam The care that an ordinary prudent nurse would
perform under the same circumstances
A) The minimal competency under the state Nurse Practice Act and ANA Code of Ethics for
Nursing
B) The ability to distinguish what is right or wrong for the patient in any given circumstance
C) A satisfactory knowledge of policies and procedures through demonstration and exam
D) The care that an ordinary prudent nurse would perform under the same circumstances

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