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Test Bank
Critical Care Nursing: A Holistic Approach, 12th Edition
By Patricia Gonce Morton, Paul Thurman
(All Chapters Covered, Verified Answers, Latest Edition)
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Table of Contents
Part 1 The Concept of Holism Applied to Critical Care Nursing Practice
Chapter 1. Critical Care Nursing Practice: Promoting Excellence Through Caring, Collaboration, and Evidence
Chapter 2. The Patient’s Experience With Critical Illness
Chapter 3. The Family’s Experience With Critical Illness
Chapter 4. Patient and Family Education in Critical Care
Chapter 5. Relieving Pain and Providing Comfort
Chapter 6. Palliative Care and End-of-Life Issues in Critical Care
Part 2 Professional Practice Issues in Critical Care
Chapter 7. Ethical Issues in Critical Care Nursing
Chapter 8. Legal Issues in Critical Care Nursing
Chapter 9. Building a Professional Practice Model for Excellence in Critical Care Nursing
Part 3 Special Populations in Critical Care
Chapter 10. The Critically Ill Pediatric Patient
Chapter 11. The Critically Ill Pregnant Woman
Chapter 12. The Critically Ill Older Patient
Chapter 13. The Postanesthesia Patient
Part 4 Special Situations in Critical Care
Chapter 14. Rapid Response Teams and Transport of the Critically Ill Patient
Chapter 15. Disaster Management: Implications for the Critical Care Nurse
Part 5 Cardiovascular System
Chapter 16. Anatomy and Physiology of the Cardiovascular System
Chapter 17. Patient Assessment: Cardiovascular System
Chapter 18. Patient Management: Cardiovascular System
Chapter 19. Common Cardiovascular Disorders
Chapter 20. Heart Failure
Chapter 21. Acute Myocardial Infarction
Chapter 22. Cardiac Surgery
Part 6 Respiratory System
Chapter 23. Anatomy and Physiology of the Respiratory System
Chapter 24. Patient Assessment: Respiratory System
Chapter 25. Patient Management: Respiratory System
Chapter 26. Common Respiratory Disorders
Chapter 27. Acute Respiratory Distress Syndrome
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Part 7 Renal System
Chapter 28. Anatomy and Physiology of the Renal System
Chapter 29. Patient Assessment: Renal System
Chapter 30. Patient Management: Renal System
Chapter 31. Acute Kidney Injury and Chronic Kidney Disease
Part 8 Nervous System
Chapter 32. Anatomy and Physiology of the Nervous System
Chapter 33. Patient Assessment: Nervous System
Chapter 34. Patient Management: Nervous System
Chapter 35. Common Neurosurgical and Neurological Disorders
Chapter 36. Traumatic Brain Injury
Chapter 37. Spinal Cord Injury
Part 9 Gastrointestinal System
Chapter 38. Anatomy and Physiology of the Gastrointestinal System
Chapter 39. Patient Assessment: Gastrointestinal System
Chapter 40. Patient Management: Gastrointestinal System
Chapter 41. Common Gastrointestinal Disorders
Part 10 Endocrine System
Chapter 42. Anatomy and Physiology of the Endocrine System
Chapter 43. Patient Assessment: Endocrine System
Chapter 44. Common Endocrine Disorders
Part 11 Hematological and Immune Systems
Chapter 45. Anatomy and Physiology of the Hematological and Immune Systems
Chapter 46. Patient Assessment: Hematological and Immune Systems
Chapter 47. Organ and Hematopoietic Stem Cell Transplantation
Chapter 48. Common Immunological Disorders
Chapter 49. Common Hematological Disorders
Part 12 Integumentary System
Chapter 50. Anatomy and Physiology of the Integumentary System
Chapter 51. Patient Assessment: Integumentary System
Chapter 52. Patient Management: Integumentary System
Chapter 53. Burns and Common Integumentary Disorders
Part 13 Multisystem Dysfunction
Chapter 54. Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome
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Chapter 55. Trauma
Chapter 56. Drug Overdose and Poisoning
Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring, Collaboration
Evidence
Multiple Choice
Answers Provided at the End of Each Chapter.
1. A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient because she
doubts the accuracy of her knowledge and her intuition. She loves her work but wishes she could
do it with a greater level of competence. What is the most important effect that obtaining
certification would likely have on the nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellent interpersonal skills
and highly positive references. One, however, has certification in critical care nursing. Which of
the following is the most compelling and accurate reason for the hospital to hire the candidate
with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about in a
recent article in a nursing journal. She then brings a cup of water and a straw to the patient
because she observes that his lips are dry. Later, she has the patient sit in a wheelchair and takes
him to have some blood tests performed. He objects at first, saying that he can walk on his own,
but the nurse explains that it is hospital policy to use the wheelchair. That evening, she
recognizes signs of an imminent stroke in the patient and immediately pages the physician.
Which action taken by the nurse is the best example of evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
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C) Using the cognitive assessment test
4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have been
shown to be most effective in reducing these infections. She consults many different sources and
finds conflicting information. Which of the following sources should she consider the most
authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5. A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following would be
the best step for her to take to promote incorporating evidence into clinical practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research on it.
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose. The
physician has the nurse paged and consults with him in the hallway regarding the patients request
for stronger pain medication. The nurse explains that patient was started on a morphine drip only
20 minutes ago and that the drug has not had time to take effect yet. The physician agrees and
tells the patient to give it just a bit more time. Which component of a healthy work environment
is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
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B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An ICU nurse has provided excellent care for a 6-year-old girl who had been admitted to
the ICU for a head injury. The nurse was attentive not only to the needs of the patient but also
went out of her way to care for the needs of the girls family. According to research, which of the
following forms of recognition would the nurse value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Nurse of the Year
C) A letter of commendation from the hospitals administration
D) A bouquet of flowers from her supervisor
9. A patient in the ICU has recently been diagnosed with diabetes mellitus. Before being
discharged, this patient will require detailed instructions on how to manage her diet, how to self-
inject insulin, and how to handle future diabetic emergencies. Which nurse competency is most
needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
10. An elderly patient is admitted to the ICU with stage IV lung cancer, diabetes mellitus,
and congestive heart failure. The health care team assembled to care for her is large and diverse,
including an oncologist, a pulmonologist, an endocrinologist, a cardiologist, and others. The
patient is not expected to survive more than a few weeks, and her husband is overwhelmed with
stress and grief. Which nurse competency or competencies are most needed in this situation?
Select all that apply.
A) Clinical judgment
B) Caring practices
C) Collaboration
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Test Bank
Critical Care Nursing: A Holistic Approach, 12th Edition
By Patricia Gonce Morton, Paul Thurman
(All Chapters Covered, Verified Answers, Latest Edition)
@Mercy Expert
,@Mercy Expert
Table of Contents
Part 1 The Concept of Holism Applied to Critical Care Nursing Practice
Chapter 1. Critical Care Nursing Practice: Promoting Excellence Through Caring, Collaboration, and Evidence
Chapter 2. The Patient’s Experience With Critical Illness
Chapter 3. The Family’s Experience With Critical Illness
Chapter 4. Patient and Family Education in Critical Care
Chapter 5. Relieving Pain and Providing Comfort
Chapter 6. Palliative Care and End-of-Life Issues in Critical Care
Part 2 Professional Practice Issues in Critical Care
Chapter 7. Ethical Issues in Critical Care Nursing
Chapter 8. Legal Issues in Critical Care Nursing
Chapter 9. Building a Professional Practice Model for Excellence in Critical Care Nursing
Part 3 Special Populations in Critical Care
Chapter 10. The Critically Ill Pediatric Patient
Chapter 11. The Critically Ill Pregnant Woman
Chapter 12. The Critically Ill Older Patient
Chapter 13. The Postanesthesia Patient
Part 4 Special Situations in Critical Care
Chapter 14. Rapid Response Teams and Transport of the Critically Ill Patient
Chapter 15. Disaster Management: Implications for the Critical Care Nurse
Part 5 Cardiovascular System
Chapter 16. Anatomy and Physiology of the Cardiovascular System
Chapter 17. Patient Assessment: Cardiovascular System
Chapter 18. Patient Management: Cardiovascular System
Chapter 19. Common Cardiovascular Disorders
Chapter 20. Heart Failure
Chapter 21. Acute Myocardial Infarction
Chapter 22. Cardiac Surgery
Part 6 Respiratory System
Chapter 23. Anatomy and Physiology of the Respiratory System
Chapter 24. Patient Assessment: Respiratory System
Chapter 25. Patient Management: Respiratory System
Chapter 26. Common Respiratory Disorders
Chapter 27. Acute Respiratory Distress Syndrome
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Part 7 Renal System
Chapter 28. Anatomy and Physiology of the Renal System
Chapter 29. Patient Assessment: Renal System
Chapter 30. Patient Management: Renal System
Chapter 31. Acute Kidney Injury and Chronic Kidney Disease
Part 8 Nervous System
Chapter 32. Anatomy and Physiology of the Nervous System
Chapter 33. Patient Assessment: Nervous System
Chapter 34. Patient Management: Nervous System
Chapter 35. Common Neurosurgical and Neurological Disorders
Chapter 36. Traumatic Brain Injury
Chapter 37. Spinal Cord Injury
Part 9 Gastrointestinal System
Chapter 38. Anatomy and Physiology of the Gastrointestinal System
Chapter 39. Patient Assessment: Gastrointestinal System
Chapter 40. Patient Management: Gastrointestinal System
Chapter 41. Common Gastrointestinal Disorders
Part 10 Endocrine System
Chapter 42. Anatomy and Physiology of the Endocrine System
Chapter 43. Patient Assessment: Endocrine System
Chapter 44. Common Endocrine Disorders
Part 11 Hematological and Immune Systems
Chapter 45. Anatomy and Physiology of the Hematological and Immune Systems
Chapter 46. Patient Assessment: Hematological and Immune Systems
Chapter 47. Organ and Hematopoietic Stem Cell Transplantation
Chapter 48. Common Immunological Disorders
Chapter 49. Common Hematological Disorders
Part 12 Integumentary System
Chapter 50. Anatomy and Physiology of the Integumentary System
Chapter 51. Patient Assessment: Integumentary System
Chapter 52. Patient Management: Integumentary System
Chapter 53. Burns and Common Integumentary Disorders
Part 13 Multisystem Dysfunction
Chapter 54. Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome
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Chapter 55. Trauma
Chapter 56. Drug Overdose and Poisoning
Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring, Collaboration
Evidence
Multiple Choice
Answers Provided at the End of Each Chapter.
1. A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient because she
doubts the accuracy of her knowledge and her intuition. She loves her work but wishes she could
do it with a greater level of competence. What is the most important effect that obtaining
certification would likely have on the nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellent interpersonal skills
and highly positive references. One, however, has certification in critical care nursing. Which of
the following is the most compelling and accurate reason for the hospital to hire the candidate
with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about in a
recent article in a nursing journal. She then brings a cup of water and a straw to the patient
because she observes that his lips are dry. Later, she has the patient sit in a wheelchair and takes
him to have some blood tests performed. He objects at first, saying that he can walk on his own,
but the nurse explains that it is hospital policy to use the wheelchair. That evening, she
recognizes signs of an imminent stroke in the patient and immediately pages the physician.
Which action taken by the nurse is the best example of evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
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C) Using the cognitive assessment test
4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have been
shown to be most effective in reducing these infections. She consults many different sources and
finds conflicting information. Which of the following sources should she consider the most
authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5. A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following would be
the best step for her to take to promote incorporating evidence into clinical practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research on it.
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose. The
physician has the nurse paged and consults with him in the hallway regarding the patients request
for stronger pain medication. The nurse explains that patient was started on a morphine drip only
20 minutes ago and that the drug has not had time to take effect yet. The physician agrees and
tells the patient to give it just a bit more time. Which component of a healthy work environment
is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
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B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An ICU nurse has provided excellent care for a 6-year-old girl who had been admitted to
the ICU for a head injury. The nurse was attentive not only to the needs of the patient but also
went out of her way to care for the needs of the girls family. According to research, which of the
following forms of recognition would the nurse value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Nurse of the Year
C) A letter of commendation from the hospitals administration
D) A bouquet of flowers from her supervisor
9. A patient in the ICU has recently been diagnosed with diabetes mellitus. Before being
discharged, this patient will require detailed instructions on how to manage her diet, how to self-
inject insulin, and how to handle future diabetic emergencies. Which nurse competency is most
needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
10. An elderly patient is admitted to the ICU with stage IV lung cancer, diabetes mellitus,
and congestive heart failure. The health care team assembled to care for her is large and diverse,
including an oncologist, a pulmonologist, an endocrinologist, a cardiologist, and others. The
patient is not expected to survive more than a few weeks, and her husband is overwhelmed with
stress and grief. Which nurse competency or competencies are most needed in this situation?
Select all that apply.
A) Clinical judgment
B) Caring practices
C) Collaboration
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