,Chapter 01: Critical Care Nursing Practice
Urden: Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. During World War II, what types of wards were developed to care for critically injure
d patients?
a. Intensive care
b. Triage
c. Shock
d. Postoperative
ANS: C
During World War II, shock wards were established to care for critically injured patients. Tr
iage wards establish the order in which a patient is seen or treated upon arrival to a hospital.
Postoperative wards were developed in 1900 and later evolved into intensive care units.
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2. What type of practitioner has a broad depth of specialty knowledge and expertise and
manages complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses WWW.TBSM.WS
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their sp
ecialty area and manage complex clinical and systems issues. Intensivists are medical practi
tioners who manage the critical ill patient. Registered nurses (RNs) are generally direct care
providers. Clinical nurse leaders (CNLs) generally do not manage systemjjissues.
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3. What type of practitioner is instrumental in ensuring care that is evidence based and tha
t safety programs are in place?
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurses
d. Nurse practitioners
ANS: A
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, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, re
search, leadership, and consultative abilities. They are instrumental in ensuring that care is e
vidence based and that safety programs are in place. Advanced practice nurses (APNs) hav e
a broad depthjjof knowledge and expertise in their specialty area and manage complex cli
nical and systems issues. Registered nurses are generally direct care providers. Nurse practi
tioners (NPs) manage direct clinical care of groups of patients.
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4. Whichjjprofessional organization administers critical care certification exams for registered
nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Societyjjof Critical Care Medicine
d. American Association of Critical-Care Nurses
ANS: D
American Associationjjof Critical-
Care Nurses (AACN) administers certification exams for registered nurses. The State Board
of Registered Nurses (SBON) does not administer certification exams. National Associationj
of Clinical Nurse Specialists (NACNS) does not administer certification exams. Society of
Critical Care Medicine (SCCM) does not administer nursing certification exams for register
ed nurses.
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5. Emphasis is on human integrity and stresses the theoryjjthat the body, mind, and spirit ar
e interdependent and inseparable. This statement describes which methodology of care?
a. Holistic care
b. Individualized care
c. Cultural care
d. Interdisciplinary care
ANS: A
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are int
erdependent and inseparable. Individualized care recognizes the uniqueness of each patient
’s preferences, condition, and physiologic and psychosocial status. Cultural diversity in hea
lth care is not a new topic, but it is gaining emphasis and importance as the world becomes
more accessible to all as the result of increasing technologies and interfaces with places an
d peoples. Interdisciplinary care is care among a variety of health care professionals with t
he patient’s health as the common goal.
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, 6. The AmericanjjAssociation of Critical-
Care Nurses (AACN) has developed short directives that can be used as quick references f
or clinical use that are known as
a. Critical Care Protocol.
b. Practice Policies.
c. Evidence-Based Research.
d. Practice Alerts.
ANS: D
The American Association of Critical-
Care Nurses (AACN) has promulgated several evidence-
based practice summaries in the form of “Practice Alerts.” Evidence-
based nursing practice considers the best research evidence onjjthe care topic along with cli
nical expertise of the nurse and patient preferences. Critical care protocoljjand practice polic
ies are established by individual institutions.
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7. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
The term alternative denotes that a specific therapy is an option or alternative to what is
consideredjjconventional t r e a t mWe nWt Wo .f aTcBoSnM
di.
tioWnSor state. Thejjtermjjcomplementary was prop
osed to describe therapies that can be used to complement or support conventional treatment
s. Holistic care focuses on human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of ea
ch patient’s preferences, condition, and physiologic and psychosocial status.
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8. Prayer, guided imagery, and massage are all examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
ANS: C
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