A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
Commented [h1]:
,Question 1
A newly hired critical care nurse asks the preceptor about the
primary focus of holistic critical care nursing practice. Which
response by the preceptor is most appropriate?
A. “Critical care nursing focuses mainly on physiologic
stabilization.”
B. “Holistic critical care nursing integrates physical,
psychosocial, spiritual, and family-centered care.”
C. “Critical care nursing is primarily directed toward technical
procedures and monitoring.”
D. “The nurse’s primary responsibility is management of
advanced equipment.”
Correct Answer: B
Rationale:
Holistic critical care nursing addresses the patient as a whole
person, including physiologic, emotional, spiritual,
developmental, and family needs. Options A, C, and D are
incomplete because they focus narrowly on technical or
physiologic aspects of care.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
,Question 2
The nurse is caring for a critically ill patient whose spouse
appears anxious and overwhelmed. Which nursing action best
reflects family-centered critical care practice?
A. Restricting family presence during interdisciplinary rounds
B. Encouraging the spouse to participate in care discussions and
decision-making
C. Limiting communication to visiting hours only
D. Asking the spouse to wait outside during patient
assessments
Correct Answer: B
Rationale:
Family-centered care recognizes the family as an essential
component of the patient’s support system and encourages
participation in care and decision-making. Restricting access or
communication does not support holistic critical care principles.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 3
A critical care nurse obtains specialty certification. Which
outcome is most closely associated with certification according
to the text?
, A. Reduced need for continuing education
B. Increased autonomy without collaboration
C. Improved patient outcomes and professional credibility
D. Elimination of workplace stress
Correct Answer: C
Rationale:
Certification is associated with enhanced professional
credibility, validation of expertise, improved patient outcomes,
and professional growth. Options A, B, and D are inaccurate
and unsupported.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Value of Certification
Question 4
The nurse manager is implementing evidence-based practice
(EBP) initiatives in the ICU. Which action best supports
successful EBP implementation?
A. Relying solely on unit traditions for patient care decisions
B. Encouraging staff participation in evaluating current research
C. Avoiding practice changes to maintain consistency
D. Using only physician preferences to guide interventions
Correct Answer: B