Critical Care Nursing
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 why certification in critical
care nursing is encouraged within the ICU. Which statement by
the experienced nurse best reflects the value of certification to
patient care?
A. Certification primarily increases hospital reimbursement
rates
B. Certification demonstrates specialized knowledge and
commitment to quality care
C. Certification allows nurses to independently prescribe
medications in the ICU
D. Certification eliminates the need for continuing education
requirements
Correct Answer: B
Rationale:
Certification reflects advanced knowledge, clinical competence,
and commitment to excellence in critical care nursing practice.
The textbook emphasizes that certification benefits patients
through improved quality and safer care. Hospital
reimbursement is not the primary purpose of certification.
Critical care nurses do not gain prescriptive authority through
,certification. Continuing education remains necessary to
maintain competency and certification status.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 2
The charge nurse is evaluating communication practices within
the ICU. Which situation best demonstrates the AACN standard
of skilled communication?
A. The nurse avoids discussing concerns with physicians to
prevent conflict
B. The nurse uses clear, respectful communication during a
rapid response event
C. The nurse delegates communication responsibilities to the
charge nurse only
D. The nurse limits communication with family members during
emergencies
Correct Answer: B
Rationale:
Skilled communication involves clear, accurate, respectful, and
effective communication among healthcare team members,
particularly during high-acuity situations. Avoiding concerns
compromises patient safety. Communication is a shared
, responsibility among all team members. Family communication
remains important even during critical situations.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 3
An ICU nurse identifies a sudden decrease in urine output and
worsening hypotension in a critically ill patient. The nurse
immediately contacts the provider using a structured
communication format. Which patient safety principle is best
demonstrated?
A. Authentic leadership
B. Meaningful recognition
C. Effective clinical communication
D. Appropriate staffing
Correct Answer: C
Rationale:
Structured and timely communication promotes rapid
recognition and management of patient deterioration, reducing
adverse events in critical care settings. Authentic leadership
relates to leadership behaviors, meaningful recognition
concerns acknowledgment of contributions, and staffing
focuses on adequate personnel resources.
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 why certification in critical
care nursing is encouraged within the ICU. Which statement by
the experienced nurse best reflects the value of certification to
patient care?
A. Certification primarily increases hospital reimbursement
rates
B. Certification demonstrates specialized knowledge and
commitment to quality care
C. Certification allows nurses to independently prescribe
medications in the ICU
D. Certification eliminates the need for continuing education
requirements
Correct Answer: B
Rationale:
Certification reflects advanced knowledge, clinical competence,
and commitment to excellence in critical care nursing practice.
The textbook emphasizes that certification benefits patients
through improved quality and safer care. Hospital
reimbursement is not the primary purpose of certification.
Critical care nurses do not gain prescriptive authority through
,certification. Continuing education remains necessary to
maintain competency and certification status.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 2
The charge nurse is evaluating communication practices within
the ICU. Which situation best demonstrates the AACN standard
of skilled communication?
A. The nurse avoids discussing concerns with physicians to
prevent conflict
B. The nurse uses clear, respectful communication during a
rapid response event
C. The nurse delegates communication responsibilities to the
charge nurse only
D. The nurse limits communication with family members during
emergencies
Correct Answer: B
Rationale:
Skilled communication involves clear, accurate, respectful, and
effective communication among healthcare team members,
particularly during high-acuity situations. Avoiding concerns
compromises patient safety. Communication is a shared
, responsibility among all team members. Family communication
remains important even during critical situations.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 3
An ICU nurse identifies a sudden decrease in urine output and
worsening hypotension in a critically ill patient. The nurse
immediately contacts the provider using a structured
communication format. Which patient safety principle is best
demonstrated?
A. Authentic leadership
B. Meaningful recognition
C. Effective clinical communication
D. Appropriate staffing
Correct Answer: C
Rationale:
Structured and timely communication promotes rapid
recognition and management of patient deterioration, reducing
adverse events in critical care settings. Authentic leadership
relates to leadership behaviors, meaningful recognition
concerns acknowledgment of contributions, and staffing
focuses on adequate personnel resources.
