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 evidence-based
practice (EBP) is emphasized in the intensive care unit (ICU).
Which response by the charge nurse is most appropriate?
A. “EBP reduces the need for clinical judgment in unstable
patients.”
B. “EBP integrates research evidence, clinical expertise, and
patient values to improve outcomes.”
C. “EBP ensures that all ICU patients receive identical
interventions.”
D. “EBP is primarily used to reduce hospital costs.”
Correct Answer: B
Rationale:
Evidence-based practice integrates the best available research
evidence, clinician expertise, and patient preferences to
optimize patient outcomes in critical care settings. Option A is
incorrect because EBP supports rather than replaces clinical
judgment. Option C is incorrect because care must remain
individualized. Option D is incorrect because although EBP may
reduce costs, its primary goal is improving quality and safety of
care.
,Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 2
A critical care nurse is caring for a patient with rapidly
worsening respiratory distress. Which action best reflects the
AACN standard of skilled communication?
A. Avoiding communication until all diagnostic data are
available
B. Reporting only abnormal findings to the provider
C. Clearly communicating patient deterioration using concise
and accurate information
D. Delegating communication responsibilities to the charge
nurse
Correct Answer: C
Rationale:
Skilled communication requires timely, accurate, clear, and
respectful exchange of information among healthcare team
members to promote patient safety. Option A delays necessary
intervention. Option B may omit clinically relevant information.
Option D does not reflect professional accountability.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
, Question 3
Which situation best demonstrates true collaboration within
the critical care environment?
A. The physician independently changes the care plan without
informing the nursing staff
B. Nurses participate equally with interdisciplinary team
members in patient care decisions
C. Nurses follow provider orders without questioning
inconsistencies
D. Family members are excluded from interdisciplinary
discussions to avoid conflict
Correct Answer: B
Rationale:
True collaboration involves mutual respect and shared decision-
making among all members of the healthcare team. Option A
reflects poor communication. Option C discourages advocacy
and critical thinking. Option D conflicts with holistic and
patient-centered care principles.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
A nurse manager evaluates staffing assignments in the ICU.
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 evidence-based
practice (EBP) is emphasized in the intensive care unit (ICU).
Which response by the charge nurse is most appropriate?
A. “EBP reduces the need for clinical judgment in unstable
patients.”
B. “EBP integrates research evidence, clinical expertise, and
patient values to improve outcomes.”
C. “EBP ensures that all ICU patients receive identical
interventions.”
D. “EBP is primarily used to reduce hospital costs.”
Correct Answer: B
Rationale:
Evidence-based practice integrates the best available research
evidence, clinician expertise, and patient preferences to
optimize patient outcomes in critical care settings. Option A is
incorrect because EBP supports rather than replaces clinical
judgment. Option C is incorrect because care must remain
individualized. Option D is incorrect because although EBP may
reduce costs, its primary goal is improving quality and safety of
care.
,Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 2
A critical care nurse is caring for a patient with rapidly
worsening respiratory distress. Which action best reflects the
AACN standard of skilled communication?
A. Avoiding communication until all diagnostic data are
available
B. Reporting only abnormal findings to the provider
C. Clearly communicating patient deterioration using concise
and accurate information
D. Delegating communication responsibilities to the charge
nurse
Correct Answer: C
Rationale:
Skilled communication requires timely, accurate, clear, and
respectful exchange of information among healthcare team
members to promote patient safety. Option A delays necessary
intervention. Option B may omit clinically relevant information.
Option D does not reflect professional accountability.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
, Question 3
Which situation best demonstrates true collaboration within
the critical care environment?
A. The physician independently changes the care plan without
informing the nursing staff
B. Nurses participate equally with interdisciplinary team
members in patient care decisions
C. Nurses follow provider orders without questioning
inconsistencies
D. Family members are excluded from interdisciplinary
discussions to avoid conflict
Correct Answer: B
Rationale:
True collaboration involves mutual respect and shared decision-
making among all members of the healthcare team. Option A
reflects poor communication. Option C discourages advocacy
and critical thinking. Option D conflicts with holistic and
patient-centered care principles.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
A nurse manager evaluates staffing assignments in the ICU.
