A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
,Question 1
A newly hired nurse in the critical care unit asks the preceptor
why critically ill patients require continuous monitoring and
rapid intervention. Which response by the preceptor best
reflects the role of critical care nursing?
A. “Critical care nursing focuses primarily on performing
complex technical procedures.”
B. “Critical care nursing emphasizes holistic care for patients
with life-threatening health problems.”
C. “Critical care nursing mainly involves administering
medications prescribed by providers.”
D. “Critical care nursing is limited to caring for mechanically
ventilated patients.”
Correct Answer: B
Rationale:
Critical care nursing is centered on holistic care of patients with
actual or potential life-threatening illnesses or injuries. The role
extends beyond technical skills and includes physiologic,
psychosocial, and family-centered care. Options A, C, and D are
too narrow and fail to capture the comprehensive scope of
critical care nursing practice.
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
deteriorating respiratory status. Which nursing action best
demonstrates effective clinical judgment?
A. Waiting for the provider to assess the patient before
intervening
B. Delegating assessment of breath sounds to assistive
personnel
C. Recognizing worsening respiratory distress and initiating
immediate nursing interventions
D. Reviewing the patient’s discharge instructions
Correct Answer: C
Rationale:
Critical care nurses must rapidly recognize instability and
intervene promptly to prevent further deterioration. Early
recognition and timely action are essential components of
critical care nursing practice. Waiting delays care, assessment
cannot be delegated to assistive personnel, and discharge
teaching is not the priority during acute instability.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 3
A nurse manager encourages ICU nurses to obtain specialty
, certification. Which outcome best supports the value of
certification to patients and families?
A. Reduced documentation requirements
B. Improved confidence in the nurse’s clinical competence
C. Elimination of staffing shortages
D. Increased nurse autonomy without collaboration
Correct Answer: B
Rationale:
Certification demonstrates specialized knowledge and
competence in critical care nursing, which promotes patient
and family confidence in the quality of care. Certification does
not eliminate staffing shortages or reduce the need for
collaboration. Documentation responsibilities remain essential.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Value of Certification
Question 4
A certified critical care nurse explains the professional benefits
of specialty certification to a colleague. Which statement is
most accurate?
A. “Certification guarantees promotion into leadership
positions.”
B. “Certification replaces the need for continuing education.”
C. “Certification validates advanced knowledge and