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1 Overview of Critical Care Nursing
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2 Patient and Family Response to the Critical Care Experience
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3 Ethical and Legal Issues in Critical Care Nursing
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4 Palliative and End-of-Life Care
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5 Organ Donation
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6 Comfort and Sedation
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7 Nutritional Therapy gx
8 Dysrhythmia Interpretation and Management
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9 Hemodynamic Monitoring gx
10 Ventilatory Assistance gx
11 Rapid Response Teams and Code Management
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12 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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13 Cardiovascular Alterations gx
14 Nervous System Alterations
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15 Acute Respiratory Failure
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16 Acute Kidney Injury
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17 Hematological and Immune Disorders gx gx gx
18 Gastrointestinal Alterations gx
19 Endocrine Alterations gx
20 Trauma and Surgical Management
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21 Burns
,Chapter 01: Overview of Critical Care Nursing
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Sole’s Introduction to Critical Care Nursing 9th Edition
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MULTIPLE CHOICE gx
1. Which of the following professional organizations best supports critical care nursin
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g practice?
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a. American Association of Critical- gx gx gx
Care Nurses gx
b. American Heart Association gx gx
c. American Nurses Association gx gx
d. Society of Critical Care Medicine gx gx gx gx
ANS: A
The American Association of Critical-
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Care Nurses is the specialty organization that supports and represents critical care nur
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ses. The American Heart Association supports cardiovascular initiatives. The Americ
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an Nurses Association supports all nurses. The Society of Critical Care Medicine rep
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resents the multiprofessional critical care team under the direction of an intensivi
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st.
DIF: Cognitive Level: Remember/Knowledge gx gx
OBJ:
Discuss the purposes and functions of the professional organizations that support crit i
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cal care practice.
gx TOP: Nursing Process Step: N/A
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MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 ye ar
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s and is interested in certification. Which credential would be most applicable for the
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nurse to seek? gx gx
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses in bedside practice who care for cri ti
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cally ill patients. The ACNPC-
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AG certification is for acute care nurse practitioners. The CNML is for critical care n u
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rse managers or leaders. The PCCN certification is for staff nurses working in progr es
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sive care, intermediate care, or step-down unit settings.
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DIF: Cognitive Level: Remember/Knowledge gx gx
OBJ:
Explain certification options for critical care nurse gx gx gx gx gx gx TOP: Nursing Process Ste gx gx
s.
p: N/A g x
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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3. The main purpose of certification is to
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a. assure the consumer that you will not make a mistak e gx gx gx gx gx gx gx gx gx gx
, .
b. prepare for graduate school.
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c. promote magnet status for your facility.
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d. validate knowledge of critical care nursing.
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, ANS: g x g x D
Certification assists in validating knowledge of the field, promotes excellence in the p r
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ofession, and helps nurses to maintain their knowledge of critical care nursing.
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Certification helps to assure the consumer that the nurse has a minimum level of kno w
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ledge; however, it does not ensure that care will be mistake-
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free. Certification does not prepare one for graduate school; however, achieving certifi c
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ation demonstrates motivation for achievement and professionalism. Magnet facilities ar
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e rated on the number of certified nurses; however, that is not the purpose of certif icatio
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n.
DIF: Cognitive Level: Remember/Knowledge gx gx
OBJ:
Explain certification options for critical care nurse gx gx gx gx gx gx TOP: Nursing Process Ste gx gx
s.
p: N/A g x
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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4. The synergy model of practice focuses on
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a. allowing unrestricted visiting for the patient 24 hours a day. gx gx gx gx gx gx gx gx gx
b. holistic and alternative therapies. gx gx gx
c. the needs of patients and their families, which drive nursing competenc
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y.
d. patients’ needs for energy and support. gx gx gx gx gx
ANS: C
The synergy model of practice states that the needs of patients and families influe
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nc e and drive competencies of nurses. Nursing practice based on the synergy model w
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o uld involve tailored visiting to meet the patient’s and family’s needs and the applicati
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on of alternative therapies if desired by the patient, but that is not the primary fo
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cus of the model.
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DIF: Cognitive Level: Remember/Knowledge gx gx
OBJ:
Describe standards of professional practice for critical care nursing. gx gx gx gx gx gx gx gx gx
TOP: Nursing Process Step: N/A gx gx g x g x
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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5. The family of your critically ill patient tells you that they have not spoken with the p hy
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sician in over 24 hours and that they have some questions they want clarified. Dur ing
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morning rounds, you convey this concern to the attending intensivist and arrange a meet
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ing with the family at 4:00 PM. Which competency of critical care nursing does this re
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present?
a. Advocacy and moral agency in solving ethical issues gx gx gx gx gx gx gx
b. Clinical judgment and clinical reasoning skills gx gx gx gx gx
c. Collaboration with patients, families, and team members gx gx gx gx gx gx
d. Facilitation of learning for patients, families, and team member gx gx gx gx gx gx gx gx g
s x
ANS: C
Although one might consider that all of these competencies are being addressed, co m
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munication and collaboration with the family and physician best exemplify the com pe
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tency of collaboration. gx gx