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CARE QUESTIONS
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Introduction to critical care nursing,
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8 th edition L
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,Chapter 01: Overview of Critical Care Nursing
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Sole: Introduction to Critical Care Nursin 8th Edition
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9, L L
MULTIPLE CHOICE L
1. ich of the following professional organizations best supports critical care nursing
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practice?
a. American Association of Critical-Care Nurses L L L L
b. American Heart Association L L
c. American Nurses Association L L
d. Society of Critical Care Medicine L L L L
ANS: A L
The American Association of Critical-Care Nurses is the specialty organization that supports
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and represents critical care nurses. The American Heart Association supports
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cardiovascular initiatives. The American Nurses Association supports all nurses. The Society
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of Critical Care Medicine represents the multiprofessional critical care team under the
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direction of an intensivist. L L L
DIF: Cognitive Level: Knowledge L L
OBJ: Discuss the purposes and functions of the professional organizations that support critical
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care practice.
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MSC: NCLEX: 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 years and is
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interested in certification. Which credential would be most applicable for her to seek?
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a. ACNPC
b. CCNS
C CCRN
d. PCCN
ANS: C L
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill
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patients. The ACNPC certification is for acute care nurse practitioners. The CCNS
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certification is for critical care clinical nurse specialists. The PCCN certification is for
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staff nurses working in progressive care, intermediate care, or step-down unit settings.
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DIF: Cognitive Level: Application L L
OBJ: Explain certification options for critical care nurses.
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MSC: NCLEX: Safe and Effective Care Environment
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3. What is the main purpose of certification for critical care nursing?
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a. To assure the consumer that critical nurses will not make a mistake.
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b. To help prepare the critical care nurse for graduate school.
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c. To assist in promoting magnet status for a facility.
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d. To validate a nurse's knowledge of critical care nursing.
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ANS: D L
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, Certification assists in validating knowledge of the field, promotes excellence in the
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profession, and helps nurses to maintain their knowledge of critical care nursing. Certification
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helps to assure the consumer that the nurse has a minimum level of knowledge;
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however, it does not ensure that care will be mistake-free. Certification does not prepare
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one for graduate school; however, achieving certification demonstrates motivation for
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achievement and professionalism. Magnet facilities are rated on the number of certified
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nurses; however, that is not the purpose of certification.
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DIF: Cognitive Level: Analysis L L
OBJ: Explain certification options for critical care nurses.
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MSC: NCLEX: Safe and Effective Care Environment
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4. What is the focus of the synergy model of practice?
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a. Allowing unrestricted visiting for the patient 24 hours each day. L L L L L L L L L
b. Providing holistic and alternative therapies. L L L L
c. Considering the needs of patients and their families, which drives nursing L L L L L L L L L L L
competency.
d. Addressing the patients' needs for energy and support. L L L L L L L
ANS: C L
The synergy model of practice states that the needs of patients and families influence
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and drive competencies of nurses. Nursing practice based on the synergy model would
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involve tailored visiting to meet the patient's and family's needs and application of
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alternative therapies if desired by the patient, but that is not the primary focus of the
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model.
DIF: Cognitive Level: Application L L
OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A
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5. The family of your critically ill patient tells you that they have not spoken with the
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physician in over 24 hours and they have some questions that they want clarified.
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During morning rounds, you convey this concern to the attending intensivist and arrange
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for her to meet with the family at 4:00 PM in the conference room. Which competency
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of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues L L L L L L L
b. Clinical judgment and clinical reasoning skills L L L L L
c. Collaboration with patients, families, and team members L L L L L L
d. Facilitation of learning for patients, families, and team members L L L L L L L L
ANS: C L
Although one might consider that all of these competencies are being addressed,
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communication and collaboration with the family and physician best exemplify the L L L L L L L L L L L
competency of collaboration. L L
DIF: Cognitive Level: Analysis L L
OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A
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6. The AACN Standards for Acute and Critical Care Nursing Practice uses what framework to
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guide critical care nursing practice?
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a. Evidence-based practice L
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, b. Healthy work environment L L
c. National Patient Safety Goals L L L
d. Nursing process L
ANS: D L
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
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process as applied to critically ill patients: collect data, determine diagnoses, identify expected
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outcomes, develop a plan of care, implement interventions, and evaluate care. AACN
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promotes a healthy work environment, but this is not included in the Standards. The Joint
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Commission has established National Patient Safety Goals, but these are not the AACN
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Standards.
DIF: Cognitive Level: Understand L L
OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: NIA
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7. The charge nurse is responsible for making the patient assignments on the critical care
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unit. She assigns the experienced, certified nurse to care for the acutely ill patient
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diagnosed with sepsis who also requires continuous renal replacement therapy and
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mechanical ventilation. She assigns the nurse with less than I year of experience to two
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patients who are more stable. This assignment reflects implementation of what guiding
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framework?
a. Crew resource management model L L L
b. National Patient Safety Goals L L L
c. Quality and Safety Education for Nurses (QSEN) model L L L L L L L
d. Synergy model of practice L L L
ANS: D L
This assignment demonstrates nursing care to meet the needs of the patient. The synergy
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model notes that the nurse competencies are matched to the patient characteristics. Crew
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resource management concepts related to team training, National Patient Safety Goals
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are specified by The Joint Commission to promote safe care but do not incorporate the
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synergy model. The Quality and Safety Education for Nurses initiative involves targeted
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education to undergraduate and graduate nursing students to learn quality and safety
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concepts.
DIF: Cognitive Level: Analysis L L
OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: NIA
L MSC: NCLEX: Safe and Effective Care Environment
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8. The vision of the American Association of Critical-Care Nurses is a healthcare system driven
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by achieving what goal?
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a. Maintaining a healthy work environment. L L L L
b. Providing care from a multiprofessional team under the direction of a critical care
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physician.
c. Effectively meeting the needs of critically ill patients and families. L L L L L L L L L
d. Creating respectful, healing, and humane environments. L L L L L
ANS: C L
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