Guide (Chapters 1, 2, 3, 4, 5, 9, 10,
14)
NR 341 Week 3 Exam One Study Guide (Chapters 1, 2, 3, 4, 5, 9, 10, 14)
This blueprint is not inclusive of all content which may be on the exam.
Chapter 1 Overview of Critical Care Nursing
• Definition of critical care nursing
• Evolution of critical care
• Professional organizations o American association of critical-care nurses o Society of
critical care medicine o Other professional organizations
• Certification
• Standards
• Critical care nurse characteristics
• Quality and safety emphasis
• Evidence-based practice
• Healthy work environment o Communication o Collaboration
• Other trends and issues
Chapter 2 Patient and Family Response to the Critical Care Experience
• Introduction
• The critical care environment
• The critically ill patient
, Discharge from critical care and quality of life after critical care
o Geriatric concerns
• Family members of the critically ill patient o Family assessment o Family needs o
Communication o Visitation o Family presence during procedures and resuscitation o
Practice alerts
Chapter 3 Ethical and Legal Issues in Critical Care Nursing
• Introduction
• Ethical obligations and nurse advocacy
• Ethical decision making
• Ethical principles o Creating an ethical environment
• Increasing nurses’ involvement in ethical decision making
• Selected ethical topics in critical care o Informed consent
Elements of informed consent o Decisions regarding life-sustaining
treatment
Cardiopulmonary resuscitation decisions
Withholding or withdrawing life support
, End-of-life issues
Patient self-determination act
Advance directives o Organ and tissue
transplantation
Chapter 4 End-of-Life Care in the Critical Care Unit
• Introduction o Effects on nurses and the healthcare
team
• Dimensions of end-of-life care o Palliative care o
Communication and conflict resolution o
Withholding, limiting, or withdrawing therapy
Ventilator withdrawal
Other commonly withheld therapies
Hospice referral o Emotional and psychological care of
the patient and family o Caregiver organizational support
• Culturally competent end-of-life care
Chapter 5 Comfort and Sedation
• Introduction
• Definitions of pain and anxiety
• Predisposing factors to pain and anxiety
• Physiology of pain and anxiety
Pain