Chapter 01: Critical Care Nursing
Practice Urden: Critical Care
Nursing, 9th Edition
MULTIPLE CHOICE
1. During World War II, what types of wards were developed to care for
critically injured patients?
a. Intensive care
b. Triage
c. Shock
d. Postoperative
ANS: C
During World War II, shock wards were established to care for critically
injured patients. Triage wards establish the order in which a patient is seen or
treated upon arrival to a hospital. Postoperative wards were developed in
1900 and later evolved into intensive care units.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 2 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
2. What type of practitioner has a broad depth of specialty knowledge
and expertise and manages complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and
expertise in their specialty area and manage complex clinical and systems
issues. Intensivists are medical practitioners who manage the critical ill
patient. Registered nurses (RNs) are generally direct care providers. Clinical
nurse leaders (CNLs) generally do not manage system issues.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 5 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
3. What type of practitioner is instrumental in ensuring care that is evidence
based and that safety programs are in place?
a. Clinical nurse specialist
, b. Advanced practice nurse
c. Registered nurses
d. Nur
se
practiti
oners
ANS:
A
Clinical nurse specialists (CNSs) serve in specialty roles that use their
clinical, teaching, research, leadership, and consultative abilities. They are
instrumental in ensuring that care is evidence based and that safety programs
are in place. Advanced practice nurses (APNs) have a broad depth of
knowledge and expertise in their specialty area and manage complex clinical
and systems issues. Registered nurses are generally direct care providers.
Nurse practitioners (NPs) manage direct clinical care of groups of patients.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 6 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
4. Which professional organization administers critical care certification
exams for registered nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
ANS: D
American Association of Critical-Care Nurses (AACN) administers
certification exams for registered nurses. The State Board of Registered
Nurses (SBON) does not administer certification exams. National
Association of Clinical Nurse Specialists (NACNS) does not administer
certification exams. Society of Critical Care Medicine (SCCM) does not
administer nursing certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 7 OBJ:
Nursing Process Step: NW/ WAW.TBS M T. OW PS: Critical Care
Nursing Practice MSC: NCLEX: Safe and Effective Care
Environment
5. Emphasis is on human integrity and stresses the theory that the body,
, mind, and spirit are interdependent and inseparable. This statement
describes which methodology of care?
a. Holistic care
b. Individualized care
c. Cultural care
d. Interdisciplinary care
ANS: A
Holistic care focuses on human integrity and stresses that the body, mind,
and spirit are interdependent and inseparable. Individualized care recognizes
the uniqueness of each patient’s preferences, condition, and physiologic and
psychosocial status. Cultural diversity in health care is not a new topic, but it
is gaining emphasis and importance as the world becomes more accessible
to all as the result of increasing technologies and interfaces with places and
peoples. Interdisciplinary care is care among a variety of health care
professionals with the patient’s health as the common goal.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 12 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
6. The American Association of Critical-Care Nurses (AACN) has developed
short directives that can be used as quick references for clinical use that are
known as
a. Critical Care Protocol.
b. Practice Policies.
c. Evidence-Based Research.
d. Practice Alerts.
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated
several evidence-based practice summaries in the form of “Practice Alerts.”
Evidence-based nursing practice considers the best research evidence on the
care topic along with clinical expertise of the nurse and patient preferences.
Critical care protocol and practice policies are established by individual
institutions.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 9 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
7. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
, ANS: A
The term alternative denotes that a specific therapy is an option or alternative to
what is
considered conventional t reat mWe nWt Wo .f aTcBoSnM
di.
tioWnSor state. The term
complementary was proposed to describe therapies that can be used to
complement or support conventional treatments. Holistic care focuses on
human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the
uniqueness of each patient’s preferences, condition, and physiologic and
psychosocial status.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 16 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
8. Prayer, guided imagery, and massage are all examples of what type of
treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Indi
viduali
zed
care
ANS:
C
The term complementary was proposed to describe therapies that can be
used to complement or support conventional treatments. Spirituality, prayer,
guided imagery, massage, and animal-assisted therapy are all examples of
complementary care. The term alternative denotes that a specific therapy is
an option or alternative to what is considered conventional treatment of a
condition or state. Holistic care focuses on human integrity and stresses that
the body, mind, and spirit are interdependent and inseparable. Individualized
care recognizes the uniqueness of each patient’s preferences, condition, and
physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding
REF: p. 16 | p. 17 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC: NCLEX:
Safe and Effective Care Environment
9. What is the systematic decision-making model used by nurses termed?
Practice Urden: Critical Care
Nursing, 9th Edition
MULTIPLE CHOICE
1. During World War II, what types of wards were developed to care for
critically injured patients?
a. Intensive care
b. Triage
c. Shock
d. Postoperative
ANS: C
During World War II, shock wards were established to care for critically
injured patients. Triage wards establish the order in which a patient is seen or
treated upon arrival to a hospital. Postoperative wards were developed in
1900 and later evolved into intensive care units.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 2 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
2. What type of practitioner has a broad depth of specialty knowledge
and expertise and manages complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and
expertise in their specialty area and manage complex clinical and systems
issues. Intensivists are medical practitioners who manage the critical ill
patient. Registered nurses (RNs) are generally direct care providers. Clinical
nurse leaders (CNLs) generally do not manage system issues.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 5 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
3. What type of practitioner is instrumental in ensuring care that is evidence
based and that safety programs are in place?
a. Clinical nurse specialist
, b. Advanced practice nurse
c. Registered nurses
d. Nur
se
practiti
oners
ANS:
A
Clinical nurse specialists (CNSs) serve in specialty roles that use their
clinical, teaching, research, leadership, and consultative abilities. They are
instrumental in ensuring that care is evidence based and that safety programs
are in place. Advanced practice nurses (APNs) have a broad depth of
knowledge and expertise in their specialty area and manage complex clinical
and systems issues. Registered nurses are generally direct care providers.
Nurse practitioners (NPs) manage direct clinical care of groups of patients.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 6 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
4. Which professional organization administers critical care certification
exams for registered nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
ANS: D
American Association of Critical-Care Nurses (AACN) administers
certification exams for registered nurses. The State Board of Registered
Nurses (SBON) does not administer certification exams. National
Association of Clinical Nurse Specialists (NACNS) does not administer
certification exams. Society of Critical Care Medicine (SCCM) does not
administer nursing certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 7 OBJ:
Nursing Process Step: NW/ WAW.TBS M T. OW PS: Critical Care
Nursing Practice MSC: NCLEX: Safe and Effective Care
Environment
5. Emphasis is on human integrity and stresses the theory that the body,
, mind, and spirit are interdependent and inseparable. This statement
describes which methodology of care?
a. Holistic care
b. Individualized care
c. Cultural care
d. Interdisciplinary care
ANS: A
Holistic care focuses on human integrity and stresses that the body, mind,
and spirit are interdependent and inseparable. Individualized care recognizes
the uniqueness of each patient’s preferences, condition, and physiologic and
psychosocial status. Cultural diversity in health care is not a new topic, but it
is gaining emphasis and importance as the world becomes more accessible
to all as the result of increasing technologies and interfaces with places and
peoples. Interdisciplinary care is care among a variety of health care
professionals with the patient’s health as the common goal.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 12 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
6. The American Association of Critical-Care Nurses (AACN) has developed
short directives that can be used as quick references for clinical use that are
known as
a. Critical Care Protocol.
b. Practice Policies.
c. Evidence-Based Research.
d. Practice Alerts.
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated
several evidence-based practice summaries in the form of “Practice Alerts.”
Evidence-based nursing practice considers the best research evidence on the
care topic along with clinical expertise of the nurse and patient preferences.
Critical care protocol and practice policies are established by individual
institutions.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 9 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
7. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
, ANS: A
The term alternative denotes that a specific therapy is an option or alternative to
what is
considered conventional t reat mWe nWt Wo .f aTcBoSnM
di.
tioWnSor state. The term
complementary was proposed to describe therapies that can be used to
complement or support conventional treatments. Holistic care focuses on
human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the
uniqueness of each patient’s preferences, condition, and physiologic and
psychosocial status.
PTS: 1 DIF: Cognitive Level: Remembering
REF: p. 16 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
8. Prayer, guided imagery, and massage are all examples of what type of
treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Indi
viduali
zed
care
ANS:
C
The term complementary was proposed to describe therapies that can be
used to complement or support conventional treatments. Spirituality, prayer,
guided imagery, massage, and animal-assisted therapy are all examples of
complementary care. The term alternative denotes that a specific therapy is
an option or alternative to what is considered conventional treatment of a
condition or state. Holistic care focuses on human integrity and stresses that
the body, mind, and spirit are interdependent and inseparable. Individualized
care recognizes the uniqueness of each patient’s preferences, condition, and
physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding
REF: p. 16 | p. 17 OBJ: Nursing Process Step:
N/A TOP: Critical Care Nursing Practice MSC: NCLEX:
Safe and Effective Care Environment
9. What is the systematic decision-making model used by nurses termed?
