,TestVBank:VIntroductionVToVCriticalVCareVNursing,V8thVEditio
nVChapterV 01:V OverviewV ofV CriticalV CareV Nursing
MULTIPLEV CHOICE
1.V WhichV ofV theV followingV professionalV organizationsV bestV supportsVcriti
calV careV nursingV practice?
a. AmericanV AssociationV ofV Critical-
CareV Nurses
b. AmericanV HeartV Associatio
n
c. AmericanV NursesV Associatio
n
d. SocietyV ofV CriticalV CareV Medicin
e
ANS:VA
TheVAmericanVAssociationVofVCritical-
CareVNursesVisVtheVspecialtyVorganizationVthatVsupportsVandVrepresentsVcriticalVcareVnurses.VTheVAmericanVHear
tVAssociationVsupportsVcardiovascularVinitiatives.VTheVAmericanVNursesVAssociationVsupportsVallVnurses.VTheVS
ocietyVofVCriticalVCareVMedicineVrepresentsVtheVmultiprofessionalVcriticalVcareVteamVunderV theVdirectionV ofVanVi
ntensivist.
DIF:VCognitiveV Level:V KnowledgeV REF:V p.V 4
OBJ:VDiscussVtheVpurposesVandVfunctionsVofVtheVprofessionalVorganizationsVthatVsupportVcriticalVcareVpractic
e.VTOP:VNursingVProcessVStep:VN/A
MSC:VNCLEX:V SafeV andV EffectiveV CareV Environment
2. AVnurseVhasV beenV workingV asVaV staffVnurseV inV theV surgicalV intensiveV careV unitVforV 2V yearsV andV isV interest
edV inVcertification.V WhichV credentialV wouldVbeVmostV applicableV forV herVtoVseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:VC
TheV CCRNV certificationV isV appropriateV forV nursesV inV bedsideV practiceV whoV careV forV criticallyV illV patients.V
TheVACNPCV certificationV isVforV acuteV careVnurseVpractitioners.V TheVCCNSV certificationV isVforVcriticalV careVcl
inicalVnurseV specialists.VTheV PCCNV certificationV isV forV staffV nursesV workingV inV progressiveV care,V intermediat
eV care,V orVstep-downVunitVsettings.
DIF:VCognitiveV Level:V ApplicationV REF:V p.V 5
OBJ:VExplainV certificationV optionsV forV criticalV careV nurses.V TOP:V NursingV ProcessV Step:V N/AVM
SC:VNCLEX:V SafeVandVEffectiveV CareVEnvironment
,3. TheVmainV purposeVofVcertificationV isVto:
a. assureV theV consumerV thatV youV willV notV makeV aV mistake.
b. prepareV forV graduateV school.
c. promoteV magnetVstatusV forV yourV facility.
d. validateV knowledgeV ofV criticalV careV nursing.
ANS:VD
CertificationV assistsV inV validatingV knowledgeV ofV theV field,V promotesV excellenceV inV theV profession,V andV help
sVnursesVtoV maintainV theirV knowledgeVofV criticalVcareV nursing.V CertificationV helpsV toV assureV theV consumerV tha
tV theVnurseV hasVaVminimumV levelV ofVknowledge;V however,VitV doesV notV ensureVthatVcareVwillV beV mistake-free.
CertificationVdoesVnotVprepareVoneVforVgraduateVschool;Vhowever,VachievingVcertificationV demonstratesVmotiva
tionV forV achievementV andV professionalism.V MagnetVfacilitiesV areV ratedV onV theV numberV ofV certifiedV nurses;Vho
wever,VthatVisVnotVtheVpurposeVofV certification.
DIF:VCognitiveV Level:V AnalysisV REF:Vpp.V 4-5
OBJ:VExplainV certificationV optionsV forV criticalV careV nurses.V TOP:V NursingV ProcessV Step:V N/AVM
SC:VNCLEX:V SafeVandVEffectiveV CareVEnvironment
4. TheV synergyV modelV ofV practiceV focusesV on:
a. allowingVunrestrictedV visitingV forV theV patientV 24V hoursV eachV day.
b. holisticVandV alternativeV therapies.
c. needsVofVpatientsV andVtheirVfamilies,V whichV drivesV nursingV competency.
d. patientsV needsV forV energyV andV support.
ANS:VC
TheV synergyV modelV ofV practiceV statesV thatV theV needsV ofV patientsV andV familiesV influenceV andV driveV competenci
esVofVnurses.V NursingVpracticeV basedV onV theV synergyV modelVwouldV involveV tailoredV visitingV toV meetV theV patie
ntsV andVfamilysVneedsV andV applicationV ofValternativeV therapiesV ifV desiredV byV theV patient,V butV thatVisV notVtheV pri
maryV focusVofVtheVmodel.
DIF:VCognitiveV Level:V ApplicationV REF:V p.V5V |V Fig.V 1-3
OBJ:V DescribeV standardsV ofV professionalV practiceV forV criticalV careV nursing.
TOP:V NursingV ProcessV Step:V N/AV MSC:VNCLEX:V SafeV andV EffectiveV CareV Environment
5. TheVfamilyVofVyourVcriticallyVillVpatientVtellsVyouVthatVtheyVhaveVnotVspokenVwithVtheVphysicianVinVove
rV24VhoursVandV theyV haveV someV questionsV thatV theyV wantV clarified.V DuringV morningV rounds,V youV conveyV this
V concernV
toVtheVattendingVintensivistVandVarrangeVforVherVtoVmeetVwithVtheVfamilyVatV4:00VPMVinVtheVconf
erenceVroom.VWhichVcompetencyVofVcriticalVcareV nursingVdoesVthisVrepresent?
, a. AdvocacyVandV moralV agencyV inV solvingV ethicalV issues
b. ClinicalV judgmentV andV clinicalVreasoningV skills
c. CollaborationV withV patients,V families,V andV teamV members
d. FacilitationV ofVlearningV forV patients,V families,V andV teamV membe
rsVANS:VC
AlthoughVoneV mightV considerV thatV allV ofV theseV competenciesV areV beingV addressed,V communicationV andVcollab
orationVwithV theV familyV andV physicianV bestVexemplifyVtheV competencyV ofVcollaboration.
DIF:VCognitiveV Level:V AnalysisV REF:Vp.V 9
OBJ:V DescribeV standardsV ofV professionalV practiceV forV criticalV careV nursing.
TOP:V NursingV ProcessV Step:V N/AV MSC:VNCLEX:V SafeV andV EffectiveV CareV Environment
6. TheVAACNVStandardsV forV AcuteV andVCriticalV CareV NursingV PracticeV useV whatV frameworkV toV guideV crit
icalVcareVnursingVpractice?
a. Evidence-basedV practice
b. HealthyV workV environment
c. NationalVPatientV SafetyV Goals
d. NursingVproces
sVANS:VD
TheVAACNVStandardsV forV AcuteV andV CriticalV CareV NursingV PracticeV delineateV theV nursingV processV asV applie
dV toVcriticallyV illV patients:V collectV data,V determineV diagnoses,V identifyV expectedV outcomes,V developV aV planV o
fV care,VimplementVinterventions,VandVevaluateVcare.VAACNVpromotesVaVhealthyVworkVenvironment,VbutVthisVis
VnotVincludedV inV theV Standards.VTheV JointV CommissionV hasVestablishedV NationalVPatientV SafetyV Goals,V butV the
seV areVnotVtheVAACNVStandards.
DIF:VCognitiveV Level:V AnalysisV REF:V p.V5V |VBoxV 1-2
OBJ:V DescribeV standardsV ofV professionalV practiceV forV criticalV careV nursing.
TOP:V NursingV ProcessV Step:V N/AV MSC:VNCLEX:V SafeV andV EffectiveV CareV Environment
7. TheVchargeV nurseV isV responsibleV forV makingV theV patientV assignmentsV onV theV criticalV careV unit.V SheV assigns
V theVexperienced,V certifiedV nurseV toV careV forV theV acutelyV illV patientV withV sepsisV whoV alsoV requiresV continuo
usV renalVreplacementV therapyV andV mechanicalV ventilation.V SheV assignsV theV nurseV withV lessV thanV1V yearV ofVex
perienceV toVtwoVpatientsVwhoV areVmoreVstable.V ThisVassignmentV reflectsV implementationV ofVthe:
a. crewV resourceV managementV model
nVChapterV 01:V OverviewV ofV CriticalV CareV Nursing
MULTIPLEV CHOICE
1.V WhichV ofV theV followingV professionalV organizationsV bestV supportsVcriti
calV careV nursingV practice?
a. AmericanV AssociationV ofV Critical-
CareV Nurses
b. AmericanV HeartV Associatio
n
c. AmericanV NursesV Associatio
n
d. SocietyV ofV CriticalV CareV Medicin
e
ANS:VA
TheVAmericanVAssociationVofVCritical-
CareVNursesVisVtheVspecialtyVorganizationVthatVsupportsVandVrepresentsVcriticalVcareVnurses.VTheVAmericanVHear
tVAssociationVsupportsVcardiovascularVinitiatives.VTheVAmericanVNursesVAssociationVsupportsVallVnurses.VTheVS
ocietyVofVCriticalVCareVMedicineVrepresentsVtheVmultiprofessionalVcriticalVcareVteamVunderV theVdirectionV ofVanVi
ntensivist.
DIF:VCognitiveV Level:V KnowledgeV REF:V p.V 4
OBJ:VDiscussVtheVpurposesVandVfunctionsVofVtheVprofessionalVorganizationsVthatVsupportVcriticalVcareVpractic
e.VTOP:VNursingVProcessVStep:VN/A
MSC:VNCLEX:V SafeV andV EffectiveV CareV Environment
2. AVnurseVhasV beenV workingV asVaV staffVnurseV inV theV surgicalV intensiveV careV unitVforV 2V yearsV andV isV interest
edV inVcertification.V WhichV credentialV wouldVbeVmostV applicableV forV herVtoVseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:VC
TheV CCRNV certificationV isV appropriateV forV nursesV inV bedsideV practiceV whoV careV forV criticallyV illV patients.V
TheVACNPCV certificationV isVforV acuteV careVnurseVpractitioners.V TheVCCNSV certificationV isVforVcriticalV careVcl
inicalVnurseV specialists.VTheV PCCNV certificationV isV forV staffV nursesV workingV inV progressiveV care,V intermediat
eV care,V orVstep-downVunitVsettings.
DIF:VCognitiveV Level:V ApplicationV REF:V p.V 5
OBJ:VExplainV certificationV optionsV forV criticalV careV nurses.V TOP:V NursingV ProcessV Step:V N/AVM
SC:VNCLEX:V SafeVandVEffectiveV CareVEnvironment
,3. TheVmainV purposeVofVcertificationV isVto:
a. assureV theV consumerV thatV youV willV notV makeV aV mistake.
b. prepareV forV graduateV school.
c. promoteV magnetVstatusV forV yourV facility.
d. validateV knowledgeV ofV criticalV careV nursing.
ANS:VD
CertificationV assistsV inV validatingV knowledgeV ofV theV field,V promotesV excellenceV inV theV profession,V andV help
sVnursesVtoV maintainV theirV knowledgeVofV criticalVcareV nursing.V CertificationV helpsV toV assureV theV consumerV tha
tV theVnurseV hasVaVminimumV levelV ofVknowledge;V however,VitV doesV notV ensureVthatVcareVwillV beV mistake-free.
CertificationVdoesVnotVprepareVoneVforVgraduateVschool;Vhowever,VachievingVcertificationV demonstratesVmotiva
tionV forV achievementV andV professionalism.V MagnetVfacilitiesV areV ratedV onV theV numberV ofV certifiedV nurses;Vho
wever,VthatVisVnotVtheVpurposeVofV certification.
DIF:VCognitiveV Level:V AnalysisV REF:Vpp.V 4-5
OBJ:VExplainV certificationV optionsV forV criticalV careV nurses.V TOP:V NursingV ProcessV Step:V N/AVM
SC:VNCLEX:V SafeVandVEffectiveV CareVEnvironment
4. TheV synergyV modelV ofV practiceV focusesV on:
a. allowingVunrestrictedV visitingV forV theV patientV 24V hoursV eachV day.
b. holisticVandV alternativeV therapies.
c. needsVofVpatientsV andVtheirVfamilies,V whichV drivesV nursingV competency.
d. patientsV needsV forV energyV andV support.
ANS:VC
TheV synergyV modelV ofV practiceV statesV thatV theV needsV ofV patientsV andV familiesV influenceV andV driveV competenci
esVofVnurses.V NursingVpracticeV basedV onV theV synergyV modelVwouldV involveV tailoredV visitingV toV meetV theV patie
ntsV andVfamilysVneedsV andV applicationV ofValternativeV therapiesV ifV desiredV byV theV patient,V butV thatVisV notVtheV pri
maryV focusVofVtheVmodel.
DIF:VCognitiveV Level:V ApplicationV REF:V p.V5V |V Fig.V 1-3
OBJ:V DescribeV standardsV ofV professionalV practiceV forV criticalV careV nursing.
TOP:V NursingV ProcessV Step:V N/AV MSC:VNCLEX:V SafeV andV EffectiveV CareV Environment
5. TheVfamilyVofVyourVcriticallyVillVpatientVtellsVyouVthatVtheyVhaveVnotVspokenVwithVtheVphysicianVinVove
rV24VhoursVandV theyV haveV someV questionsV thatV theyV wantV clarified.V DuringV morningV rounds,V youV conveyV this
V concernV
toVtheVattendingVintensivistVandVarrangeVforVherVtoVmeetVwithVtheVfamilyVatV4:00VPMVinVtheVconf
erenceVroom.VWhichVcompetencyVofVcriticalVcareV nursingVdoesVthisVrepresent?
, a. AdvocacyVandV moralV agencyV inV solvingV ethicalV issues
b. ClinicalV judgmentV andV clinicalVreasoningV skills
c. CollaborationV withV patients,V families,V andV teamV members
d. FacilitationV ofVlearningV forV patients,V families,V andV teamV membe
rsVANS:VC
AlthoughVoneV mightV considerV thatV allV ofV theseV competenciesV areV beingV addressed,V communicationV andVcollab
orationVwithV theV familyV andV physicianV bestVexemplifyVtheV competencyV ofVcollaboration.
DIF:VCognitiveV Level:V AnalysisV REF:Vp.V 9
OBJ:V DescribeV standardsV ofV professionalV practiceV forV criticalV careV nursing.
TOP:V NursingV ProcessV Step:V N/AV MSC:VNCLEX:V SafeV andV EffectiveV CareV Environment
6. TheVAACNVStandardsV forV AcuteV andVCriticalV CareV NursingV PracticeV useV whatV frameworkV toV guideV crit
icalVcareVnursingVpractice?
a. Evidence-basedV practice
b. HealthyV workV environment
c. NationalVPatientV SafetyV Goals
d. NursingVproces
sVANS:VD
TheVAACNVStandardsV forV AcuteV andV CriticalV CareV NursingV PracticeV delineateV theV nursingV processV asV applie
dV toVcriticallyV illV patients:V collectV data,V determineV diagnoses,V identifyV expectedV outcomes,V developV aV planV o
fV care,VimplementVinterventions,VandVevaluateVcare.VAACNVpromotesVaVhealthyVworkVenvironment,VbutVthisVis
VnotVincludedV inV theV Standards.VTheV JointV CommissionV hasVestablishedV NationalVPatientV SafetyV Goals,V butV the
seV areVnotVtheVAACNVStandards.
DIF:VCognitiveV Level:V AnalysisV REF:V p.V5V |VBoxV 1-2
OBJ:V DescribeV standardsV ofV professionalV practiceV forV criticalV careV nursing.
TOP:V NursingV ProcessV Step:V N/AV MSC:VNCLEX:V SafeV andV EffectiveV CareV Environment
7. TheVchargeV nurseV isV responsibleV forV makingV theV patientV assignmentsV onV theV criticalV careV unit.V SheV assigns
V theVexperienced,V certifiedV nurseV toV careV forV theV acutelyV illV patientV withV sepsisV whoV alsoV requiresV continuo
usV renalVreplacementV therapyV andV mechanicalV ventilation.V SheV assignsV theV nurseV withV lessV thanV1V yearV ofVex
perienceV toVtwoVpatientsVwhoV areVmoreVstable.V ThisVassignmentV reflectsV implementationV ofVthe:
a. crewV resourceV managementV model
