Critical Care Nursing, 8th Edition Chapter 01: Overview of Critical Care Nursing

,Test P Bank: P Introduction P To P Critical P Care P Nursing, P 8th P
Edition P Chapter P 01: P Overview P of P Critical P Care P Nursing
MULTIPLE P CHOICE

1. P Which P of P the P following P professional P organizations P best P
supports P critical P care P nursing P practice?


a. American P Association P of P Critical-Care P
Nurses

b. American P Heart P
Association

c. American P Nurses P
Association

d. Society P of P Critical P Care P
Medicine



The P American P Association P of P Critical-Care P Nurses P is P the P specialty P organization P that P supports P and P
represents P critical P care P nurses. P The P American P Heart P Association P supports P cardiovascular P initiatives. P
The P American P Nurses P Association P supports P all P nurses. P The P Society P of P Critical P Care P Medicine P
represents P the P multiprofessional P critical P care P team P under P the P direction P of P an P intensivist.

DIF: P Cognitive P Level: P Knowledge P REF: P p. P 4

OBJ: P Discuss P the P purposes P and P functions P of P the P professional P organizations P that P support P critical P
care P practice. P TOP: P Nursing P Process P Step: P N/A

MSC: P NCLEX: P Safe P and P Effective P Care P Environment

2. P A P nurse P has P been P working P as P a P staff P nurse P in P the P surgical P intensive P care P unit P for P 2 P years P
and P is P interested P in P certification. P Which P credential P would P be P most P applicable P for P
her P to P seek?


a. ACNPC


b. CCNS


c. CCRN


d. PCCN


ANS: P C

The P CCRN P certification P is P appropriate P for P nurses P in P bedside P practice P who P care P for
P critically P ill P patients. P The P ACNPC P certification P is P for P acute P care P nurse P practitioners. P The P
CCNS P certification P is P for P critical P care P clinical P nurse P specialists. P The P PCCN P certification P is P for P
staff P nurses P working P in P progressive P care, P intermediate P care, P or P step-down P unit P settings.

DIF: P Cognitive P Level: P Application P REF: P p. P 5

OBJ: P Explain P certification P options P for P critical P care P nurses. P TOP: P Nursing P Process P

Step: P N/A P MSC: P NCLEX: P Safe P and P Effective P Care P Environment

,3. The P main P purpose P of P certification P is P to:


a. assure P the P consumer P that P you P will P not P make P a P mistake.


b. prepare P for P graduate P school.


c. promote P magnet P status P for P your P facility.


d. validate P knowledge P of P critical P care P nursing.


ANS: P D

Certification P assists P in P validating P knowledge P of P the P field, P promotes P excellence P in P
the P profession, P and P helps P nurses P to P maintain P their P knowledge P of P critical P care P nursing. P
Certification P helps P to P assure P the P consumer P that P the P nurse P has P a P minimum P level P of P
knowledge; P however, P it P does P not P ensure P that P care P will P be P mistake-free.
Certification P does P not P prepare P one P for P graduate P school; P however, P achieving P
certification P demonstrates P motivation P for P achievement P and P professionalism. P Magnet P facilities P are P
rated P on P the P number P of P certified P nurses; P however, P that P is P not P the P purpose P of P certification.

DIF: P Cognitive P Level: P Analysis P REF: P pp. P 4-5

OBJ: P Explain P certification P options P for P critical P care P nurses. P TOP: P Nursing P Process P

Step: P N/A P MSC: P NCLEX: P Safe P and P Effective P Care P Environment

4. The P synergy P model P of P practice P focuses P on:


a. allowing P unrestricted P visiting P for P the P patient P 24 P hours P each P day.


b. holistic P and P alternative P therapies.


c. needs P of P patients P and P their P families, P which P drives P nursing P competency.


d. patients P needs P for P energy P and P support.


ANS: P C

The P synergy P model P of P practice P states P that P the P needs P of P patients P and P families P
influence P and P drive P competencies P of P nurses. P Nursing P practice P based P on P the P synergy P model P
would P involve P tailored P visiting P to P meet P the P patients P and P familys P needs P and P application P of P
alternative P therapies P if P desired P by P the P patient, P but P that P is P not P the P primary P focus P of P the P
model.

DIF: P Cognitive P Level: P Application P REF: P p. P 5 P | P Fig. P 1-3

OBJ: P Describe P standards P of P professional P practice P for P critical P care P nursing.

TOP: P Nursing P Process P Step: P N/A P MSC: P NCLEX: P Safe P and P Effective P Care P Environment

5. The P family P of P your P critically P ill P patient P tells P you P that P they P have P not P spoken
P with P the P physician P in P over P 24 P hours P and P they P have P some P questions P that P they P want P
clarified. P During P morning P rounds, P you P convey P this P concern P to P the P attending P intensivist P
and P arrange P for P her P to P meet P with P the P family P at P 4:00 P PM P in P the P conference P
room. P Which P competency P of P critical P care P nursing P does P this P represent?

, a. Advocacy P and P moral P agency P in P solving P ethical P issues


b. Clinical P judgment P and P clinical P reasoning P skills


c. Collaboration P with P patients, P families, P and P team P members


d. Facilitation P of P learning P for P patients, P families, P and P team P members


ANS: P C

Although P one P might P consider P that P all P of P these P competencies P are P being P addressed, P communication P
and P collaboration P with P the P family P and P physician P best P exemplify P the P competency P
of P collaboration.

DIF: P Cognitive P Level: P Analysis P REF: P p. P 9

OBJ: P Describe P standards P of P professional P practice P for P critical P care P nursing.

TOP: P Nursing P Process P Step: P N/A P MSC: P NCLEX: P Safe P and P Effective P Care P Environment

6. The P AACN P Standards P for P Acute P and P Critical P Care P Nursing P Practice P use P what P framework P
to P guide P critical P care P nursing P practice?


a. Evidence-based P practice


b. Healthy P work P environment


c. National P Patient P Safety P Goals


d. Nursing P process


ANS: P D

The P AACN P Standards P for P Acute P and P Critical P Care P Nursing P Practice P delineate P the P nursing P
process P as P applied P to P critically P ill P patients: P collect P data, P determine P diagnoses, P identify P
expected P outcomes, P develop P a P plan P of P care, P implement P interventions, P and P evaluate
P care. P AACN P promotes P a P healthy P work P environment, P but P this P is P not P
included P in P the P Standards. P The P Joint P Commission P has P established P National P Patient P Safety P Goals, P
but P these P are P not P the P AACN P Standards.

DIF: P Cognitive P Level: P Analysis P REF: P p. P 5 P | P Box P 1-2

OBJ: P Describe P standards P of P professional P practice P for P critical P care P nursing.

TOP: P Nursing P Process P Step: P N/A P MSC: P NCLEX: P Safe P and P Effective P Care P Environment

7. The P charge P nurse P is P responsible P for P making P the P patient P assignments P on P the P critical P care P unit.
P She P assigns P the P experienced, P certified P nurse P to P care P for P the P acutely P ill P patient P with P
sepsis P who P also P requires P continuous P renal P replacement P therapy P and P mechanical P ventilation. P
She P assigns P the P nurse P with P less P than P 1 P year P of P experience P to P two P patients P who P are P
more P stable. P This P assignment P reflects P implementation P of P the:


a. crew P resource P management P model