j j j j j
Diagnosis and Management 9th Edition Linda
j j j j j j j
D. Urden, Kathleen M. Stacy
j j j j
Chapter 1-41 j
,Chapter 01: Critical Care Nursing PracticeUrden:
j j j j j j
Critical Care Nursing, 9th Edition
j j j j j
MULTIPLEjCHOICE
1. DuringjWorldjWarjII,jwhatjtypesjofjwardsjwerejdevelopedjtojcarejforjcriticallyjinjuredjpatie
nts?
a. Intensivejcare
b. Triage
c. Shock
d. Postoperative
ANS:j C
DuringjWorldjWarjII,jshockjwardsjwerejestablishedjtojcarejforjcriticallyjinjuredjpatients.jTriagej
wardsjestablishjthejorderjinjwhichjajpatientjisjseenjorjtreatedjuponjarrivaljtojajhospital.jPostopera
tivejwardsjwerejdevelopedjinj1900jandjlaterjevolvedjintojintensivejcarejunits.
PTS: 1 DIF: CognitivejLevel:jRemembering REF:
p.j2jOBJ: NursingjProcessjStep:jN/A TOP:
CriticaljCarejNursingjPracticejMSC:j NCLEX:jSafejandjEffectivejCarejEnviro
nment
2. Whatjtypejofjpractitionerjhasjajbroadjdepthjofjspecialtyjknowledgejandjexpertisejandjman
agesjcomplexjclinicaljandjsystemjissues?
a. Registeredjnurses
b. Advancedjpracticejnurses
c. Clinicaljnursejleaders
d. Intensivists
ANS:j B
Advancedjpracticejnursesj(APNs)jhavejajbroadjdepthjofjknowledgejandjexpertisejinjtheirjspecial
tyjareajandjmanagejcomplexjclinicaljandjsystemsjissues.jIntensivistsjarejmedicaljpractitionersjw
hojmanagejthejcriticaljilljpatient.jRegisteredjnursesj(RNs)jarejgenerallyjdirectjcarejproviders.jCli
nicaljnursejleadersj(CNLs)jgenerallyjdojnotjmanagejsystemjissues.
PTS: 1 DIF: CognitivejLevel:jRemembering REF:
p.j5jOBJ: NursingjProcessjStep:jN/A TOP:
CriticaljCarejNursingjPracticejMSC:j NCLEX:jSafejandjEffectivejCarejEnviro
nment
3. Whatjtypejofjpractitionerjisjinstrumentaljinjensuringjcarejthatjisjevidencejbasedjandjthatjsafet
yjprogramsjarejinjplace?
a. Clinicaljnursejspecialist
b. Advancedjpracticejnurse
c. Registeredjnurses
d. Nursejpractitionersj
ANS:j A
1j|jPjajgje
, Clinicaljnursejspecialistsj(CNSs)jservejinjspecialtyjrolesjthatjusejtheirjclinical,jteaching,jresearc
h,jleadership,jandjconsultativejabilities.jTheyjarejinstrumentaljinjensuringjthatjcarejisjevidencejb
asedjandjthatjsafetyjprogramsjarejinjplace.jAdvancedjpracticejnursesj(APNs)jhavejajbroadjdepthj
ofjknowledgejandjexpertisejinjtheirjspecialtyjareajandjmanagejcomplexjclinicaljandjsystemsjissu
es.jRegisteredjnursesjarejgenerallyjdirectjcarejproviders.jNursejpractitionersj(NPs)jmanagejdire
ctjclinicaljcarejofjgroupsjofjpatients.
PTS: 1 DIF: CognitivejLevel:jRemembering REF:
p.j6jOBJ: NursingjProcessjStep:jN/A TOP:
CriticaljCarejNursingjPracticejMSC:j NCLEX:jSafejandjEffectivejCarejEnviro
nment
4. Whichjprofessionaljorganizationjadministersjcriticaljcarejcertificationjexamsjforjregisteredjnu
rses?
a. StatejBoardjofjRegisteredjNurses
b. NationaljAssociationjofjClinicaljNursejSpecialist
c. SocietyjofjCriticaljCarejMedicine
d. AmericanjAssociationjofjCritical-CarejNurses
ANS:j D
AmericanjAssociationjofjCritical-
CarejNursesj(AACN)jadministersjcertificationjexamsjforjregisteredjnurses.jThejStatejBoardjofjR
egisteredjNursesj(SBON)jdoesjnotjadministerjcertificationjexams.jNationaljAssociationjofjClini
caljNursejSpecialistsj(NACNS)jdoesjnotjadministerjcertificationjexams.jSocietyjofjCriticaljCarej
Medicinej(SCCM)jdoesjnotjadministerjnursingjcertificationjexamsjforjregisteredjnurses.
PTS: 1 DIF: CognitivejLevel:jRemembering REF:
p.j7jOBJ:
NursingjProcessjStep:jNW/ WAW .TB SjMT.OWPS:jjCriticaljCarejNursingjPracticejM
SC:j NCLEX:jSafejandjEffectivejCarejEnvironment
5. Emphasisjisjonjhumanjintegrityjandjstressesjthejtheoryjthatjthejbody,jmind,jandjspiritjarejinter
dependentjandjinseparable.jThisjstatementjdescribesjwhichjmethodologyjofjcare?
a. Holisticjcare
b. Individualizedjcare
c. Culturaljcare
d. Interdisciplinaryjcare
ANS:j A
Holisticjcarejfocusesjonjhumanjintegrityjandjstressesjthatjthejbody,jmind,jandjspiritjarejinterdep
endentjandjinseparable.jIndividualizedjcarejrecognizesjthejuniquenessjofjeachjpatient’sjprefere
nces,jcondition,jandjphysiologicjandjpsychosocialjstatus.jCulturaljdiversityjinjhealthjcarejisjnotjaj
newjtopic,jbutjitjisjgainingjemphasisjandjimportancejasjthejworldjbecomesjmorejaccessiblejtojallj
asjthejresultjofjincreasingjtechnologiesjandjinterfacesjwithjplacesjandjpeoples.jInterdisciplinaryj
carejisjcarejamongjajvarietyjofjhealthjcarejprofessionalsjwithjthejpatient’sjhealthjasjthejcommonj
goal.
PTS: 1 DIF: CognitivejLevel:jRemembering REF:
p.j12jOBJ: NursingjProcessjStep:jN/A TOP:
CriticaljCarejNursingjPracticejMSC:j NCLEX:jSafejandjEffectivejCarejEnviro
nment
2j|jPjajgje
, 6. ThejAmericanjAssociationjofjCritical-
CarejNursesj(AACN)jhasjdevelopedjshortjdirectivesjthatjcanjbejusedjasjquickjreferencesjforjcli
nicaljusejthatjarejknownjas
a. CriticaljCarejProtocol.
b. PracticejPolicies.
c. Evidence-BasedjResearch.
d. PracticejAlerts.
ANS:j D
ThejAmericanjAssociationjofjCritical-CarejNursesj(AACN)jhasjpromulgatedjseveraljevidence-
basedjpracticejsummariesjinjthejformjofj“PracticejAlerts.”jEvidence-
basedjnursingjpracticejconsidersjthejbestjresearchjevidencejonjthejcarejtopicjalongjwithjclinicalje
xpertisejofjthejnursejandjpatientjpreferences.jCriticaljcarejprotocoljandjpracticejpoliciesjarejesta
blishedjbyjindividualjinstitutions.
PTS: 1 DIF: CognitivejLevel:jRemembering REF:
p.j9jOBJ: NursingjProcessjStep:jN/A TOP:
CriticaljCarejNursingjPracticejMSC:j NCLEX:jSafejandjEffectivejCarejEnviro
nment
7. Whatjtypejofjtherapyjisjanjoptionjtojconventionaljtreatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:j A
Thejtermjalternativejdenotesjthatjajspecificjtherapyjisjanjoptionjorjalternativejtojwhatjis
consideredjconventionaljtjr e a tjmWejnWt Wo.fjjaTcBoSnM
di.
tioWnSorj state.jThejtermjcomplementaryjwasjproposedjt
ojdescribejtherapiesjthatjcanjbejusedjtojcomplementjorjsupportjconventionaljtreatments.jHolistic
jcarejfocusesjonjhumanjintegrityjandjstressesjthatjthejbody,jmind,jand
spiritjarejinterdependentjandjinseparable.jIndividualizedjcarejrecognizesjthejuniquenessjofjeachj
patient’sjpreferences,jcondition,jandjphysiologicjandjpsychosocialjstatus.
PTS: 1 DIF: CognitivejLevel:jRemembering REF:
p.j16jOBJ: NursingjProcessjStep:jN/A TOP:
CriticaljCarejNursingjPracticejMSC:j NCLEX:jSafejandjEffectivejCarejEnviro
nment
8. Prayer,jguidedjimagery,jandjmassagejarejalljexamplesjofjwhatjtypejofjtreatment?
a. Alternativejtherapy
b. Holisticjcare
c. Complementaryjcare
d. Individualizedjcarej
ANS:j C
3j|jPjajgje