n n n n n
Diagnosis andManagement 9thEdition Linda
n n n n n n n
D. Urden, Kathleen M. Stacy
n n n n
Chapter 1-41
n
,Chapter n01:nCriticalnCare nNursing nPractice nUrde
n:nCriticalnCare nNursing,n9thnEdition
MULTIPLEnCHOICE
1. Duringn World n Warn II,nwhat ntypesn ofnwardsnwerendeveloped ntoncaren forncriticallyninjured n p
atients?
a. Intensivencare
b. Triage
c. Shock
d. Postoperative
ANS:n C
Duringn World n Warn II,n shocknwardsn werenestablished n ton caren forn criticallyn injured n patients.n Tri
agen wardsn establishn then orderninn whichn anpatient nisn seenn orn treatedn uponn arrivaln ton an hospital.n P
ostoperativen wardsn werendeveloped n inn 1900n and n laternevolved n inton intensiven caren units.
PTS: 1 DIF: Cognitiven Level:n Remembering REF:
p.n 2n OBJ: Nursingn Processn Step:n N/A TOP:
CriticalnCarenNursingnPracticen MSC:n NCLEX:n Safenand nEffectiven Caren En
vironment
2. What n typenof npractitionern hasnanbroad ndepthn ofnspecialtynknowledgen and n expertisen and n
managesn complexn clinicaln and n systemn issues?
a. Registered n nurses
b. Advanced npracticennurses
c. Clinicalnnursenleaders
d. Intensivists
ANS:n B
Advanced n practicen nursesn (APNs)n havenan broadndepthnof n knowledgen and n expertisen inn theirn speci
altyn arean and n managen complexn clinicaln and n systemsn issues.n Intensivistsn aren medicaln practitioners
n whon managenthen criticaln illn patient.nRegisterednnursesn (RNs)n aren generallyndirect n caren providers.n
Clinicaln nursen leadersn (CNLs)n generallyn don not n managen systemn issues.
PTS: 1 DIF: Cognitiven Level:n Remembering REF:
p.n 5n OBJ: Nursingn Processn Step:n N/A TOP:
CriticalnCarenNursingnPracticen MSC:n NCLEX:n Safenand nEffectiven Caren En
vironment
3. What n typenof npractitionern isn instrumentaln innensuringn caren that nisn evidencenbased nandnthat ns
afetyn programsn aren inn place?
a. Clinicalnnursenspecialist
b. Advanced npracticennurse
c. Registered n nurses
d. Nursenpractitioners
n ANS:n A
1n|nPnang ne
, Clinicaln nursen specialistsn (CNSs)n serven inn specialtyn rolesn that n usen theirn clinical,n teaching,n rese
arch,n leadership,n and n consultativenabilities.n Theynaren instrumentaln inn ensuringnthat n carenisn evid
encen based n and n that nsafetyn programsn aren inn place.n Advancedn practicen nursesn (APNs)n haven anbr
oad n depthnof nknowledgen and n expertisen inn theirn specialtyn arean and n managen complexn clinicaln an
d n systemsn issues.n Registered n nursesn aren generallyn direct n caren providers.n Nursen practitionersn (
NPs)n managen direct n clinicaln caren of n groupsn of n patients.
PTS: 1 DIF: Cognitiven Level:n Remembering REF:
p.n 6n OBJ: Nursingn Processn Step:n N/A TOP:
CriticalnCarenNursingnPracticen MSC:n NCLEX:n Safen andnEffectiven Caren En
vironment
4. Whichnprofessionaln organizationn administersncriticalncaren certificationn examsn fornregistered n
nurses?
a. StatenBoard n of nRegistered n Nurses
b. NationalnAssociationnof n ClinicalnNursenSpecialist
c. Societynof nCriticaln Caren Medicine
d. AmericannAssociationnof nCritical-CarenNurses
ANS:n D
Americann Associationn of n Critical-
CarenNursesn(AACN)nadministersncertificationn examsn forn registered n nurses.n Then Staten Boardno
f n Registered n Nursesn (SBON)n doesn notnadministern certificationn exams.n Nationaln Associationn o
f n Clinicaln Nursen Specialistsn (NACNS)n doesn notn administern certificationn exams.n Societyn ofnCri
ticaln Caren Medicinen (SCCM)n doesn not nadministern nursingn certificationn examsn forn registered n n
urses.
PTS: 1 DIF: Cognitiven Level:n Remembering REF:
p.n 7n OBJ:
NursingnProcessnStep:nNW/W
AW.TBSnM T. OW PS: n CriticalnCarenNursingnPracticen
MSC:n NCLEX:n Safen and n Effectiven Caren Environment
5. Emphasisn isn onn humann integritynand n stressesn thentheorynthat nthenbody,nmind,n and n spirit n aren i
nterdependent n and n inseparable.n Thisn statement n describesn whichn methodologyn of n care?
a. Holisticncare
b. Individualized n care
c. Culturalncare
d. Interdisciplinaryn care
ANS:n A
Holisticn caren focusesn onn humann integrityn and n stressesn that nthen body,n mind,n and n spirit n aren inter
dependent n andn inseparable.n Individualized n caren recognizesn thenuniquenessn of n eachn patient’snp
references,n condition,n and nphysiologicnand npsychosocialn status.nCulturaln diversityn inn healthn ca
ren isn not n an new n topic,n but nit nisn gainingn emphasisn and n importancen asn thenworldn becomesn moren ac
cessiblen ton alln asn then result n of n increasingn technologiesn and n interfacesn withnplacesn and npeoples.n
Interdisciplinaryn caren isn caren amongn an varietyn of n healthn caren professionalsn withn then patient’sn h
ealthn asn then commonn goal.
PTS: 1 DIF: Cognitiven Level:n Remembering REF:
p.n 12n OBJ: Nursingn Processn Step:n N/A TOP:
CriticalnCarenNursingnPracticen MSC:n NCLEX:n Safenand nEffectiven Caren En
vironment
2n|nPnang ne
, 6. ThenAmericann Associationnof nCritical-
Caren Nursesn (AACN)nhasn developed nshort ndirectivesn thatncann benused n asn quickn referencesn fo
rn clinicaln usen that n aren knownn as
a. CriticalnCarenProtocol.
b. Practicen Policies.
c. Evidence-Based n Research.
d. Practicen Alerts.
ANS:n D
Then Americann Associationn of n Critical-
Caren Nursesn (AACN)n hasn promulgated n severaln evidence-
based n practicensummariesn innthenformnof n “Practicen Alerts.”nEvidence-
based nnursingn practicen considersn then best n researchn evidencen onn thencaren topicn alongn withn clinic
aln expertisen of n then nursen and n patient n preferences.n Criticaln caren protocoln and n practicen policiesn a
ren established n byn individualn institutions.
PTS: 1 DIF: Cognitiven Level:n Remembering REF:
p.n 9n OBJ: Nursingn Processn Step:n N/A TOP:
CriticalnCarenNursingnPracticen MSC:n NCLEX:n Safenand nEffectiven Caren En
vironment
7. What ntypen of n therapynisn ann optionnton conventionaln treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:n A
Then termn alternativen denotesn that n an specificn therapyn isn ann optionn orn alternativen ton what n is
consideredn conventionaln tnreatnmWennWt Wo .f n aTcBoSndi
M.tioWnSorn state.n Thentermn complementarynwasnpropos
ed n ton describen therapiesn that ncann benused nton complement n orn support nconventionaln treatments.nHol
isticn caren focusesn onn humann integrityn and n stressesn that n then body,n mind,n and
spirit nareninterdependent n and ninseparable.n Individualized ncaren recognizesnthenuniquenessnof n ea
chn patient’sn preferences,n condition,n and n physiologicn and n psychosocialn status.
PTS: 1 DIF: Cognitiven Level:n Remembering REF:
p.n 16n OBJ: Nursingn Processn Step:n N/A TOP:
CriticalnCarenNursingnPracticen MSC:n NCLEX:n Safenand nEffectiven Caren En
vironment
8. Prayer,nguided n imagery,n and nmassagen arenalln examplesnof nwhat n typenof n treatment?
a. Alternativen therapy
b. Holisticncare
c. Complementaryn care
d. Individualized ncare
n ANS:n C
3n|nPnang ne