,Test Bank: Introduction To Critical Care Nursing, 8th Edition
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Chapter 01: Overview of Critical Care Nursing
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MULTIPLE CHOICE f
1. Which of the following professional organizations best supports
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critical care nursing practice?
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a. American Association of Critical-Care Nurses f f f f
b. American Heart Association f f
c. American Nurses Association f f
d. Society of Critical Care Medicine f f f f
The American Association of Critical-Care Nurses is the specialty organization that supports and represents
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critical care nurses. The American Heart Association supports cardiovascular initiatives. The American Nurses
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Association supports all nurses. The Society of Critical Care Medicine represents the multiprofessional critical
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care team under the direction of an intensivist.
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DIF: Cognitive Level: Knowledge REF: p. 4
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OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
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TOP: Nursing Process Step: N/A
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MSC: NCLEX: Safe and Effective Care Environment
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2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
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certification. Which credential would be most applicable for her to seek?
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a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C f
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients.
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The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
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nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
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step-down unit settings.
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DIF: Cognitive Level: Application REF: p. 5
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OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC:
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NCLEX: Safe and Effective Care Environment
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,3. The main purpose of certification is to:
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a. assure the consumer that you will not make a mistake.
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b. prepare for graduate school. f f f
c. promote magnet status for your facility. f f f f f
d. validate knowledge of critical care nursing. f f f f f
ANS: D f
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
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fhelps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that
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the nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
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Certification does not prepare one for graduate school; however, achieving certification demonstrates
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motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
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however, that is not the purpose of certification.
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DIF: Cognitive Level: Analysis REF: pp. 4-5
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OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC:
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NCLEX: Safe and Effective Care Environment
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4. The synergy model of practice focuses on:
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a. allowing unrestricted visiting for the patient 24 hours each day. f f f f f f f f f
b. holistic and alternative therapies. f f f
c. needs of patients and their families, which drives nursing competency.
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d. patients needs for energy and support. f f f f f
ANS: C f
The synergy model of practice states that the needs of patients and families influence and drive
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competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the
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patients and familys needs and application of alternative therapies if desired by the patient, but that is not the
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primary focus of the model.
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DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
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OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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5. The family of your critically ill patient tells you that they have not spoken with the physician in over
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24 hours and they have some questions that they want clarified. During morning rounds, you convey this
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concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
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conference room. Which competency of critical care nursing does this represent?
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, a. Advocacy and moral agency in solving ethical issues f f f f f f f
b. Clinical judgment and clinical reasoning skills f f f f f
c. Collaboration with patients, families, and team members f f f f f f
d. Facilitation of learning for patients, families, and team members f f f f f f f f
ANS: C f
Although one might consider that all of these competencies are being addressed, communication and
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collaboration with the family and physician best exemplify the competency of collaboration.
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DIF: Cognitive Level: Analysis REF: p. 9
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OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
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care nursing practice?
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a. Evidence-based practice f
b. Healthy work environment f f
c. National Patient Safety Goals f f f
d. Nursing process f
ANS: D f
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
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critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of
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care, implement interventions, and evaluate care. AACN promotes a healthy work environment, but
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fthis is not included in the Standards. The Joint Commission has established National Patient Safety Goals, but
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these are not the AACN Standards.
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DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
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OBJ: Describe standards of professional practice for critical care nursing.
f f f f f f f f f
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
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experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous
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renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of experience
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to two patients who are more stable. This assignment reflects implementation of the:
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a. crew resource management model f f f
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Chapter 01: Overview of Critical Care Nursing
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MULTIPLE CHOICE f
1. Which of the following professional organizations best supports
f f f f f f f f
critical care nursing practice?
f f f f
a. American Association of Critical-Care Nurses f f f f
b. American Heart Association f f
c. American Nurses Association f f
d. Society of Critical Care Medicine f f f f
The American Association of Critical-Care Nurses is the specialty organization that supports and represents
f f f f f f f f f f f f f
critical care nurses. The American Heart Association supports cardiovascular initiatives. The American Nurses
f f f f f f f f f f f f f
Association supports all nurses. The Society of Critical Care Medicine represents the multiprofessional critical
f f f f f f f f f f f f f f
care team under the direction of an intensivist.
f f f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 4
f f f f f f
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
f f f f f f f f f f f f f f
TOP: Nursing Process Step: N/A
f f f f f
MSC: NCLEX: Safe and Effective Care Environment
f f f f f f
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
f f f f f f f f f f f f f f f f f f f f f f
certification. Which credential would be most applicable for her to seek?
f f f f f f f f f f f
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C f
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients.
f f f f f f f f f f f f f f f
The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
f f f f f f f f f f f f f f f f f
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
f f f f f f f f f f f f f f f f
step-down unit settings.
f f f
DIF: Cognitive Level: Application REF: p. 5
f f f f f f
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC:
f f f f f f f f f f f f f
NCLEX: Safe and Effective Care Environment
f f f f f f
,3. The main purpose of certification is to:
f f f f f f
a. assure the consumer that you will not make a mistake.
f f f f f f f f f
b. prepare for graduate school. f f f
c. promote magnet status for your facility. f f f f f
d. validate knowledge of critical care nursing. f f f f f
ANS: D f
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
f f f f f f f f f f f f f
fhelps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that
f f f f f f f f f f f f f f f f
the nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
f f f f f f f f f f f f f f f f f f
Certification does not prepare one for graduate school; however, achieving certification demonstrates
f f f f f f f f f f f
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
f f f f f f f f f f f f f f f
however, that is not the purpose of certification.
f f f f f f f f
DIF: Cognitive Level: Analysis REF: pp. 4-5
f f f f f f
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC:
f f f f f f f f f f f f f
NCLEX: Safe and Effective Care Environment
f f f f f f
4. The synergy model of practice focuses on:
f f f f f f
a. allowing unrestricted visiting for the patient 24 hours each day. f f f f f f f f f
b. holistic and alternative therapies. f f f
c. needs of patients and their families, which drives nursing competency.
f f f f f f f f f
d. patients needs for energy and support. f f f f f
ANS: C f
The synergy model of practice states that the needs of patients and families influence and drive
f f f f f f f f f f f f f f f
competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the
f f f f f f f f f f f f f f f f f
patients and familys needs and application of alternative therapies if desired by the patient, but that is not the
f f f f f f f f f f f f f f f f f f f
primary focus of the model.
f f f f f
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
f f f f f f f f f
OBJ: Describe standards of professional practice for critical care nursing.
f f f f f f f f f
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
f f f f f f f f f f f
5. The family of your critically ill patient tells you that they have not spoken with the physician in over
f f f f f f f f f f f f f f f f f f
24 hours and they have some questions that they want clarified. During morning rounds, you convey this
f f f f f f f f f f f f f f f f f
concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
f f f f f f f f f f f f f f f f f f f
conference room. Which competency of critical care nursing does this represent?
f f f f f f f f f f f
, a. Advocacy and moral agency in solving ethical issues f f f f f f f
b. Clinical judgment and clinical reasoning skills f f f f f
c. Collaboration with patients, families, and team members f f f f f f
d. Facilitation of learning for patients, families, and team members f f f f f f f f
ANS: C f
Although one might consider that all of these competencies are being addressed, communication and
f f f f f f f f f f f f f
collaboration with the family and physician best exemplify the competency of collaboration.
f f f f f f f f f f f f
DIF: Cognitive Level: Analysis REF: p. 9
f f f f f f
OBJ: Describe standards of professional practice for critical care nursing.
f f f f f f f f f
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
f f f f f f f f f f f
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
f f f f f f f f f f f f f f f
care nursing practice?
f f f
a. Evidence-based practice f
b. Healthy work environment f f
c. National Patient Safety Goals f f f
d. Nursing process f
ANS: D f
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
f f f f f f f f f f f f f f f f
critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of
f f f f f f f f f f f f f f
care, implement interventions, and evaluate care. AACN promotes a healthy work environment, but
f f f f f f f f f f f f f
fthis is not included in the Standards. The Joint Commission has established National Patient Safety Goals, but
f f f f f f f f f f f f f f f f
these are not the AACN Standards.
f f f f f f
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
f f f f f f f f f
OBJ: Describe standards of professional practice for critical care nursing.
f f f f f f f f f
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
f f f f f f f f f f f
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
f f f f f f f f f f f f f f f f f
experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous
f f f f f f f f f f f f f f f f
renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of experience
f f f f f f f f f f f f f f f f f
to two patients who are more stable. This assignment reflects implementation of the:
f f f f f f f f f f f f f
a. crew resource management model f f f
