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