lOM oA R c P S D| 11 70 059 1
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Complete Introduction to Critical Care Nursing 8th Edition Sole
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Questions & Answers with rationales (Chapter 1-21)
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TESTBANK
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Chapter 01: Overview of Critical Care Nursing
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Sole: Introduction to Critical Care Nursing, 8th Edition
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sh
Sp
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MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing practice?
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a. American Association of Critical-Care Nurses
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b. American Heart Association
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c. American Nurses Association
d. Society of Critical Care Medicine
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ANS: A
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The American Association of Critical-Care Nurses is the Organization that supports and represents
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critical care nurses. The American Heart Association supports cardiovascular initiatives. The American
Nurses Association supports all nurses. The Society of Critical Care Medicine represents the multi
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professional critical care team under the direction of an
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DIF: Cognitive Level: Knowledge
sh
Sp
OBJ: Discuss the purposes and functions of the professional Orgnization that support critical care
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practice. 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 inabteirbn.scoivme/tecsat re unit for 2
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years and is interested in certification. Which credential would be most applicable for her to seek?
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a. ACNPC
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b. CCNS
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c. CCRN
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d. PCCN
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ANS: C
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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
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care clinical nurse specialists. The PCCN certification is for staff nurses working in progressive care,
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intermediate care, or satbeiprb-.cdoomw/tenstunit settings.
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DIF: Cognitive Level: Application
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OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
sh
Sp
MSC: NCLEX: Safe and Effective Care Environment
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3. What is the main purpose of certification for critical care nursing?
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a. To assure the consumer that critical nurses will not maakbeirba.commi/tsetsatke.
b. To help prepare the critical care nurse for graduate school.
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Sp
c. To assist in promoting magnet status for a facility.
d. To validate a nurse’s knowledge of critical care nursing.
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ANS: D
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
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, lOM oA R c P S D| 11 70 059 1
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helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the
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consumer that the nurse has a minimumablirebv.ceolmo/tefskt nowledge; however, it does not ensure
sh
that care will be mistake-free. Certification does not prepare one for graduate school; however,
ne
achieving certification demonstrates motivation for achievement and professionalism. Magnet facilities
la
are rated on the number of certified nurses; however, that is not the purpose of certification.
tz
DIF: Cognitive Level: Analysis
sh
Sp
OBJ: Explain certification options for critical care nurses. MSC: NCLEX: Safe and Effective Care
Environment
ne
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4. What is the focus of the synergy model of practice?
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a. Allowing unrestricted visiting for the patient 24 hours aebaircbh.codma/tyes.t
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b. Providing holistic and alternative therapies.
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, lOM oA R c P S D| 11 70 059 1
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c. Considering the needs of patients and their families, which drives nursing
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competency.
d. Addressing the patients’ needs for energy and support.
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ANS: C la
The synergy model of practice states that the needs of patiaebnirtbs.caomnd/tefsat milies influence and
tz
sh
drive competencies of nurses. Nursing practice based on the synergy model would involve tailored
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visiting to meet the patient’s and family’s needs and application of alternative therapies if desired by
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the patient, but that is not the primary focus of the model.
la
DIF: Cognitive Level: Application
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OBJ: Describe standards of professional practice for critical care nursing.
sh
Sp
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
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over 24 hours and they have some questions that they want clarified. During morning rounds, you
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convey this concern to the attending intensivisatbiarbn.cdoma/rtersatnge for her to meet with the family
sh
Sp
at 4:00 PM in the conference room. Which competency of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues
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b. Clinical judgment and clinical reasoning skills
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c. Collaboration with patients, families, and team members
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d. Facilitation of learning for patients, families, and team members
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ANS: C
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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.
sh
Sp
DIF: Cognitive Level: Analysis
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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: Saafbeirba.ncodmE/teffset ctive Care
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Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice uses what framework to
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guide critical care nursing practice?
a. Evidence-based practice
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b. Healthy work environment sh
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c. National Patient Safety Goals
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d. Nursing process
ANS: D
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The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as
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sh
applied to critically ill patients: collect data, detaebrirmb.cionme/tdesiat gnoses, identify expected
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outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
healthy work environment, but this is not included in the Standards. The Joint Commission has
la
established National Patient Safety Goals, but these are not the AACN
tz
sh
Standards.
Sp
DIF: Cognitive Level: Understand
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OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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sh
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She
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assigns the experienced, certified nurse to care for theaabicrbu.cteomly/teisltl patient diagnosed with
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sepsis who also requires continuous renal replacement therapy and mechanical ventilation. She assigns
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the nurse with less than 1 year of experience to two patients who are more stable. This assignment
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sh
reflects implementation of what guiding farbairmb.ceowm/oterskt ?
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a. Crew resource management model
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b. National Patient Safety Goals
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c. Quality and Safety Education for Nurses (QSEN) model
d. Synergy model of practice
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Sp
ANS: D
This assignment demonstrates nursing care to meet the needs of the patient. The synergy model notes
la
that the nurse competencies are matched to thaebiprba.ctoiemn/tet sct haracteristics. Crew resource
Sp
, lOM oA R c P S D| 11 70 059 1
ne
management concepts related to team training, National Patient Safety Goals are specified by The Joint
tz
sh
Commission to promote safe care but do not incorporate the synergy model. The Quality and Safety
Education for Nurses initiaatbivirbe.cionmv/toeslvt es targeted education to undergraduate and
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graduate nursing students to learn quality and safety concepts.
la
DIF: Cognitive Level: Analysis
tz
sh
OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst.
Sp
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
8.
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The vision of the American Association of Critical-Care Nurses is a healthcare system driven
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by achieving what goal?
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a. Maintaining a healthy work environment.
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b. Providing care from a multiprofessional team under the direction of a critical care
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physician.
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c. Effectively meeting the needs of critically ill patients and families.
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d. Creating respectful, healing, and humane environments.
sh
Sp
ANS: C
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The AACN vision is a healthcare system driven by the needs of critically ill patients and families where
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critical care nurses make their optimum contributions. AACN promotes initiatives to support a healthy
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work environment as well aasbirrbe.csopme/ctetsftul and healing environments, but that is not the
sh
Sp
organization’s vision. The SCCM promotes care from a multiprofessional team under the direction of a
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critical care physician.
la
DIF: Cognitive Level: Knowledge
tz
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
sh
Sp
practice. TOP: Nursing Process Step: N/A
ne
MSC: NCLEX: Safe and Effective Care Environment
la
9. What is the most important outcome of effective communication?
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a. Demonstrating caring practices to family members.
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Sp
b. Ensuring that patient teaching is provided
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c. Meeting the diversity needs of patients.
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ANS: D
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Many errors are directly attributed to faulty communication. Effective communication has been sh
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identified as an essential strategy to reduce patient errors and resolve issues related to patient care
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delivery. Communication may demonstrate caarbiinrbg.copmra/tecsttices, be used for
patient/family teaching, and address diversity needs; however, the main outcome of effective
la
communication is patient safety.
tz
sh
DIF: Cognitive Level: Analysis
Sp
ne
OBJ: Describe quality and safety initiatives related to critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
la
10. The nurse is caring for a critically ill patient whose urine oaubitrpb.ucotmh/atesstbeen low for 2
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consecutive hours. After a thorough patient assessment, you call the primary care provider with the
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following report.
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Dr. Smith, I’m calling about Mrs. P., your 65-year-old pataibeirnbt.cionm/CteCst U 10. Her urine
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output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an aortic aneurysm 4
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hours ago and remains on mechanical ventilation. In the past 2 hours, her heart rate has increased from
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80 to 100 beats per minute and her blood pressure has decreased from 128/82 to 100/70 mm Hg. She is
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being given an infusaiboirnb.coofmn/toesrtmal saline at 100 mL per hour. Her right atrial pressure
la
through the subclavian central line is low at 3 mm Hg. Her urine is concentrated. Her BUN and
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sh
creatinine levels have been stable and in normal range. Her abdominal dressing is dry with no
Sp
indication of bleedainbigrb..cMomy/teasstsessment suggests that Mrs. P. is hypovolemic and I would
ne
like you to consider increasing her fluids or giving her a fluid challenge. Using the SBAR model for
la
communication, the information the nurse gives about the patient’s history and vital signs is appropriate
for what part of the model?
sh
Sp
a. Situation
b. Background
la
c. Assessment
Sp
ne
tz
Complete Introduction to Critical Care Nursing 8th Edition Sole
sh
ne
Questions & Answers with rationales (Chapter 1-21)
la
TESTBANK
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
Chapter 01: Overview of Critical Care Nursing
la
Sole: Introduction to Critical Care Nursing, 8th Edition
tz
sh
Sp
ne
MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing practice?
la
tz
a. American Association of Critical-Care Nurses
sh
Sp
b. American Heart Association
ne
c. American Nurses Association
d. Society of Critical Care Medicine
la
tz
ANS: A
sh
The American Association of Critical-Care Nurses is the Organization that supports and represents
Sp
ne
critical care nurses. The American Heart Association supports cardiovascular initiatives. The American
Nurses Association supports all nurses. The Society of Critical Care Medicine represents the multi
la
professional critical care team under the direction of an
tz
DIF: Cognitive Level: Knowledge
sh
Sp
OBJ: Discuss the purposes and functions of the professional Orgnization that support critical care
ne
practice. TOP: Nursing Process Step: N/A
la
MSC: NCLEX: Safe and Effective Care Environment
tz
sh
2. A nurse has been working as a staff nurse in the surgical inabteirbn.scoivme/tecsat re unit for 2
Sp
years and is interested in certification. Which credential would be most applicable for her to seek?
ne
a. ACNPC
la
b. CCNS
tz
sh
c. CCRN
Sp
d. PCCN
ne
ANS: C
la
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients.
tz
The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical
sh
Sp
care clinical nurse specialists. The PCCN certification is for staff nurses working in progressive care,
ne
intermediate care, or satbeiprb-.cdoomw/tenstunit settings.
la
DIF: Cognitive Level: Application
tz
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
sh
Sp
MSC: NCLEX: Safe and Effective Care Environment
ne
3. What is the main purpose of certification for critical care nursing?
la
a. To assure the consumer that critical nurses will not maakbeirba.commi/tsetsatke.
b. To help prepare the critical care nurse for graduate school.
sh
Sp
c. To assist in promoting magnet status for a facility.
d. To validate a nurse’s knowledge of critical care nursing.
la
ANS: D
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
Sp
, lOM oA R c P S D| 11 70 059 1
ne
helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the
tz
consumer that the nurse has a minimumablirebv.ceolmo/tefskt nowledge; however, it does not ensure
sh
that care will be mistake-free. Certification does not prepare one for graduate school; however,
ne
achieving certification demonstrates motivation for achievement and professionalism. Magnet facilities
la
are rated on the number of certified nurses; however, that is not the purpose of certification.
tz
DIF: Cognitive Level: Analysis
sh
Sp
OBJ: Explain certification options for critical care nurses. MSC: NCLEX: Safe and Effective Care
Environment
ne
la
4. What is the focus of the synergy model of practice?
tz
a. Allowing unrestricted visiting for the patient 24 hours aebaircbh.codma/tyes.t
sh
Sp
b. Providing holistic and alternative therapies.
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
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Sp
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la
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la
sh
Sp
la
Sp
, lOM oA R c P S D| 11 70 059 1
ne
c. Considering the needs of patients and their families, which drives nursing
tz
sh
competency.
d. Addressing the patients’ needs for energy and support.
ne
ANS: C la
The synergy model of practice states that the needs of patiaebnirtbs.caomnd/tefsat milies influence and
tz
sh
drive competencies of nurses. Nursing practice based on the synergy model would involve tailored
Sp
visiting to meet the patient’s and family’s needs and application of alternative therapies if desired by
ne
the patient, but that is not the primary focus of the model.
la
DIF: Cognitive Level: Application
tz
OBJ: Describe standards of professional practice for critical care nursing.
sh
Sp
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
ne
5. The family of your critically ill patient tells you that they have not spoken with the physician in
la
over 24 hours and they have some questions that they want clarified. During morning rounds, you
tz
convey this concern to the attending intensivisatbiarbn.cdoma/rtersatnge for her to meet with the family
sh
Sp
at 4:00 PM in the conference room. Which competency of critical care nursing does this represent?
ne
a. Advocacy and moral agency in solving ethical issues
la
b. Clinical judgment and clinical reasoning skills
tz
c. Collaboration with patients, families, and team members
sh
Sp
d. Facilitation of learning for patients, families, and team members
ne
ANS: C
la
Although one might consider that all of these competencies are being addressed, communication and
tz
collaboration with the family and physician best exemplify the competency of collaboration.
sh
Sp
DIF: Cognitive Level: Analysis
ne
OBJ: Describe standards of professional practice for critical care nursing.
la
TOP: Nursing Process Step: N/A MSC: NCLEX: Saafbeirba.ncodmE/teffset ctive Care
tz
Environment
sh
Sp
6. The AACN Standards for Acute and Critical Care Nursing Practice uses what framework to
ne
guide critical care nursing practice?
a. Evidence-based practice
la
tz
b. Healthy work environment sh
Sp
c. National Patient Safety Goals
ne
d. Nursing process
ANS: D
la
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as
tz
sh
applied to critically ill patients: collect data, detaebrirmb.cionme/tdesiat gnoses, identify expected
Sp
ne
outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
healthy work environment, but this is not included in the Standards. The Joint Commission has
la
established National Patient Safety Goals, but these are not the AACN
tz
sh
Standards.
Sp
DIF: Cognitive Level: Understand
ne
OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst.
la
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
tz
sh
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She
Sp
assigns the experienced, certified nurse to care for theaabicrbu.cteomly/teisltl patient diagnosed with
ne
sepsis who also requires continuous renal replacement therapy and mechanical ventilation. She assigns
la
the nurse with less than 1 year of experience to two patients who are more stable. This assignment
tz
sh
reflects implementation of what guiding farbairmb.ceowm/oterskt ?
Sp
a. Crew resource management model
ne
b. National Patient Safety Goals
la
c. Quality and Safety Education for Nurses (QSEN) model
d. Synergy model of practice
sh
Sp
ANS: D
This assignment demonstrates nursing care to meet the needs of the patient. The synergy model notes
la
that the nurse competencies are matched to thaebiprba.ctoiemn/tet sct haracteristics. Crew resource
Sp
, lOM oA R c P S D| 11 70 059 1
ne
management concepts related to team training, National Patient Safety Goals are specified by The Joint
tz
sh
Commission to promote safe care but do not incorporate the synergy model. The Quality and Safety
Education for Nurses initiaatbivirbe.cionmv/toeslvt es targeted education to undergraduate and
ne
graduate nursing students to learn quality and safety concepts.
la
DIF: Cognitive Level: Analysis
tz
sh
OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst.
Sp
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
8.
ne
The vision of the American Association of Critical-Care Nurses is a healthcare system driven
la
by achieving what goal?
tz
a. Maintaining a healthy work environment.
sh
Sp
b. Providing care from a multiprofessional team under the direction of a critical care
ne
physician.
la
c. Effectively meeting the needs of critically ill patients and families.
tz
d. Creating respectful, healing, and humane environments.
sh
Sp
ANS: C
ne
The AACN vision is a healthcare system driven by the needs of critically ill patients and families where
la
critical care nurses make their optimum contributions. AACN promotes initiatives to support a healthy
tz
work environment as well aasbirrbe.csopme/ctetsftul and healing environments, but that is not the
sh
Sp
organization’s vision. The SCCM promotes care from a multiprofessional team under the direction of a
ne
critical care physician.
la
DIF: Cognitive Level: Knowledge
tz
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
sh
Sp
practice. TOP: Nursing Process Step: N/A
ne
MSC: NCLEX: Safe and Effective Care Environment
la
9. What is the most important outcome of effective communication?
tz
a. Demonstrating caring practices to family members.
sh
Sp
b. Ensuring that patient teaching is provided
ne
c. Meeting the diversity needs of patients.
la
ANS: D
tz
Many errors are directly attributed to faulty communication. Effective communication has been sh
Sp
identified as an essential strategy to reduce patient errors and resolve issues related to patient care
ne
delivery. Communication may demonstrate caarbiinrbg.copmra/tecsttices, be used for
patient/family teaching, and address diversity needs; however, the main outcome of effective
la
communication is patient safety.
tz
sh
DIF: Cognitive Level: Analysis
Sp
ne
OBJ: Describe quality and safety initiatives related to critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
la
10. The nurse is caring for a critically ill patient whose urine oaubitrpb.ucotmh/atesstbeen low for 2
tz
sh
consecutive hours. After a thorough patient assessment, you call the primary care provider with the
Sp
following report.
ne
Dr. Smith, I’m calling about Mrs. P., your 65-year-old pataibeirnbt.cionm/CteCst U 10. Her urine
la
output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an aortic aneurysm 4
tz
sh
hours ago and remains on mechanical ventilation. In the past 2 hours, her heart rate has increased from
Sp
80 to 100 beats per minute and her blood pressure has decreased from 128/82 to 100/70 mm Hg. She is
ne
being given an infusaiboirnb.coofmn/toesrtmal saline at 100 mL per hour. Her right atrial pressure
la
through the subclavian central line is low at 3 mm Hg. Her urine is concentrated. Her BUN and
tz
sh
creatinine levels have been stable and in normal range. Her abdominal dressing is dry with no
Sp
indication of bleedainbigrb..cMomy/teasstsessment suggests that Mrs. P. is hypovolemic and I would
ne
like you to consider increasing her fluids or giving her a fluid challenge. Using the SBAR model for
la
communication, the information the nurse gives about the patient’s history and vital signs is appropriate
for what part of the model?
sh
Sp
a. Situation
b. Background
la
c. Assessment
Sp
