Test Bank for Introduction to Critical Care Nursing, 7th Edition by Mary Lou Sole, 9780323377034 , Covering Chapters 1-21 | Includes Rationales

Test Bank - Introduction to Critical Care Nursing 7e (Sole
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Table of Contents r r r r




1
Chapter 01: Overview of Critical Care Nursing
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Chapter 02: Patient and Family Response to the Critical Care
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Experience Chapter 03: Ethical and Legal Issues in Critical Care
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Nursing
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Chapter 04: Palliative and End-of-Life
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Care Chapter 05: Comfort and
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Sedation Chapter 06: Nutritional
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Therapy
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Chapter 07: Dysrhythmia Interpretation and Management
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Chapter 08: Hemodynamic Monitoring
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Chapter 09: Ventilatory Assistance
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Chapter 10: Rapid Response Teams and Code Management
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Chapter 11: Organ Donation
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Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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Chapter 13: Cardiovascular Alterations
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Chapter 14: Nervous System
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rAlterations Chapter 15: Acute
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Respiratory Failure Chapter 16: Acute
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Kidney Injury Chapter 17:
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Gastrointestinal Alterations
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Chapter 17: Hematological and Immune Disorders
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Chapter 19: Endocrine Alterations
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Chapter 20: Trauma and Surgical Management
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Chapter 21: Burns
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,Test Bank - Introduction to Critical Care Nursing 7e (Sole
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Chapter 01: Overview of Critical Care Nursing r r r r r r r r r r r r




MULTIPLE CHOICE r r




1. Which of the following professional organizations best supports critical care
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a. American Association of Critical-Care Nurses r r r r r r r r




b. American Heart Association r r r r




c. American r r Nurses Association r r




d. Society of Critical Care rr rr rr




Medicine ANS: A r r r r




The American Association of Critical-Care Nurses is the specialty organization that supports
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and represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
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American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
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multiprofessional critical care team under the direction of an intensivist.
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DIF: Cognitive Level:
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OBJ: Discuss the purposes and functions of the professional organizations that support critical care
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rpractice. 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: r r C

The CCRN certification is appropriate for nurses in bedside practice who care for critically
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ill patients. The ACNPC certification is for acute care nurse practitioners. The CCNS
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certification is for critical care clinical nurse specialists. The PCCN certification is for staff nurses
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working in progressive care, intermediate care, or step-down unit 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
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r r MSC: NCLEX: Safe and Effective Care Environment
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,Test Bank - Introduction to Critical Care Nursing 7e (Sole
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3. The main purpose of certificationr r r r r r r r r r is to: r r




a. assure the consumer that you will not make a mistake.
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b. prepare for graduate r r r r r r school.


c. promote magnet status for your facility. r r r r r r r r r r




d. validate knowledge of critical care nursing. r r r r r r r r r r




ANS: r r D

Certification assists in validating knowledge of the field, promotes excellence in the
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profession, and helps nurses to maintain their knowledge of critical care nursing. Certification
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helps to assure the consumer that the nurse has a minimum level of knowledge; however,
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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
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demonstrates motivation for achievement and professionalism. Magnet facilities are rated on the number
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of certified nurses; however, that is not the purpose of certification.
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DIF: Cognitive r r r r Level: r r Analysis r r REF: pp. 4-5 r r r r




OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
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r r MSC: NCLEX: Safe and Effective Care Environment
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4. The synergy r r r r model r r of practice r r r r focuses on: r r




a. allowing unrestricted visiting for the patient 24 hours each day.
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b. holistic and alternative therapies. r r r r r r




c. needs of patients and their families, which drives nursing competency.
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d. patients needs for energy and support. r r r r r r r r r r




ANS: r r C

The synergy model of practice states that the needs of patients and families influence and
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drive competencies of nurses. Nursing practice based on the synergy model would involve
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tailored visiting to meet the patients and familys needs and application of alternative therapies
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if desired by the patient, but that is not the primary focus of the model.
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DIF: Cognitive Level: Application
r r r r r r r r REF: p. 5 | Fig. 1-3 r r r r r r r r r r




OBJ: Describe standards of professional practice
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective
r r r r r r r r r r r r r r r r r r r r Care Environment r r




5. The family of your critically ill patient tells you that they have
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physician in over 24 hours and they have some questions that they
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morning rounds, you convey this concern to the attending intensivist
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meet with the family at 4:00 PM in the conference room. Which
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care nursing does this represent?
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, Test Bank - Introduction to Critical Care Nursing 7e (Sole
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a. Advocacy and moral agency in solving ethical issues r r r r r r r r r r r r r r




b. Clinical judgment and clinical reasoning skillsr r r r r r r r r r




c. Collaboration with patients, families, and team members r r r r r r r r r r r r




d. Facilitation of learning for patients, families, and team rr rr rr rr rr rr rr




members ANS: C r r r r




Although one might consider that all of these competencies are being addressed, communication and
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r collaboration with the family and physician best exemplify the competency of
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collaboration.
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DIF: Cognitive r r r r Level: Analysis r r r r REF: p. 9 r r r r




OBJ: Describe standards of professional practice
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective
r r r r r r r r r r r r r r r r r r r r Care Environment r r




6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
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critical care nursing practice?
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a. Evidence-based practice r r




b. Healthy work environment r r r r




c. National Patient Safety Goals r r r r r r




d. Nursing process r




ANS: D rr




The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process
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as applied to critically ill patients: collect data, determine diagnoses, identify expected
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outcomes, develop a plan of care, implement interventions, and evaluate care. AACN
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promotes a healthy work environment, but this is not included in the Standards. The Joint
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Commission has established National Patient Safety Goals, but these are not the AACN Standards.
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DIF: Cognitive Level: Analysis
r r r r r r r r REF: p. 5 | Box 1-2 r r r r r r r r r r




OBJ: Describe standards of professional practice
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective
r r r r r r r r r r r r r r r r r r r r Care Environment r r




7. The charge nurse is responsible for making the patient assignments on the critical care unit.
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She assigns the experienced, certified nurse to care for the acutely ill patient with sepsis
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r rwho also requires continuous renal replacement therapy and mechanical ventilation. She
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rrassigns the nurse with less than 1 year of experience to two patients who are more stable.
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This assignment reflects implementation of the:
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a. crew resource r r r r management r r model