decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas
can arise regarding whether a third party (e.g., a parent or guardian) should make the decision on
the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-
Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding euthanasia, brings
about significant ethical and legal debates. While some argue that individuals should have the right
to choose a dignified death through euthanasia or assisted suicide, others believe that these
practices undermine the sanctity of life. Legal systems across the world differ on the matter, with
some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3
**Confidentiality and Privacy**Medical professionals are ethically and legally bound to maintain
patient confidentiality. The principle of confidentiality is critical for building trust between patients
and healthcare providers. However, breaches in confidentiality can occur when healthcare
providers are forced to share patient
Test Bank For
Priorities in Critical Care Nursing 8th Edition by Urden
Chapter 1-27
Chapter 01: Caring for the Critically Ill Patient Urden:
Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
specialty area and manage complex clinical and systems issues. Intensivists are medical
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
programs are in place?
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurses
d. Nurse practitioners
ANS: A
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
research, leadership, and consultative abilities. They are instrumental in ensuring that care is
evidence based and that safety programs are in place. Advanced practice nurses (APNs) have
a broad depth of knowledge and expertise in their specialty area and manage complex clinical
and systems issues. Registered nurses are generally direct care providers. Nurse practitioners
, (NPs) manage direct clinical care of groups of patients.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Which professional organization administers critical care certification exams for registered
nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise regarding
whether a third party (e.g., a parent or guardian) should make the decision on the patient’s behalf, and whether the
legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care,
particularly decisions regarding euthanasia, brings about significant ethical and legal debates. While some argue that
individuals should have the right to choose a dignified death through euthanasia or assisted suicide, others believe that
these practices undermine the sanctity of life. Legal systems across the world differ on the matter, with some countries
or states permitting euthanasia, while others forbid it entirely.#### 2.3 **Confidentiality and Privacy**Medical
professionals are ethically and legally bound to maintain patient confidentiality. The principle of confidentiality is
critical for building trust between patients and healthcare providers. However, breaches in confidentiality can occur
when healthcare providers are forced to share patient
ANS:D
American Association of Critical-Care Nurses (AACN) administers certification exams for
registered nurses. The State Board of Registered Nurses (SBON) does not administer
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
administer certification exams. Society of Critical Care Medicine (SCCM) does not
administer nursing certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
that can be used as quick references for clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of “practice alerts.” Evidence-based nursing
practice considers the best research evidence on the care topic along with clinical expertise of
the nurse and patient preferences. Critical care protocol and practice policies are established
by individual institutions.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care
Environment: Coordinated Care
, 5. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
The term alternative denotes that a specific therapy is an option or alternative to what is
considered conventional treatment of a condition or state. The term complementary was
proposed to describe therapies that can be used to complement or support conventional
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
each patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise
regarding whether a third party (e.g., a parent or guardian) should make the decision on the patient’s behalf, and
whether the legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-
life care, particularly decisions regarding euthanasia, brings about significant ethical and legal debates. While
some argue that individuals should have the right to choose a dignified death through euthanasia or assisted
suicide, others believe that these practices undermine the sanctity of life. Legal systems across the world differ on
the matter, with some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3
**Confidentiality and Privacy**Medical professionals are ethically and legally bound to maintain patient
confidentiality. The principle of confidentiality is critical for building trust between patients and healthcare
providers. However, breaches in confidentiality can occur when healthcare providers are forced to share patient
6. Guided imagery and massage are both examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
ANS: C
The term complementary was proposed to describe therapies that can be used to complement
or support conventional treatments. Guided imagery, massage, and animal-assisted therapy
are all examples of complementary care. The term alternative denotes that a specific therapy
is an option or alternative to what is considered conventional treatment of a condition or state.
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this
type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
, Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical
providers. Currently, there are tele-ICUs in areas where there are limited resources on-
site. However, experts (critical care nurses, intensivists) are located in a central distant
site.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Evaluation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity:
Reduction of Risk Potential
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise
regarding whether a third party (e.g., a parent or guardian) should make the decision on the patient’s behalf, and
whether the legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-
life care, particularly decisions regarding euthanasia, brings about significant ethical and legal debates. While
some argue that individuals should have the right to choose a dignified death through euthanasia or assisted
suicide, others believe that these practices undermine the sanctity of life. Legal systems across the world differ on
the matter, with some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3
**Confidentiality and Privacy**Medical professionals are ethically and legally bound to maintain patient
confidentiality. The principle of confidentiality is critical for building trust between patients and healthcare
providers. However, breaches in confidentiality can occur when healthcare providers are forced to share patient
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served.
Interprofessional communication includes communicating with patients, families,
communities, and other health professionals in a responsive and responsible manner that
supports a team approach to maintaining health and treatment of disease. Interprofessional
teamwork and team-based care means applying relationship-building values and principles of
team dynamics to perform effectively in different team roles to plan and deliver patient
population-centered care that is safe, timely, efficient, effective, and equitable.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
can arise regarding whether a third party (e.g., a parent or guardian) should make the decision on
the patient’s behalf, and whether the legal framework supports such decisions.#### 2.2 **End-of-
Life Decisions and Euthanasia**End-of-life care, particularly decisions regarding euthanasia, brings
about significant ethical and legal debates. While some argue that individuals should have the right
to choose a dignified death through euthanasia or assisted suicide, others believe that these
practices undermine the sanctity of life. Legal systems across the world differ on the matter, with
some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3
**Confidentiality and Privacy**Medical professionals are ethically and legally bound to maintain
patient confidentiality. The principle of confidentiality is critical for building trust between patients
and healthcare providers. However, breaches in confidentiality can occur when healthcare
providers are forced to share patient
Test Bank For
Priorities in Critical Care Nursing 8th Edition by Urden
Chapter 1-27
Chapter 01: Caring for the Critically Ill Patient Urden:
Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
specialty area and manage complex clinical and systems issues. Intensivists are medical
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
programs are in place?
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurses
d. Nurse practitioners
ANS: A
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
research, leadership, and consultative abilities. They are instrumental in ensuring that care is
evidence based and that safety programs are in place. Advanced practice nurses (APNs) have
a broad depth of knowledge and expertise in their specialty area and manage complex clinical
and systems issues. Registered nurses are generally direct care providers. Nurse practitioners
, (NPs) manage direct clinical care of groups of patients.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Which professional organization administers critical care certification exams for registered
nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise regarding
whether a third party (e.g., a parent or guardian) should make the decision on the patient’s behalf, and whether the
legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-life care,
particularly decisions regarding euthanasia, brings about significant ethical and legal debates. While some argue that
individuals should have the right to choose a dignified death through euthanasia or assisted suicide, others believe that
these practices undermine the sanctity of life. Legal systems across the world differ on the matter, with some countries
or states permitting euthanasia, while others forbid it entirely.#### 2.3 **Confidentiality and Privacy**Medical
professionals are ethically and legally bound to maintain patient confidentiality. The principle of confidentiality is
critical for building trust between patients and healthcare providers. However, breaches in confidentiality can occur
when healthcare providers are forced to share patient
ANS:D
American Association of Critical-Care Nurses (AACN) administers certification exams for
registered nurses. The State Board of Registered Nurses (SBON) does not administer
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
administer certification exams. Society of Critical Care Medicine (SCCM) does not
administer nursing certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
that can be used as quick references for clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of “practice alerts.” Evidence-based nursing
practice considers the best research evidence on the care topic along with clinical expertise of
the nurse and patient preferences. Critical care protocol and practice policies are established
by individual institutions.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care
Environment: Coordinated Care
, 5. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
The term alternative denotes that a specific therapy is an option or alternative to what is
considered conventional treatment of a condition or state. The term complementary was
proposed to describe therapies that can be used to complement or support conventional
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
each patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise
regarding whether a third party (e.g., a parent or guardian) should make the decision on the patient’s behalf, and
whether the legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-
life care, particularly decisions regarding euthanasia, brings about significant ethical and legal debates. While
some argue that individuals should have the right to choose a dignified death through euthanasia or assisted
suicide, others believe that these practices undermine the sanctity of life. Legal systems across the world differ on
the matter, with some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3
**Confidentiality and Privacy**Medical professionals are ethically and legally bound to maintain patient
confidentiality. The principle of confidentiality is critical for building trust between patients and healthcare
providers. However, breaches in confidentiality can occur when healthcare providers are forced to share patient
6. Guided imagery and massage are both examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
ANS: C
The term complementary was proposed to describe therapies that can be used to complement
or support conventional treatments. Guided imagery, massage, and animal-assisted therapy
are all examples of complementary care. The term alternative denotes that a specific therapy
is an option or alternative to what is considered conventional treatment of a condition or state.
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this
type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
, Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical
providers. Currently, there are tele-ICUs in areas where there are limited resources on-
site. However, experts (critical care nurses, intensivists) are located in a central distant
site.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Evaluation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity:
Reduction of Risk Potential
decisions (e.g., due to age, mental illness, or language barriers). In such cases, ethical dilemmas can arise
regarding whether a third party (e.g., a parent or guardian) should make the decision on the patient’s behalf, and
whether the legal framework supports such decisions.#### 2.2 **End-of-Life Decisions and Euthanasia**End-of-
life care, particularly decisions regarding euthanasia, brings about significant ethical and legal debates. While
some argue that individuals should have the right to choose a dignified death through euthanasia or assisted
suicide, others believe that these practices undermine the sanctity of life. Legal systems across the world differ on
the matter, with some countries or states permitting euthanasia, while others forbid it entirely.#### 2.3
**Confidentiality and Privacy**Medical professionals are ethically and legally bound to maintain patient
confidentiality. The principle of confidentiality is critical for building trust between patients and healthcare
providers. However, breaches in confidentiality can occur when healthcare providers are forced to share patient
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served.
Interprofessional communication includes communicating with patients, families,
communities, and other health professionals in a responsive and responsible manner that
supports a team approach to maintaining health and treatment of disease. Interprofessional
teamwork and team-based care means applying relationship-building values and principles of
team dynamics to perform effectively in different team roles to plan and deliver patient
population-centered care that is safe, timely, efficient, effective, and equitable.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
