Critical Care Nursing- A Holistic Approach
11th Edition Morton Fontaine Test Bank
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Critical Care Nursing A Holistic Approach 11th Edition Test Bank Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration Evidence 1.A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient becauseshe doubts the accuracy of her knowledge and her intuition. She loves her work butwishes she could do it with a greater level of competence. What is the most importanteffect that obtaining certification would likely have on the nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2.A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellentinterpersonal skills and highly positive references. One, however, has certification incritical care nursing. Which of the following is the most compelling and accurate reasonfor the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3.A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about ina recent article in a nursing journal. She then brings a cup of water and a straw to thepatient because she observes that his lips are dry. Later, she has the patient sit in awheelchair and takes him to have some blood tests performed. He objects at first, sayingthat he can walk on his own, but the nurse explains that it is hospital policy to use thewheelchair. That evening, she recognizes signs of an imminent stroke in the patient andimmediately pages the physician. Which action taken by the nurse is the best example of
evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physicianWWW.NURSYLAB.COMStuvia.com - The Marketplace to Buy and Sell your Study Material
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4.A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions havebeen shown to be most effective in reducing these infections. She consults many differentsources and finds conflicting information. Which of the following sources should sheconsider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5.A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following
would be the best step for her to take to promote incorporating evidence into clinicalpractice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research
on it.
6.A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose.The physician has the nurse paged and consults with him in the hallway regarding thepatients request for stronger pain medication. The nurse explains that patient was startedon a morphine drip only 20 minutes ago and that the drug has not had time to take effectyet. The physician agrees and tells the patient to give it just a bit more time. Whichcomponent of a healthy work environment is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
7.A nurse in the ICU is responding to a patient who has just gone into cardiac arrest. A
moment later, the nurse is notified that another patient has just gone into anaphylacticshock due to a drug allergy. She is conflicted as to what to do, as she is the only nurseavailable at the moment to tend to both patients. Which component of a healthy workenvironment is lacking in this scenario?
A) Effective decision makingWWW.NURSYLAB.COMStuvia.com - The Marketplace to Buy and Sell your Study Material
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11th Edition Morton Fontaine Test Bank
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Page1 of 337 Full Test Bank
Critical Care Nursing- A Holistic Approach 11th Edition Morton
Fontaine Test Bank
T
est Bank 100% Verified Answers
Download Immediately After The Purchase
Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Critical Care Nursing A Holistic Approach 11th Edition Test Bank Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration Evidence 1.A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient becauseshe doubts the accuracy of her knowledge and her intuition. She loves her work butwishes she could do it with a greater level of competence. What is the most importanteffect that obtaining certification would likely have on the nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2.A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellentinterpersonal skills and highly positive references. One, however, has certification incritical care nursing. Which of the following is the most compelling and accurate reasonfor the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3.A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about ina recent article in a nursing journal. She then brings a cup of water and a straw to thepatient because she observes that his lips are dry. Later, she has the patient sit in awheelchair and takes him to have some blood tests performed. He objects at first, sayingthat he can walk on his own, but the nurse explains that it is hospital policy to use thewheelchair. That evening, she recognizes signs of an imminent stroke in the patient andimmediately pages the physician. Which action taken by the nurse is the best example of
evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physicianWWW.NURSYLAB.COMStuvia.com - The Marketplace to Buy and Sell your Study Material
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4.A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions havebeen shown to be most effective in reducing these infections. She consults many differentsources and finds conflicting information. Which of the following sources should sheconsider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5.A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following
would be the best step for her to take to promote incorporating evidence into clinicalpractice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research
on it.
6.A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose.The physician has the nurse paged and consults with him in the hallway regarding thepatients request for stronger pain medication. The nurse explains that patient was startedon a morphine drip only 20 minutes ago and that the drug has not had time to take effectyet. The physician agrees and tells the patient to give it just a bit more time. Whichcomponent of a healthy work environment is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
7.A nurse in the ICU is responding to a patient who has just gone into cardiac arrest. A
moment later, the nurse is notified that another patient has just gone into anaphylacticshock due to a drug allergy. She is conflicted as to what to do, as she is the only nurseavailable at the moment to tend to both patients. Which component of a healthy workenvironment is lacking in this scenario?
A) Effective decision makingWWW.NURSYLAB.COMStuvia.com - The Marketplace to Buy and Sell your Study Material
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