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CHAPTER 10: END-OF-LIFE CARE Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. A patient was admitted to the critical care unit after having a cerebrovascular accident (CVA) and myocardial infarction (MI). The patient has poor activity tolerance, falls in and out of consciousness, and has poor verbal skills. The patient has been resuscitated four times in the past 6 hours. The patient does not have advance directives. Family members are at the bedside. Who should the practition...

CHAPTER 06: PSYCHOSOCIAL AND SPIRITUAL ALTERATIONS AND MANAGEMENT Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. A patient is in the critical care unit having undergone surgery a week ago for multiple fractures to the legs secondary to a fall from a rooftop. The patient refuses to participate in morning care activities such as brushing his own teeth or washing his face and hands. The patient yells at the nurse, “You do it! Can’t you see that my legs are broken?” What p...

CHAPTER 05: PATIENT AND FAMILY EDUCATION Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. What are the three learning domains to be considered when developing an individualized education plan? a. Knowledge, ability, and willingness to learn b. Psychologic, skills, and knowledge c. Knowledge, skills, and attitude d. Skills, attitude, and psychologic ANS: C Three learning domains are considered when developing an individualized education plan: knowledge, attitude, and ...

CHAPTER 08: PAIN AND PAIN MANAGEMENT Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Which statement accurately describes the duration of acute pain? a. Acute pain is associated with the injury to the joints and lasts about 9 months. b. Acute pain is associated with the healing process and should not exceed 6 months. c. Acute pain is persistent pain of more than 6 months after the healing process. d. Acute pain is associated with damage to the nervous system and is of inf...

CHAPTER 07: NUTRITION ALTERATIONS AND MANAGEMENT Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. What is the rationale for careful intake and output for patients with pulmonary alterations? a. Fluid retention occurs with tachypnea. b. Hemodilution may cause deleterious hypernatremia. c. Fluid volume excess can lead to right-sided heart failure. d. Excessive fluid losses may lead to dehydration and hypovolemic shock. ANS: C Pulmonary edema and failure of the right si...

CHAPTER 02: ETHICAL ISSUES Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Which statement regarding the Code of Ethics for Nursing is accurate? a. The Code of Ethics for Nurses is usurped by state or federal laws. b. It allows the nurse to focus on the good of society rather than the uniqueness of the patient. c. The Code of Ethics for Nurses was recently adopted by the American Nurses Association. d. It provides society with a set of expectations of the nursing professi...

CHAPTER 01: CRITICAL CARE NURSING PRACTICE Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Prayer, guided imagery, and massage are all 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. Spirituality, prayer, guided imagery, massage, and animal-assisted therapy are all...

CHAPTER 04: GENETIC ISSUES Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. A specialized class of proteins that organizes the double-stranded DNA into what looks like a tightly coiled telephone cord is known which of the following? a. Chromatids b. Karyotype c. Genomics d. Histones ANS: D A specialized class of proteins called histones organizes the double-stranded DNA into what looks like a tightly coiled telephone cord. Genomics refers to the study of all of the g...

CHAPTER 03: LEGAL ISSUES Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Why is restraining a competent patient against his or her wishes considered an intentional tort? a. The nurse did not document the patient’s need for restraints. b. The nurse failed to get a physician’s order for restraints. c. The nurse touched the patient in an unauthorized manner. d. The nurse does not inform the patient that the restraints were needed. ANS: C Assault and battery are exa...

Chapter 31: Older Adults Chapter 32: Serious Mental Illness Chapter 33: Forensic Nursing Chapter 34: Therapeutic Groups Chapter 35: Family Interventions Chapter 36: Integrative Care