Test Bank - Introduction to Critical Care Nursing 7
th Edition Sole 1
Chapter Contents
Chapters Contents
Chapter 01: Overview of Critical Care
... [Show More] Nursing
Chapter 02: Patient and Family Response to the Critical Care Experience
Chapter 03: Ethical and Legal Issues in Critical Care Nursing
Chapter 04: Palliative and End-of-Life Care
Chapter 05: Comfort and Sedation
Chapter 06: Nutritional Therapy
Chapter 07: Dysrhythmia Interpretation and Management
Chapter 08: Hemodynamic Monitoring
Chapter 09: Ventilatory Assistance
Chapter 10: Rapid Response Teams and Code Management
Chapter 11: Organ Donation
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 13: Cardiovascular Alterations
Chapter 14: Nervous System Alterations
Chapter 15: Acute Respiratory Failure
Chapter 16: Acute Kidney Injury
Chapter 17: Gastrointestinal Alterations
Chapter 17: Hematological and Immune Disorders
Chapter 19: Endocrine Alterations
Chapter 20: Trauma and Surgical Management
Chapter 21: Burns
Test Bank - Introduction to Critical Care Nursing 7
th Edition Sole 2
Chapter 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care
MedicineANS: A
The American Association of Critical-Care Nurses is the specialty organization that supports and
represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
American NursesAssociation supports all nurses. The Society of Critical Care Medicine represents the
multiprofessional critical care team under the direction of an intensivist.
DIF: Cognitive Level: Knowledge REF: p. 4
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
practice.TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
interested incertification. Which credential would be most applicable for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill
patients. TheACNPC certification is for acute care nurse practitioners. The CCNS certification is for
critical care clinical nurse specialists. The PCCN certification is for staff nurses working in progressive
care, intermediate care, orstep-down unit settings.
DIF: Cognitive Level: Application REF: p. 5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
Test Bank - Introduction to Critical Care Nursing 7
th Edition Sole 3
3. The main purpose of certification is to:
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing.
ANS: D
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer
that thenurse has a minimum level of knowledge; however, it does not ensure that care will be mistakefree.
Certification does not prepare one for graduate school; however, achieving certification demonstrates
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified
nurses;however, that is not the purpose of certification.
DIF: Cognitive Level: Analysis REF: pp. 4-5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
4. The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing competency.
d. patients needs for energy and support.
ANS: C
The synergy model of practice states that the needs of patients and families influence and drive
competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to
meet the patients andfamilys needs and application of alternative therapies if desired by the patient, but
that is not the primary focus of the model.
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your critically ill patient tells you that they have not spoken with the physician in over
24 hours and they have some questions that they want clarified. During morning rounds, you convey this
concernto the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
conference room. Which competency of critical care nursing does this represent?
Test Bank - Introduction to Critical Care Nursing 7
th Edition Sole 4
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team
membersANS: C
Although one might consider that all of these competencies are being addressed, communication and
collaboration with the family and physician best exemplify the competency of collaboration.
DIF: Cognitive Level: Analysis REF: p. 9
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
criticalcare nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing
processANS: D
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as
applied tocritically ill patients: collect data, determine diagnoses, identify expected 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 established National
Patient Safety Goals, but these are not the AACN Standards.
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She
assigns theexperienced, certified nurse to care for the acutely ill patient with sepsis who also requires
continuous renalreplacement therapy and mechanical ventilation. She assigns the nurse with less than 1
year of experience to two patients who are more stable. This assignment reflects implementation of the:
a. crew resource management model
Test Bank - Introduction to Critical Care Nursing 7
th Edition Sole 5
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. synergy model of
practiceANS: D
This assignment demonstrates nursing care to meet the needs of the patient. The synergy model notes that
the nurse competencies are matched to the patient characteristics. Crew resource management concepts
related to team training, National Patient Safety Goals are specified by The Joint Commission to
promote safe care butdo not incorporate the synergy model. The Quality and Safety Education for Nurses
initiative involves targetededucation to undergraduate and graduate nursing students to learn quality and
safety concepts.
DIF: Cognitive Level: Analysis REF: p. 5 | Fig. 1-3
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nurses is a healthcare system driven by:
a. a healthy work environment.
b. care from a multiprofessional team under the direction of a critical care physician.
c. the needs of critically ill patients and families.
d. respectful, healing, and humane environments.
ANS: C
The AACN vision is a healthcare system driven by the needs of critically ill patients and families where
criticacare nurses make their optimum contributions. AACN promotes initiatives to support a healthy
work environment as well as respectful and healing environments, but that is not the organizations
vision. The SCCM promotes care from a multiprofessional team under the direction of a critical care
physician.
DIF: Cognitive Level: Knowledge REF: p. 4
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
practice.TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
9. The most important outcome of effective communication is to:
a. demonstrate caring practices to family members.
b. ensure that patient teaching is done.
c. meet the diversity needs of patients.
Test Bank - Introduction to Critical Care Nursing 7
th Edition Sole 6
d. reduce patient errors.
ANS: D
Many errors are directly attributed to faulty communication. Effective communication has been identified
as anessential strategy to reduce patient errors and resolve issues related to patient care delivery.
Communication may demonstrate caring practices, be used for patient/family teaching, and address
diversity needs; however, the main outcome of effective communication is patient safety.
DIF: Cognitive Level: Knowledge REF: pp. 8-9
OBJ: Describe quality and safety initiatives related to critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment [Show Less]