Chapter 01: Overview of Critical Care Nursing MULTIPLE CHOICE 1. Which of the following professional organizations best supports critical care a. American
... [Show More] Association of Critical-Care Nurses b. American Heart Association c. American Nurses Association d. Society of Critical Care Medicine ANS: A The American Association of Critical-Care Nurses is the specialty organization critical care nurses. The American Heart Association supports cardiovascular initiatives. Association supports all nurses. The Society of Critical Care Medicine represents 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 TOP: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 2. A nurse has been working as a staff nurse in the surgical intensivcertification. 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 ACNPC certification is for acute care nurse practitioners. The CCNS certification nurse specialists. The PCCN certification is for staff nurses working in progresstep-down unit settings. DIF: Cognitive Level: Application REF: p. 5 OBJ: Explain certification options for critical care nurses. TOP: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment Test Bank - Introduction to Critical Care Nursing7e (Sole 2016) 2 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: briana1827 | [email protected] Distribution of this document is illegal Stuvia.com - The Marketplace to Buy and Sell your Study Material 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 nurses to maintain their knowledge of critical care nursing.Certification helps to nurse has a minimum level of knowledge; however, it does not ensure Certification does not prepare one for graduate school; however, achieving certificamotivation for achievement and professionalism.Magnet facilities are rated on the 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: NursingProcess 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 familiesinfluence of nurses. Nursingpractice based on the synergy model would involve tailored visiting to meet familys needs and application of alternative therapies if desired by the patient, of the model. DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3 OBJ: Describe standards of professional practice for critical care nursing. TOP: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 5. The family of your critically ill patient tells you that they have not hours and they have some questions that they want clarified. During morning to the attending intensivist and arrange for her to meet with the family Which competency of critical care nursing does this represent? Test Bank - Introduction to Critical Care Nursing7e (Sole 2016) 3 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: briana1827 | [email protected] Distribution of this document is illegal Stuvia.com - The Marketplace to Buy and Sell your Study Material 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 learningfor patients, families, and team members ANS: C Although one might consider that all of these competencies are being addresscollaboration with the family and physician best exemplify the competency of DIF: Cognitive Level: Analysis REF: p. 9 OBJ: Describe standards of professional practice for critical care nursing. TOP: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 6. The AACN Standards for Acute and Critical Care NursingPracticeuse what framewcare nursing practice? a. Evidence-based practice b. Healthy work environment c. National Patient Safety Goals d. Nursingprocess ANS: D The AACN Standards for Acute and Critical Care NursingPracticedelineate the nursingcritically ill patients: collect data, determine diagnoses, identify expected outcomimplement interventions, and evaluate care. AACN promotes a healthy work environincluded in the Standards. The Joint Commission has established National 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: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 7. The charge nurse is responsible for making the patient assignments on the experienced, certified nurse to care for the acutely ill patient with sepsis who replacement therapy and mechanical ventilation. She assigns the nurse with less than two patients who are more stable. This assignment reflects implementation of the: a. crew resource management model Test Bank - Introduction to Critical Care Nursing7e (Sole 2016) 4 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: briana1827 | [email protected] Distribution of this document is illegal Stuvia.com - The Marketplace to Buy and Sell your Study Material b. National Patient Safety Goals c. Quality and Safety Education for Nurses (QSEN)model d. synergy model of practice ANS: D This assignment demonstrates nursing care to meet the needs of the patient. The nurse competencies are matched to the patient characteristics. Crew resource manageteam training, National Patient Safety Goals are specified by The Joint Commido not incorporate the synergy model. The Quality and Safety Education for Nurses education to undergraduate and graduate nursing studentsto learn quality and safety DIF: Cognitive Level: Analysis REF: p. 5 | Fig. 1-3 OBJ: Describe standards of professional practice for critical care nursing. TOP: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 8. The vision of the American Association of Critical-Care Nurses is a a. a healthy work environment. b. care from a multiprofessional team under the direction of a criticc. 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 care nurses make their optimum contributions. AACN promotes initiatives to supportenvironment as well as respectful and healing environments, but that is not SCCM promotes care from a multiprofessional team under the direction of DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: Discuss the purposes and functions of the professional organizations that TOP: NursingProcess 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 Nursing7e (Sole 2016) 5 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: briana1827 | [email protected] Distribution of this document is illegal Stuvia.com - The Marketplace to Buy and Sell your Study Material d. reduce patient errors. ANS: D Many errors are directly attributed to faulty communication. Effective communication has essential strategy to reduce patient errors and resolve issues related to patient care deliverymay demonstrate caring practices, be used for patient/family teaching, and addressthe 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: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 10. You are caring for a critically ill patient whose urine output has been thorough patient assessment, you call the intensivist with the following report. Mrs. P., your 65-year-old patient in CCU 10. Her urine output for the past arrived from surgery to repair an aortic aneurysm 4 hours ago and remainson past 2 hours, her heart rate has increased from 80 to 100 beats per decreased from 128/82 to 100/70 mm Hg. She is being given an infusionof Her right atrial pressure through the subclavian central line is low at 3 BUN and creatinine levels have been stable and in normal range. Her abdominal indication of bleeding. My assessment suggests that Mrs. P. is hypovolincreasing her fluids or giving her a fluid challenge. Using the SBAR model information the nurse gives about the patients history and vital signs is: a. Situation b. Background c. Assessment d. Recommendation ANS: B The history and vital signs are part of the background. Information regarding situation. Information regarding possiblehypovolemia is part of the nurses assessmfluids is the recommendation. DIF: Cognitive Level: Analysis REF: pp. 8-9 OBJ: Describe quality and safety initiatives related to critical care nursing. TOP: NursingProcess Step: Assessment MSC: NCLEX: Safe and Effective Care Environ11. The family members of a critically ill, 90-year-old patient bring in hospital, which identifies the patients wishes regarding health care. You discuss contentthe patients physician. This is an example of implementation of which of Performance? a. Acquires and maintains current knowledge of practice Test Bank - Introduction to Critical Care Nursing7e (Sole 2016) 6 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: briana1827 | [email protected] Distribution of this document is illegal Stuvia.com - The Marketplace to Buy and Sell your Study Material b. Acts ethically on the behalf of the patient and family c. Considers factors related to safe patient care d. Uses clinical inquiry and integrates research findingsin practice ANS: B Discussing end-of-life issues is an example of a nurse acting ethically example does not relate to acquiring knowledge, promoting patient safety, or DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2 OBJ: Describe standards of care and performance for critical care nursing. TOP: NursingProcess Step: Implementation MSC: NCLEX: Safe and Effective Care Environment 12. Which of the following assists the critical care nurse in ensuring that research? a. Clinical practice guidelines b. Computerized physician order entry c. Consulting with advanced practice nurses d. Implementing Joint Commission National Patient Safety Goals ANS: A Clinical practice guidelines are being implemented to ensure that care is appropriate Some physician order entry pathways, but not all, are based on research practice nurses, but not all, are well versed in evidence-based practices. The Nationarecommendations to reduce errors using evidence-based practices. DIF: Cognitive Level: Analysis REF: p. 7 OBJ: Describe standards of professional practice for critical care nursing. TOP: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 13. Comparing the patients current (home) medications with those ordered during hospitalization communicating a complete list of medications to the next provider when organization or to another setting are strategies to: a. improve accuracy of patient identification. b. prevent errors related to look-alike and sound-alike medications. Test Bank - Introduction to Critical Care Nursing7e (Sole 2016) 7 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: briana1827 | [email protected] Distribution of this document is illegal Stuvia.com - The Marketplace to Buy and Sell your Study Material c. reconcile medications across the continuum of care. d. reduce harms associated with administration of anticoagulants. ANS: C These are steps recommended in the National Patient Safety Goals to reconcile continuum of care. Improving accuracy of patient identification is another NationaPreventing errors related to look-alike and sound-alike medications is done to medication reconciliation. Reducing harms associated with administration of anticoagulants Patient Safety Goal. DIF: Cognitive Level: Comprehension REF: p. 6 | Box 1-3 OBJ: Describe quality and safety initiatives related to critical care nursing. TOP: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 14. As part of nursing management of a critically ill patient, orders are elevated at 30 degrees,awaken the patient from sedation each morning to mechanical ventilation, and implement oral care protocols every 4 hours. These group to reduce the risk of ventilator-associated pneumonia. This group of evidencoften called a: a. bundle of care. b. clinical practice guideline. c. patient safety goal. d. quality improvement initiative. ANS: A A group of evidence-based interventions done as a whole to improve outcomis an example of the ventilator bundle. Oftentimes these bundles are derivedand are monitored for compliance as part of quality improvement initiatives. part of patient safety goals. DIF: Cognitive Level: Analysis REF: p. 6 OBJ: Describe quality and safety initiatives related to critical care nursing. TOP: NursingProcess Step: Implementation MSC: NCLEX: Safe and Effective Care Environment 15. You work in an intermediate care unit that has experienced high nursingoften considered to be an autocratic leader by staff members and her turnover. You have asked to be involved in developing new guidelines patient population. The nurse manager tells you that you do not yet have prevention task force. This situation and setting is an example of: a. a barrier to handoff communication. Test Bank - Introduction to Critical Care Nursing7e (Sole 2016) 8 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: briana1827 | [email protected] Distribution of this document is illegal Stuvia.com - The Marketplace to Buy and Sell your Study Material b. a work environment that is unhealthy. c. ineffective decision making. d. nursing practice that is not evidence-based. ANS: B These are examples of an unhealthy work environment. A healthy work environcollaboration, and effective decision making.It also has authentic leadership. communication, which is communication that occurs to transition patient care from one another.Neither does it relate to ineffective decision making.As a nurse, you based practice, but your influence in the unit is limited by the unhealthDIF: Cognitive Level: Analysis REF: p. 7 OBJ: Describe standards of professional practice for critical care nursing. TOP: NursingProcess Step: N/A MSC: NCLEX: Safe and Effective Care Environment 16. Which of the following statements describes the core concept of the a. All nurses must be certified in order to have the synergy model implb. Family members must be included in daily interdisciplinaryrounds. c. Nurses and physicians must work collaboratively and synergistically to influence d. Unique needs of patients and their familiesinfluence nursing competencies. ANS: D The synergy model of practice is care based on the unique needs and characteristics members. Although critical care certification is based on the synergy model, the address certification. Inclusion of family members into the daily rounds is an synergy model. With the focus on patients and family members with nurse interaction, not address physician collaboration. DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3 OBJ: Describe standards of professional practice for critical care nursing. TOP: NursingProcess Step: Implementation MSC: NCLEX: Psychosocial Integrity 17. A nurse who plans care based on the patients gender, ethnicity, spirituality, a. be a moral advocate. b. facilitate learning. [Show Less]