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Table s s of s s Contents
1
Chapter 01: Overview of Critical Care Nursing
s s s s s s s s s s s s 2
Chapter 02: Patient and Family Response to the Critical Care
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Experience Chapter 03: Ethical and Legal Issues in Critical
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Care Nursing
ss ss 42
Chapter 04: Palliative and End-of-
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Life Care Chapter 05:
ss Comfort
ss ss 69
and Sedation ss 83
Chapter 06: Nutritional ss ss 117
Therapy
ss 137
Chapter 07: Dysrhythmia Interpretation and
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Management Chapter 08: Hemodynamic Monitoring
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Chapter 09: Ventilatory Assistance
s s s s s s 189
Chapter 10: Rapid Response Teams and Code Management
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Chapter 11: Organ Donation
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Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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Chapter 13: Cardiovascular Alterations
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Chapter 14: Nervous System
ss ss ss 285
s Alterations Chapter 15: Acute
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Respiratory Failure Chapter 16: Acute
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Kidney Injury Chapter 17:
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Gastrointestinal Alterations
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Chapter 17: Hematological and Immune Disorders
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Chapter 19: Endocrine Alterations
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Chapter 20: Trauma and Surgical Management
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Chapter 21: Burns
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,Test Bank - Introduction to Critical Care Nursing 7e
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Chapter 01: Overview of Critical Care Nursing s s s s s s s s s s s s
MULTIPLE s s CHOICE
1. Which of the s s s s s s following s s professional s s organizations best s s s s supports critical s s s s care s s nursing
practice?
s s
a. American Association s s s s of Critical-Care
ss s s Nurses
b. American s s Heart s s Association
c. American s s Nurses s s Association
d. Society of Critical Care ss ss ss
Medicine ANS: A ss ss
The American Association of Critical-Care Nurses is the specialty organization that supports
s s s s s s s s s s s s s s s s s s s s s s
and
s s represents critical care nurses. The American Heart Association supports cardiovascular initiatives.
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The American Nurses Association supports all nurses. The Society of Critical Care Medicine represents
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the multiprofessional critical care team under the direction of an intensivist.
ss ss s s s s s s s s s s s s s s s s s s
DIF: Cognitive s s s s Level: s s Knowledge s s REF: s s p. s s 4
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
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spractice. TOP: Nursing Process Step: N/A
s s s s s s s s s s s
MSC: NCLEX: Safe and ss s s s s s s Effective Care s s s s Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
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interested in certification. Which credential would be most applicable for her to seek?
ss ss ss s s ss s s ss s s ss s s s s ss s s
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: s s C
The CCRN certification is appropriate for nurses in bedside practice who care for
s s s s s s s s s s s s s s s s s s s s s s s s
critically ill patients. The ACNPC certification is for acute care nurse practitioners. The
s s s s s s ss s s ss ss ss ss ss ss ss ss
CCNS certification is for critical care clinical nurse specialists. The PCCN certification is for
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staff nurses working in progressive care, intermediate care, or step-down unit settings.
ss ss ss ss ss ss ss ss ss ss s s s s
DIF: s s Cognitive s s Level: s s Application s s REF: s s p. 5 s s
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
ss ss ss ss ss ss ss ss ss ss ss
ss N/A MSC: NCLEX: Safe and Effective Care Environment
s s s s s s s s s s s s s s
,Test Bank - Introduction to Critical Care Nursing 7e
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3. The main s s s s purpose of s s s s certification s s is to: s s
a. assure the consumer that you will not make a mistake.
ss s s s s s s s s s s s s s s s s
b. prepare s s for graduate s s s s school.
c. promote s s magnet status for s s s s s s your facility. s s
d. validate knowledge of s s s s s s critical s s care nursing. s s
ANS: s s D
Certification assists in validating knowledge of the field, promotes excellence in the
s s s s s s s s s s s s s s s s s s s s s s
profession, and helps nurses to maintain their knowledge of critical care nursing.
s s s s ss s s s s s s s s s s s s ss s s s s
Certification helps to assure the consumer that the nurse has a minimum level of
ss s s s s ss ss ss s s s s s s s s s s s s s s s s
knowledge; however, it does not ensure that care will be mistake-free.
s s s s s s s s s s s s s s s s s s ss ss
Certification does not prepare one for graduate school; however, achieving certification
s s s s s s s s s s s s s s s s s s s s
demonstrates motivation for achievement and professionalism. Magnet facilities are rated on the
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number of certified
ss nurses; however, that is not the purpose of certification.
ss ss s s s s s s s s s s s s s s s s s s
DIF: Cognitive
s s s s Level: s s Analysis s s REF: s s pp. s s 4-5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step:
ss ss ss ss ss ss ss ss ss ss ss
N/A MSC: NCLEX: Safe and Effective Care Environment
ss s s s s s s s s s s s s s s
4. The synergy s s s s model s s of practice s s s s focuses on: s s
a. allowing unrestricted s s s s visiting s s for s s the s s patient s s 24 hours s s s s each day. s s
b. holistic and s s s s alternative s s therapies.
c. needs of patients ss ss s s and their families, which
ss ss s s s s drives s s nursing competency. s s
d. patients needs for energy and support.
s s s s s s s s s s
ANS: s s C
The synergy model of practice states that the needs of patients and families influence
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and drive competencies of nurses. Nursing practice based on the synergy model would
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involve tailored visiting to meet the patients and familys needs and application of
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alternative therapies if desired by the patient, but that is not the primary focus of the
ss s s ss s s ss ss s s ss ss s s s s s s s s s s s s s s
model.
s s
DIF: Cognitive
s s s s Level: s s Application s s REF: p. 5 s s s s s s | Fig.
s s s s 1-3
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
5. The family of your critically ill patient tells
s s s s s s s s s s s s s s s s you that they s s s s s s have not spoken with s s s s s s
the physician in
s s s s over 24 hours and they have s s s s ss ss ss ss ss sssome questions ss ssthat they want clarified.
ss ss ss
During morning rounds, you convey this concern to
ss ss ss ss ss ss ss the attending
s s s s s s intensivist and arrange for s s s s s s
her to meet with the family at 4:00 PM in
s s s s s s s s s s s s s s s s s s s s ss the conferences s s s room. Which competency s s s s
of critical care nursing does this represent?
s s s s s s s s s s s s s s
, Test Bank - Introduction to Critical Care Nursing 7e
ss ss ss ss ss ss ss ss 4
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a. Advocacy and ss s s moral s s agency in s s s s solving s s ethical issues s s
b. Clinical s s judgment s s and s s clinical reasoning s s s s skills
c. Collaboration s s with s s patients, families, and team members
s s s s s s s s
d. Facilitation of learning for patients, families, and team
ss ss ss ss ss ss ss
members ANS: C ss ss
Although one might consider that all of these competencies are being addressed, communication and
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s collaboration with the family and physician best exemplify the competency of
s s s s s s s s s s s s s s s s s s s s s
collaboration.
s s
DIF: s s Cognitive s s Level: s s Analysis s s REF: p. s s s s 9
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to
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guide critical care nursing practice?
ss ss ss ss ss
a. Evidence-based practice s s
b. Healthy work environment s s s s
c. National s s Patient s s Safety s s Goals
d. Nursing process ss
ANS: D ss
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
ss ss ss ss s s ss ss ss ss ss ss ss
ssprocess as applied to critically ill patients: collect data, determine diagnoses, identify
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expected outcomes, develop a plan of care, implement interventions, and evaluate care.
s s s s s s s s s s s s ss s s s s s s s s s s
AACN promotes a healthy work environment, but this is
s s s s not included in the Standards.
s s s s s s s s s s s s ss s s s s ss ss ss
The Joint Commission has established National Patient Safety Goals, but these are not the
ss ss ss ss ss s s ss ss ss ss ss ss s s s s
AACN Standards.
s s s s
DIF: Cognitive s s s s Level: s s Analysis s s REF: p. 5 s s s s s s | Box 1-2
s s s s
OBJ: Describe standards of
s s s s s s s s professional practice s s s s for s s critical s s care s s nursing.
TOP: Nursing Process Step:
s s s s s s s s N/A MSC: NCLEX: s s s s s s Safe s s and Effective s s s s Care s s Environment
7. The charge nurse is responsible for making the patient assignments on the critical care
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ssunit. She assigns the experienced, certified nurse to care for the acutely ill patient with
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sepsis who also requires continuous renal replacement therapy and mechanical ventilation.
s s s s s s s s ss s s s s s s ss s s ss
She assigns the nurse with less than 1 year of experience to two patients who are more
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stable. This assignment reflects implementation of the:
s s s s s s s s s s s s s s
a. crew s s resource s s management s s model