CRITICAL CARE EXAM 1 QUESTIONS AND CORRECT
ANSWERS | {VERIFIELD ANSWERS} |WITH COMPLETE
SOLUTIONS |NEWEST UPDATE |ALREADY GRADED A+
Professional organizations that support critical care practice - ANSWER -
American Association of Critical Care Nurses (AACN), Society of Critical
Care Medicine
What is the mission of AACN? - ANSWER - assisting acute and critical
care nurses to attain knowledge and influence to deliver excellent care
What is the vision of AACN? - ANSWER - supports creating a healthcare
system driven by the needs of patients and families in which critical
care nurses make their optimal contributions...synergy
What are the values of AACN? - ANSWER - accountability, advocacy,
integrity, collaboration, leadership, stewardship, lifelong learning,
quality, innovation, commitment
Explain the synergy model and recognize how it is used in practice -
ANSWER - - framework that aligns patient needs w nurse competencies
- needs of patient drive nurse competencies for patient care
,What types of certifications are available for ICU nurses? - ANSWER -
CCRN - critically ill adult, pediatric or neonatal pts
PCCN - acute care in progressive care, telemetry
AACN - nurse managers and leaders
Why are certifications important? - ANSWER - validates knowledge of
critical care nursing, promotes professional excellence, helps nurses to
maintain current knowledge base
What are three specific projects/organizations in place to assist nurses
in providing safe care? - ANSWER - Quality and Safety Education for
Nurses (QSEN)
Institute for Healthcare Improvement (IHI)
Rapid response teams/joint commission (?)
What types of measures do safe care organizations implement? -
ANSWER - Safety, reduce infections, bundles of care
What is a bundle of care? Give an example. - ANSWER - Set of 3-5 EBPs
that when put together significantly improve pt. outcomes
ex - ventilator bundle -- HOB elevated, DVT prophylaxis, holding a
sedative to determine pt. readiness to get off vent
, What are some barriers to effective handoff communication? -
ANSWER - physical setting, social setting, language, communication
medium
ex - background noise, different languages, email vs text vs paper,
status issues
What standardized measures have been implemented to help prevent
communication breakdown at shift change? - ANSWER - SBAR,
checklists
What are examples of things you may need to communicate during
multi-professional rounds? - ANSWER - D/C needs, greatest safety risk,
assessment and follow-up, implementation of bundles, assess need for
all ordered meds, identify whether central lines & catheters can be
removed, code status, family needs, advance directives, when to call
MD, TX goals
What types of things contribute to sensory overload/deprivation in a
critical care environment? - ANSWER - noise level, environment
different than surroundings causing hallucinations, lighting
What types of interventions can nurse implement to combat sensory
overload/deprivation? - ANSWER - Noise: place pt. in private room,
soundproof ceiling tiles, sedative music, quickly assess alarms
Hallucinations: post family photos, encourage visitation, interact w pt.
ANSWERS | {VERIFIELD ANSWERS} |WITH COMPLETE
SOLUTIONS |NEWEST UPDATE |ALREADY GRADED A+
Professional organizations that support critical care practice - ANSWER -
American Association of Critical Care Nurses (AACN), Society of Critical
Care Medicine
What is the mission of AACN? - ANSWER - assisting acute and critical
care nurses to attain knowledge and influence to deliver excellent care
What is the vision of AACN? - ANSWER - supports creating a healthcare
system driven by the needs of patients and families in which critical
care nurses make their optimal contributions...synergy
What are the values of AACN? - ANSWER - accountability, advocacy,
integrity, collaboration, leadership, stewardship, lifelong learning,
quality, innovation, commitment
Explain the synergy model and recognize how it is used in practice -
ANSWER - - framework that aligns patient needs w nurse competencies
- needs of patient drive nurse competencies for patient care
,What types of certifications are available for ICU nurses? - ANSWER -
CCRN - critically ill adult, pediatric or neonatal pts
PCCN - acute care in progressive care, telemetry
AACN - nurse managers and leaders
Why are certifications important? - ANSWER - validates knowledge of
critical care nursing, promotes professional excellence, helps nurses to
maintain current knowledge base
What are three specific projects/organizations in place to assist nurses
in providing safe care? - ANSWER - Quality and Safety Education for
Nurses (QSEN)
Institute for Healthcare Improvement (IHI)
Rapid response teams/joint commission (?)
What types of measures do safe care organizations implement? -
ANSWER - Safety, reduce infections, bundles of care
What is a bundle of care? Give an example. - ANSWER - Set of 3-5 EBPs
that when put together significantly improve pt. outcomes
ex - ventilator bundle -- HOB elevated, DVT prophylaxis, holding a
sedative to determine pt. readiness to get off vent
, What are some barriers to effective handoff communication? -
ANSWER - physical setting, social setting, language, communication
medium
ex - background noise, different languages, email vs text vs paper,
status issues
What standardized measures have been implemented to help prevent
communication breakdown at shift change? - ANSWER - SBAR,
checklists
What are examples of things you may need to communicate during
multi-professional rounds? - ANSWER - D/C needs, greatest safety risk,
assessment and follow-up, implementation of bundles, assess need for
all ordered meds, identify whether central lines & catheters can be
removed, code status, family needs, advance directives, when to call
MD, TX goals
What types of things contribute to sensory overload/deprivation in a
critical care environment? - ANSWER - noise level, environment
different than surroundings causing hallucinations, lighting
What types of interventions can nurse implement to combat sensory
overload/deprivation? - ANSWER - Noise: place pt. in private room,
soundproof ceiling tiles, sedative music, quickly assess alarms
Hallucinations: post family photos, encourage visitation, interact w pt.
