TEST BANK
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Priorities in Critical Care Nursing, 9th Edition,
d$ d$ d$ d$ d$ d$
Linda D. Urden, Kathleen M. Stacy, Chapters 1 - 27, Complete
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
,TABLE OF CONTENTS d$ d$
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
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1. Caring for the Critically Ill Patient
d$ d$ d$ d$ d$ d$
2. Ethical and Legal Issues
d$ d$ d$ d$
3. Facilitating Care Transitions
d$ d$ d$
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
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4. Psychosocial and Spiritual Considerations
d$ d$ d$ d$
5. Nutritional Alterations and Management
d$ d$ d$ d$
6. The Older Adult
d$ d$ d$
7. Pain and Pain Management
d$ d$ d$ d$
8. Sedation and Delirium Management
d$ d$ d$ d$
9. Palliative and End-of-Life Care
d$ d$ d$ d$
UNIT THREE: CARDIOVASCULAR ALTERATIONS
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10. Cardiovascular Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
11. Cardiovascular Disorders
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12. Cardiovascular Therapeutic Management
d$ d$ d$
UNIT FOUR: PULMONARY ALTERATIONS
d$ d$ d$
13. Pulmonary Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
14. Pulmonary Disorders
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15. Pulmonary Therapeutic Management
d$ d$ d$
UNIT FIVE: NEUROLOGICAL ALTERATIONS
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16. Neurological Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
17. Neurologic Disorders and Therapeutic Management
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UNIT SIX: KIDNEY ALTERATIONS
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18. Kidney Clinical Assessment and Diagnostic Procedures
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19. Kidney Disorders and Therapeutic Management
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UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
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20. Gastrointestinal Clinical Assessment and Diagnostic Procedures
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21. Gastrointestinal Disorders and Therapeutic Management
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UNIT EIGHT: ENDOCRINE ALTERATIONS
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22. Endocrine Clinical Assessment and Diagnostic Procedures
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23. Endocrine Disorders and Therapeutic Management
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UNIT NINE: MULTISYSTEM ALTERATIONS
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24. Trauma
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25. Burns
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26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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27. Hematological and Oncological Emergencies
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,Chapter 01: Critical Care Nursing Practice
d$ d$ d$ d$ d$ $d
Urden: Critical Care Nursing, 9th
d$ d$ d$ d$
MULTIPLE $d
CHOICE
1. During World War II, what type of wards were developed to care for criticallyi
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
njured patients? d$
a. Intensive care d$
b. Triage
c. Shock
d. Postoperative
ANS: C d$
During World War II, shock wards were established to care for critically injured patients. T
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
riage wards establish the order in which a patient is seen or treated upon arrival to a hospit
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
al. Postoperative wards were developed in 1900 and later evolved into intensive careunits.
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d
PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 1 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise and
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d
manages complex clinical and system issues?
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a. Registered nurses d$
b. Advanced practice nurses d$ d$
c. Clinical nurse leaders d$ d$
d. Intensivists
ANS: B d$
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
specialty area and manage complex clinical and systems issues. Intensivists are medical pra
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ctitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct c
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are providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 2 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based andt
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hat safety programs are in place?
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a. Clinical nurse spec d$ d$
ialist b. Advancedpract
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ice nurse c.
d$ d$
Registered nurses d$
d. Nurse practitioners
d$ d$
ANS: A d$
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese
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arch, leadership, and consultative abilities. They are instrumental in ensuring that careis evi
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dence based and that safety programs are in place. Advanced practice nurses (APNs)have
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a broad depth of knowledge and expertise in their specialty area and manage complex cli
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
nical and systems issues. Registered nurses are generally direct care providers. Nurseprac
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titioners (NPs) manage direct clinical care of groups of patients.
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PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 2 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
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4. Which professional organization administers critical care certification exams forre
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gistered nurses? d$
a. State Board of Registered Nurses d$ d$ d$ d$
b. National Association of Clinical Nurse Specialist d$ d$ d$ d$ d$
c. Society of Critical Care Medicine d$ d$ d$ d$
d. American Association of Critical-Care Nurses d$ d$ d$ d$
ANS: D d$
American Association of Critical- d$ d$ d$
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
rd of Registered Nurses (SBON) does not administercertification exams. National Associ
d$ d$ d$ d$ d$ d$ d$ $
d d$ d$ d$
ation of Clinical Nurse Specialists (NACNS) does not administer certification exams. Soci
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ety of Critical Care Medicine (SCCM) does not administer nursing certification exams for
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
registered nurses.
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PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 3 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
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d
are interdependent and inseparable. This statement describes which methodology of c
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are?
a. Holistic care d$
b. Individualized care d$
c. Cultural care d$
d. Interdisciplinary care d$
ANS: A d$
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
rdependent and inseparable. Individualized care recognizes the uniqueness of each patient’s
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preferences, condition, and physiologic and psychosocial status. Cultural diversityin
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health care is not a new topic, but it is gaining emphasis and importance as the world beco
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mes more accessible to all as the result of increasing technologies and interfaces withplaces
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and peoples. Interdisciplinary care is care among a variety of health care professionals wit
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h the patient’s health as the common goal.
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PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 4 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
d$ d$ d$
d$
Priorities in Critical Care Nursing, 9th Edition,
d$ d$ d$ d$ d$ d$
Linda D. Urden, Kathleen M. Stacy, Chapters 1 - 27, Complete
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
,TABLE OF CONTENTS d$ d$
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
d$ d$ d$ d$ d$ d$
1. Caring for the Critically Ill Patient
d$ d$ d$ d$ d$ d$
2. Ethical and Legal Issues
d$ d$ d$ d$
3. Facilitating Care Transitions
d$ d$ d$
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
d$ d$ d$ d$ d$ d$
4. Psychosocial and Spiritual Considerations
d$ d$ d$ d$
5. Nutritional Alterations and Management
d$ d$ d$ d$
6. The Older Adult
d$ d$ d$
7. Pain and Pain Management
d$ d$ d$ d$
8. Sedation and Delirium Management
d$ d$ d$ d$
9. Palliative and End-of-Life Care
d$ d$ d$ d$
UNIT THREE: CARDIOVASCULAR ALTERATIONS
d$ d$ d$
10. Cardiovascular Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
11. Cardiovascular Disorders
d$ d$
12. Cardiovascular Therapeutic Management
d$ d$ d$
UNIT FOUR: PULMONARY ALTERATIONS
d$ d$ d$
13. Pulmonary Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
14. Pulmonary Disorders
d$ d$
15. Pulmonary Therapeutic Management
d$ d$ d$
UNIT FIVE: NEUROLOGICAL ALTERATIONS
d$ d$ d$
16. Neurological Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
17. Neurologic Disorders and Therapeutic Management
d$ d$ d$ d$ d$
UNIT SIX: KIDNEY ALTERATIONS
d$ d$ d$
18. Kidney Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
19. Kidney Disorders and Therapeutic Management
d$ d$ d$ d$ d$
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
d$ d$ d$
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
21. Gastrointestinal Disorders and Therapeutic Management
d$ d$ d$ d$ d$
UNIT EIGHT: ENDOCRINE ALTERATIONS
d$ d$ d$
22. Endocrine Clinical Assessment and Diagnostic Procedures
d$ d$ d$ d$ d$ d$
23. Endocrine Disorders and Therapeutic Management
d$ d$ d$ d$ d$
UNIT NINE: MULTISYSTEM ALTERATIONS
d$ d$ d$
24. Trauma
d$
25. Burns
d$
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
d$ d$ d$ d$ d$ d$ d$
27. Hematological and Oncological Emergencies
d$ d$ d$ d$
,Chapter 01: Critical Care Nursing Practice
d$ d$ d$ d$ d$ $d
Urden: Critical Care Nursing, 9th
d$ d$ d$ d$
MULTIPLE $d
CHOICE
1. During World War II, what type of wards were developed to care for criticallyi
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
njured patients? d$
a. Intensive care d$
b. Triage
c. Shock
d. Postoperative
ANS: C d$
During World War II, shock wards were established to care for critically injured patients. T
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
riage wards establish the order in which a patient is seen or treated upon arrival to a hospit
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
al. Postoperative wards were developed in 1900 and later evolved into intensive careunits.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 1 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
d$ d$ d$
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
manages complex clinical and system issues?
d$ d$ d$ d$ d$
a. Registered nurses d$
b. Advanced practice nurses d$ d$
c. Clinical nurse leaders d$ d$
d. Intensivists
ANS: B d$
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
specialty area and manage complex clinical and systems issues. Intensivists are medical pra
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ctitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct c
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
are providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 2 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
d$ d$ d$
3. What type of practitioner is instrumental in ensuring care that is evidence based andt
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
hat safety programs are in place?
d$ d$ d$ d$ d$
a. Clinical nurse spec d$ d$
ialist b. Advancedpract
d$ d$ d$
ice nurse c.
d$ d$
Registered nurses d$
d. Nurse practitioners
d$ d$
ANS: A d$
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
arch, leadership, and consultative abilities. They are instrumental in ensuring that careis evi
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d d$
dence based and that safety programs are in place. Advanced practice nurses (APNs)have
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
a broad depth of knowledge and expertise in their specialty area and manage complex cli
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
nical and systems issues. Registered nurses are generally direct care providers. Nurseprac
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
titioners (NPs) manage direct clinical care of groups of patients.
d$ d$ d$ d$ d$ d$ d$ d$ d$
PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 2 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
d$ d$ d$
4. Which professional organization administers critical care certification exams forre
d$ d$ d$ d$ d$ d$ d$ d$ $
d
gistered nurses? d$
a. State Board of Registered Nurses d$ d$ d$ d$
b. National Association of Clinical Nurse Specialist d$ d$ d$ d$ d$
c. Society of Critical Care Medicine d$ d$ d$ d$
d. American Association of Critical-Care Nurses d$ d$ d$ d$
ANS: D d$
American Association of Critical- d$ d$ d$
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
rd of Registered Nurses (SBON) does not administercertification exams. National Associ
d$ d$ d$ d$ d$ d$ d$ $
d d$ d$ d$
ation of Clinical Nurse Specialists (NACNS) does not administer certification exams. Soci
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ety of Critical Care Medicine (SCCM) does not administer nursing certification exams for
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
registered nurses.
$ d$
PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 3 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
d$ d$ d$
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
are interdependent and inseparable. This statement describes which methodology of c
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
are?
a. Holistic care d$
b. Individualized care d$
c. Cultural care d$
d. Interdisciplinary care d$
ANS: A d$
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
rdependent and inseparable. Individualized care recognizes the uniqueness of each patient’s
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
preferences, condition, and physiologic and psychosocial status. Cultural diversityin
d$ d$ d$ d$ d$ d$ d$ d$ $
d
health care is not a new topic, but it is gaining emphasis and importance as the world beco
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
mes more accessible to all as the result of increasing technologies and interfaces withplaces
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ $
d
and peoples. Interdisciplinary care is care among a variety of health care professionals wit
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
h the patient’s health as the common goal.
d$ d$ d$ d$ d$ d$ d$
PTS: d$d$d $ 1
DIF: Cognitive Level: Remembering d$ d$
REF: p. 4 OBJ: Nursing Process Step: N/A d$ d$ d$ d $ d$ d$ d$
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a d$ d$ d$ d$ $
d d$ d$ d$
nd Effective Care Environment
d$ d$ d$
