A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
1. Foundations of Critical Care
2. Special Populations
3. Special Situations
4. Cardiovascular System
,5. Respiratory System
6. Renal System
7. Nervous System
8. Gastrointestinal System
9. Endocrine System
• Key Disorders:
10. Hematologic & Immune
11. Integumentary System
12. Multisystem & Emergencies
CORE PRIORITIES (ALWAYS REMEMBER)
• ABCs: Airway, Breathing, Circulation
• Early recognition + rapid intervention
• Holistic care: patient + family
• Interprofessional collaboration
• Patient safety & ethical practice
,Question 1
A newly hired ICU nurse is managing a patient with multisystem
organ dysfunction. Which action best reflects application of
holistic critical care nursing practice?
A. Focusing exclusively on physiologic stability
B. Prioritizing ventilator settings over family involvement
C. Integrating physiologic, psychosocial, and family-centered
care
D. Delegating emotional support to non-nursing staff
Correct Answer: C
Rationale:
Holistic critical care nursing integrates physiologic,
psychosocial, and family dimensions of care, aligning with the
core principles of critical care nursing practice.
A: Incorrect—overly reductionist; ignores holistic care.
B: Incorrect—family involvement is essential.
D: Incorrect—emotional support is a nursing responsibility.
Source: Morton & Thurman, Ch. 1
Question 2
An ICU nurse uses current research to guide ventilator-
associated pneumonia prevention. This demonstrates which
principle?
A. Clinical intuition
B. Evidence-based practice
, C. Task-oriented care
D. Institutional protocol compliance only
Correct Answer: B
Rationale:
Evidence-based practice integrates best research evidence with
clinical expertise and patient preferences.
A: Incorrect—intuition alone is insufficient.
C: Incorrect—task-based care lacks integration of evidence.
D: Incorrect—EBP extends beyond protocol adherence.
Source: Morton & Thurman, Ch. 1
Question 3
A nurse identifies that lack of time is preventing
implementation of new sepsis care evidence. This represents
which barrier?
A. Knowledge deficit
B. Organizational resistance
C. Time constraint
D. Lack of patient acuity
Correct Answer: C
Rationale:
Time limitations are a recognized barrier to implementing
evidence-based practice in critical care settings.
A: Not indicated.
B: Not directly described.
D: Irrelevant to barrier.