Critical Care Nursing
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
,Section A — 10 High-Level MCQs
Question 1
An ICU nurse notices increasing communication breakdowns
during shift handoff, resulting in missed critical data about a
patient’s hemodynamic trends. Which action best reflects
skilled communication to improve patient safety?
A. Document all findings in the chart only
B. Use structured, clear, and timely communication during
handoff
C. Delegate communication to the charge nurse
D. Limit communication to avoid information overload
Correct Answer: B
Rationale:
Structured, clear, and timely communication is essential to
prevent errors and ensure continuity of care. Skilled
communication is a core standard that directly impacts patient
outcomes.
A: Documentation alone does not ensure understanding.
C: Delegation does not replace accountability.
D: Limiting communication increases risk of omission.
Source: Morton & Thurman, Ch. 1
, Question 2
A critically ill patient’s family expresses confusion about the
care plan. Which nursing action best demonstrates a holistic
approach?
A. Focus only on stabilizing vital signs
B. Provide emotional support and clarify the care plan
C. Refer all questions to the physician
D. Limit interaction to clinical updates
Correct Answer: B
Rationale:
Holistic care includes addressing emotional, psychological, and
informational needs of the patient and family.
A: Ignores psychosocial needs.
C: Nurse has responsibility to communicate within scope.
D: Restricts comprehensive care.
Source: Morton & Thurman, Ch. 1
Question 3
An ICU nurse is reviewing evidence before implementing a new
protocol to reduce ventilator-associated complications. This
reflects which principle?
A. Task-oriented care
B. Evidence-based practice (EBP)
C. Routine clinical judgment
D. Institutional policy adherence only
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
,Section A — 10 High-Level MCQs
Question 1
An ICU nurse notices increasing communication breakdowns
during shift handoff, resulting in missed critical data about a
patient’s hemodynamic trends. Which action best reflects
skilled communication to improve patient safety?
A. Document all findings in the chart only
B. Use structured, clear, and timely communication during
handoff
C. Delegate communication to the charge nurse
D. Limit communication to avoid information overload
Correct Answer: B
Rationale:
Structured, clear, and timely communication is essential to
prevent errors and ensure continuity of care. Skilled
communication is a core standard that directly impacts patient
outcomes.
A: Documentation alone does not ensure understanding.
C: Delegation does not replace accountability.
D: Limiting communication increases risk of omission.
Source: Morton & Thurman, Ch. 1
, Question 2
A critically ill patient’s family expresses confusion about the
care plan. Which nursing action best demonstrates a holistic
approach?
A. Focus only on stabilizing vital signs
B. Provide emotional support and clarify the care plan
C. Refer all questions to the physician
D. Limit interaction to clinical updates
Correct Answer: B
Rationale:
Holistic care includes addressing emotional, psychological, and
informational needs of the patient and family.
A: Ignores psychosocial needs.
C: Nurse has responsibility to communicate within scope.
D: Restricts comprehensive care.
Source: Morton & Thurman, Ch. 1
Question 3
An ICU nurse is reviewing evidence before implementing a new
protocol to reduce ventilator-associated complications. This
reflects which principle?
A. Task-oriented care
B. Evidence-based practice (EBP)
C. Routine clinical judgment
D. Institutional policy adherence only
