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 — MCQs (10 Items)
Question 1
An ICU nurse is caring for a mechanically ventilated patient
whose family is anxious and repeatedly asking for updates. The
nurse ensures consistent communication, involves the family in
care discussions, and advocates for visitation flexibility. Which
principle is MOST directly demonstrated?
A. Task-oriented care
B. Holistic critical care practice
C. Evidence hierarchy application
D. Staffing optimization
Correct Answer: B
Rationale:
Holistic critical care practice integrates patient and family
needs, including emotional, psychosocial, and communication
support.
A is incorrect: task-oriented care neglects holistic aspects.
C is incorrect: evidence hierarchy is unrelated to family-
centered care.
D is incorrect: staffing does not address family engagement.
Source: Morton & Thurman, Ch. 1
Question 2
A nurse notes inconsistent use of a new evidence-based
, protocol for preventing ventilator-associated complications
among ICU staff. What is the MOST likely barrier?
A. High-level evidence availability
B. Lack of interdisciplinary collaboration
C. Increased nurse autonomy
D. Strong leadership presence
Correct Answer: B
Rationale:
Lack of collaboration is a key barrier to implementing evidence-
based practice (EBP), as interdisciplinary buy-in is required.
A is incorrect: strong evidence supports implementation, not a
barrier.
C is incorrect: autonomy supports EBP.
D is incorrect: leadership facilitates adoption.
Source: Morton & Thurman, Ch. 1
Question 3
Which ICU scenario BEST reflects effective decision-making as a
healthy work environment standard?
A. Physician independently changes ventilator settings
B. Nurse delays reporting abnormal ABGs
C. Interdisciplinary team evaluates patient data before
adjusting vasopressors
D. Charge nurse assigns patients based on availability only