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 — High-Level MCQs (10)
Question 1
A critically ill patient’s condition begins to deteriorate. The
nurse recognizes subtle changes in mental status and rising
heart rate. According to holistic critical care principles, what is
the nurse’s priority action?
A. Notify the physician immediately
B. Continue monitoring for further changes
C. Integrate assessment findings and initiate early intervention
D. Document findings in the medical record
Correct Answer: C
Rationale:
Holistic critical care emphasizes early recognition and proactive
intervention based on integrated data. Waiting or only
documenting delays care. Immediate notification without
synthesis may lack clarity.
Source: Morton & Thurman, Ch. 1
Question 2
Which outcome best reflects the value of certification in critical
care nursing?
A. Increased nurse autonomy without accountability
B. Improved patient outcomes through validated expertise
C. Reduced need for continuing education
D. Elimination of workplace stress
, Correct Answer: B
Rationale:
Certification demonstrates validated clinical competence,
improving patient outcomes. It does not eliminate stress or
replace ongoing education.
Source: Morton & Thurman, Ch. 1
Question 3
A nurse evaluates research before applying a new ICU
intervention. Which factor best determines the strength of
evidence?
A. Number of authors
B. Study design hierarchy
C. Publication year only
D. Institutional preference
Correct Answer: B
Rationale:
Levels of evidence prioritize study design, with stronger
methodologies providing more reliable data. Other options do
not determine evidence strength.
Source: Morton & Thurman, Ch. 1