AACN CRITICAL CARE EXAM 1
QUESTIONS AND ANSWERS
Professional;organizations;that;support;critical;care;practice;-;American;Association;of;Crit
ical;Care;Nurses;(AACN),;Society;of;Critical;Care;Medicine
What;is;the;mission;of;AACN?;-;assisting;acute;and;critical;care;nurses;to;attain;knowledg
e;and;influence;to;deliver;excellent;care
What;is;the;vision;of;AACN?;-;supports;creating;a;healthcare;system;driven;by;the;needs;o
f;patients;and;families;in;which;critical;care;nurses;make;their;optimal;contributions...syner
gy
What;are;the;values;of;AACN?;-;accountability,;advocacy,;integrity,;collaboration,;leaders
hip,;stewardship,;lifelong;learning,;quality,;innovation,;commitment
Explain;the;synergy;model;and;recognize;how;it;is;used;in;practice;-;-;framework;that;align
s;patient;needs;w;nurse;competencies
-;needs;of;patient;drive;nurse;competencies;for;patient;care
What;types;of;certifications;are;available;for;ICU;nurses?;-;CCRN;-;critically;ill;adult,;pediat
ric;or;neonatal;pts
PCCN;-;acute;care;in;progressive;care,;telemetry
AACN;-;nurse;managers;and;leaders
Why;are;certifications;important?;-;validates;knowledge;of;critical;care;nursing,;promotes;p
rofessional;excellence,;helps;nurses;to;maintain;current;knowledge;base
What;are;three;specific;projects/
organizations;in;place;to;assist;nurses;in;providing;safe;care?;-;Quality;and;Safety;Educati
on;for;Nurses;(QSEN)
Institute;for;Healthcare;Improvement;(IHI)
Rapid;response;teams/joint;commission;(?)
, What;types;of;measures;do;safe;care;organizations;implement?;-;Safety,;reduce;infections
,;bundles;of;care
What;is;a;bundle;of;care?;Give;an;example.;-;Set;of;3-
5;EBPs;that;when;put;together;significantly;improve;pt;outcomes
ex;-;ventilator;bundle;--;HOB;elevated,;DVT;prophylaxis,;holding;a;sedative;to;determine;pt
;readiness;to;get;off;vent
What;are;some;barriers;to;effective;handoff;communication?;-;physical;setting,;social;setti
ng,;language,;communication;medium
ex;-;background;noise,;different;languages,;email;vs;text;vs;paper,;status;issues
What;standardized;measures;have;been;implemented;to;help;prevent;communication;bre
akdown;at;shift;change?;-;SBAR,;checklists
What;are;examples;of;things;you;may;need;to;communicate;during;multi-
professional;rounds?;-;D/
C;needs,;greatest;safety;risk,;assessment;and;followup,;implementation;of;bundles,;asses
s;need;for;all;ordered;meds,;identify;whether;central;lines;&;catheters;can;be;removed,;cod
e;status,;family;needs,;advance;directives,;when;to;call;MD,;tx;goals
What;types;of;things;contribute;to;sensory;overload/
deprivation;in;a;critical;care;environment?;-;noise;level,;environment;different;than;surroun
dings;causing;hallucinations,;lighting
What;types;of;interventions;can;nurses;implement;to;combat;sensory;overload/
deprivation?;-;Noise:;place;pt;in;private;room,;soundproof;ceiling;tiles,;sedative;music,;quic
kly;assess;alarms
Hallucinations:;post;family;photos,;encourage;visitation,;interact;w;pt
Use;natural;lighting
help;design;optimal;and;safe;environment
What;types;of;stressors;do;patients;identify;from;their;critical;care;experience?;-;difficulty;c
ommunicating,;pain,;thirst,;difficulty;swallowing,;anxiety,;lack;of;control,;depression/
fear,;lack;of;family/
friends,;physical;restraint,;feelings;of;dread,;inability;to;get;comfortable,;difficulty;sleeping,;
loneliness,;thoughts;of;death
What;age-
related;demographic;is;at;high;risk;for;negative;outcomes;in;the;ICU?;-;older;adults;>65;yo
What;types;of;situations;contribute;to;family;conflict;being;present?;-;feelings/
concerns;of;family;;unresolved;family;issues
QUESTIONS AND ANSWERS
Professional;organizations;that;support;critical;care;practice;-;American;Association;of;Crit
ical;Care;Nurses;(AACN),;Society;of;Critical;Care;Medicine
What;is;the;mission;of;AACN?;-;assisting;acute;and;critical;care;nurses;to;attain;knowledg
e;and;influence;to;deliver;excellent;care
What;is;the;vision;of;AACN?;-;supports;creating;a;healthcare;system;driven;by;the;needs;o
f;patients;and;families;in;which;critical;care;nurses;make;their;optimal;contributions...syner
gy
What;are;the;values;of;AACN?;-;accountability,;advocacy,;integrity,;collaboration,;leaders
hip,;stewardship,;lifelong;learning,;quality,;innovation,;commitment
Explain;the;synergy;model;and;recognize;how;it;is;used;in;practice;-;-;framework;that;align
s;patient;needs;w;nurse;competencies
-;needs;of;patient;drive;nurse;competencies;for;patient;care
What;types;of;certifications;are;available;for;ICU;nurses?;-;CCRN;-;critically;ill;adult,;pediat
ric;or;neonatal;pts
PCCN;-;acute;care;in;progressive;care,;telemetry
AACN;-;nurse;managers;and;leaders
Why;are;certifications;important?;-;validates;knowledge;of;critical;care;nursing,;promotes;p
rofessional;excellence,;helps;nurses;to;maintain;current;knowledge;base
What;are;three;specific;projects/
organizations;in;place;to;assist;nurses;in;providing;safe;care?;-;Quality;and;Safety;Educati
on;for;Nurses;(QSEN)
Institute;for;Healthcare;Improvement;(IHI)
Rapid;response;teams/joint;commission;(?)
, What;types;of;measures;do;safe;care;organizations;implement?;-;Safety,;reduce;infections
,;bundles;of;care
What;is;a;bundle;of;care?;Give;an;example.;-;Set;of;3-
5;EBPs;that;when;put;together;significantly;improve;pt;outcomes
ex;-;ventilator;bundle;--;HOB;elevated,;DVT;prophylaxis,;holding;a;sedative;to;determine;pt
;readiness;to;get;off;vent
What;are;some;barriers;to;effective;handoff;communication?;-;physical;setting,;social;setti
ng,;language,;communication;medium
ex;-;background;noise,;different;languages,;email;vs;text;vs;paper,;status;issues
What;standardized;measures;have;been;implemented;to;help;prevent;communication;bre
akdown;at;shift;change?;-;SBAR,;checklists
What;are;examples;of;things;you;may;need;to;communicate;during;multi-
professional;rounds?;-;D/
C;needs,;greatest;safety;risk,;assessment;and;followup,;implementation;of;bundles,;asses
s;need;for;all;ordered;meds,;identify;whether;central;lines;&;catheters;can;be;removed,;cod
e;status,;family;needs,;advance;directives,;when;to;call;MD,;tx;goals
What;types;of;things;contribute;to;sensory;overload/
deprivation;in;a;critical;care;environment?;-;noise;level,;environment;different;than;surroun
dings;causing;hallucinations,;lighting
What;types;of;interventions;can;nurses;implement;to;combat;sensory;overload/
deprivation?;-;Noise:;place;pt;in;private;room,;soundproof;ceiling;tiles,;sedative;music,;quic
kly;assess;alarms
Hallucinations:;post;family;photos,;encourage;visitation,;interact;w;pt
Use;natural;lighting
help;design;optimal;and;safe;environment
What;types;of;stressors;do;patients;identify;from;their;critical;care;experience?;-;difficulty;c
ommunicating,;pain,;thirst,;difficulty;swallowing,;anxiety,;lack;of;control,;depression/
fear,;lack;of;family/
friends,;physical;restraint,;feelings;of;dread,;inability;to;get;comfortable,;difficulty;sleeping,;
loneliness,;thoughts;of;death
What;age-
related;demographic;is;at;high;risk;for;negative;outcomes;in;the;ICU?;-;older;adults;>65;yo
What;types;of;situations;contribute;to;family;conflict;being;present?;-;feelings/
concerns;of;family;;unresolved;family;issues
