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Table of Contents F T L F T L
Table of Contents
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Chapter 01: Overview of Critical Care Nursing
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Chapter 02: Patient and Family Response to the Critical Care Experience
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Chapter 03: Ethical and Legal Issues in Critical Care Nursing
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Chapter 04: Palliative and End-of-Life Care
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Chapter 05: Comfort and Sedation
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Chapter 06: Nutritional Therapy
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Chapter 07: Dysrhythmia Interpretation and Management
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Chapter 08: Hemodynamic Monitoring
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Chapter 09: Ventilatory Assistance
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Chapter 10: Rapid Response Teams and Code Management
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Chapter 11: Organ Donation
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Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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Chapter 13: Cardiovascular Alterations
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Chapter 14: Nervous System Alterations
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Chapter 15: Acute Respiratory Failure
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Chapter 16: Acute Kidney Injury
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Chapter 17: Gastrointestinal Alterations
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Chapter 17: Hematological and Immune Disorders
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Chapter 19: Endocrine Alterations
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Chapter 20: Trauma and Surgical Management
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Chapter 21: Burns
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,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
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Chapter 01: Overview of Critical Care Nursing F T L F T L F T L F T L F T L F T L
MULTIPLE CHOICE F T L
1. Which of the following professional organizations best supports critical care nursing practice?
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a. American Association of Critical-Care Nurses F T L F T L F T L F T L
b. American Heart Association F T L F T L
c. American Nurses Association F T L F T L
d. Society of Critical Care Medicine F T L F T L F T L F T L
ANS: A F T L
The American Association of Critical-Care Nurses is the specialty organization that supports and represents
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critical care nurses. The American Heart Association supports cardiovascular initiatives. The American
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Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
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multiprofessional critical care team under the direction of an intensivist.
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DIF: Cognitive Level: Knowledge REF: p. 4
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OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
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FTOP: Nursing Process Step: N/A
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MSC: NCLEX: Safe and Effective Care Environment F T L F T L F T L F T L F T L F T L
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested
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in certification. Which credential would be most applicable for her to seek?
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a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C F T L
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
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F ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care
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clinical
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intermediate care, or
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DIF: Cognitive Level: Application REF: p. 5
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OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
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F T L MSC: NCLEX: Safe and Effective Care Environment FT L FT L L
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,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
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3. The main purpose of certification is to: F T L F T L F T L F T L F T L F T L
a. assure the consumer that you will not make a mistake. F T L F T L F T L F T L F T L F T L F T L F T L F T L
b. prepare for graduate school. F T L F T L F T L
c. promote magnet status for your facility. F T L F T L F T L F T L F T L
d. validate knowledge of critical care nursing. F T L F T L F T L F T L F T L
ANS: D F T L
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helpsFT L FT L FT L FT L L
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F nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that
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the nurse has a minimum level of knowledge; however, it does not ensure that care will be
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Fmistake-free.
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Certification does not prepare one for graduate school; however, achieving certification demonstrates FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
F motivation for achievement and professionalism. Magnet facilities are rated on the number of certified
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nurses; however, that is not the purpose of certification.
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DIF: Cognitive Level: Analysis REF: pp. 4-5
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OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
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4. The synergy model of practice focuses on: F T L F T L F T L F T L F T L F T L
a. allowing unrestricted visiting for the patient 24 hours each day. F T L F T L F T L F T L F T L F T L F T L F T L F T L
b. holistic and alternative therapies. F T L F T L F T L
c. needs of patients and their families, which drives nursing competency.
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d. patients needs for energy and support. F T L F T L F T L F T L F T L
ANS: C F T L
The synergy model of practice states that the needs of patients and families influence and
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Fdrive competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to
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meet the patients and
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patient, but that is not the primary focus of the model.
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DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
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OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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5. The family of your critically ill patient tells you that they have not spoken with the
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F physician in over 24 hours and they have some questions that they want clarified. During
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morning rounds, you convey this concern to the attending intensivist and arrange for her to meet
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F with the family at 4:00 PM in the conference room. Which competency of critical care nursing does
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this represent?
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, Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
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a. Advocacy and moral agency in solving ethical issues F T L F T L F T L F T L F T L F T L F T L
b. Clinical judgment and clinical reasoning skills F T L F T L F T L F T L F T L
c. Collaboration with patients, families, and team members F T L F T L F T L F T L F T L F T L
d. Facilitation of learning for patients, families, and team members F T L F T L F T L F T L F T L F T L F T L F T L
ANS: C F T L
Although one might consider that all of these competencies are being addressed, communication and
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collaboration with the family and physician best exemplify the competency of collaboration.
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DIF: Cognitive Level: Analysis REF: p. 9
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OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
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care nursing practice?
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a. Evidence-based practice F T L
b. Healthy work environment F T L F T L
c. National Patient Safety Goals F T L F T L F T L
d. Nursing process F T L
ANS: D F T L
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
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F critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care,
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F implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
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F included in the Standards. The Joint Commission has established National Patient Safety
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FGoals, but these are not the AACN Standards.
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DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
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OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
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F experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous renal
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F replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year
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F of experience to two patients who are more stable. This assignment reflects implementation
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F of the:
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a. crew resource management model F T L F T L F T L