TABLEOFCONTENTS
,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
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1. Caring forthe Critically IllPatient
vb Z
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2. Ethical and Legal Issues
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3. Facilitating Care Transitions Z# vb
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
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4. Psychosocial and Spiritual Considerations Z# Z# Z#
5. Nutritional Alterationsand Management Z# Z#
6. The Older Adult
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7. Pain andPainManagement
Z# Z
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8. Sedation and Delirium Management
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9. Palliative and End-of-Life Care
Z# Z# Z#
UNIT THREE: CARDIOVASCULAR ALTERATIONS
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10. Cardiovascular Clinical Assessment and Diagnostic Procedures Z# Z# Z# Z# vb
11. Cardiovascular Disorders Z#
12. Cardiovascular Therapeutic Management Z# Z#
UNIT FOUR: PULMONARY ALTERATIONS
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13. PulmonaryClinicalAssessmentandDiagnosticProcedures
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14. Pulmonary Disorders Z#
15. Pulmonary Therapeutic Management Z# Z#
UNIT FIVE: NEUROLOGICAL ALTERATIONS
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16. Neurological Clinical Assessment and Diagnostic ProceduresZ# Z# Z# vb Z#
17. NeurologicDisorders and Therapeutic Management Z# Z# Z# Z#
UNIT SIX: KIDNEY ALTERATIONS
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18. Kidney Clinical Assessment and Diagnostic Procedures
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19. Kidney Disorders and Therapeutic Management
Z# Z# Z# vb
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
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20. Gastrointestinal Clinical Assessment and Diagnostic Procedures Z# Z# vb vb Z#
21. Gastrointestinal Disorders and Therapeutic Management Z# Z# Z# Z#
UNIT EIGHT: ENDOCRINE ALTERATIONS
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22. Endocrine Clinical Assessment and Diagnostic Procedures
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23. Endocrine Disorders and Therapeutic Management
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UNIT NINE: MULTISYSTEM ALTERATIONS
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24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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27. HematologicalandOncological Emergencies Z
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,Chapter 01: Critical Care Nursing Practice Urd e
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n: Critical Care Nursing, 10th
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MULTIPLE Z#
CHOICE
1. During World WarII, what type of wards were developed to care for criticallyin j u
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red patients? Z#
a. Intensive care Z#
b. Triage
c. Shock
d. Postoperative
ANS: C Z#
During World War II, shock wards were established to care for critically injured patients. Tr i a
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ge wards establish the order in which a patient is seen or treated upon arrival to a hospital
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. Postoperative wards were developed in 1900 and later evolved into intensive care units.
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PTS: Z DIF:
# Cognitive Level: Remembering
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REF: p. 1 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# Z# Z# Z# Z# Z#
vZ # nd Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise and
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manages complex clinical and system issues? Z# Z# Z# Z# Z#
a. Registered nurses vb
b. Advanced practice nurses vb Z#
c. Clinical nurse leaders Z# Z#
d. Intensivists
ANS: B Z#
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs
Z# Z# Z# Z# Z# Z# vb Z# Z# Z# Z# Z# Z# Z#
pecialty area and manage complex clinical and systems issues. Intensivists are medical pract i t
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ioners who manage thecritical illpatient. Registered nurses (RNs)are generally direct car e pro
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viders. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: Z DIF: #Cognitive Level: Remembering
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REF: p. 2 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# vb Z# Z# Z# Z# v
Z # nd Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based and t
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hat safety programs are in place?
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a. Clinical nurse spe Z# Z#
c ialist b. Advanced pr
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act ice nurse c.
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Registered nurses Z#
d. Nurse practitioners
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ANS: A vb
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
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h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence
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based and that safety programs are in place. Advanced practice nurses (APNs)have
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a broad depth of knowledge and expertise in their specialty area and manage complex cli n
Z# vb Z# Z# Z# Z# Z# Z# Z# Z# vb Z# Z# Z# Z# Z#
ical and systems issues. Registered nurses are generally direct care providers. Nursepract iti
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oners (NPs) manage direct clinical care of groups of patients.
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PTS: Z DIF: # Cognitive Level: Remembering
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REF: p. 2 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# vb Z# Z# Z# Z# v
Z # nd Effective Care Environment
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4. Which professional organization administers critical care certification exams forre
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#gistered nurses? Z#
a. State Board of Registered Nurses Z# Z# Z# vb
b. National Association of Clinical NurseSpecialist Z# Z# Z# Z#
c. Society of Critical Care Medicine Z# Z# Z# Z#
d. American Association of Critical-CareNurses Z# vb Z#
ANS: D vb
American Association of Critical- Z# Z# Z#
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
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d of Registered Nurses (SBON) does not administercertification exams. National Associa t
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ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
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y of Critical Care Medicine (SCCM) does notadminister nursing certification exams for r e
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g istered nurses.
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PTS: Z DIF: # Cognitive Level: Remembering
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REF: p. 3 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# vb Z# Z# Z# Z# v
Z # nd Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit ar
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e interdependent and inseparable. This statement describes which methodology of c a re
Z# vb vb Z# Z# Z# Z# Z# Z# Z# Z# Z#
?
a. Holistic care Z#
b. Individualized care vb
c. Cultural care Z#
d. Interdisciplinary care Z#
ANS: A vb
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen
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dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
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ondition, and physiologic and psychosocial status. Cultural diversityin
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health care is not a new topic, but it is gaining emphasis and importance as the world beco
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mes more accessible to all as the result of increasing technologies and interfaces with places
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and peoples. Interdisciplinary care is care among a variety of health care professionals with t
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he patient’s health as the common goal.
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PTS: Z DIF: # Cognitive Level: Remembering
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REF: p. 4 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# vb Z# Z# Z# Z# v
Z # nd Effective Care Environment
Z# Z# Z#
,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
Z # Z # Z # Z # Z # Z #
1. Caring forthe Critically IllPatient
vb Z
# vb Z# Z#
2. Ethical and Legal Issues
Z# Z# Z#
3. Facilitating Care Transitions Z# vb
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
Z# Z# Z# Z# Z# Z#
4. Psychosocial and Spiritual Considerations Z# Z# Z#
5. Nutritional Alterationsand Management Z# Z#
6. The Older Adult
Z# Z#
7. Pain andPainManagement
Z# Z
# Z
#
8. Sedation and Delirium Management
Z# vb Z#
9. Palliative and End-of-Life Care
Z# Z# Z#
UNIT THREE: CARDIOVASCULAR ALTERATIONS
Z# Z# vb
10. Cardiovascular Clinical Assessment and Diagnostic Procedures Z# Z# Z# Z# vb
11. Cardiovascular Disorders Z#
12. Cardiovascular Therapeutic Management Z# Z#
UNIT FOUR: PULMONARY ALTERATIONS
Z# Z# Z#
13. PulmonaryClinicalAssessmentandDiagnosticProcedures
Z
# Z
# Z
# Z
#
14. Pulmonary Disorders Z#
15. Pulmonary Therapeutic Management Z# Z#
UNIT FIVE: NEUROLOGICAL ALTERATIONS
Z# Z# Z#
16. Neurological Clinical Assessment and Diagnostic ProceduresZ# Z# Z# vb Z#
17. NeurologicDisorders and Therapeutic Management Z# Z# Z# Z#
UNIT SIX: KIDNEY ALTERATIONS
Z# Z# Z#
18. Kidney Clinical Assessment and Diagnostic Procedures
Z# Z# vb vb vb
19. Kidney Disorders and Therapeutic Management
Z# Z# Z# vb
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
Z # Z # Z #
20. Gastrointestinal Clinical Assessment and Diagnostic Procedures Z# Z# vb vb Z#
21. Gastrointestinal Disorders and Therapeutic Management Z# Z# Z# Z#
UNIT EIGHT: ENDOCRINE ALTERATIONS
Z# Z# Z#
22. Endocrine Clinical Assessment and Diagnostic Procedures
Z# Z# Z# Z# Z#
23. Endocrine Disorders and Therapeutic Management
Z# Z# Z# Z#
UNIT NINE: MULTISYSTEM ALTERATIONS
Z # Z # Z #
24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
vb Z# vb Z# Z# vb
27. HematologicalandOncological Emergencies Z
# Z#
,Chapter 01: Critical Care Nursing Practice Urd e
Z# Z# Z# Z# Z# Z# Z#
n: Critical Care Nursing, 10th
Z# vb Z# Z#
MULTIPLE Z#
CHOICE
1. During World WarII, what type of wards were developed to care for criticallyin j u
Z# Z# Z
# Z# Z# Z# Z# vb Z# Z# Z# Z# Z# Z# Z#
red patients? Z#
a. Intensive care Z#
b. Triage
c. Shock
d. Postoperative
ANS: C Z#
During World War II, shock wards were established to care for critically injured patients. Tr i a
Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z#
ge wards establish the order in which a patient is seen or treated upon arrival to a hospital
Z# Z# Z# Z# Z# Z# Z# vb Z# Z# Z# Z# Z# Z# Z# Z# Z#
. Postoperative wards were developed in 1900 and later evolved into intensive care units.
Z# Z# vb Z# vb Z# Z# Z# Z# vb Z# Z# Z#
PTS: Z DIF:
# Cognitive Level: Remembering
Z # Z # 1 Z # Z # Z# Z#
REF: p. 1 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# Z# Z# Z# Z# Z#
vZ # nd Effective Care Environment
Z# Z# Z#
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
vb Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z#
manages complex clinical and system issues? Z# Z# Z# Z# Z#
a. Registered nurses vb
b. Advanced practice nurses vb Z#
c. Clinical nurse leaders Z# Z#
d. Intensivists
ANS: B Z#
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs
Z# Z# Z# Z# Z# Z# vb Z# Z# Z# Z# Z# Z# Z#
pecialty area and manage complex clinical and systems issues. Intensivists are medical pract i t
Z# vb vb Z# vb Z# Z# Z# Z# Z# Z# Z# Z# Z#
ioners who manage thecritical illpatient. Registered nurses (RNs)are generally direct car e pro
Z# vb Z# Z
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# Z# Z# Z# Z
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viders. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: Z DIF: #Cognitive Level: Remembering
Z # Z # 1 Z # Z # Z# Z#
REF: p. 2 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# vb Z# Z# Z# Z# v
Z # nd Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based and t
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hat safety programs are in place?
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a. Clinical nurse spe Z# Z#
c ialist b. Advanced pr
vZ # vb Z# Z#
act ice nurse c.
Z# Z# Z#
Registered nurses Z#
d. Nurse practitioners
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ANS: A vb
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
Z# Z# Z# vb Z# Z# Z# Z# Z# Z# Z# Z# Z# Z# Z
h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence
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based and that safety programs are in place. Advanced practice nurses (APNs)have
Z# vb Z# Z# Z# Z# Z# Z# Z# Z# vb
a broad depth of knowledge and expertise in their specialty area and manage complex cli n
Z# vb Z# Z# Z# Z# Z# Z# Z# Z# vb Z# Z# Z# Z# Z#
ical and systems issues. Registered nurses are generally direct care providers. Nursepract iti
vb Z# Z# Z# vb vb Z# Z# vb Z# Z# Z#
oners (NPs) manage direct clinical care of groups of patients.
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PTS: Z DIF: # Cognitive Level: Remembering
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REF: p. 2 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# vb Z# Z# Z# Z# v
Z # nd Effective Care Environment
Z# Z# Z#
4. Which professional organization administers critical care certification exams forre
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#gistered nurses? Z#
a. State Board of Registered Nurses Z# Z# Z# vb
b. National Association of Clinical NurseSpecialist Z# Z# Z# Z#
c. Society of Critical Care Medicine Z# Z# Z# Z#
d. American Association of Critical-CareNurses Z# vb Z#
ANS: D vb
American Association of Critical- Z# Z# Z#
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
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d of Registered Nurses (SBON) does not administercertification exams. National Associa t
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ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
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y of Critical Care Medicine (SCCM) does notadminister nursing certification exams for r e
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g istered nurses.
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PTS: Z DIF: # Cognitive Level: Remembering
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REF: p. 3 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# vb Z# Z# Z# Z# v
Z # nd Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit ar
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e interdependent and inseparable. This statement describes which methodology of c a re
Z# vb vb Z# Z# Z# Z# Z# Z# Z# Z# Z#
?
a. Holistic care Z#
b. Individualized care vb
c. Cultural care Z#
d. Interdisciplinary care Z#
ANS: A vb
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen
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dent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
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ondition, and physiologic and psychosocial status. Cultural diversityin
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health care is not a new topic, but it is gaining emphasis and importance as the world beco
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mes more accessible to all as the result of increasing technologies and interfaces with places
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and peoples. Interdisciplinary care is care among a variety of health care professionals with t
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he patient’s health as the common goal.
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PTS: Z DIF: # Cognitive Level: Remembering
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REF: p. 4 OBJ: Nursing Process Step: N/A Z # Z # Z # Z# Z# Z#
TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a Z# Z# Z# vb Z# Z# Z# Z# v
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