NR 341 Week 3 Exam One Study Guide
(Chapters 1, 2, 3, 4, 5, 9, 10, 14)
Question 1
Which professional organization is specifically dedicated to critical care nursing
practice, establishing standards and providing certification for nurses caring for
critically ill patients?
A. American Heart Association
B. American Nurses Association
C. American Association of Critical-Care Nurses (AACN)
D. Society of Critical Care Medicine
Answer: C. American Association of Critical-Care Nurses (AACN)
Rationale: The American Association of Critical-Care Nurses (AACN) is the premier
organization dedicated specifically to critical care nursing practice. It establishes
standards, provides certification, and promotes evidence-based practice for nurses
caring for critically ill patients. While the American Heart Association focuses on
cardiovascular health, the ANA represents all nurses broadly, and the Society of Critical
Care Medicine is multidisciplinary including physicians.
Question 2
The charge nurse assigns the experienced, certified nurse to care for the acutely ill
patient with sepsis requiring continuous renal replacement therapy and
mechanical ventilation, while assigning the nurse with less than 1 year of
experience to two more stable patients. This assignment reflects implementation
of which model?
, A. Crew resource management model
B. National Patient Safety Goals
C. Quality and Safety Education for Nurses (QSEN) model
D. Synergy model of practice
Answer: D. Synergy model of practice
Rationale: The synergy model guides staffing decisions by matching nurse
competencies with patient needs. The most complex, unstable patient requires the most
experienced, certified nurse, while stable patients can be appropriately cared for by less
experienced nurses. This ensures patient safety while supporting professional
development.
Question 3
A nurse is caring for an older adult client who is acutely confused and agitated,
attempting to climb out of bed and repeatedly stating she must "get home." The
nurse suspects the client is experiencing which condition?
A. Dementia
B. Depression
C. Delirium
D. Alzheimer's disease
Answer: C. Delirium
Rationale: Delirium is characterized by a change in cognition that occurs over a short
period of time and results from a secondary physiological condition (e.g., infection,
surgery, prolonged hospitalization, hypoxia, fever, medications). It frequently progresses
in the evening hours and is sometimes called "sundown syndrome." Delirium is
characterized by alterations in memory, agitation, restlessness, illusions, or
hallucinations. Dementia appears as forgetfulness that progresses gradually over time.
Question 4
(Chapters 1, 2, 3, 4, 5, 9, 10, 14)
Question 1
Which professional organization is specifically dedicated to critical care nursing
practice, establishing standards and providing certification for nurses caring for
critically ill patients?
A. American Heart Association
B. American Nurses Association
C. American Association of Critical-Care Nurses (AACN)
D. Society of Critical Care Medicine
Answer: C. American Association of Critical-Care Nurses (AACN)
Rationale: The American Association of Critical-Care Nurses (AACN) is the premier
organization dedicated specifically to critical care nursing practice. It establishes
standards, provides certification, and promotes evidence-based practice for nurses
caring for critically ill patients. While the American Heart Association focuses on
cardiovascular health, the ANA represents all nurses broadly, and the Society of Critical
Care Medicine is multidisciplinary including physicians.
Question 2
The charge nurse assigns the experienced, certified nurse to care for the acutely ill
patient with sepsis requiring continuous renal replacement therapy and
mechanical ventilation, while assigning the nurse with less than 1 year of
experience to two more stable patients. This assignment reflects implementation
of which model?
, A. Crew resource management model
B. National Patient Safety Goals
C. Quality and Safety Education for Nurses (QSEN) model
D. Synergy model of practice
Answer: D. Synergy model of practice
Rationale: The synergy model guides staffing decisions by matching nurse
competencies with patient needs. The most complex, unstable patient requires the most
experienced, certified nurse, while stable patients can be appropriately cared for by less
experienced nurses. This ensures patient safety while supporting professional
development.
Question 3
A nurse is caring for an older adult client who is acutely confused and agitated,
attempting to climb out of bed and repeatedly stating she must "get home." The
nurse suspects the client is experiencing which condition?
A. Dementia
B. Depression
C. Delirium
D. Alzheimer's disease
Answer: C. Delirium
Rationale: Delirium is characterized by a change in cognition that occurs over a short
period of time and results from a secondary physiological condition (e.g., infection,
surgery, prolonged hospitalization, hypoxia, fever, medications). It frequently progresses
in the evening hours and is sometimes called "sundown syndrome." Delirium is
characterized by alterations in memory, agitation, restlessness, illusions, or
hallucinations. Dementia appears as forgetfulness that progresses gradually over time.
Question 4
