Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - Test Bank
TEST BANK
Priorities in Critical Care Nursing
Linda D. Urden, Kathleen M. Stacy, Mary E. Lough
8th Edition
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - Test Bank
Table of Contents
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
1. Caring for the Critically Ill Patient
2. Ethical and Legal Issues
3. Patient and Family Education
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
4. Psychosocial Alterations
5. Sleep Alterations
6. Nutritional Alterations
7. Gerontological Alterations
8. Pain and Pain Management
9. Sedation and Delirium Management
10. End-of-Life Care
UNIT THREE: CARDIOVASCULAR ALTERATIONS
11. Cardiovascular Clinical Assessment and Diagnostic Procedures
12. Cardiovascular Disorders
13. Cardiovascular Therapeutic Management
UNIT FOUR: PULMONARY ALTERATIONS
14. Pulmonary Clinical Assessment and Diagnostic Procedures
15. Pulmonary Disorders
16. Pulmonary Therapeutic Management
UNIT FIVE: NEUROLOGICAL ALTERATIONS
17. Neurological Clinical Assessment and Diagnostic Procedures
18. Neurologic Disorders and Therapeutic Management
UNIT SIX: KIDNEY ALTERATIONS
19. Kidney Clinical Assessment and Diagnostic Procedures
20. Kidney Disorders and Therapeutic Management
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
21. Gastrointestinal Clinical Assessment and Diagnostic Procedures
22. Gastrointestinal Disorders and Therapeutic Management
UNIT EIGHT: ENDOCRINE ALTERATIONS
23. Endocrine Clinical Assessment and Diagnostic Procedures
24. Endocrine Disorders and Therapeutic Management
UNIT NINE: MULTISYSTEM ALTERATIONS
25. Trauma
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
27. Hematological Disorders and Oncological Emergencies
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
specialty area and manage complex clinical and systems issues. Intensivists are medical
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
programs are in place?
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurses
d. Nurse practitioners
ANS: A
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
research, leadership, and consultative abilities. They are instrumental in ensuring that care is
evidence based and that safety programs are in place. Advanced practice nurses (APNs) have
a broad depth of knowledge and expertise in their specialty area and manage complex clinical
and systems issues. Registered nurses are generally direct care providers. Nurse practitioners
(NPs) manage direct clinical care of groups of patients.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Which professional organization administers critical care certification exams for registered
nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
d. American Association of Critical-Care Nurses
ANS: D
American Association of Critical-Care Nurses (AACN) administers certification exams for
registered nurses. The State Board of Registered Nurses (SBON) does not administer
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
administer certification exams. Society of Critical Care Medicine (SCCM) does not
administer nursing certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
that can be used as quick references for clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of “practice alerts.” Evidence-based nursing
practice considers the best research evidence on the care topic along with clinical expertise of
the nurse and patient preferences. Critical care protocol and practice policies are established
by individual institutions.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care
Environment: Coordinated Care
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
5. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
The term alternative denotes that a specific therapy is an option or alternative to what is
considered conventional treatment of a condition or state. The term complementary was
proposed to describe therapies that can be used to complement or support conventional
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
each patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. Guided imagery and massage are both examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
ANS: C
The term complementary was proposed to describe therapies that can be used to complement
or support conventional treatments. Guided imagery, massage, and animal-assisted therapy
are all examples of complementary care. The term alternative denotes that a specific therapy
is an option or alternative to what is considered conventional treatment of a condition or state.
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this
type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical
providers. Currently, there are tele-ICUs in areas where there are limited resources on-
site. However, experts (critical care nurses, intensivists) are located in a central distant
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
site.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Evaluation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity:
Reduction of Risk Potential
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served.
Interprofessional communication includes communicating with patients, families,
communities, and other health professionals in a responsive and responsible manner that
supports a team approach to maintaining health and treatment of disease. Interprofessional
teamwork and team-based care means applying relationship-building values and principles of
team dynamics to perform effectively in different team roles to plan and deliver patient
population-centered care that is safe, timely, efficient, effective, and equitable.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
9. Which nursing intervention continues to be one of the most error-prone for critical care nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication administration
ANS: D
Medication administration continues to be one of the most error-prone nursing interventions
for critical care nurses. Intimidating and disruptive clinician behaviors can lead to errors and
preventable adverse patient outcomes. Patient safety has been described as an ethical
imperative and one that is inherent in health care professionals’ actions and interpersonal
processes; examples include inappropriate care and injury to patients by falls.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
10. A practitioner and nurse are performing a dressing change on an unresponsive patient in
room 14. The practitioner asks the nurse for an update on the patient in room 13. Which
action should the nurse take next?
a. Give the update to the practitioner.
b. Refuse to give the update
because of Health Insurance
Portability and Accountability
Act (HIPAA) requirements.
c. Give the update because the patient is unconscious.
d. Refuse to give the update
because of Occupational Safety
and Health Administration
(OSHA) requirements.
ANS: B
Most specific to critical care clinicians is the privacy and confidentiality related to protection
of health care data. This has implications when interacting with family members and others
and the often very close work environments, tight working spaces, and emergency situations.
A patient’s unconscious state is not a reason for another patient’s care to be discussed in his
or her presence. Research shows hearing is the last sense to deteriorate. Occupational Safety
and Health Administration (OSHA) has to do with safety in the workplace, not privacy and
confidentiality.
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
11. Which units can provide high-quality and cost-effective care for patients who are less
complex, more stable, and have a decreased need for physiologic monitoring?
a. Intensive care units
b. Triage units
c. Progressive care units
d. Medical surgical units
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
ANS: C
A growing trend in acute care settings is the designation of progressive care units, considered
to be part of the continuum of critical care. These units can serve as a bridge between
intensive care units and medical-surgical units, while providing high-quality and cost-
effective care at the same time. Patients who are ideal candidates for progressive care are less
complex, more stable, have a decreased need for physiologic monitoring, and more self-care
capabilities.
PTS: 1 DIF: Cognitive Level:
Understanding OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
MULTIPLE RESPONSE
1. What considerations are taken into account in evidence-based nursing practice? (Select all that
apply.)
a. Clinical expertise of the nurse
b. Availability of staff and facility equipment
c. Research evidence on the topic
d. Patient knowledge of the disease
e. Patient preference regarding care
ANS: A, C, E
Evidence-based nursing practice considers the best research evidence on the care topic along
with clinical expertise of the nurse and patient preferences. For instance, when determining
the frequency of vital sign measurement, the nurse would use available research and nursing
judgment (stability, complexity, predictability, vulnerability, and resilience of the patient).
Availability of staff and facility equipment and the patient’s knowledge of the disease do not
factor into evidence-based nursing practices.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care
Environment: Coordinated Care
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
2. The concept of diversity encompasses what thoughts and actions? (Select all that apply.)
a. Sensitivity to ethnic differences
b. Openness to different lifestyles
c. Openness to different values
d. Reticence to different beliefs
e. Lack of concern regarding different opinions
ANS: A, B, C
Diversity includes not only ethnic sensitivity but also sensitivity to openness to difference
lifestyles, opinions, values, and beliefs. Reticence and lack of concern are not part of the
concept of diversity.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. According to Kupperschmidt, what factors are needed to become a skilled communicator?
(Select all that apply.)
a. Becoming candid
b. Becoming reflective
c. Setting goals
d. Surveying the team
e. Becoming aware of self-deception
ANS: A, B, E
Kupperschmidt and colleagues posed a five-factor model for becoming a skilled
communicator: becoming aware of self-deception, becoming authentic, becoming candid,
becoming mindful, and becoming reflective, all of which lead to being a skilled
communicator.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
Chapter 02: Ethical and Legal Issues
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. What is the difference between ethics and morals?
a. Ethics is more concerned with the “why” of behavior.
b. Ethics provides a framework for evaluation of the behavior.
c. Ethics is broader in scope than morals.
d. Ethics focuses on the right or wrong behavior based on values.
ANS: A
Ethics are concerned with the basis of the action rather than whether the action is right or
wrong, good or bad.
PTS: 1 DIF: Cognitive Level:
Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. A patient’s wife has been informed by the practitioner that her spouse has permanent
quadriplegia. The wife states that she does not want anyone to tell the patient about his injury.
The patient asks the nurse about what has happened. The nurse has conflicting emotions about
how to handle the situation. What is the nurse experiencing?
a. Autonomy
b. Moral distress
c. Moral doubt
d. Moral courage
ANS: B
The nurse has been placed in a situation initially causing moral distress and is struggling with
determining the ethically appropriate action to take. Moral courage is the freedom to advocate
for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is not part of
the American Association of Critical-Care Nurses (AACN) framework The 4A’s to Rise
Above Moral Distress.
PTS: 1 DIF: Cognitive Level:
Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Critical care nurses can best enhance the principle of autonomy by performing which action?
a. Presenting only the information to prevent relapse in a patient
b. Assisting with only tasks that cannot be done by the patient
c. Providing the patient with all of the information and facts
d. Guiding the patient toward the best choices for care
TEST BANK
Priorities in Critical Care Nursing
Linda D. Urden, Kathleen M. Stacy, Mary E. Lough
8th Edition
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - Test Bank
Table of Contents
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
1. Caring for the Critically Ill Patient
2. Ethical and Legal Issues
3. Patient and Family Education
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
4. Psychosocial Alterations
5. Sleep Alterations
6. Nutritional Alterations
7. Gerontological Alterations
8. Pain and Pain Management
9. Sedation and Delirium Management
10. End-of-Life Care
UNIT THREE: CARDIOVASCULAR ALTERATIONS
11. Cardiovascular Clinical Assessment and Diagnostic Procedures
12. Cardiovascular Disorders
13. Cardiovascular Therapeutic Management
UNIT FOUR: PULMONARY ALTERATIONS
14. Pulmonary Clinical Assessment and Diagnostic Procedures
15. Pulmonary Disorders
16. Pulmonary Therapeutic Management
UNIT FIVE: NEUROLOGICAL ALTERATIONS
17. Neurological Clinical Assessment and Diagnostic Procedures
18. Neurologic Disorders and Therapeutic Management
UNIT SIX: KIDNEY ALTERATIONS
19. Kidney Clinical Assessment and Diagnostic Procedures
20. Kidney Disorders and Therapeutic Management
UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
21. Gastrointestinal Clinical Assessment and Diagnostic Procedures
22. Gastrointestinal Disorders and Therapeutic Management
UNIT EIGHT: ENDOCRINE ALTERATIONS
23. Endocrine Clinical Assessment and Diagnostic Procedures
24. Endocrine Disorders and Therapeutic Management
UNIT NINE: MULTISYSTEM ALTERATIONS
25. Trauma
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
27. Hematological Disorders and Oncological Emergencies
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
specialty area and manage complex clinical and systems issues. Intensivists are medical
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
programs are in place?
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurses
d. Nurse practitioners
ANS: A
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
research, leadership, and consultative abilities. They are instrumental in ensuring that care is
evidence based and that safety programs are in place. Advanced practice nurses (APNs) have
a broad depth of knowledge and expertise in their specialty area and manage complex clinical
and systems issues. Registered nurses are generally direct care providers. Nurse practitioners
(NPs) manage direct clinical care of groups of patients.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Which professional organization administers critical care certification exams for registered
nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
d. American Association of Critical-Care Nurses
ANS: D
American Association of Critical-Care Nurses (AACN) administers certification exams for
registered nurses. The State Board of Registered Nurses (SBON) does not administer
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
administer certification exams. Society of Critical Care Medicine (SCCM) does not
administer nursing certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
that can be used as quick references for clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of “practice alerts.” Evidence-based nursing
practice considers the best research evidence on the care topic along with clinical expertise of
the nurse and patient preferences. Critical care protocol and practice policies are established
by individual institutions.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care
Environment: Coordinated Care
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
5. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
The term alternative denotes that a specific therapy is an option or alternative to what is
considered conventional treatment of a condition or state. The term complementary was
proposed to describe therapies that can be used to complement or support conventional
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
each patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. Guided imagery and massage are both examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
ANS: C
The term complementary was proposed to describe therapies that can be used to complement
or support conventional treatments. Guided imagery, massage, and animal-assisted therapy
are all examples of complementary care. The term alternative denotes that a specific therapy
is an option or alternative to what is considered conventional treatment of a condition or state.
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this
type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical
providers. Currently, there are tele-ICUs in areas where there are limited resources on-
site. However, experts (critical care nurses, intensivists) are located in a central distant
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
site.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Evaluation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity:
Reduction of Risk Potential
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served.
Interprofessional communication includes communicating with patients, families,
communities, and other health professionals in a responsive and responsible manner that
supports a team approach to maintaining health and treatment of disease. Interprofessional
teamwork and team-based care means applying relationship-building values and principles of
team dynamics to perform effectively in different team roles to plan and deliver patient
population-centered care that is safe, timely, efficient, effective, and equitable.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
9. Which nursing intervention continues to be one of the most error-prone for critical care nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication administration
ANS: D
Medication administration continues to be one of the most error-prone nursing interventions
for critical care nurses. Intimidating and disruptive clinician behaviors can lead to errors and
preventable adverse patient outcomes. Patient safety has been described as an ethical
imperative and one that is inherent in health care professionals’ actions and interpersonal
processes; examples include inappropriate care and injury to patients by falls.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
10. A practitioner and nurse are performing a dressing change on an unresponsive patient in
room 14. The practitioner asks the nurse for an update on the patient in room 13. Which
action should the nurse take next?
a. Give the update to the practitioner.
b. Refuse to give the update
because of Health Insurance
Portability and Accountability
Act (HIPAA) requirements.
c. Give the update because the patient is unconscious.
d. Refuse to give the update
because of Occupational Safety
and Health Administration
(OSHA) requirements.
ANS: B
Most specific to critical care clinicians is the privacy and confidentiality related to protection
of health care data. This has implications when interacting with family members and others
and the often very close work environments, tight working spaces, and emergency situations.
A patient’s unconscious state is not a reason for another patient’s care to be discussed in his
or her presence. Research shows hearing is the last sense to deteriorate. Occupational Safety
and Health Administration (OSHA) has to do with safety in the workplace, not privacy and
confidentiality.
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
11. Which units can provide high-quality and cost-effective care for patients who are less
complex, more stable, and have a decreased need for physiologic monitoring?
a. Intensive care units
b. Triage units
c. Progressive care units
d. Medical surgical units
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
ANS: C
A growing trend in acute care settings is the designation of progressive care units, considered
to be part of the continuum of critical care. These units can serve as a bridge between
intensive care units and medical-surgical units, while providing high-quality and cost-
effective care at the same time. Patients who are ideal candidates for progressive care are less
complex, more stable, have a decreased need for physiologic monitoring, and more self-care
capabilities.
PTS: 1 DIF: Cognitive Level:
Understanding OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
MULTIPLE RESPONSE
1. What considerations are taken into account in evidence-based nursing practice? (Select all that
apply.)
a. Clinical expertise of the nurse
b. Availability of staff and facility equipment
c. Research evidence on the topic
d. Patient knowledge of the disease
e. Patient preference regarding care
ANS: A, C, E
Evidence-based nursing practice considers the best research evidence on the care topic along
with clinical expertise of the nurse and patient preferences. For instance, when determining
the frequency of vital sign measurement, the nurse would use available research and nursing
judgment (stability, complexity, predictability, vulnerability, and resilience of the patient).
Availability of staff and facility equipment and the patient’s knowledge of the disease do not
factor into evidence-based nursing practices.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care
Environment: Coordinated Care
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
2. The concept of diversity encompasses what thoughts and actions? (Select all that apply.)
a. Sensitivity to ethnic differences
b. Openness to different lifestyles
c. Openness to different values
d. Reticence to different beliefs
e. Lack of concern regarding different opinions
ANS: A, B, C
Diversity includes not only ethnic sensitivity but also sensitivity to openness to difference
lifestyles, opinions, values, and beliefs. Reticence and lack of concern are not part of the
concept of diversity.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. According to Kupperschmidt, what factors are needed to become a skilled communicator?
(Select all that apply.)
a. Becoming candid
b. Becoming reflective
c. Setting goals
d. Surveying the team
e. Becoming aware of self-deception
ANS: A, B, E
Kupperschmidt and colleagues posed a five-factor model for becoming a skilled
communicator: becoming aware of self-deception, becoming authentic, becoming candid,
becoming mindful, and becoming reflective, all of which lead to being a skilled
communicator.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
, Priorities in Critical Care Nursing 8th Edition (Urden, 2020) - TEST BANK
Chapter 02: Ethical and Legal Issues
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. What is the difference between ethics and morals?
a. Ethics is more concerned with the “why” of behavior.
b. Ethics provides a framework for evaluation of the behavior.
c. Ethics is broader in scope than morals.
d. Ethics focuses on the right or wrong behavior based on values.
ANS: A
Ethics are concerned with the basis of the action rather than whether the action is right or
wrong, good or bad.
PTS: 1 DIF: Cognitive Level:
Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. A patient’s wife has been informed by the practitioner that her spouse has permanent
quadriplegia. The wife states that she does not want anyone to tell the patient about his injury.
The patient asks the nurse about what has happened. The nurse has conflicting emotions about
how to handle the situation. What is the nurse experiencing?
a. Autonomy
b. Moral distress
c. Moral doubt
d. Moral courage
ANS: B
The nurse has been placed in a situation initially causing moral distress and is struggling with
determining the ethically appropriate action to take. Moral courage is the freedom to advocate
for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is not part of
the American Association of Critical-Care Nurses (AACN) framework The 4A’s to Rise
Above Moral Distress.
PTS: 1 DIF: Cognitive Level:
Understanding OBJ: Nursing Process Step: N/A
TOP: Ethical and Legal Issues
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Critical care nurses can best enhance the principle of autonomy by performing which action?
a. Presenting only the information to prevent relapse in a patient
b. Assisting with only tasks that cannot be done by the patient
c. Providing the patient with all of the information and facts
d. Guiding the patient toward the best choices for care
