TESTBANK FOR SOLE’S INTRODUCTION TO CRITICAL
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CARE NURSING 9TH EDITION BY MARYBETH & LAUREN
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,Chapter 01: Overview of Critical Care Nursing
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Sole: Introduction to Critical Care Nursing, 9th Edition
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MULTIPLE CHOICE jl
1. Which of the following professional organizations best supports critical care nursing practice?
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a. American Association of Critical-Care Nursing attendants jl jl jl jl jl
b. American Heart Association jl jl
c. American Nurses Association jl jl
d. Society of Critical Care Medicine jl jl jl jl
ACCURATE
ANSWER: A
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Reasoning :->> The American Association of Critical-Care nurses is the specialty
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organization that supports and represents critical care nursing attendants. The American
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Heart Association supports cardiovascular initiatives. The American Nurses Association
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supports all nursing attendants. The Society of Critical CareMedicine represents the
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multiprofessional critical care team under the direction of an intensivist.
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DIF: Cognitive Level: Remember/Knowledge REF: page. 5 jl jl jl jl
OBJ: Discuss the purposes and functions of the professional organizations that support critical
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carepractice.
jl jl TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive
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care unit for 2 years and isinterested in certification. Which credential would be most
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applicable for the nursing attendant to seek?
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a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
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Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
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practice who care for critically illhospital clients. The ACNPC-AG certification is for acute
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
care nursing attendant practitioners. The CNML is forcritical care nursing attendant
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managers or leaders. The PCCN certification is for staff nursing attendants working in
jl jl jl jl jl jl jl jl jl jl jl jl jl
progressive care, intermediate care, or step-down unit settings.
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DIF: Cognitive Level: Remember/Knowledge REF: p. 6 jl jl jl jl jl jl
OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing Process
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Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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3. The main purpose of certification is to
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a. assure the consumer that you will not make a mistake. jl jl jl jl jl jl jl jl jl
b. prepare for graduate school. jl jl jl
c. promote magnet status for your facility. jl jl jl jl jl
d. validate knowledge of critical care nursing. jl jl jl jl jl
ACCURATE ANSWER: D jl jl
, Reasoning :->>Certification assists in validating knowledge of the field, promotes
jl jl jl jl jl jl jl jl jl
excellence in the profession, and helps nursing attendants to maintain their knowledge of
jl jl jl jl jl jl jl jl jl jl jl jl jl
critical care nursing. Certificationhelps to assure the consumer that the nursing attendant has
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
Certification does not prepare one for graduate school; however, achieving certification
jl jl jl jl jl jl jl jl jl jl jl
demonstrates motivation for achievement and professionalism. Magnet facilities are rated on
jl jl jl jl jl jl jl jl jl jl jl
the number of certified nursing attendants; however, that isnot the purpose of certification.
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 jl jl jl jl jl jl
OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing Process
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Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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4. The synergy model of practice focuses on
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a. allowing unrestricted visiting for the hospital client 24 hours a day. jl jl jl jl jl jl jl jl jl jl
b. holistic and alternative therapies. jl jl jl
c. the needs of hospital clients and their families, which drive nursing competency.
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d. hospital clients’ needs for energy and support. jl jl jl jl jl jl
ACCURATE ANSWER: C jl jl
Reasoning :->>The synergy model of practice states that the needs of hospital clients and
jl jl jl jl jl jl jl jl jl jl jl jl jl
families influence and drive competencies of nursing attendants. Nursing practice based
jl jl jl jl jl jl jl jl jl jl jl
on the synergy model would involvetailored visiting to meet the hospital client’s and
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
family’s needs and the application of alternative therapies if desired by the hospital
jl jl jl jl jl jl jl jl jl jl jl jl jl
client, but that is not the primary focus of the model.
jl jl jl jl jl jl jl jl jl jl jl
DIF: Cognitive Level: Remember/Knowledge REF: jl jl
page. 6OBJ: Describe standards of professional practice for critical care
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nursing.
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TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs CategoN ryU:R
jl jl SSafIN
eG
anTdBE
.CfO
feM
ctive Care Environment jl jl jl jl jl jl jl
5. The family of your critically ill hospital client tells you that they have not spoken with the
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
physicianin over 24 hours and that they have some questions they want clarified. During
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
morning rounds, you convey this concern to the attending intensivist and arrange a meeting
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
with the family at 4:00 PM. Which competency of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues jl jl jl jl jl jl jl
b. Clinical judgment and clinical reasoning skills jl jl jl jl jl
c. Collaboration with hospital clients, families, and team members jl jl jl jl jl jl jl
d. Facilitation of learning for hospital clients, families, and team members jl jl jl jl jl jl jl jl jl
ACCURATE ANSWER: C jl jl
Reasoning :->>Although one might consider that all of these competencies are jl jl jl jl jl jl jl jl jl jl
being addressed, communication and collaboration with the family and physician
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best exemplify thecompetency of collaboration.
jl jl jl jl jl jl
DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 | Box jl jl jl jl jl jl jl jl jl
1-1OBJ: Describe standards of professional practice for critical care nursing.
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TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework
jl jl jl jl jl jl jl jl jl jl jl jl
toguide critical care nursing practice?
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a. Evidence-based practice jl
, b. Healthy work environment jl jl
c. National Hospital client Safety Goals jl jl jl jl
d. Nursing process jl
ACCURATE ANSWER: D jl jl
Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice delineate
jl jl jl jl jl jl jl jl jl jl jl
the nursing process as applied to critically ill hospital clients: collect data, determine
jl jl jl jl jl jl jl jl jl jl jl jl jl
diagnoses, identify expectedoutcomes, develop a plan of care, implement interventions, and
jl jl jl jl jl jl jl jl jl jl jl jl
evaluate care. AACN promotes a healthy work environment, but this is not included in its
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
standards. The Joint Commission has established National Hospital client Safety Goals, but
jl jl jl jl jl jl jl jl jl jl jl jl
these are not the AACN standards.
jl jl jl jl jl jl
DIF: Cognitive Level: Remember/Knowledge REF: jl jl
page. 6OBJ: Describe standards of professional practice for critical care
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nursing.
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TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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7. The charge nursing attendant is responsible for making the hospital client assignments on the
jl jl jl jl jl jl jl jl jl jl jl jl jl
critical care unit. An experienced, certified nursing attendant is assigned to care for the
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
acutely ill hospital client with sepsis who also requires continuous renal replacement therapy
jl jl jl jl jl jl jl jl jl jl jl jl jl
and mechanical ventilation. The nursing attendant withless than 1 year of experience is
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
assigned to two hospital clients who are more stable. This assignment reflects
jl jl jl jl jl jl jl jl jl jl jl jl
implementation of the
jl jl jl
a. crew resource management model. jl jl jl
b. National Hospital client Safety Goals. jl jl jl jl
c. Quality and Safety Education for Nursing attendants (QSEN) model.
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d. synergy model of practice. jl jl jl
ACCUR
ATE
ANSWE
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R: D j l
Reasoning :->>This assignment demonstrates nursing care to meet the needs of the hospital
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client. The synergy model notes that the nursing attendant competencies are matched to the
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
hospital client characteristics. Crew resource management concepts are related to team
jl jl jl jl jl jl jl jl jl jl jl
training; National Hospital client Safety Goals arespecified by The Joint Commission to
jl jl jl jl jl jl jl jl jl jl jl jl jl
promote safe care but do not incorporate the synergy model. The Quality and Safety
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
Education for Nursing attendants initiative involves targeted education ofundergraduate and
jl jl jl jl jl jl jl jl jl jl jl
graduate nursing students on quality and safety concepts.
jl jl jl jl jl jl jl jl
DIF: Cognitive Level: Analyze/Analysis REF: jl jl
page. 6OBJ: Describe standards of professional practice for critical care
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nursing.
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TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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8. The vision of the American Association of Critical-Care Nursing attendants is a health care
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system drivenby
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a. a healthy work environment.
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b. care from a multiprofessional team under the direction of a critical care physician.
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c. the needs of critically ill hospital clients and families.
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d. respectful, healing, and humane environments. jl jl jl jl
ACCURATE ANSWER: C jl jl
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CARE NURSING 9TH EDITION BY MARYBETH & LAUREN
jl jl jl jl jl jl jl jl
,Chapter 01: Overview of Critical Care Nursing
jl jl jl jl jl jl
Sole: Introduction to Critical Care Nursing, 9th Edition
jl jl jl jl jl jl jl
MULTIPLE CHOICE jl
1. Which of the following professional organizations best supports critical care nursing practice?
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a. American Association of Critical-Care Nursing attendants jl jl jl jl jl
b. American Heart Association jl jl
c. American Nurses Association jl jl
d. Society of Critical Care Medicine jl jl jl jl
ACCURATE
ANSWER: A
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Reasoning :->> The American Association of Critical-Care nurses is the specialty
jl jl jl jl jl jl jl jl jl jl
organization that supports and represents critical care nursing attendants. The American
jl jl jl jl jl jl jl jl jl jl jl
Heart Association supports cardiovascular initiatives. The American Nurses Association
jl jl jl jl jl jl jl jl jl
supports all nursing attendants. The Society of Critical CareMedicine represents the
jl jl jl jl jl jl jl jl jl jl jl jl
multiprofessional critical care team under the direction of an intensivist.
jl jl jl jl jl jl jl jl jl jl
DIF: Cognitive Level: Remember/Knowledge REF: page. 5 jl jl jl jl
OBJ: Discuss the purposes and functions of the professional organizations that support critical
jl jl jl jl jl jl jl jl jl jl jl jl
carepractice.
jl jl TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
j l jl jl jl jl jl jl jl jl
2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
care unit for 2 years and isinterested in certification. Which credential would be most
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
applicable for the nursing attendant to seek?
jl jl jl jl jl jl jl
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
jl jl
Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
jl jl jl jl jl jl jl jl jl jl
practice who care for critically illhospital clients. The ACNPC-AG certification is for acute
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
care nursing attendant practitioners. The CNML is forcritical care nursing attendant
jl jl jl jl jl jl jl jl jl jl jl jl
managers or leaders. The PCCN certification is for staff nursing attendants working in
jl jl jl jl jl jl jl jl jl jl jl jl jl
progressive care, intermediate care, or step-down unit settings.
jl jl jl jl jl jl jl jl
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 jl jl jl jl jl jl
OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing Process
jl jl j l jl jl jl jl jl jl jl j l jl
Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
jl jl jl j l jl jl jl jl jl jl jl jl
3. The main purpose of certification is to
jl jl jl jl jl jl
a. assure the consumer that you will not make a mistake. jl jl jl jl jl jl jl jl jl
b. prepare for graduate school. jl jl jl
c. promote magnet status for your facility. jl jl jl jl jl
d. validate knowledge of critical care nursing. jl jl jl jl jl
ACCURATE ANSWER: D jl jl
, Reasoning :->>Certification assists in validating knowledge of the field, promotes
jl jl jl jl jl jl jl jl jl
excellence in the profession, and helps nursing attendants to maintain their knowledge of
jl jl jl jl jl jl jl jl jl jl jl jl jl
critical care nursing. Certificationhelps to assure the consumer that the nursing attendant has
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
Certification does not prepare one for graduate school; however, achieving certification
jl jl jl jl jl jl jl jl jl jl jl
demonstrates motivation for achievement and professionalism. Magnet facilities are rated on
jl jl jl jl jl jl jl jl jl jl jl
the number of certified nursing attendants; however, that isnot the purpose of certification.
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 jl jl jl jl jl jl
OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing Process
jl jl j l jl jl jl jl jl jl jl j l jl
Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
jl jl jl j l jl jl jl jl jl jl jl jl
4. The synergy model of practice focuses on
jl jl jl jl jl jl
a. allowing unrestricted visiting for the hospital client 24 hours a day. jl jl jl jl jl jl jl jl jl jl
b. holistic and alternative therapies. jl jl jl
c. the needs of hospital clients and their families, which drive nursing competency.
jl jl jl jl jl jl jl jl jl jl jl
d. hospital clients’ needs for energy and support. jl jl jl jl jl jl
ACCURATE ANSWER: C jl jl
Reasoning :->>The synergy model of practice states that the needs of hospital clients and
jl jl jl jl jl jl jl jl jl jl jl jl jl
families influence and drive competencies of nursing attendants. Nursing practice based
jl jl jl jl jl jl jl jl jl jl jl
on the synergy model would involvetailored visiting to meet the hospital client’s and
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
family’s needs and the application of alternative therapies if desired by the hospital
jl jl jl jl jl jl jl jl jl jl jl jl jl
client, but that is not the primary focus of the model.
jl jl jl jl jl jl jl jl jl jl jl
DIF: Cognitive Level: Remember/Knowledge REF: jl jl
page. 6OBJ: Describe standards of professional practice for critical care
jl jl jl jl jl jl jl jl jl jl jl
nursing.
jl
TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs CategoN ryU:R
jl jl SSafIN
eG
anTdBE
.CfO
feM
ctive Care Environment jl jl jl jl jl jl jl
5. The family of your critically ill hospital client tells you that they have not spoken with the
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
physicianin over 24 hours and that they have some questions they want clarified. During
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
morning rounds, you convey this concern to the attending intensivist and arrange a meeting
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
with the family at 4:00 PM. Which competency of critical care nursing does this represent?
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
a. Advocacy and moral agency in solving ethical issues jl jl jl jl jl jl jl
b. Clinical judgment and clinical reasoning skills jl jl jl jl jl
c. Collaboration with hospital clients, families, and team members jl jl jl jl jl jl jl
d. Facilitation of learning for hospital clients, families, and team members jl jl jl jl jl jl jl jl jl
ACCURATE ANSWER: C jl jl
Reasoning :->>Although one might consider that all of these competencies are jl jl jl jl jl jl jl jl jl jl
being addressed, communication and collaboration with the family and physician
jl jl jl jl jl jl jl jl jl jl
best exemplify thecompetency of collaboration.
jl jl jl jl jl jl
DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 | Box jl jl jl jl jl jl jl jl jl
1-1OBJ: Describe standards of professional practice for critical care nursing.
jl jl jl jl jl jl jl jl jl jl jl
TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
j l jl jl jl jl jl jl jl jl
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework
jl jl jl jl jl jl jl jl jl jl jl jl
toguide critical care nursing practice?
jl jl jl jl jl jl
a. Evidence-based practice jl
, b. Healthy work environment jl jl
c. National Hospital client Safety Goals jl jl jl jl
d. Nursing process jl
ACCURATE ANSWER: D jl jl
Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice delineate
jl jl jl jl jl jl jl jl jl jl jl
the nursing process as applied to critically ill hospital clients: collect data, determine
jl jl jl jl jl jl jl jl jl jl jl jl jl
diagnoses, identify expectedoutcomes, develop a plan of care, implement interventions, and
jl jl jl jl jl jl jl jl jl jl jl jl
evaluate care. AACN promotes a healthy work environment, but this is not included in its
jl jl jl jl jl jl jl jl jl jl jl jl jl jl jl
standards. The Joint Commission has established National Hospital client Safety Goals, but
jl jl jl jl jl jl jl jl jl jl jl jl
these are not the AACN standards.
jl jl jl jl jl jl
DIF: Cognitive Level: Remember/Knowledge REF: jl jl
page. 6OBJ: Describe standards of professional practice for critical care
jl jl jl jl jl jl jl jl jl jl jl
nursing.
jl
TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
j l jl jl jl jl jl jl jl jl
7. The charge nursing attendant is responsible for making the hospital client assignments on the
jl jl jl jl jl jl jl jl jl jl jl jl jl
critical care unit. An experienced, certified nursing attendant is assigned to care for the
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
acutely ill hospital client with sepsis who also requires continuous renal replacement therapy
jl jl jl jl jl jl jl jl jl jl jl jl jl
and mechanical ventilation. The nursing attendant withless than 1 year of experience is
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
assigned to two hospital clients who are more stable. This assignment reflects
jl jl jl jl jl jl jl jl jl jl jl jl
implementation of the
jl jl jl
a. crew resource management model. jl jl jl
b. National Hospital client Safety Goals. jl jl jl jl
c. Quality and Safety Education for Nursing attendants (QSEN) model.
jl jl jl jl jl jl jl jl
d. synergy model of practice. jl jl jl
ACCUR
ATE
ANSWE
jl
R: D j l
Reasoning :->>This assignment demonstrates nursing care to meet the needs of the hospital
jl jl jl jl jl jl jl jl jl jl jl jl
client. The synergy model notes that the nursing attendant competencies are matched to the
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
hospital client characteristics. Crew resource management concepts are related to team
jl jl jl jl jl jl jl jl jl jl jl
training; National Hospital client Safety Goals arespecified by The Joint Commission to
jl jl jl jl jl jl jl jl jl jl jl jl jl
promote safe care but do not incorporate the synergy model. The Quality and Safety
jl jl jl jl jl jl jl jl jl jl jl jl jl jl
Education for Nursing attendants initiative involves targeted education ofundergraduate and
jl jl jl jl jl jl jl jl jl jl jl
graduate nursing students on quality and safety concepts.
jl jl jl jl jl jl jl jl
DIF: Cognitive Level: Analyze/Analysis REF: jl jl
page. 6OBJ: Describe standards of professional practice for critical care
jl jl jl jl jl jl jl jl jl jl jl
nursing.
jl
TOPIC: Nursing Process Step: N/A j l jl jl jl
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
j l jl jl jl jl jl jl jl jl
8. The vision of the American Association of Critical-Care Nursing attendants is a health care
jl jl jl jl jl jl jl jl jl jl jl jl jl
system drivenby
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a. a healthy work environment.
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b. care from a multiprofessional team under the direction of a critical care physician.
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c. the needs of critically ill hospital clients and families.
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d. respectful, healing, and humane environments. jl jl jl jl
ACCURATE ANSWER: C jl jl
