Critical Care Final Pt 1
Which of the following professional organizations best supports critical
care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine - correct answer ✔ ✔ ANS: A
The American Association of Critical-Care Nurses is the specialty
organization that supports and represents critical care nurses. The
American Heart Association supports cardiovascular initiatives. The
American Nurses Association supports all nurses. The Society of
Critical Care Medicine represents the multiprofessional critical care
team under the direction of an intensivist.
A nurse has been working as a staff nurse in the surgical intensive care
unit for 2 years and is interested in certification. Which credential would
be most applicable for her to seek?
a. ACNPC
,b. CCNS
c. CCRN
d. PCCN - correct answer ✔ ✔ ANS: C
The CCRN certification is appropriate for nurses in bedside practice
who care for critically ill patients. The ACNPC certification is for acute
care nurse practitioners. The CCNS certification is for critical care
clinical nurse specialists. The PCCN certification is for staff nurses
working in progressive care, intermediate care, or step-down unit
settings.
What is the main purpose of certification for critical care nursing?
a. To assure the consumer that critical nurses will not make a mistake.
b. To help prepare the critical care nurse for graduate school.
c. To assist in promoting magnet status for a facility. d. To validate a
nurse's knowledge of critical care nursing. - correct answer ✔ ✔
ANS: D
Certification assists in validating knowledge of the field, promotes
excellence in the profession, and helps nurses to maintain their
knowledge of critical care nursing. Certification helps to assure the
consumer that the nurse has a minimum level of knowledge; however, it
does not ensure that care will be mistake-free. Certification does not
prepare one for graduate school; however, achieving certification
demonstrates motivation for achievement and professionalism. Magnet
facilities are rated on the number of certified nurses; however, that is not
the purpose of certification.
,What is the focus of the synergy model of practice? a. unrestricted
visiting for the patient 24 hours each day.
b. Providing holistic and alternative therapies.
c. Considering the needs of patients and their families, which drives
nursing competency.
d. Addressing the patients' needs for energy and support. - correct
answer ✔ ✔ ANS: C
The synergy model of practice states that the needs of patients and
families influence and drive competencies of nurses. Nursing practice
based on the synergy model would involve tailored visiting to meet the
patient's and family's needs and application of alternative therapies if
desired by the patient, but that is not the primary focus of the model.
The family of your critically ill patient tells you that they have not
spoken with the physician in over 24 hours and they have some
questions that they want clarified. During morning rounds, you convey
this concern to the attending intensivist and arrange for her to meet with
the family at 4:00 PM in the conference room. Which competency of
critical care nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members -
correct answer ✔ ✔ ANS: C
, Although one might consider that all of these competencies are being
addressed, communication and collaboration with the family and
physician best exemplify the competency of collaboration
The AACN Standards for Acute and Critical Care Nursing Practice uses
what framework to guide critical care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process - correct answer ✔ ✔ ANS: D
The AACN Standards for Acute and Critical Care Nursing Practice
delineate the nursing process as applied to critically ill patients: collect
data, determine diagnoses, identify expected outcomes, develop a plan
of care, implement interventions, and evaluate care. AACN promotes a
healthy work environment, but this is not included in the Standards. The
Joint Commission has established National Patient Safety Goals, but
these are not the AACN Standards.
The charge nurse is responsible for making the patient assignments on
the critical care unit. She assigns the experienced, certified nurse to care
for the acutely ill patient diagnosed with sepsis who also requires
continuous renal replacement therapy and mechanical ventilation. She
assigns the nurse with less than 1 year of experience to two patients who
are more stable. This assignment reflects implementation of what
guiding framework?
Which of the following professional organizations best supports critical
care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine - correct answer ✔ ✔ ANS: A
The American Association of Critical-Care Nurses is the specialty
organization that supports and represents critical care nurses. The
American Heart Association supports cardiovascular initiatives. The
American Nurses Association supports all nurses. The Society of
Critical Care Medicine represents the multiprofessional critical care
team under the direction of an intensivist.
A nurse has been working as a staff nurse in the surgical intensive care
unit for 2 years and is interested in certification. Which credential would
be most applicable for her to seek?
a. ACNPC
,b. CCNS
c. CCRN
d. PCCN - correct answer ✔ ✔ ANS: C
The CCRN certification is appropriate for nurses in bedside practice
who care for critically ill patients. The ACNPC certification is for acute
care nurse practitioners. The CCNS certification is for critical care
clinical nurse specialists. The PCCN certification is for staff nurses
working in progressive care, intermediate care, or step-down unit
settings.
What is the main purpose of certification for critical care nursing?
a. To assure the consumer that critical nurses will not make a mistake.
b. To help prepare the critical care nurse for graduate school.
c. To assist in promoting magnet status for a facility. d. To validate a
nurse's knowledge of critical care nursing. - correct answer ✔ ✔
ANS: D
Certification assists in validating knowledge of the field, promotes
excellence in the profession, and helps nurses to maintain their
knowledge of critical care nursing. Certification helps to assure the
consumer that the nurse has a minimum level of knowledge; however, it
does not ensure that care will be mistake-free. Certification does not
prepare one for graduate school; however, achieving certification
demonstrates motivation for achievement and professionalism. Magnet
facilities are rated on the number of certified nurses; however, that is not
the purpose of certification.
,What is the focus of the synergy model of practice? a. unrestricted
visiting for the patient 24 hours each day.
b. Providing holistic and alternative therapies.
c. Considering the needs of patients and their families, which drives
nursing competency.
d. Addressing the patients' needs for energy and support. - correct
answer ✔ ✔ ANS: C
The synergy model of practice states that the needs of patients and
families influence and drive competencies of nurses. Nursing practice
based on the synergy model would involve tailored visiting to meet the
patient's and family's needs and application of alternative therapies if
desired by the patient, but that is not the primary focus of the model.
The family of your critically ill patient tells you that they have not
spoken with the physician in over 24 hours and they have some
questions that they want clarified. During morning rounds, you convey
this concern to the attending intensivist and arrange for her to meet with
the family at 4:00 PM in the conference room. Which competency of
critical care nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members -
correct answer ✔ ✔ ANS: C
, Although one might consider that all of these competencies are being
addressed, communication and collaboration with the family and
physician best exemplify the competency of collaboration
The AACN Standards for Acute and Critical Care Nursing Practice uses
what framework to guide critical care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process - correct answer ✔ ✔ ANS: D
The AACN Standards for Acute and Critical Care Nursing Practice
delineate the nursing process as applied to critically ill patients: collect
data, determine diagnoses, identify expected outcomes, develop a plan
of care, implement interventions, and evaluate care. AACN promotes a
healthy work environment, but this is not included in the Standards. The
Joint Commission has established National Patient Safety Goals, but
these are not the AACN Standards.
The charge nurse is responsible for making the patient assignments on
the critical care unit. She assigns the experienced, certified nurse to care
for the acutely ill patient diagnosed with sepsis who also requires
continuous renal replacement therapy and mechanical ventilation. She
assigns the nurse with less than 1 year of experience to two patients who
are more stable. This assignment reflects implementation of what
guiding framework?
