TEST BANK FOR CRITICAL CARE NURSING: A
HOLISTIC APPROACH 11TH EDITION BY
PATRICIA GONCE MORTON AND DORRIE K.
FONTAINE:ISBN-10; 1496315626 / ISBN-13;
978-1496315625 ALL CHAPTER COVERED
# TEST BANK FOR CRITICAL CARE NURSING: A HOLISTIC APPROACH 11TH EDITION
## Chapter 1: Critical Care Nursing Practice: Promoting Excellence Through Caring, Collaboration, and
Evidence
1. A nurse is the only one in the ICU who has not achieved certification in critical care nursing. She often
will ask her fellow nurses what to do in caring for a patient because she doubts the accuracy of her
knowledge and her intuition. She loves her work but wishes she could do it with a greater level of
competence. What is the most important effect that obtaining certification would likely have on the
nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
**Answer: D**
2. A hospital interviews two different candidates for a position in the ICU. Both candidates have around
10 years of experience working in the ICU. Both have excellent interpersonal skills and highly positive
references. One, however, has certification in critical care nursing. Which of the following is the most
compelling and accurate reason for the hospital to hire the candidate with certification?
,A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
**Answer: A**
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She assesses his
cognitive function using a new cognitive assessment test she learned about in a recent article in a
nursing journal. She then brings a cup of water and a straw to the patient because she observes that his
lips are dry. Later, she has the patient sit in a wheelchair and takes him to have some blood tests
performed. He objects at first, saying that he can walk on his own, but the nurse explains that it is
hospital policy to use the wheelchair. That evening, she recognizes signs of an imminent stroke in the
patient and immediately pages the physician. Which action taken by the nurse is the best example of
evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physician
**Answer: C**
4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired infections in
the ICU. Her role is to conduct research to find which interventions have been shown to be most
effective in reducing these infections. She consults many different sources and finds conflicting
information. Which of the following sources should she consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
,**Answer: B**
5. A nurse who has been recently hired to manage the nursing staff of the ICU is concerned at the lack of
evidence-based practice she sees among the staff. Which of the following would be the best step for her
to take to promote incorporating evidence into clinical practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research on it.
**Answer: D**
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that the pain
medication is not effective and that he would like to receive an increased dose. The physician has the
nurse paged and consults with him in the hallway regarding the patients request for stronger pain
medication. The nurse explains that patient was started on a morphine drip only 20 minutes ago and
that the drug has not had time to take effect yet. The physician agrees and tells the patient to give it just
a bit more time. Which component of a healthy work environment is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
**Answer: C**
7. A nurse in the ICU is responding to a patient who has just gone into cardiac arrest. A moment later,
the nurse is notified that another patient has just gone into anaphylactic shock due to a drug allergy. She
is conflicted as to what to do, as she is the only nurse available at the moment to tend to both patients.
Which component of a healthy work environment is lacking in this scenario?
, A) Effective decision making
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
**Answer: B**
8. An ICU nurse has provided excellent care for a 6-year-old girl who had been admitted to the ICU for a
head injury. The nurse was attentive not only to the needs of the patient but also went out of her way to
care for the needs of the girls family. According to research, which of the following forms of recognition
would the nurse value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Nurse of the Year
C) A letter of commendation from the hospitals administration
D) A bouquet of flowers from her supervisor
**Answer: A**
9. A patient in the ICU has recently been diagnosed with diabetes mellitus. Before being discharged, this
patient will require detailed instructions on how to manage her diet, how to self-inject insulin, and how
to handle future diabetic emergencies. Which nurse competency is most needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
**Answer: D**
HOLISTIC APPROACH 11TH EDITION BY
PATRICIA GONCE MORTON AND DORRIE K.
FONTAINE:ISBN-10; 1496315626 / ISBN-13;
978-1496315625 ALL CHAPTER COVERED
# TEST BANK FOR CRITICAL CARE NURSING: A HOLISTIC APPROACH 11TH EDITION
## Chapter 1: Critical Care Nursing Practice: Promoting Excellence Through Caring, Collaboration, and
Evidence
1. A nurse is the only one in the ICU who has not achieved certification in critical care nursing. She often
will ask her fellow nurses what to do in caring for a patient because she doubts the accuracy of her
knowledge and her intuition. She loves her work but wishes she could do it with a greater level of
competence. What is the most important effect that obtaining certification would likely have on the
nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
**Answer: D**
2. A hospital interviews two different candidates for a position in the ICU. Both candidates have around
10 years of experience working in the ICU. Both have excellent interpersonal skills and highly positive
references. One, however, has certification in critical care nursing. Which of the following is the most
compelling and accurate reason for the hospital to hire the candidate with certification?
,A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
**Answer: A**
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She assesses his
cognitive function using a new cognitive assessment test she learned about in a recent article in a
nursing journal. She then brings a cup of water and a straw to the patient because she observes that his
lips are dry. Later, she has the patient sit in a wheelchair and takes him to have some blood tests
performed. He objects at first, saying that he can walk on his own, but the nurse explains that it is
hospital policy to use the wheelchair. That evening, she recognizes signs of an imminent stroke in the
patient and immediately pages the physician. Which action taken by the nurse is the best example of
evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physician
**Answer: C**
4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired infections in
the ICU. Her role is to conduct research to find which interventions have been shown to be most
effective in reducing these infections. She consults many different sources and finds conflicting
information. Which of the following sources should she consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
,**Answer: B**
5. A nurse who has been recently hired to manage the nursing staff of the ICU is concerned at the lack of
evidence-based practice she sees among the staff. Which of the following would be the best step for her
to take to promote incorporating evidence into clinical practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research on it.
**Answer: D**
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that the pain
medication is not effective and that he would like to receive an increased dose. The physician has the
nurse paged and consults with him in the hallway regarding the patients request for stronger pain
medication. The nurse explains that patient was started on a morphine drip only 20 minutes ago and
that the drug has not had time to take effect yet. The physician agrees and tells the patient to give it just
a bit more time. Which component of a healthy work environment is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
**Answer: C**
7. A nurse in the ICU is responding to a patient who has just gone into cardiac arrest. A moment later,
the nurse is notified that another patient has just gone into anaphylactic shock due to a drug allergy. She
is conflicted as to what to do, as she is the only nurse available at the moment to tend to both patients.
Which component of a healthy work environment is lacking in this scenario?
, A) Effective decision making
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
**Answer: B**
8. An ICU nurse has provided excellent care for a 6-year-old girl who had been admitted to the ICU for a
head injury. The nurse was attentive not only to the needs of the patient but also went out of her way to
care for the needs of the girls family. According to research, which of the following forms of recognition
would the nurse value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Nurse of the Year
C) A letter of commendation from the hospitals administration
D) A bouquet of flowers from her supervisor
**Answer: A**
9. A patient in the ICU has recently been diagnosed with diabetes mellitus. Before being discharged, this
patient will require detailed instructions on how to manage her diet, how to self-inject insulin, and how
to handle future diabetic emergencies. Which nurse competency is most needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
**Answer: D**
