Chapter 01: Overview of Critical Care Nursing
n7 n7 n7 n7 n7 n7
Sole: Introduction to Critical Care Nursing, 9th Edition
n7 n7 n7 n7 n7 n7 n7
, MULTIPLE
CHOICE
n7
1. Which of the following professional organizations best supports critical care nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 practice?
a. American Association of Critical-Care Nursing attendants
n7 n7 n7 n7 n7
b. American Heart Association n7 n7
c. American Nurses Association n7 n7
d. Society of Critical Care Medicine n7 n7 n7 n7
ACCURATE
n7 ANSWER: A n7
Reasoning :->> The American Association of Critical-Care nurses is the specialty
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
organization that supports and represents critical care nursing attendants. The American
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Heart Association supports cardiovascular initiatives. The American Nurses Association
n7 n7 n7 n7 n7 n7 n7 n7 n7
supports all nursing attendants. The Society of Critical CareMedicine represents the
n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7
multiprofessional critical care team under the direction of an intensivist.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: page. 5
n7 n7 n7 n7
OBJ: Discuss the purposes and functions of the professional organizations that support
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
critical carepractice. TOPIC: Nursing Process Step: N/A
n7 n7 n7 n 7 n7 n7 n7
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
n 7 n7 n7 n7 n7 n7 n7 n7 n7
2. A nursing attendant has been working as a staff nursing attendant in the surgical
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
intensive care unit for 2 years and isinterested in certification. Which credential would
n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7 n7
be most applicable for the nursing attendant to seek?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
n7 n7
Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
practice who care for critically illhospital clients. The ACNPC-AG certification is for
n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7 n7 n7
acute care nursing attendant practitioners. The CNML is forcritical care nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7
attendant managers or leaders. The PCCN certification is for staff nursing attendants
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
working in progressive care, intermediate care, or step-down unit settings.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
n7 n7 n7 n7 n7 n7
OBJ: Explain certification options for critical care nursing attendants.
n7 n7 n 7 n7 TOPIC: n7 n7 n7 n7 n7 n7 n 7 Nursing
Process Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care
n7 n7 n7 n7 n 7 n7 n7 n7 n7 n7 n7 n7
Environment
n7
3. The main purpose of certification is to
n7 n7 n7 n7 n7 n7
a. assure the consumer that you will not make a mistake.
n7 n7 n7 n7 n7 n7 n7 n7 n7
b. prepare for graduate school. n7 n7 n7
c. promote magnet status for your facility. n7 n7 n7 n7 n7
d. validate knowledge of critical care nursing. n7 n7 n7 n7 n7
ACCURATE ANSWER: D n7 n7
, Reasoning :->>Certification assists in validating knowledge of the field, promotes
n7 n7 n7 n7 n7 n7 n7 n7 n7
excellence in the profession, and helps nursing attendants to maintain their knowledge
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of critical care nursing. Certificationhelps to assure the consumer that the nursing
n7 n7 n7 n7 n7 7
n n7 n7 n7 n7 n7 n7 n7
attendant has a minimum level of knowledge; however, it does not ensure that care will
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
be mistake-free. Certification does not prepare one for graduate school; however,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
achieving certification demonstrates motivation for achievement and professionalism.
n7 n7 n7 n7 n7 n7 n7 n7
Magnet facilities are rated on the number of certified nursing attendants; however, that
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
isnot the purpose of certification.
n7 7
n n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 n7 n7 n7 n7 n7 n7
OBJ: Explain certification options for critical care nursing attendants.
n7 n7 n 7 TOPIC:
n7 n7 n7 n7 n7 n7 n7 n 7 Nursing
Process Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care
n7 n7 n7 n7 n 7 n7 n7 n7 n7 n7 n7 n7
Environment
n7
4. The synergy model of practice focuses on
n7 n7 n7 n7 n7 n7
a. allowing unrestricted visiting for the hospital client 24 hours a day.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. holistic and alternative therapies. n7 n7 n7
c. the needs of hospital clients and their families, which drive nursing competency.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. hospital clients’ needs for energy and support. n7 n7 n7 n7 n7 n7
ACCURATE ANSWER: C n7 n7
Reasoning :->>The synergy model of practice states that the needs of hospital clients
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and families influence and drive competencies of nursing attendants. Nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
practice based on the synergy model would involvetailored visiting to meet the
n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7
hospital client’s and family’s needs and the application of alternative therapies if
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
desired by the hospital client, but that is not the primary focus of the model.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: n7 n7
page. 6OBJ: Describe standards of professional practice for critical care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing.
n7
TOPIC: Nursing Process Step: N/A n 7 n7 n7 n7
MSC: NCLEX Client Needs CategoN
n7 n7 ryU: R
SSafIN
eGanTdBE
.CfO
feM
ctive Care Environment
n7 n7 n7 n7 n7 n7 n7
5. The family of your critically ill hospital client tells you that they have not spoken with
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the physicianin over 24 hours and that they have some questions they want clarified.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
During morning rounds, you convey this concern to the attending intensivist and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
arrange a meeting with the family at 4:00 PM. Which competency of critical care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing does this represent?
n7 n7 n7 n7
a. Advocacy and moral agency in solving ethical issues n7 n7 n7 n7 n7 n7 n7
b. Clinical judgment and clinical reasoning skills n7 n7 n7 n7 n7
c. Collaboration with hospital clients, families, and team members n7 n7 n7 n7 n7 n7 n7
d. Facilitation of learning for hospital clients, families, and team members
n7 n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER: C n7 n7
Reasoning :->>Although one might consider that all of these competencies
n7 n7 n7 n7 n7 n7 n7 n7 n7
are being addressed, communication and collaboration with the family and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
physician best exemplify thecompetency of collaboration.
n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 |
n7 n7 n7 n7 n7 n7 n7 n7
Box 1-1OBJ: Describe standards of professional practice for critical care nursing.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
TOPIC: Nursing Process Step: N/A n 7 n7 n7 n7
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
n 7 n7 n7 n7 n7 n7 n7 n7 n7
6. The AACN Standards for Acute and Critical Care Nursing Practice use what
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
framework toguide critical care nursing practice?
n7 n7 n7 n7 n7 n7 n7
a. Evidence-based practice n7
, b. Healthy work environment n7 n7
c. National Hospital client Safety Goals n7 n7 n7 n7
d. Nursing process n7
ACCURATE ANSWER: D n7 n7
Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
delineate the nursing process as applied to critically ill hospital clients: collect data,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
determine diagnoses, identify expectedoutcomes, develop a plan of care, implement
n7 n7 n7 n7 7
n n7 n7 n7 n7 n7 n7
interventions, and evaluate care. AACN promotes a healthy work environment, but this
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
is not included in its standards. The Joint Commission has established National Hospital
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
client Safety Goals, but these are not the AACN standards.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: n7 n7
page. 6OBJ: Describe standards of professional practice for critical care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing.
n7
TOPIC: Nursing Process Step: N/A
n 7 n7 n7 n7
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
n 7 n7 n7 n7 n7 n7 n7 n7 n7
7. The charge nursing attendant is responsible for making the hospital client assignments
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
on the critical care unit. An experienced, certified nursing attendant is assigned to care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
for the acutely ill hospital client with sepsis who also requires continuous renal
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
replacement therapy and mechanical ventilation. The nursing attendant withless than 1
n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7
year of experience is assigned to two hospital clients who are more stable. This
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
assignment reflects implementation of the
n7 n7 n7 n7 n7
a. crew resource management model. n7 n7 n7
b. National Hospital client Safety Goals. n7 n7 n7 n7
c. Quality and Safety Education for Nursing attendants (QSEN) model.
n7 n7 n7 n7 n7 n7 n7 n7
d. synergy model of practice. n7 n7 n7
ACCUR
ATE
ANSW
n7
ER: D n 7
Reasoning :->>This assignment demonstrates nursing care to meet the needs of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
hospital client. The synergy model notes that the nursing attendant competencies are
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
matched to the hospital client characteristics. Crew resource management concepts are
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
related to team training; National Hospital client Safety Goals arespecified by The Joint
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7
Commission to promote safe care but do not incorporate the synergy model. The
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Quality and Safety Education for Nursing attendants initiative involves targeted
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
education ofundergraduate and graduate nursing students on quality and safety concepts.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Analyze/Analysis REF: n7 n7
page. 6OBJ: Describe standards of professional practice for critical care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing.
n7
TOPIC: Nursing Process Step: N/A
n 7 n7 n7 n7
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
n 7 n7 n7 n7 n7 n7 n7 n7 n7
8. The vision of the American Association of Critical-Care Nursing attendants is a health
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care system drivenby
n7 n7 n7 n7
a. a healthy work environment.
n7 n7 n7
b. care from a multiprofessional team under the direction of a critical care physician.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. the needs of critically ill hospital clients and families.
n7 n7 n7 n7 n7 n7 n7 n7
d. respectful, healing, and humane environments. n7 n7 n7 n7
ACCURATE ANSWER: C n7 n7
n7 n7 n7 n7 n7 n7
Sole: Introduction to Critical Care Nursing, 9th Edition
n7 n7 n7 n7 n7 n7 n7
, MULTIPLE
CHOICE
n7
1. Which of the following professional organizations best supports critical care nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 practice?
a. American Association of Critical-Care Nursing attendants
n7 n7 n7 n7 n7
b. American Heart Association n7 n7
c. American Nurses Association n7 n7
d. Society of Critical Care Medicine n7 n7 n7 n7
ACCURATE
n7 ANSWER: A n7
Reasoning :->> The American Association of Critical-Care nurses is the specialty
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
organization that supports and represents critical care nursing attendants. The American
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Heart Association supports cardiovascular initiatives. The American Nurses Association
n7 n7 n7 n7 n7 n7 n7 n7 n7
supports all nursing attendants. The Society of Critical CareMedicine represents the
n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7
multiprofessional critical care team under the direction of an intensivist.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: page. 5
n7 n7 n7 n7
OBJ: Discuss the purposes and functions of the professional organizations that support
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
critical carepractice. TOPIC: Nursing Process Step: N/A
n7 n7 n7 n 7 n7 n7 n7
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
n 7 n7 n7 n7 n7 n7 n7 n7 n7
2. A nursing attendant has been working as a staff nursing attendant in the surgical
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
intensive care unit for 2 years and isinterested in certification. Which credential would
n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7 n7
be most applicable for the nursing attendant to seek?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
n7 n7
Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
practice who care for critically illhospital clients. The ACNPC-AG certification is for
n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7 n7 n7
acute care nursing attendant practitioners. The CNML is forcritical care nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7
attendant managers or leaders. The PCCN certification is for staff nursing attendants
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
working in progressive care, intermediate care, or step-down unit settings.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
n7 n7 n7 n7 n7 n7
OBJ: Explain certification options for critical care nursing attendants.
n7 n7 n 7 n7 TOPIC: n7 n7 n7 n7 n7 n7 n 7 Nursing
Process Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care
n7 n7 n7 n7 n 7 n7 n7 n7 n7 n7 n7 n7
Environment
n7
3. The main purpose of certification is to
n7 n7 n7 n7 n7 n7
a. assure the consumer that you will not make a mistake.
n7 n7 n7 n7 n7 n7 n7 n7 n7
b. prepare for graduate school. n7 n7 n7
c. promote magnet status for your facility. n7 n7 n7 n7 n7
d. validate knowledge of critical care nursing. n7 n7 n7 n7 n7
ACCURATE ANSWER: D n7 n7
, Reasoning :->>Certification assists in validating knowledge of the field, promotes
n7 n7 n7 n7 n7 n7 n7 n7 n7
excellence in the profession, and helps nursing attendants to maintain their knowledge
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of critical care nursing. Certificationhelps to assure the consumer that the nursing
n7 n7 n7 n7 n7 7
n n7 n7 n7 n7 n7 n7 n7
attendant has a minimum level of knowledge; however, it does not ensure that care will
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
be mistake-free. Certification does not prepare one for graduate school; however,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
achieving certification demonstrates motivation for achievement and professionalism.
n7 n7 n7 n7 n7 n7 n7 n7
Magnet facilities are rated on the number of certified nursing attendants; however, that
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
isnot the purpose of certification.
n7 7
n n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 n7 n7 n7 n7 n7 n7
OBJ: Explain certification options for critical care nursing attendants.
n7 n7 n 7 TOPIC:
n7 n7 n7 n7 n7 n7 n7 n 7 Nursing
Process Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care
n7 n7 n7 n7 n 7 n7 n7 n7 n7 n7 n7 n7
Environment
n7
4. The synergy model of practice focuses on
n7 n7 n7 n7 n7 n7
a. allowing unrestricted visiting for the hospital client 24 hours a day.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. holistic and alternative therapies. n7 n7 n7
c. the needs of hospital clients and their families, which drive nursing competency.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. hospital clients’ needs for energy and support. n7 n7 n7 n7 n7 n7
ACCURATE ANSWER: C n7 n7
Reasoning :->>The synergy model of practice states that the needs of hospital clients
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and families influence and drive competencies of nursing attendants. Nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
practice based on the synergy model would involvetailored visiting to meet the
n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7 n7
hospital client’s and family’s needs and the application of alternative therapies if
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
desired by the hospital client, but that is not the primary focus of the model.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: n7 n7
page. 6OBJ: Describe standards of professional practice for critical care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing.
n7
TOPIC: Nursing Process Step: N/A n 7 n7 n7 n7
MSC: NCLEX Client Needs CategoN
n7 n7 ryU: R
SSafIN
eGanTdBE
.CfO
feM
ctive Care Environment
n7 n7 n7 n7 n7 n7 n7
5. The family of your critically ill hospital client tells you that they have not spoken with
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the physicianin over 24 hours and that they have some questions they want clarified.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
During morning rounds, you convey this concern to the attending intensivist and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
arrange a meeting with the family at 4:00 PM. Which competency of critical care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing does this represent?
n7 n7 n7 n7
a. Advocacy and moral agency in solving ethical issues n7 n7 n7 n7 n7 n7 n7
b. Clinical judgment and clinical reasoning skills n7 n7 n7 n7 n7
c. Collaboration with hospital clients, families, and team members n7 n7 n7 n7 n7 n7 n7
d. Facilitation of learning for hospital clients, families, and team members
n7 n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER: C n7 n7
Reasoning :->>Although one might consider that all of these competencies
n7 n7 n7 n7 n7 n7 n7 n7 n7
are being addressed, communication and collaboration with the family and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
physician best exemplify thecompetency of collaboration.
n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 |
n7 n7 n7 n7 n7 n7 n7 n7
Box 1-1OBJ: Describe standards of professional practice for critical care nursing.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
TOPIC: Nursing Process Step: N/A n 7 n7 n7 n7
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
n 7 n7 n7 n7 n7 n7 n7 n7 n7
6. The AACN Standards for Acute and Critical Care Nursing Practice use what
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
framework toguide critical care nursing practice?
n7 n7 n7 n7 n7 n7 n7
a. Evidence-based practice n7
, b. Healthy work environment n7 n7
c. National Hospital client Safety Goals n7 n7 n7 n7
d. Nursing process n7
ACCURATE ANSWER: D n7 n7
Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
delineate the nursing process as applied to critically ill hospital clients: collect data,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
determine diagnoses, identify expectedoutcomes, develop a plan of care, implement
n7 n7 n7 n7 7
n n7 n7 n7 n7 n7 n7
interventions, and evaluate care. AACN promotes a healthy work environment, but this
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
is not included in its standards. The Joint Commission has established National Hospital
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
client Safety Goals, but these are not the AACN standards.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Remember/Knowledge REF: n7 n7
page. 6OBJ: Describe standards of professional practice for critical care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing.
n7
TOPIC: Nursing Process Step: N/A
n 7 n7 n7 n7
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
n 7 n7 n7 n7 n7 n7 n7 n7 n7
7. The charge nursing attendant is responsible for making the hospital client assignments
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
on the critical care unit. An experienced, certified nursing attendant is assigned to care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
for the acutely ill hospital client with sepsis who also requires continuous renal
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
replacement therapy and mechanical ventilation. The nursing attendant withless than 1
n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7
year of experience is assigned to two hospital clients who are more stable. This
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
assignment reflects implementation of the
n7 n7 n7 n7 n7
a. crew resource management model. n7 n7 n7
b. National Hospital client Safety Goals. n7 n7 n7 n7
c. Quality and Safety Education for Nursing attendants (QSEN) model.
n7 n7 n7 n7 n7 n7 n7 n7
d. synergy model of practice. n7 n7 n7
ACCUR
ATE
ANSW
n7
ER: D n 7
Reasoning :->>This assignment demonstrates nursing care to meet the needs of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
hospital client. The synergy model notes that the nursing attendant competencies are
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
matched to the hospital client characteristics. Crew resource management concepts are
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
related to team training; National Hospital client Safety Goals arespecified by The Joint
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n n7 n7 n7
Commission to promote safe care but do not incorporate the synergy model. The
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Quality and Safety Education for Nursing attendants initiative involves targeted
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
education ofundergraduate and graduate nursing students on quality and safety concepts.
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DIF: Cognitive Level: Analyze/Analysis REF: n7 n7
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
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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
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care 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. n7 n7 n7 n7
ACCURATE ANSWER: C n7 n7
