CRITICAL CARE NURSING- A HOLISTIC APPROACH
12TH EDITION PATRICIA MORTON TEST BANK
/COMPLETE GUIDE 2024-2025
, Critical Care Nursing A Holistic Approach 12TH Edition Test
Bank
Chapter 1 Critical Care Nursing Practice: Promoting Excellence-
Caring,Collaboration Evidence
1. A caregiver is the only one in the ICU who has not achieved certification in critical
care nursing. She often will ask her fellow caregivers what to do in caring for a client
becauseshe 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 caregivers
practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A Hospice 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 Hospice to hire the candidate with certification?
A) The certified caregiver will have more knowledge and expertise.
B) The certified caregiver will behave more ethically.
C) The certified caregiver will be more caring toward clients.
D) The certified caregiver will work more collaboratively with other caregivers.
3. A caregiver is caring for an elderly man recently admitted to the ICU following a stroke.
Sheassesses his cognitive function using a new cognitive assessment test she learned
about ina recent article in a nursing journal. She then brings a cup of water and a straw to
the client because she observes that his lips are dry. Later, she has the client 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 caregiver explains that it is Hospice policy to use
the wheelchair. That evening, she recognizes signs of an imminent stroke in the client
and immediately pages the physician. Which action taken by the caregiver is the best
example of evidence-based practice?
A) Giving the client a cup of water
B) Transferring the client in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physician
, 4. A caregiver is on a committee that is trying to reduce the occurrence of Hospice-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
5. A caregiver who has been recently hired to manage the nursing staff of the ICU is
concernedat 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 caregivers certified in critical care nursing.
B) Leave copies of several different nursing journals in the caregivers 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.
6. A physician visits a client in the ICU while the caregiver is out. The client complains
thatthe pain medication is not effective and that he would like to receive an increased
dose. The physician has the caregiver paged and consults with him in the hallway
regarding the clients request for stronger pain medication. The caregiver explains that
client was startedon 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 client 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
7. A caregiver in the ICU is responding to a client who has just gone into cardiac arrest.
A moment later, the caregiver is notified that another client has just gone into
anaphylacticshock due to a drug allergy. She is conflicted as to what to do, as she is
the only caregiver available at the moment to tend to both clients. Which component
of a healthy workenvironment is lacking in this scenario?
A) Effective decision making
, B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An ICU caregiver has provided excellent care for a 6-year-old girl who had been
admitted tothe ICU for a head injury. The caregiver was attentive not only to the needs
of the client 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 caregiver
value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Caregiver of the Year
C) A letter of commendation from the Hospices administration
D) A bouquet of flowers from her supervisor
9. A client in the ICU has recently been diagnosed with diabetes mellitus. Before being
discharged, this client will require detailed instructions on how to manage her diet, how
to self-inject insulin, and how to handle future diabetic emergencies. Which caregiver
competency is most needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
10. An elderly client is admitted to the ICU with stage IV lung cancer, diabetes mellitus, and
congestive heart failure. The primary care team assembled to care for her is large and
diverse, including an oncologist, a pulmonologist, an endocrinologist, a cardiologist, and
others. The client is not expected to survive more than a few weeks, and her husband is
overwhelmed with stress and grief. Which caregiver competency or competencies are
most needed in this situation? Select all that apply.
A) Clinical judgment
B) Caring practices
C) Collaboration
D) Response to diversity
11. An Ethiopian man with AIDS has recently been admitted to the ICU with a case of
pneumonia. The man is new to the U.S. and has no health insurance. He would likely be
eligible for the states Medicaid coverage, but does not understand how to access this
coverage. Which competency or competencies are most needed in this situation? Select
all that apply.
12TH EDITION PATRICIA MORTON TEST BANK
/COMPLETE GUIDE 2024-2025
, Critical Care Nursing A Holistic Approach 12TH Edition Test
Bank
Chapter 1 Critical Care Nursing Practice: Promoting Excellence-
Caring,Collaboration Evidence
1. A caregiver is the only one in the ICU who has not achieved certification in critical
care nursing. She often will ask her fellow caregivers what to do in caring for a client
becauseshe 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 caregivers
practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A Hospice 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 Hospice to hire the candidate with certification?
A) The certified caregiver will have more knowledge and expertise.
B) The certified caregiver will behave more ethically.
C) The certified caregiver will be more caring toward clients.
D) The certified caregiver will work more collaboratively with other caregivers.
3. A caregiver is caring for an elderly man recently admitted to the ICU following a stroke.
Sheassesses his cognitive function using a new cognitive assessment test she learned
about ina recent article in a nursing journal. She then brings a cup of water and a straw to
the client because she observes that his lips are dry. Later, she has the client 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 caregiver explains that it is Hospice policy to use
the wheelchair. That evening, she recognizes signs of an imminent stroke in the client
and immediately pages the physician. Which action taken by the caregiver is the best
example of evidence-based practice?
A) Giving the client a cup of water
B) Transferring the client in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physician
, 4. A caregiver is on a committee that is trying to reduce the occurrence of Hospice-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
5. A caregiver who has been recently hired to manage the nursing staff of the ICU is
concernedat 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 caregivers certified in critical care nursing.
B) Leave copies of several different nursing journals in the caregivers 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.
6. A physician visits a client in the ICU while the caregiver is out. The client complains
thatthe pain medication is not effective and that he would like to receive an increased
dose. The physician has the caregiver paged and consults with him in the hallway
regarding the clients request for stronger pain medication. The caregiver explains that
client was startedon 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 client 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
7. A caregiver in the ICU is responding to a client who has just gone into cardiac arrest.
A moment later, the caregiver is notified that another client has just gone into
anaphylacticshock due to a drug allergy. She is conflicted as to what to do, as she is
the only caregiver available at the moment to tend to both clients. Which component
of a healthy workenvironment is lacking in this scenario?
A) Effective decision making
, B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An ICU caregiver has provided excellent care for a 6-year-old girl who had been
admitted tothe ICU for a head injury. The caregiver was attentive not only to the needs
of the client 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 caregiver
value the most?
A) A card from the girls family
B) A plaque from the ICU physicians naming her as Caregiver of the Year
C) A letter of commendation from the Hospices administration
D) A bouquet of flowers from her supervisor
9. A client in the ICU has recently been diagnosed with diabetes mellitus. Before being
discharged, this client will require detailed instructions on how to manage her diet, how
to self-inject insulin, and how to handle future diabetic emergencies. Which caregiver
competency is most needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
10. An elderly client is admitted to the ICU with stage IV lung cancer, diabetes mellitus, and
congestive heart failure. The primary care team assembled to care for her is large and
diverse, including an oncologist, a pulmonologist, an endocrinologist, a cardiologist, and
others. The client is not expected to survive more than a few weeks, and her husband is
overwhelmed with stress and grief. Which caregiver competency or competencies are
most needed in this situation? Select all that apply.
A) Clinical judgment
B) Caring practices
C) Collaboration
D) Response to diversity
11. An Ethiopian man with AIDS has recently been admitted to the ICU with a case of
pneumonia. The man is new to the U.S. and has no health insurance. He would likely be
eligible for the states Medicaid coverage, but does not understand how to access this
coverage. Which competency or competencies are most needed in this situation? Select
all that apply.
