,Test NBank: NIntroduction NTo NCritical NCare NNursing, N8th
NEdition
Chapter N 01: N Overview N of N Critical N Care N Nursing
MULTIPLE N CHOICE
1. NWhich Nof Nthe Nfollowing Nprofessional Norganizations Nbest Nsupports
critical care nursing practice?
a. American N Association N of N Critical-
Care
b. American
Heart
c. American
Nurses
d. Society N of N Critical
Care
The NAmerican NAssociation Nof NCritical-Care NNurses Nis Nthe Nspecialty Norganization Nthat Nsupports Nand
Nrepresents Ncritical N care N nurses. N The N American N Heart N Association N supports N cardiovascular
N initiatives. N The N American NNurses N Association N supports N all N nurses. N The N Society N of N Critical N Care
N Medicine N represents N the Nmultiprofessional Ncritical Ncare Nteam Nunder Nthe Ndirection Nof Nan Nintensivist.
DIF: N Cognitive N Level: N Knowledge N REF: N p. N 4
OBJ: N Discuss N the N purposes N and N functions N of N the N professional N organizations N that N support
N critical N care Npractice. NTOP: NNursing NProcess NStep: NN/A
MSC: N NCLEX: N Safe N and N Effective N Care N Environment
2. A N nurse N has N been N working N as N a N staff N nurse N in N the N surgical N intensive N care N unit N for N 2 N years N and
N is N interested N in Ncertification. N N Which N N credential N N would N N be N N most N N applicable N N for N N her N
N to N N seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: N C
The N CCRN N certification N is N appropriate N for N nurses N in N bedside N practice N who N care
N for N critically N ill Npatients. N The NACNPC N certification N is Nfor Nacute Ncare N nurse N practitioners.
NThe NCCNS N certification N is N for Ncritical Ncare Nclinical Nnurse Nspecialists. NThe NPCCN Ncertification Nis
Nfor Nstaff Nnurses Nworking Nin Nprogressive N care, Nintermediate Ncare, Nor Nstep-down Nunit Nsettings.
DIF: N Cognitive N Level: N Application N REF: N p. N 5
OBJ: NExplain Ncertification Noptions Nfor Ncritical Ncare Nnurses. NTOP: NNursing NProcess NStep:
NN/A N MSC: NNCLEX: N Safe Nand NEffective N Care NEnvironment
,3. The N main N purpose N of N certification N is N to:
a. assure N the N consumer N that N you N will N not N make N a N mistake.
b. prepare N for N graduate N school.
c. promote N magnet N status N for N your N facility.
d. validate N knowledge N of N critical N care N nursing.
ANS: N D
Certification N assists N in N validating N knowledge N of N the N field, N promotes N excellence N in
N the N profession, Nand N helps N nurses N to N maintain N their N knowledge N of N critical N care N nursing.
N Certification N helps N to N assure N the Nconsumer N that N the N nurse N has N a N minimum N level N of
N knowledge; N however, N it N does N not N ensure N that N care Nwill N be N mistake-free.
Certification N N does N N not N N prepare N N one N N for N N graduate N N school; N N however, N N achieving N
N certification Ndemonstrates Nmotivation Nfor Nachievement Nand Nprofessionalism. NMagnet Nfacilities Nare Nrated
Non Nthe Nnumber Nof N certified Nnurses; Nhowever, Nthat Nis Nnot Nthe Npurpose Nof Ncertification.
DIF: N Cognitive N Level: N Analysis N REF: N pp. N 4-5
OBJ: NExplain Ncertification Noptions Nfor Ncritical Ncare Nnurses. NTOP: NNursing NProcess NStep:
NN/A N MSC: NNCLEX: N Safe Nand NEffective N Care NEnvironment
4. The N synergy N model N of N practice N focuses N on:
a. allowing N unrestricted N visiting N for N the N patient N 24 N hours N each N day.
b. holistic N and N alternative N therapies.
c. needs N of N patients N and N their N families, N which N drives N nursing N competency.
d. patients N needs N for N energy N and N support.
ANS: N C
The N synergy N model N of N practice N states N that N the N needs N of N patients N and N families
N influence N and N drive Ncompetencies N of N nurses. N Nursing N practice N based N on N the N synergy N model
N would N involve N tailored N visiting N to Nmeet N the N patients N and N familys N needs N and N application N of
N alternative N therapies N if N desired N by N the N patient, N but N that Nis Nnot Nthe Nprimary Nfocus N of Nthe Nmodel.
DIF: N Cognitive N Level: N Application N REF: N p. N 5 N | N Fig. N 1-3
OBJ: N Describe N standards N of N professional N practice N for N critical N care N nursing.
TOP: N Nursing N Process N Step: N N/A N MSC: N NCLEX: N Safe N and N Effective N Care N Environment
5. The N family N of N your N critically N ill N patient N tells N you N that N they N have N not
N spoken N with N the Nphysician N in N over N 24 N hours N and N they N have N some N questions N that N they
N want N clarified. N During N morning Nrounds, N you N convey N this N concern N N to N the N attending
N intensivist N and N arrange N for N her N to N meet N with N the Nfamily N at N 4:00 N PM N in N the
N conference N room. N Which N N competency N N of N N critical N N care N N nursing N N does Nthis N represent?
, a. Advocacy N and N moral N agency N in N solving N ethical N issues
b. Clinical N judgment N and N clinical N reasoning N skills
c. Collaboration N with N patients, N families, N and N team N members
d. Facilitation N of N learning N for N patients, N families, N and N team N members
ANS: NC
Although None Nmight Nconsider Nthat Nall Nof Nthese Ncompetencies Nare Nbeing Naddressed, Ncommunication Nand
N collaboration N with N N the N N family N N and N N physician N N best N exemplify N the N N competency N
N of N collaboration.
DIF: N Cognitive N Level: N Analysis N REF: N p. N 9
OBJ: N Describe N standards N of N professional N practice N for N critical N care N nursing.
TOP: N Nursing N Process N Step: N N/A N MSC: N NCLEX: N Safe N and N Effective N Care N Environment
6. The NAACN NStandards Nfor NAcute N and NCritical NCare NNursing NPractice N use N what Nframework N to
Nguide Ncritical Ncare Nnursing Npractice?
a. Evidence-based N practice
b. Healthy N work N environment
c. National N Patient N Safety N Goals
d. Nursing N process
ANS: ND
The N AACN N Standards N for N Acute N and N Critical N Care N Nursing N Practice N delineate N the N nursing N process
N as N applied Nto N critically N ill N patients: N collect N data, N determine N diagnoses, N identify N expected
N outcomes, N develop N a Nplan N of N care, N implement N interventions, N N and N N evaluate N N care.
N AACN N N promotes N a N N healthy N work Nenvironment, N but N this N is N not N included N in N the
N Standards. N The N Joint N Commission N has N established N National NPatient N Safety N Goals, N but N these N are
N not N the N AACN N Standards.
DIF: N Cognitive N Level: N Analysis N REF: N p. N 5 N | N Box N 1-2
OBJ: N Describe N standards N of N professional N practice N for N critical N care N nursing.
TOP: N Nursing N Process N Step: N N/A N MSC: N NCLEX: N Safe N and N Effective N Care N Environment
7. The N charge N nurse N is N responsible N for N making N the N patient N assignments N on N the N critical N care N unit.
N She N assigns Nthe N experienced, N certified N nurse N to N care N for N the N acutely N ill N patient N with
N sepsis N who N also N requires Ncontinuous N renal N replacement N therapy N and N mechanical N ventilation.
N She N assigns N the Nnurse N with N less N than N 1 Nyear N of N experience N to N two N N patients N N who N N are N
N more N N stable. N N This N N assignment N N reflects Nimplementation N of N the:
a. crew N resource N management N model
NEdition
Chapter N 01: N Overview N of N Critical N Care N Nursing
MULTIPLE N CHOICE
1. NWhich Nof Nthe Nfollowing Nprofessional Norganizations Nbest Nsupports
critical care nursing practice?
a. American N Association N of N Critical-
Care
b. American
Heart
c. American
Nurses
d. Society N of N Critical
Care
The NAmerican NAssociation Nof NCritical-Care NNurses Nis Nthe Nspecialty Norganization Nthat Nsupports Nand
Nrepresents Ncritical N care N nurses. N The N American N Heart N Association N supports N cardiovascular
N initiatives. N The N American NNurses N Association N supports N all N nurses. N The N Society N of N Critical N Care
N Medicine N represents N the Nmultiprofessional Ncritical Ncare Nteam Nunder Nthe Ndirection Nof Nan Nintensivist.
DIF: N Cognitive N Level: N Knowledge N REF: N p. N 4
OBJ: N Discuss N the N purposes N and N functions N of N the N professional N organizations N that N support
N critical N care Npractice. NTOP: NNursing NProcess NStep: NN/A
MSC: N NCLEX: N Safe N and N Effective N Care N Environment
2. A N nurse N has N been N working N as N a N staff N nurse N in N the N surgical N intensive N care N unit N for N 2 N years N and
N is N interested N in Ncertification. N N Which N N credential N N would N N be N N most N N applicable N N for N N her N
N to N N seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: N C
The N CCRN N certification N is N appropriate N for N nurses N in N bedside N practice N who N care
N for N critically N ill Npatients. N The NACNPC N certification N is Nfor Nacute Ncare N nurse N practitioners.
NThe NCCNS N certification N is N for Ncritical Ncare Nclinical Nnurse Nspecialists. NThe NPCCN Ncertification Nis
Nfor Nstaff Nnurses Nworking Nin Nprogressive N care, Nintermediate Ncare, Nor Nstep-down Nunit Nsettings.
DIF: N Cognitive N Level: N Application N REF: N p. N 5
OBJ: NExplain Ncertification Noptions Nfor Ncritical Ncare Nnurses. NTOP: NNursing NProcess NStep:
NN/A N MSC: NNCLEX: N Safe Nand NEffective N Care NEnvironment
,3. The N main N purpose N of N certification N is N to:
a. assure N the N consumer N that N you N will N not N make N a N mistake.
b. prepare N for N graduate N school.
c. promote N magnet N status N for N your N facility.
d. validate N knowledge N of N critical N care N nursing.
ANS: N D
Certification N assists N in N validating N knowledge N of N the N field, N promotes N excellence N in
N the N profession, Nand N helps N nurses N to N maintain N their N knowledge N of N critical N care N nursing.
N Certification N helps N to N assure N the Nconsumer N that N the N nurse N has N a N minimum N level N of
N knowledge; N however, N it N does N not N ensure N that N care Nwill N be N mistake-free.
Certification N N does N N not N N prepare N N one N N for N N graduate N N school; N N however, N N achieving N
N certification Ndemonstrates Nmotivation Nfor Nachievement Nand Nprofessionalism. NMagnet Nfacilities Nare Nrated
Non Nthe Nnumber Nof N certified Nnurses; Nhowever, Nthat Nis Nnot Nthe Npurpose Nof Ncertification.
DIF: N Cognitive N Level: N Analysis N REF: N pp. N 4-5
OBJ: NExplain Ncertification Noptions Nfor Ncritical Ncare Nnurses. NTOP: NNursing NProcess NStep:
NN/A N MSC: NNCLEX: N Safe Nand NEffective N Care NEnvironment
4. The N synergy N model N of N practice N focuses N on:
a. allowing N unrestricted N visiting N for N the N patient N 24 N hours N each N day.
b. holistic N and N alternative N therapies.
c. needs N of N patients N and N their N families, N which N drives N nursing N competency.
d. patients N needs N for N energy N and N support.
ANS: N C
The N synergy N model N of N practice N states N that N the N needs N of N patients N and N families
N influence N and N drive Ncompetencies N of N nurses. N Nursing N practice N based N on N the N synergy N model
N would N involve N tailored N visiting N to Nmeet N the N patients N and N familys N needs N and N application N of
N alternative N therapies N if N desired N by N the N patient, N but N that Nis Nnot Nthe Nprimary Nfocus N of Nthe Nmodel.
DIF: N Cognitive N Level: N Application N REF: N p. N 5 N | N Fig. N 1-3
OBJ: N Describe N standards N of N professional N practice N for N critical N care N nursing.
TOP: N Nursing N Process N Step: N N/A N MSC: N NCLEX: N Safe N and N Effective N Care N Environment
5. The N family N of N your N critically N ill N patient N tells N you N that N they N have N not
N spoken N with N the Nphysician N in N over N 24 N hours N and N they N have N some N questions N that N they
N want N clarified. N During N morning Nrounds, N you N convey N this N concern N N to N the N attending
N intensivist N and N arrange N for N her N to N meet N with N the Nfamily N at N 4:00 N PM N in N the
N conference N room. N Which N N competency N N of N N critical N N care N N nursing N N does Nthis N represent?
, a. Advocacy N and N moral N agency N in N solving N ethical N issues
b. Clinical N judgment N and N clinical N reasoning N skills
c. Collaboration N with N patients, N families, N and N team N members
d. Facilitation N of N learning N for N patients, N families, N and N team N members
ANS: NC
Although None Nmight Nconsider Nthat Nall Nof Nthese Ncompetencies Nare Nbeing Naddressed, Ncommunication Nand
N collaboration N with N N the N N family N N and N N physician N N best N exemplify N the N N competency N
N of N collaboration.
DIF: N Cognitive N Level: N Analysis N REF: N p. N 9
OBJ: N Describe N standards N of N professional N practice N for N critical N care N nursing.
TOP: N Nursing N Process N Step: N N/A N MSC: N NCLEX: N Safe N and N Effective N Care N Environment
6. The NAACN NStandards Nfor NAcute N and NCritical NCare NNursing NPractice N use N what Nframework N to
Nguide Ncritical Ncare Nnursing Npractice?
a. Evidence-based N practice
b. Healthy N work N environment
c. National N Patient N Safety N Goals
d. Nursing N process
ANS: ND
The N AACN N Standards N for N Acute N and N Critical N Care N Nursing N Practice N delineate N the N nursing N process
N as N applied Nto N critically N ill N patients: N collect N data, N determine N diagnoses, N identify N expected
N outcomes, N develop N a Nplan N of N care, N implement N interventions, N N and N N evaluate N N care.
N AACN N N promotes N a N N healthy N work Nenvironment, N but N this N is N not N included N in N the
N Standards. N The N Joint N Commission N has N established N National NPatient N Safety N Goals, N but N these N are
N not N the N AACN N Standards.
DIF: N Cognitive N Level: N Analysis N REF: N p. N 5 N | N Box N 1-2
OBJ: N Describe N standards N of N professional N practice N for N critical N care N nursing.
TOP: N Nursing N Process N Step: N N/A N MSC: N NCLEX: N Safe N and N Effective N Care N Environment
7. The N charge N nurse N is N responsible N for N making N the N patient N assignments N on N the N critical N care N unit.
N She N assigns Nthe N experienced, N certified N nurse N to N care N for N the N acutely N ill N patient N with
N sepsis N who N also N requires Ncontinuous N renal N replacement N therapy N and N mechanical N ventilation.
N She N assigns N the Nnurse N with N less N than N 1 Nyear N of N experience N to N two N N patients N N who N N are N
N more N N stable. N N This N N assignment N N reflects Nimplementation N of N the:
a. crew N resource N management N model
