FULL TEST BANK
Test bank for Introduction to Critical Care Nursing 8th Edition
by Deborah Goldenberg Klein, Marthe Moseley, Mary Sole
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TABLE OF CONTENT
Chapter 1: Overview of Critical Care Nursing
Chapter 2: Patient and Family Response to the Critical Care Experience
Chapter 3: Ethical and Legal Issues in Critical Care Nursing
Chapter 4: Palliative and End-of-Life Care
Chapter 5: Organ Donation
Chapter 6: Comfort and Sedation
Chapter 7: Nutritional Therapy
Chapter 8: Dysrhythmia Interpretation and Management
,Chapter 9: Hemodynamic Monitoring
Chapter 10: Ventilatory Assistance
Chapter 11: Rapid Response Teams and Code Management
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 13: Cardiovascular Alterations
Chapter 14: Nervous System Alterations
Chapter 15: Acute Respiratory Failure
Chapter 16: Acute Kidney Injury
Chapter 17: Hematological and Immune Disorders
Chapter 18: Gastrointestinal Alterations
Chapter 19: Endocrine Alterations
Chapter 20: Trauma and Surgical Management
Chapter 21: Burns
,Chapter 1: Overview of Critical Care Nursing
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 - -----✔✔-C0RRECT ANSWER-✔✔-A
The correct answer is A. American Association of Critical-Care Nurses (AACN).
Rationale:
• American Association of Critical-Care Nurses (AACN) is a professional
organization specifically dedicated to supporting critical care nurses. AACN focuses
on improving the quality of care in critical care settings by providing education,
research, and advocacy for nursing professionals working in these environments. It
offers resources such as certifications, continuing education, and guidelines that help
critical care nurses deliver the best patient care possible.
• American Heart Association (B): While the American Heart Association is highly
involved in cardiovascular health, it primarily focuses on heart disease and stroke
prevention, research, and education. It is not specifically tailored to supporting
critical care nursing practice.
• American Nurses Association (C): The ANA is a broader organization representing
nurses across all specialties. While it advocates for nurses' rights, standards, and
policies, it doesn't have the same specialized focus on critical care nursing as the
AACN.
• Society of Critical Care Medicine (D): This organization is primarily focused on
critical care physicians and other healthcare professionals involved in intensive care
medicine. While it may provide some support for nurses, it is not as focused on
critical care nursing specifically as the AACN.
So, the AACN is the best fit for supporting critical care nursing practice.
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 the nurse to
seek?
,A. ACNPC-AG
b.
CNML
c.
CCRN
d.
PCCN - -----✔✔-C0RRECT ANSWER-✔✔-C
The correct answer is C. CCRN.
Rationale:
• CCRN (Critical Care Registered Nurse): This certification is specifically designed
for nurses working in critical care settings, such as the surgical intensive care unit.
The CCRN certification recognizes a nurse’s expertise and competence in caring for
critically ill patients, which directly aligns with the nurse's experience and interests
in working in an ICU.
• ACNPC-AG (Acute Care Nurse Practitioner - Adult-Gerontology): This
certification is for nurse practitioners, not staff nurses. It is for nurses who have
advanced practice roles, such as those working in acute care settings, and not for
registered nurses working at the bedside in a critical care unit.
• CNML (Certified Nurse Manager and Leader): The CNML certification is for nurses
in leadership or management roles, focusing on nursing leadership and management
competencies, which would not be applicable to a staff nurse in the ICU who is
looking to certify in critical care nursing.
• PCCN (Progressive Care Certified Nurse): The PCCN certification is for nurses
working in progressive care units, where patients may be stable but still require
close monitoring. While similar to critical care, it is less specific to the high-acuity,
intensive care environment of the surgical ICU.
Thus, CCRN is the most applicable credential for a nurse working in a surgical intensive
care unit who is interested in certification, as it directly aligns with the nurse's specialty in
critical care.
The main purpose of certification is to
a.
,assure the consumer that you will not make a mistake.
b.
prepare for graduate school.
c.
promote magnet status for your facility.
d.
validate knowledge of critical care nursing. - -----✔✔-C0RRECT ANSWER-✔✔-D
The correct answer is D. Validate knowledge of critical care nursing.
Rationale:
• Certification serves to validate the nurse’s knowledge and expertise in a specific
area of practice, such as critical care nursing. It demonstrates that the nurse has met
national standards of competency and is committed to maintaining high levels of
clinical proficiency and expertise. It is a way to officially recognize the specialized
knowledge and skills a nurse has in their field.
• Assure the consumer that you will not make a mistake (A): Certification does not
guarantee that a nurse will never make a mistake, but it indicates that the nurse has
the necessary knowledge and skills to provide safe and effective care in their
specialty area. It is a step toward improving care, but it doesn't imply perfection.
• Prepare for graduate school (B): Certification is not typically required for entering
graduate school. Graduate programs, like Nurse Practitioner or Nurse Educator
tracks, may have different admission criteria.
• Promote magnet status for your facility (C): While having certified nurses can
contribute to achieving Magnet status for a healthcare facility, the main purpose of
certification is not to promote Magnet status. It’s more about ensuring nurses have
validated expertise in their field, which indirectly supports the overall quality of care
provided in the facility.
Thus, D. Validate knowledge of critical care nursing is the correct answer, as certification
is about confirming that a nurse has the knowledge and skills required to practice safely and
effectively in their area of expertise.
The synergy model of practice focuses on
a.
,allowing unrestricted visiting for the patient 24 hours a day.
b.
holistic and alternative therapies.
c.
the needs of patients and their families, which drive nursing competency.
d.
patients' needs for energy and support. - -----✔✔-C0RRECT ANSWER-✔✔-C
The correct answer is C. The needs of patients and their families, which drive nursing
competency.
Rationale:
The Synergy Model of Practice emphasizes that nursing care should be driven by the
needs of patients and their families, and that nurses should have the competencies
required to meet those needs. This model suggests that the best patient outcomes occur
when there is a strong match between the nurse’s competencies and the needs of the patient
and family. It focuses on the alignment of nursing skills with patient conditions, ensuring
nurses can provide the most appropriate care based on the specific needs and complexity
of the patients they care for.
• Allowing unrestricted visiting for the patient 24 hours a day (A): While family
presence is important, the Synergy Model doesn't focus on visitation policies.
Instead, it centers on matching nursing competencies with patient needs.
• Holistic and alternative therapies (B): While holistic care may be part of some
nursing practices, the Synergy Model is not specifically centered on alternative
therapies. It focuses more on the relationship between patient needs and nursing
competencies, though holistic care can be integrated into nursing practice.
• Patients' needs for energy and support (D): This answer is somewhat vague and
does not accurately reflect the core idea of the Synergy Model, which is about
aligning nursing competencies with patient needs in a more comprehensive way, not
just energy or support.
Thus, C. The needs of patients and their families, which drive nursing competency is
the correct answer because the Synergy Model directly emphasizes this relationship.
The family of your critically ill patient tells you that they have not spoken with the physician
in over 24 hours and that they have some questions they want clarified. During morning
,rounds, you convey this concern to the attending intensivist and arrange a meeting with the
family at 4:00 PM. 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 - -----✔✔-C0RRECT
ANSWER-✔✔-C
The correct answer is C. Collaboration with patients, families, and team members.
Rationale:
In this situation, you are facilitating communication between the family and the
healthcare team, specifically by arranging a meeting between the family and the attending
intensivist. This demonstrates collaboration, as you're working together with the family and
other healthcare professionals to address the family’s concerns and provide them with the
information they need. Collaboration is an essential competency in critical care nursing,
where teamwork and communication are key to providing optimal patient care.
• Advocacy and moral agency in solving ethical issues (A): Advocacy is important
when promoting the well-being and rights of patients, but in this scenario, the nurse
is facilitating a meeting rather than addressing an ethical dilemma. Advocacy would
be more relevant if the nurse were intervening on behalf of the family or patient
regarding a rights issue or ethical concern.
• Clinical judgment and clinical reasoning skills (B): This competency is focused
on decision-making based on clinical knowledge, assessment, and reasoning. While
you are assessing the need for communication with the family, the primary action
here is collaboration, not clinical judgment or reasoning in a strictly medical sense.
• Facilitation of learning for patients, families, and team members (D): While you
are ensuring that the family gets the information they need, this competency is more
focused on teaching and education. The primary focus here is not on education, but
on ensuring that communication happens effectively between the family and the
healthcare team.
,Thus, C. Collaboration with patients, families, and team members is the correct answer
because the nurse is promoting teamwork and communication between the family and the
healthcare team.
The AACN Standards for Acute and Critical Care Nursing Practice use what framework to
guide critical care nursing practice?
a.
Evidence-based practice
b.
Healthy work environment
c.
National Patient Safety Goals
d.
Nursing process - -----✔✔-C0RRECT ANSWER-✔✔-D
The correct answer is D. Nursing process.
Rationale:
The AACN Standards for Acute and Critical Care Nursing Practice use the nursing
process as a framework to guide critical care nursing practice. The nursing process
includes assessment, diagnosis, planning, implementation, and evaluation. It provides
a systematic approach to delivering individualized care, ensuring that critical care nurses
can assess the patient’s needs, make informed decisions, and continuously evaluate and
adjust care plans.
• Evidence-based practice (A): While evidence-based practice is essential in guiding
nursing care decisions, it is a component of the overall nursing process rather than
the primary framework for the AACN standards.
• Healthy work environment (B): A healthy work environment is a crucial aspect of
nursing practice, and the AACN does emphasize this, but it is not the primary
framework for the Standards for Acute and Critical Care Nursing Practice.
• National Patient Safety Goals (C): National Patient Safety Goals are set by
organizations like The Joint Commission to enhance patient safety, but these goals
are not the framework for the AACN Standards. The nursing process is the guiding
framework for practice.
, Thus, the nursing process (D) is the correct framework used by the AACN to guide critical
care nursing practice.
The charge nurse is responsible for making the patient assignments on the critical care unit.
An experienced, certified nurse is assigned to care for the acutely ill patient with sepsis who
also requires continuous renal replacement therapy and mechanical ventilation. The nurse
with less than 1 year of experience is assigned to two patients who are more stable. This
assignment reflects implementation of the
a.
crew resource management model.
b.
National Patient Safety Goals.
c.
Quality and Safety Education for Nurses (QSEN) model.
d.
synergy model of practice. - -----✔✔-C0RRECT ANSWER-✔✔-D
The correct answer is D. Synergy model of practice.
Rationale:
The Synergy Model of Practice focuses on matching patient needs with the competencies
of the nurse. In this scenario, the charge nurse has assigned the more experienced, certified
nurse to the acutely ill patient with sepsis, continuous renal replacement therapy (CRRT),
and mechanical ventilation, while the less experienced nurse is assigned to two more stable
patients. This reflects the synergy model, which emphasizes the alignment of nurse
competencies with patient needs. The model suggests that nurses with more experience
and advanced skills are best suited to care for patients with complex, high-acuity needs,
while less experienced nurses may be assigned to patients with less critical conditions.
• Crew resource management model (A): This model is more focused on team
coordination and communication in high-stress environments, particularly in aviation
and healthcare settings. It is not directly related to assigning nurses based on patient
acuity and competency.
• National Patient Safety Goals (B): These goals, set by The Joint Commission, focus
on improving patient safety through strategies like reducing falls, ensuring accurate
Test bank for Introduction to Critical Care Nursing 8th Edition
by Deborah Goldenberg Klein, Marthe Moseley, Mary Sole
PRINTED PDF|ORIGINAL DIRECTLY FROM THE PUBLISHER|100%
VERIFIED ANSWERS| DOWNLOAD IMMEDIATELY AFTER THE ORDER
|RATED GRADE A+| ANSWERS WITH EXPLANATIONS| JUST RELEASED
,WISHING YOU ALL THE BEST AS YOU
EXPLORE THE BEST GUIDE
RATE OUR WORK FOR
MORE EXCELLENT GUIDES
TABLE OF CONTENT
Chapter 1: Overview of Critical Care Nursing
Chapter 2: Patient and Family Response to the Critical Care Experience
Chapter 3: Ethical and Legal Issues in Critical Care Nursing
Chapter 4: Palliative and End-of-Life Care
Chapter 5: Organ Donation
Chapter 6: Comfort and Sedation
Chapter 7: Nutritional Therapy
Chapter 8: Dysrhythmia Interpretation and Management
,Chapter 9: Hemodynamic Monitoring
Chapter 10: Ventilatory Assistance
Chapter 11: Rapid Response Teams and Code Management
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 13: Cardiovascular Alterations
Chapter 14: Nervous System Alterations
Chapter 15: Acute Respiratory Failure
Chapter 16: Acute Kidney Injury
Chapter 17: Hematological and Immune Disorders
Chapter 18: Gastrointestinal Alterations
Chapter 19: Endocrine Alterations
Chapter 20: Trauma and Surgical Management
Chapter 21: Burns
,Chapter 1: Overview of Critical Care Nursing
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 - -----✔✔-C0RRECT ANSWER-✔✔-A
The correct answer is A. American Association of Critical-Care Nurses (AACN).
Rationale:
• American Association of Critical-Care Nurses (AACN) is a professional
organization specifically dedicated to supporting critical care nurses. AACN focuses
on improving the quality of care in critical care settings by providing education,
research, and advocacy for nursing professionals working in these environments. It
offers resources such as certifications, continuing education, and guidelines that help
critical care nurses deliver the best patient care possible.
• American Heart Association (B): While the American Heart Association is highly
involved in cardiovascular health, it primarily focuses on heart disease and stroke
prevention, research, and education. It is not specifically tailored to supporting
critical care nursing practice.
• American Nurses Association (C): The ANA is a broader organization representing
nurses across all specialties. While it advocates for nurses' rights, standards, and
policies, it doesn't have the same specialized focus on critical care nursing as the
AACN.
• Society of Critical Care Medicine (D): This organization is primarily focused on
critical care physicians and other healthcare professionals involved in intensive care
medicine. While it may provide some support for nurses, it is not as focused on
critical care nursing specifically as the AACN.
So, the AACN is the best fit for supporting critical care nursing practice.
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 the nurse to
seek?
,A. ACNPC-AG
b.
CNML
c.
CCRN
d.
PCCN - -----✔✔-C0RRECT ANSWER-✔✔-C
The correct answer is C. CCRN.
Rationale:
• CCRN (Critical Care Registered Nurse): This certification is specifically designed
for nurses working in critical care settings, such as the surgical intensive care unit.
The CCRN certification recognizes a nurse’s expertise and competence in caring for
critically ill patients, which directly aligns with the nurse's experience and interests
in working in an ICU.
• ACNPC-AG (Acute Care Nurse Practitioner - Adult-Gerontology): This
certification is for nurse practitioners, not staff nurses. It is for nurses who have
advanced practice roles, such as those working in acute care settings, and not for
registered nurses working at the bedside in a critical care unit.
• CNML (Certified Nurse Manager and Leader): The CNML certification is for nurses
in leadership or management roles, focusing on nursing leadership and management
competencies, which would not be applicable to a staff nurse in the ICU who is
looking to certify in critical care nursing.
• PCCN (Progressive Care Certified Nurse): The PCCN certification is for nurses
working in progressive care units, where patients may be stable but still require
close monitoring. While similar to critical care, it is less specific to the high-acuity,
intensive care environment of the surgical ICU.
Thus, CCRN is the most applicable credential for a nurse working in a surgical intensive
care unit who is interested in certification, as it directly aligns with the nurse's specialty in
critical care.
The main purpose of certification is to
a.
,assure the consumer that you will not make a mistake.
b.
prepare for graduate school.
c.
promote magnet status for your facility.
d.
validate knowledge of critical care nursing. - -----✔✔-C0RRECT ANSWER-✔✔-D
The correct answer is D. Validate knowledge of critical care nursing.
Rationale:
• Certification serves to validate the nurse’s knowledge and expertise in a specific
area of practice, such as critical care nursing. It demonstrates that the nurse has met
national standards of competency and is committed to maintaining high levels of
clinical proficiency and expertise. It is a way to officially recognize the specialized
knowledge and skills a nurse has in their field.
• Assure the consumer that you will not make a mistake (A): Certification does not
guarantee that a nurse will never make a mistake, but it indicates that the nurse has
the necessary knowledge and skills to provide safe and effective care in their
specialty area. It is a step toward improving care, but it doesn't imply perfection.
• Prepare for graduate school (B): Certification is not typically required for entering
graduate school. Graduate programs, like Nurse Practitioner or Nurse Educator
tracks, may have different admission criteria.
• Promote magnet status for your facility (C): While having certified nurses can
contribute to achieving Magnet status for a healthcare facility, the main purpose of
certification is not to promote Magnet status. It’s more about ensuring nurses have
validated expertise in their field, which indirectly supports the overall quality of care
provided in the facility.
Thus, D. Validate knowledge of critical care nursing is the correct answer, as certification
is about confirming that a nurse has the knowledge and skills required to practice safely and
effectively in their area of expertise.
The synergy model of practice focuses on
a.
,allowing unrestricted visiting for the patient 24 hours a day.
b.
holistic and alternative therapies.
c.
the needs of patients and their families, which drive nursing competency.
d.
patients' needs for energy and support. - -----✔✔-C0RRECT ANSWER-✔✔-C
The correct answer is C. The needs of patients and their families, which drive nursing
competency.
Rationale:
The Synergy Model of Practice emphasizes that nursing care should be driven by the
needs of patients and their families, and that nurses should have the competencies
required to meet those needs. This model suggests that the best patient outcomes occur
when there is a strong match between the nurse’s competencies and the needs of the patient
and family. It focuses on the alignment of nursing skills with patient conditions, ensuring
nurses can provide the most appropriate care based on the specific needs and complexity
of the patients they care for.
• Allowing unrestricted visiting for the patient 24 hours a day (A): While family
presence is important, the Synergy Model doesn't focus on visitation policies.
Instead, it centers on matching nursing competencies with patient needs.
• Holistic and alternative therapies (B): While holistic care may be part of some
nursing practices, the Synergy Model is not specifically centered on alternative
therapies. It focuses more on the relationship between patient needs and nursing
competencies, though holistic care can be integrated into nursing practice.
• Patients' needs for energy and support (D): This answer is somewhat vague and
does not accurately reflect the core idea of the Synergy Model, which is about
aligning nursing competencies with patient needs in a more comprehensive way, not
just energy or support.
Thus, C. The needs of patients and their families, which drive nursing competency is
the correct answer because the Synergy Model directly emphasizes this relationship.
The family of your critically ill patient tells you that they have not spoken with the physician
in over 24 hours and that they have some questions they want clarified. During morning
,rounds, you convey this concern to the attending intensivist and arrange a meeting with the
family at 4:00 PM. 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 - -----✔✔-C0RRECT
ANSWER-✔✔-C
The correct answer is C. Collaboration with patients, families, and team members.
Rationale:
In this situation, you are facilitating communication between the family and the
healthcare team, specifically by arranging a meeting between the family and the attending
intensivist. This demonstrates collaboration, as you're working together with the family and
other healthcare professionals to address the family’s concerns and provide them with the
information they need. Collaboration is an essential competency in critical care nursing,
where teamwork and communication are key to providing optimal patient care.
• Advocacy and moral agency in solving ethical issues (A): Advocacy is important
when promoting the well-being and rights of patients, but in this scenario, the nurse
is facilitating a meeting rather than addressing an ethical dilemma. Advocacy would
be more relevant if the nurse were intervening on behalf of the family or patient
regarding a rights issue or ethical concern.
• Clinical judgment and clinical reasoning skills (B): This competency is focused
on decision-making based on clinical knowledge, assessment, and reasoning. While
you are assessing the need for communication with the family, the primary action
here is collaboration, not clinical judgment or reasoning in a strictly medical sense.
• Facilitation of learning for patients, families, and team members (D): While you
are ensuring that the family gets the information they need, this competency is more
focused on teaching and education. The primary focus here is not on education, but
on ensuring that communication happens effectively between the family and the
healthcare team.
,Thus, C. Collaboration with patients, families, and team members is the correct answer
because the nurse is promoting teamwork and communication between the family and the
healthcare team.
The AACN Standards for Acute and Critical Care Nursing Practice use what framework to
guide critical care nursing practice?
a.
Evidence-based practice
b.
Healthy work environment
c.
National Patient Safety Goals
d.
Nursing process - -----✔✔-C0RRECT ANSWER-✔✔-D
The correct answer is D. Nursing process.
Rationale:
The AACN Standards for Acute and Critical Care Nursing Practice use the nursing
process as a framework to guide critical care nursing practice. The nursing process
includes assessment, diagnosis, planning, implementation, and evaluation. It provides
a systematic approach to delivering individualized care, ensuring that critical care nurses
can assess the patient’s needs, make informed decisions, and continuously evaluate and
adjust care plans.
• Evidence-based practice (A): While evidence-based practice is essential in guiding
nursing care decisions, it is a component of the overall nursing process rather than
the primary framework for the AACN standards.
• Healthy work environment (B): A healthy work environment is a crucial aspect of
nursing practice, and the AACN does emphasize this, but it is not the primary
framework for the Standards for Acute and Critical Care Nursing Practice.
• National Patient Safety Goals (C): National Patient Safety Goals are set by
organizations like The Joint Commission to enhance patient safety, but these goals
are not the framework for the AACN Standards. The nursing process is the guiding
framework for practice.
, Thus, the nursing process (D) is the correct framework used by the AACN to guide critical
care nursing practice.
The charge nurse is responsible for making the patient assignments on the critical care unit.
An experienced, certified nurse is assigned to care for the acutely ill patient with sepsis who
also requires continuous renal replacement therapy and mechanical ventilation. The nurse
with less than 1 year of experience is assigned to two patients who are more stable. This
assignment reflects implementation of the
a.
crew resource management model.
b.
National Patient Safety Goals.
c.
Quality and Safety Education for Nurses (QSEN) model.
d.
synergy model of practice. - -----✔✔-C0RRECT ANSWER-✔✔-D
The correct answer is D. Synergy model of practice.
Rationale:
The Synergy Model of Practice focuses on matching patient needs with the competencies
of the nurse. In this scenario, the charge nurse has assigned the more experienced, certified
nurse to the acutely ill patient with sepsis, continuous renal replacement therapy (CRRT),
and mechanical ventilation, while the less experienced nurse is assigned to two more stable
patients. This reflects the synergy model, which emphasizes the alignment of nurse
competencies with patient needs. The model suggests that nurses with more experience
and advanced skills are best suited to care for patients with complex, high-acuity needs,
while less experienced nurses may be assigned to patients with less critical conditions.
• Crew resource management model (A): This model is more focused on team
coordination and communication in high-stress environments, particularly in aviation
and healthcare settings. It is not directly related to assigning nurses based on patient
acuity and competency.
• National Patient Safety Goals (B): These goals, set by The Joint Commission, focus
on improving patient safety through strategies like reducing falls, ensuring accurate
