, Chapter 01: Caring for the Critically Ill Patient
xc xc xc xc xc xc xc
Urden: Priorities in Critical Care Nursing, 8th Edition
xc xc xc xc xc xc xc xc
MULTIPLE CHOICE xc
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
complex clinical and system issues?
xc xc xc xc xc
a. Registered nurses xc
b. Advanced practice nurses xc xc
c. Clinical nurse leaders xc xc
d. Intensivists
ANS: B xc
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
xc xc xc xc xc xc xc xc xc xc xc xc xc
specialty area and manage complex clinical and systems issues. Intensivists are medical
xc xc xc xc xc xc xc xc xc xc xc xc
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
xc xc xc xc xc xc xc xc xc xc xc xc xc
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
xc xc xc xc xc xc xc xc xc xc xc xc
PTS: 1 DIF: Cognitive Level:
x c x c xc
Remembering OBJ: Nursing Process Step: N/A xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc xc
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
xc xc xc xc xc xc xc xc
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc programs are in place? xc xc xc
a. Clinical nurse specialist xc xc
b. Advanced practice nurse xc xc
c. Registered nurses xc
d. Nurse practitioners xc
ANS: A xc
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
xc xc xc xc xc xc xc xc xc xc xc xc
research, leadership, and consultative abilities. They are instrumental in ensuring that care
xc xc xc xc xc xc xc xc xc xc xc xc
is evidence based and that safety programs are in place. Advanced practice nurses (APNs)
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
have a broad depth of knowledge and expertise in their specialty area and manage complex
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
clinical and systems issues. Registered nurses are generally direct care providers. Nurse
xc xc xc xc xc xc xc xc xc xc xc xc
practitioners (NPs) manage direct clinical care of groups of patients.
xc xc xc xc xc xc xc xc xc xc
PTS: 1 DIF: Cognitive Level:
x c x c xc
Remembering OBJ: Nursing Process Step: N/A xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc xc
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
xc xc xc xc xc xc xc xc
3. Which professional organization administers critical care certification exams for registered
xc xc xc xc xc xc xc xc xc
xc nurses?
a. State Board of Registered Nurses xc xc xc xc
b. National Association of Clinical Nurse Specialist xc xc xc xc xc
c. Society of Critical Care Medicine xc xc xc xc
, d. American Association of Critical-Care Nurses xc xc xc xc
ANS:D
American Association of Critical-Care Nurses (AACN) administers certification exams for
xc xc xc xc xc xc xc xc xc
registered nurses. The State Board of Registered Nurses (SBON) does not administer
xc xc xc xc xc xc xc xc xc xc xc xc
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
xc xc xc xc xc xc xc xc xc xc xc
administer certification exams. Society of Critical Care Medicine (SCCM) does not
xc xc xc xc xc xc xc xc xc xc xc
administer nursing certification exams for registered nurses.
xc xc xc xc xc xc xc
PTS: 1 DIF: Cognitive Level:
x c x c xc
Remembering OBJ: Nursing Process Step: N/A xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc xc
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
xc xc xc xc xc xc xc xc
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
xc xc xc xc xc xc xc xc xc xc
xc that can be used as quick references for clinical use that are known as:
xc xc xc xc xc xc xc xc xc xc xc xc xc
a. critical care protocol. xc xc
b. practice policies. xc
c. evidence-based research. xc
d. practice alerts. xc
ANS: D xc
The American Association of Critical-Care Nurses (AACN) has promulgated several
xc xc xc xc xc xc xc xc xc
evidence-based practice summaries in the form of ―practice alerts.‖ Evidence-based
xc xc xc xc xc xc xc xc xc xc
nursing practice considers the best research evidence on the care topic along with clinical
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
expertise of the nurse and patient preferences. Critical care protocol and practice policies
xc xc xc xc xc xc xc xc xc xc xc xc xc
are established by individual institutions.
xc xc xc xc xc
PTS: 1 DIF: Cognitive Level: Remembering
x c xc xc
OBJ: Nursing Process Step: Planning
xc xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc
MSC: NCLEX: Safe and Effective
xc xc xc xc xc
Care Environment: Coordinated Care
xc xc xc xc
5. What type of therapy is an option to conventional treatment?
xc xc xc xc xc xc xc xc xc
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A xc
The term alternative denotes that a specific therapy is an option or alternative to what is
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
considered conventional treatment of a condition or state. The term complementary was
xc xc xc xc xc xc xc xc xc xc xc xc
proposed to describe therapies that can be used to complement or support conventional
xc xc xc xc xc xc xc xc xc xc xc xc xc
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
xc xc xc xc xc xc xc xc xc xc xc
each patient’s preferences, condition, and physiologic and psychosocial status.
xc xc xc xc xc xc xc xc xc
PTS: 1 x DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
c xc xc xc xc xc xc
Implementation
xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
xc xc xc xc xc xc xc
6. Guided imagery and massage are both examples of what type of treatment?
xc xc xc xc xc xc xc xc xc xc xc
a. Alternative therapy xc
b. Holistic care xc
, c. Complementary care xc
d. Individualized care xc
ANS: C xc
The term complementary was proposed to describe therapies that can be used to
xc xc xc xc xc xc xc xc xc xc xc xc
complement or support conventional treatments. Guided imagery, massage, and animal-
xc xc xc xc xc xc xc xc xc xc
assisted therapy are all examples of complementary care. The term alternative denotes that
xc xc xc xc xc xc xc xc xc xc xc xc
aspecific therapy is an option or alternative to what is considered conventional treatment of
x c xc xc xc xc xc xc xc xc xc xc xc xc xc
a condition or state. Holistic care focuses on human integrity and stresses that the body,
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
mind, and spirit are interdependent and inseparable. Individualized care recognizes the
xc xc xc xc xc xc xc xc xc xc xc
uniqueness of each patient’s preferences, condition, and physiologic and psychosocial
xc xc xc xc xc xc xc xc xc xc
status.
xc
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
x c xc xc xc xc xc xc
Implementation
xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
xc xc xc xc xc xc xc
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
assisting with monitoring and care of the patient from the closest major city. What is this
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
type of practice termed?
xc xc xc xc
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B xc
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
xc xc xc xc xc xc xc xc xc xc xc xc
remote rural geographic locations, and areas where there was a dearth of medical
xc xc xc xc xc xc xc xc xc xc xc xc xc
providers. Currently, there are tele-ICUs in areas where there are limited resources on-
xc xc xc xc xc xc xc xc xc xc xc xc xc
site. However, experts (critical care nurses, intensivists) are located in a central distant
xc xc xc xc xc xc xc xc xc xc xc xc xc
site.
PTS: 1 DIF: Cognitive Level: Understanding
x c xc xc
OBJ: Nursing Process Step: Evaluation
xc xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc
MSC: NCLEX: Physiological
xc xc xc
Integrity:
xc
Reduction of Risk Potential xc xc xc
8. Which core competency for interprofessional practice can be described as working with
xc xc xc xc xc xc xc xc xc xc xc
individuals of other professions to maintain a climate of mutual respect and shared values?
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a. Interprofessional teamwork and team-based care xc xc xc xc
b. Values and ethics for interprofessional practice xc xc xc xc xc
c. Interprofessional communication xc
d. Roles and responsibilities for collaborative practicexc xc xc xc xc
ANS: B xc
Values and ethics for interprofessional practice mean working with individuals of other
xc xc xc xc xc xc xc xc xc xc xc
professions to maintain a climate of mutual respect and shared values. Roles and
xc xc xc xc xc xc xc xc xc xc xc xc xc
responsibilities for collaborative practice include using knowledge of one’s own role and the
xc xc xc xc xc xc xc xc xc xc xc xc xc
roles of other professions to appropriately assess and address the health care needs of the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
patients and populations served.
xc xc xc xc
Interprofessional communication includes communicating with patients, families, xc xc xc xc xc xc
communities, and other health professionals in a responsive and responsible manner that
xc xc xc xc xc xc xc xc xc xc xc xc
supports a team approach to maintaining health and treatment of disease. Interprofessional
xc xc xc xc xc xc xc xc xc xc xc xc
teamwork and team-based care means applying relationship-building values and principles
xc xc xc xc xc xc xc xc xc xc
of team dynamics to perform effectively in different team roles to plan and deliver patient
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc xc xc xc xc xc xc
Urden: Priorities in Critical Care Nursing, 8th Edition
xc xc xc xc xc xc xc xc
MULTIPLE CHOICE xc
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
complex clinical and system issues?
xc xc xc xc xc
a. Registered nurses xc
b. Advanced practice nurses xc xc
c. Clinical nurse leaders xc xc
d. Intensivists
ANS: B xc
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
xc xc xc xc xc xc xc xc xc xc xc xc xc
specialty area and manage complex clinical and systems issues. Intensivists are medical
xc xc xc xc xc xc xc xc xc xc xc xc
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
xc xc xc xc xc xc xc xc xc xc xc xc xc
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
xc xc xc xc xc xc xc xc xc xc xc xc
PTS: 1 DIF: Cognitive Level:
x c x c xc
Remembering OBJ: Nursing Process Step: N/A xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc xc
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
xc xc xc xc xc xc xc xc
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc programs are in place? xc xc xc
a. Clinical nurse specialist xc xc
b. Advanced practice nurse xc xc
c. Registered nurses xc
d. Nurse practitioners xc
ANS: A xc
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
xc xc xc xc xc xc xc xc xc xc xc xc
research, leadership, and consultative abilities. They are instrumental in ensuring that care
xc xc xc xc xc xc xc xc xc xc xc xc
is evidence based and that safety programs are in place. Advanced practice nurses (APNs)
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
have a broad depth of knowledge and expertise in their specialty area and manage complex
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
clinical and systems issues. Registered nurses are generally direct care providers. Nurse
xc xc xc xc xc xc xc xc xc xc xc xc
practitioners (NPs) manage direct clinical care of groups of patients.
xc xc xc xc xc xc xc xc xc xc
PTS: 1 DIF: Cognitive Level:
x c x c xc
Remembering OBJ: Nursing Process Step: N/A xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc xc
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
xc xc xc xc xc xc xc xc
3. Which professional organization administers critical care certification exams for registered
xc xc xc xc xc xc xc xc xc
xc nurses?
a. State Board of Registered Nurses xc xc xc xc
b. National Association of Clinical Nurse Specialist xc xc xc xc xc
c. Society of Critical Care Medicine xc xc xc xc
, d. American Association of Critical-Care Nurses xc xc xc xc
ANS:D
American Association of Critical-Care Nurses (AACN) administers certification exams for
xc xc xc xc xc xc xc xc xc
registered nurses. The State Board of Registered Nurses (SBON) does not administer
xc xc xc xc xc xc xc xc xc xc xc xc
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
xc xc xc xc xc xc xc xc xc xc xc
administer certification exams. Society of Critical Care Medicine (SCCM) does not
xc xc xc xc xc xc xc xc xc xc xc
administer nursing certification exams for registered nurses.
xc xc xc xc xc xc xc
PTS: 1 DIF: Cognitive Level:
x c x c xc
Remembering OBJ: Nursing Process Step: N/A xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc xc
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
xc xc xc xc xc xc xc xc
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
xc xc xc xc xc xc xc xc xc xc
xc that can be used as quick references for clinical use that are known as:
xc xc xc xc xc xc xc xc xc xc xc xc xc
a. critical care protocol. xc xc
b. practice policies. xc
c. evidence-based research. xc
d. practice alerts. xc
ANS: D xc
The American Association of Critical-Care Nurses (AACN) has promulgated several
xc xc xc xc xc xc xc xc xc
evidence-based practice summaries in the form of ―practice alerts.‖ Evidence-based
xc xc xc xc xc xc xc xc xc xc
nursing practice considers the best research evidence on the care topic along with clinical
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
expertise of the nurse and patient preferences. Critical care protocol and practice policies
xc xc xc xc xc xc xc xc xc xc xc xc xc
are established by individual institutions.
xc xc xc xc xc
PTS: 1 DIF: Cognitive Level: Remembering
x c xc xc
OBJ: Nursing Process Step: Planning
xc xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc
MSC: NCLEX: Safe and Effective
xc xc xc xc xc
Care Environment: Coordinated Care
xc xc xc xc
5. What type of therapy is an option to conventional treatment?
xc xc xc xc xc xc xc xc xc
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A xc
The term alternative denotes that a specific therapy is an option or alternative to what is
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
considered conventional treatment of a condition or state. The term complementary was
xc xc xc xc xc xc xc xc xc xc xc xc
proposed to describe therapies that can be used to complement or support conventional
xc xc xc xc xc xc xc xc xc xc xc xc xc
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
xc xc xc xc xc xc xc xc xc xc xc
each patient’s preferences, condition, and physiologic and psychosocial status.
xc xc xc xc xc xc xc xc xc
PTS: 1 x DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
c xc xc xc xc xc xc
Implementation
xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
xc xc xc xc xc xc xc
6. Guided imagery and massage are both examples of what type of treatment?
xc xc xc xc xc xc xc xc xc xc xc
a. Alternative therapy xc
b. Holistic care xc
, c. Complementary care xc
d. Individualized care xc
ANS: C xc
The term complementary was proposed to describe therapies that can be used to
xc xc xc xc xc xc xc xc xc xc xc xc
complement or support conventional treatments. Guided imagery, massage, and animal-
xc xc xc xc xc xc xc xc xc xc
assisted therapy are all examples of complementary care. The term alternative denotes that
xc xc xc xc xc xc xc xc xc xc xc xc
aspecific therapy is an option or alternative to what is considered conventional treatment of
x c xc xc xc xc xc xc xc xc xc xc xc xc xc
a condition or state. Holistic care focuses on human integrity and stresses that the body,
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
mind, and spirit are interdependent and inseparable. Individualized care recognizes the
xc xc xc xc xc xc xc xc xc xc xc
uniqueness of each patient’s preferences, condition, and physiologic and psychosocial
xc xc xc xc xc xc xc xc xc xc
status.
xc
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
x c xc xc xc xc xc xc
Implementation
xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
xc xc xc xc xc xc xc
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
assisting with monitoring and care of the patient from the closest major city. What is this
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
type of practice termed?
xc xc xc xc
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B xc
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
xc xc xc xc xc xc xc xc xc xc xc xc
remote rural geographic locations, and areas where there was a dearth of medical
xc xc xc xc xc xc xc xc xc xc xc xc xc
providers. Currently, there are tele-ICUs in areas where there are limited resources on-
xc xc xc xc xc xc xc xc xc xc xc xc xc
site. However, experts (critical care nurses, intensivists) are located in a central distant
xc xc xc xc xc xc xc xc xc xc xc xc xc
site.
PTS: 1 DIF: Cognitive Level: Understanding
x c xc xc
OBJ: Nursing Process Step: Evaluation
xc xc xc xc xc
TOP: Caring for the Critically Ill Patient
xc xc xc xc xc xc
MSC: NCLEX: Physiological
xc xc xc
Integrity:
xc
Reduction of Risk Potential xc xc xc
8. Which core competency for interprofessional practice can be described as working with
xc xc xc xc xc xc xc xc xc xc xc
individuals of other professions to maintain a climate of mutual respect and shared values?
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a. Interprofessional teamwork and team-based care xc xc xc xc
b. Values and ethics for interprofessional practice xc xc xc xc xc
c. Interprofessional communication xc
d. Roles and responsibilities for collaborative practicexc xc xc xc xc
ANS: B xc
Values and ethics for interprofessional practice mean working with individuals of other
xc xc xc xc xc xc xc xc xc xc xc
professions to maintain a climate of mutual respect and shared values. Roles and
xc xc xc xc xc xc xc xc xc xc xc xc xc
responsibilities for collaborative practice include using knowledge of one’s own role and the
xc xc xc xc xc xc xc xc xc xc xc xc xc
roles of other professions to appropriately assess and address the health care needs of the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
patients and populations served.
xc xc xc xc
Interprofessional communication includes communicating with patients, families, xc xc xc xc xc xc
communities, and other health professionals in a responsive and responsible manner that
xc xc xc xc xc xc xc xc xc xc xc xc
supports a team approach to maintaining health and treatment of disease. Interprofessional
xc xc xc xc xc xc xc xc xc xc xc xc
teamwork and team-based care means applying relationship-building values and principles
xc xc xc xc xc xc xc xc xc xc
of team dynamics to perform effectively in different team roles to plan and deliver patient
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
