ACCN CHAPTER 1 QUESTIONS WITH CORRECT ANSWERS GRADE A CERTIFIED 2025/26

-an ethic of care that focuses on compassion, collaboration, accountability, and trust -healthy work environment initiative promotes professional practice *website * synergy practice model (AACN's Vision)correct answercreate a healthcare system driven by patient's and family's needs in which critical care nurses make their optimum contributions AACN membership benefitscorrect answer-professional journals critical care nurse american journal of critical care AACN advanced critical care (rate reduction) -continuing education offerings -practice alerts evidence-based interventions -beacon award for excellence -continuing education -support from local chapters -scholarships -research grants -student rate for membership -discounted rate for certification exams society of critical care medicine (SCCM)correct answer-founded in 1970 -multiprofessional membership physicians nursing section all other critical care team members -web site: -journals: critical care medicine new horizons: the science and practice of acute medicine pediatric critical care medicine SCCM visioncorrect answer*healthcare system* -all critically ill and injured persons receive care *multiprofessional healthcare team* -directed by physician specializing in critical care intensivist -excellent and consistent clinical practice Dcorrect answerThe charge nurse assigns patients based on their acuity and the level of experience of the critical care nurses on duty. This is an example of implementation of: A.SBAR communication B.Healthy work environment C.National patient safety goals D.Synergy model critical care certificationcorrect answer*purpose* -validate knowledge -promote professional excellence -maintain up-to-date-knowledge base *AACN certification corporation* -oversees process CCRN (bedside ICU) CCRN-E (eICU) CCRN-K (ICU educators) *based on AACN synergy model for patient care* -needs of patients and families drive practice AACN critical care certificationcorrect answer*bedside practice* -CCRN: adult, neonatal, and pediatric -PCCN: step-down units -CNML critical care managers and leaders *advanced practice* -ACCNS acute and critical care clinical nurse specialist -ACNPC-AG acute care nurse practitioner *subspecialty certification* -CMC cardiac medicine -CSC cardiac surgery standardscorrect answer-guide clinical practice -establish goals for patient care -provide assessment of outcomes -AACN standards for acute and critical care nursing practice nursing process expectations of the nurse standards of practice (Bell, 2008)correct answer-evaluate quality of nursing practice -evaluate own practice -acquire knowledge and maintain competency -contribute to professional development of peers -act ethically -use skilled communication -use clinical inquiry -integrate research findings -consider factors related to safety, effectiveness, and cost -provide leadership in clinical setting trends and issuescorrect answer*critical care patients more complex* -multisystem organ dysfunction -complicated by aging population *increasing costs for care* -challenged to reduce costs length of stay -transfer of higher acuity patient other units home critical care nurse characteristicscorrect answer-technical competence -relationship building -ability to multitask and set priorities critical thinking challengecorrect answer*discuss strategies for reducing or preventing stress and burnout in critical care nurses* -well educated and highly motivated critical care nurses may bring to the job perfectionist tendencies and unrealistic expectations of self, further contributing to high stress levels -support groups and debriefing conducted by professionals are strategies to help reduce stress, anxiety, and moral distress focus on quality and safetycorrect answer*errors and harm must be prevented* -nurses challenged to reduce errors promote a safe environment *several initiatives* -joint commission national patient safety goals -institute for healthcare improvement -quality and safety education for nurses (QSEN) (joint commission) national patient safety goalscorrect answerexamples relative to critical care nursing -communication -medication safety -reduce infections -reconcile medications harms targeted for reductioncorrect answer-adverse drug events -infections catheter-associated urinary tract infections (CAUTI) central line-associated bloodstream infections (CLABSI) surgical site infections ventilator-associated pneumonia (VAP) -injuries falls immobility