Critical Care Nursing: Diagnosis and Management
LINDA D. URDEN, KATHLEEN M. STACY, MARY E. LOUGH
9th Edition
,Chapter 01: Critical Care Nursing Practice Urden:
Critical Care Nursing, 9th edition
MULTIPLE
CHOICE
1. During World War II, what type of wards were developed to care for critically injured patients?
a. Intensive care
b. Triage
c. Shock
d. Postoperative
ANS: C
During World War II, shock wards were established to care for critically injured patients. Triage wards establish the order
in which a patient is seen or treated upon arrival to a hospital. Postoperative wards were developed in 1900 and later
evolved into intensive care units.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 1 OBJ:
Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care
Environment
2. What type of practitioner has a broad depth of specialty knowledge and expertise and manages complex clinical
and system issues?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their specialty area and manage
complex clinical and systems issues. Intensivists are medical practitioners who manage the critical ill patient.
Registered nurses (RNs) are generally direct care providers. Clinical nurse leaders (CNLs) generally do not manage
system issues.
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, PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 OBJ:
Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care
Environment
3. What type of practitioner is instrumental in ensuring care that is evidence based and that safety programs are in
place?
a. Clinical nurse specialist b. Advanced practice nurse c. Registered nurses
d. Nurse practitioners
ANS: A
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, research, leadership, and
consultative abilities. They are instrumental in ensuring that care is evidence based and that safety programs are in
place. Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their specialty area and
manage complex clinical and systems issues. Registered nurses are generally direct care providers. Nurse practitioners
(NPs) manage direct clinical care of groups of patients.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 OBJ:
Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care
Environment
4. Which professional organization administers critical care certification exams for registered nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
ANS: D
American Association of Critical-Care Nurses (AACN) administers certification exams for registered nurses. The State
Board of Registered Nurses (SBON) does not administer certification exams. National Association of Clinical Nurse
Specialists (NACNS) does not administer certification exams. Society of Critical Care Medicine (SCCM) does not
administer nursing certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3 OBJ:
Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care
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, Environment
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are interdependent and
inseparable. This statement describes which methodology of care?
a. Holistic care
b. Individualized care
c. Cultural care
d. Interdisciplinary care
ANS: A
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are interdependent and inseparable.
Individualized care recognizes the uniqueness of each patient’s preferences, condition, and physiologic and psychosocial
status. Cultural diversity in
health care is not a new topic, but it is gaining emphasis and importance as the world becomes more accessible to all as the
result of increasing technologies and interfaces with places and peoples. Interdisciplinary care is care among a variety of
health care professionals with the patient’s health as the common goal.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 4
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
6. The American Association of Critical-Care Nurses (AACN) has developed short directives that can
be used as quick references for clinical use that are known as
a. Critical Care Protocol.
b. Practice Policies.
c. Evidence-Based Research.
d. Practice Alerts.
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several evidence-based practice
summaries in the form of “Practice Alerts.” Evidence-based nursing practice considers the best research evidence on
the care topic along with clinical expertise of the nurse and patient preferences. Critical care protocol and practice
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