Chapter 1: Overview of Critical Care Nursing
Test Bank
MULTIPLE CHOICE
1. Whichgofgthegfollowinggprofessionalgorganizationsgbestgsupportsgcriticalgcaregnursinggpractice?g
a. AmericangAssociationgofgCritical-CaregNursesg
b. AmericangHeartgAssociationg
c. AmericangNursesgAssociationg
d. SocietygofgCriticalgCaregMedicineg
g
g
ANS:gAg
ThegAmericangAssociationgofgCritical-
CaregNursesgisgthegspecialtygorganizationgthatgsupportsgandgrepresentsgcriticalgcaregnurses.gTheg
AmericangHeartgAssociationgsupportsgcardiovascularginitiatives.gThegAmericangNursesgAssocia
tiongsupportsgallgnurses.gThegSocietygofgCriticalgCaregMedicinegrepresentsgthegmultiprofessional
gcriticalgcaregteamgundergthegdirectiongofgangintensivist.g
g
DIF:gCognitivegLevel:gKnowledgeg REF:gp.g4g g
OBJ:gDiscussgthegpurposesgandgfunctionsgofgthegprofessionalgorganizationsgthatgsupportgcriticalgcareg
practice.g TOP:gNursinggProcessgStep:gN/Ag g
MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
2. Agnurseghasgbeengworkinggasgagstaffgnursegingthegsurgicalgintensivegcaregunitgforg2gyearsgandgisgintere
stedgingcertification.gWhichgcredentialgwouldgbegmostgapplicablegforghergtogseek?g
a. ACNPCg
b. CCNSg
c. CCRNg
d. PCCNg
g
g
ANS:gCg
ThegCCRNgcertificationgisgappropriategforgnursesgingbedsidegpracticegwhogcaregforgcriticallygillgp
atients.gThegACNPCgcertificationgisgforgacutegcaregnursegpractitioners.gThegCCNSgcertificationgi
sgforgcriticalgcaregclinicalgnursegspecialists.gThegPCCNgcertificationgisgforgstaffgnursesgworkinggi
ngprogressivegcare,gintermediategcare,gorgstep-downgunitgsettings.g
g
DIF:gCognitivegLevel:gApplicationg REF:gp.g5g g
OBJ:gExplaingcertificationgoptionsgforgcriticalgcaregnurses.g TOP:gNursinggProcessgStep:gN/Ag
MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
3. Thegmaingpurposegofgcertificationgisgto:g
a. assuregthegconsumergthatgyougwillgnotgmakegagmistake.g
b. preparegforggraduategschool.g
c. promotegmagnetgstatusgforgyourgfacility.g
d. validategknowledgegofgcriticalgcaregnursing.g
g
g
, ANS:gDg
Certificationgassistsgingvalidatinggknowledgegofgthegfield,gpromotesgexcellencegingthegprofession
,gandghelpsgnursesgtogmaintaingtheirgknowledgegofgcriticalgcaregnursing.gCertificationghelpsgtogass
uregthegconsumergthatgthegnurseghasgagminimumglevelgofgknowledge;ghowever,gitgdoesgnotgensure
gthatgcaregwillgbegmistake-
free.gCertificationgdoesgnotgpreparegonegforggraduategschool;ghowever,gachievinggcertificationgd
emonstratesgmotivationgforgachievementgandgprofessionalism.gMagnetgfacilitiesgaregratedgongthe
gnumbergofgcertifiedgnurses;ghowever,gthatgisgnotgthegpurposegofgcertification.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gpp.g4-5g g
OBJ:gExplaingcertificationgoptionsgforgcriticalgcaregnurses.g TOP:gNursinggProcessgStep:gN/Ag
MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
4. Thegsynergygmodelgofgpracticegfocusesgon:g
a. allowinggunrestrictedgvisitinggforgthegpatientg24ghoursgeachgday.g
b. holisticgandgalternativegtherapies.g
c. needsgofgpatientsgandgtheirgfamilies,gwhichgdrivesgnursinggcompetency.g
d. patients’gneedsgforgenergygandgsupport.g
g
g
ANS:gCg
Thegsynergygmodelgofgpracticegstatesgthatgthegneedsgofgpatientsgandgfamiliesginfluencegandgdriveg
competenciesgofgnurses.gNursinggpracticegbasedgongthegsynergygmodelgwouldginvolvegtailoredgvi
sitinggtogmeetgthegpatient’sgandgfamily’sgneedsgandgapplicationgofgalternativegtherapiesgifgdesired
gbygthegpatient,gbutgthatgisgnotgthegprimarygfocusgofgthegmodel.g
g
DIF:gCognitivegLevel:gApplicationg REF:gp.g5g|gFig.g1-3gg g
OBJ:gDescribegstandardsgofgprofessionalgpracticegforgcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
5. Thegfamilygofgyourgcriticallygillgpatientgtellsgyougthatgtheyghavegnotgspokengwithgthegphysiciangingo
verg24ghoursgandgtheyghavegsomegquestionsgthatgtheygwantgclarified.gDuringgmorninggrounds,gyoug
conveygthisgconcerngtogthegattendinggintensivistgandgarrangegforghergtogmeetgwithgthegfamilygatg4:00
gPMgingthegconferencegroom.gWhichgcompetencygofgcriticalgcaregnursinggdoesgthisgrepresent?g
a. Advocacygandgmoralgagencygingsolvinggethicalgissuesg
b. Clinicalgjudgmentgandgclinicalgreasoninggskillsg
c. Collaborationgwithgpatients,gfamilies,gandgteamgmembersg
d. Facilitationgofglearninggforgpatients,gfamilies,gandgteamgmembersg
g
g
ANS:gCg
Althoughgonegmightgconsidergthatgallgofgthesegcompetenciesgaregbeinggaddressed,gcommunicatio
ngandgcollaborationgwithgthegfamilygandgphysiciangbestgexemplifygthegcompetencygofgcollaborati
on.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gp.g9g g
OBJ:gDescribegstandardsgofgprofessionalgpracticegforgcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
6. ThegAACNgStandardsgforgAcutegandgCriticalgCaregNursinggPracticegusegwhatgframeworkgtogguideg
criticalgcaregnursinggpractice?g
, a. Evidence-basedgpracticeg
b. Healthygworkgenvironmentg
c. NationalgPatientgSafetygGoalsg
d. Nursinggprocessg
g
g
ANS:gDg
ThegAACNgStandardsgforgAcutegandgCriticalgCaregNursinggPracticegdelineategthegnursinggproce
ssgasgappliedgtogcriticallygillgpatients:gcollectgdata,gdeterminegdiagnoses,gidentifygexpectedgoutco
mes,gdevelopgagplangofgcare,gimplementginterventions,gandgevaluategcare.gAACNgpromotesgaghea
lthygworkgenvironment,gbutgthisgisgnotgincludedgingthegStandards.gThegJointgCommissionghasgest
ablishedgNationalgPatientgSafetygGoals,gbutgthesegaregnotgthegAACNgStandards.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gp.g5g|gBoxg1-2gg g
OBJ:gDescribegstandardsgofgprofessionalgpracticegforgcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
7. Thegchargegnursegisgresponsiblegforgmakinggthegpatientgassignmentsgongthegcriticalgcaregunit.gShega
ssignsgthegexperienced,gcertifiedgnursegtogcaregforgthegacutelygillgpatientgwithgsepsisgwhogalsogrequi
resgcontinuousgrenalgreplacementgtherapygandgmechanicalgventilation.gShegassignsgthegnursegwithgl
essgthang1gyeargofgexperiencegtogtwogpatientsgwhogaregmoregstable.gThisgassignmentgreflectsgimple
mentationgofgthe:g
a. crewgresourcegmanagementgmodelg
b. NationalgPatientgSafetygGoalsg
c. QualitygandgSafetygEducationgforgNursesg(QSEN)gmodelg
d. synergygmodelgofgpracticeg
g
g
ANS:gDg
Thisgassignmentgdemonstratesgnursinggcaregtogmeetgthegneedsgofgthegpatient.gThegsynergygmodel
gnotesgthatgthegnursegcompetenciesgaregmatchedgtogthegpatientgcharacteristics.gCrewgresourcegma
nagementgconceptsgrelatedgtogteamgtraining,gNationalgPatientgSafetygGoalsgaregspecifiedgbygTheg
JointgCommissiongtogpromotegsafegcaregbutgdognotgincorporategthegsynergygmodel.gThegQualityg
andgSafetygEducationgforgNursesginitiativeginvolvesgtargetedgeducationgtogundergraduategandggr
aduategnursinggstudentsgtoglearngqualitygandgsafetygconcepts.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gp.g5g|gFig.g1-3gg g
OBJ:gDescribegstandardsgofgprofessionalgpracticegforgcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
8. ThegvisiongofgthegAmericangAssociationgofgCritical-CaregNursesgisgaghealthcaregsystemgdrivengby:g
a. aghealthygworkgenvironment.g
b. caregfromgagmultiprofessionalgteamgundergthegdirectiongofgagcriticalgcaregphysician.g
c. thegneedsgofgcriticallygillgpatientsgandgfamilies.g
d. respectful,ghealing,gandghumanegenvironments.g
g
g
ANS:gCg
ThegAACNgvisiongisgaghealthcaregsystemgdrivengbygthegneedsgofgcriticallygillgpatientsgandgfamili
esgwheregcriticalgcaregnursesgmakegtheirgoptimumgcontributions.gAACNgpromotesginitiativesgtog
, supportgaghealthygworkgenvironmentgasgwellgasgrespectfulgandghealinggenvironments,gbutgthatgisg
notgthegorganization’sgvision.gThegSCCMgpromotesgcaregfromgagmultiprofessionalgteamgundergt
hegdirectiongofgagcriticalgcaregphysician.g
g
DIF:gCognitivegLevel:gKnowledgeg REF:gp.g4g g
OBJ:gDiscussgthegpurposesgandgfunctionsgofgthegprofessionalgorganizationsgthatgsupportgcriticalgcareg
practice.g TOP:gNursinggProcessgStep:gN/Ag g
MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
9. Thegmostgimportantgoutcomegofgeffectivegcommunicationgisgto:g
a. demonstrategcaringgpracticesgtogfamilygmembers.g
b. ensuregthatgpatientgteachinggisgdone.g
c. meetgthegdiversitygneedsgofgpatients.g
d. reducegpatientgerrors.g
g
g
ANS:gDg
Manygerrorsgaregdirectlygattributedgtogfaultygcommunication.gEffectivegcommunicationghasgbee
ngidentifiedgasgangessentialgstrategygtogreducegpatientgerrorsgandgresolvegissuesgrelatedgtogpatientg
caregdelivery.gCommunicationgmaygdemonstrategcaringgpractices,gbegusedgforgpatient/familygtea
ching,gandgaddressgdiversitygneeds;ghowever,gthegmaingoutcomegofgeffectivegcommunicationgisg
patientgsafety.g
g
DIF:gCognitivegLevel:gKnowledgeg REF:gpp.g8-9g g
OBJ:gDescribegqualitygandgsafetyginitiativesgrelatedgtogcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
10. Yougaregcaringgforgagcriticallygillgpatientgwhosegurinegoutputghasgbeenglowgforg2gconsecutiveghours.
gAftergagthoroughgpatientgassessment,gyougcallgthegintensivistgwithgthegfollowinggreport.gDr.gSmith,
gI’mgcallinggaboutgMrs.gP.,gyourg65-year-
oldgpatientgingCCUg10.gHergurinegoutputgforgthegpastg2ghoursgtotaledgonlyg40gmL.gShegarrivedgfrom
gsurgerygtogrepairgangaorticganeurysmg4ghoursgagogandgremainsgongmechanicalgventilation.gIngtheg
pastg2ghours,ghergheartgrateghasgincreasedgfromg80gtog100gbeatsgpergminutegandghergbloodgpressur
eghasgdecreasedgfromg128/82gtog100/70gmmgHg.gShegisgbeingggivenganginfusiongofgnormalgsalinegatg
100gmLgperghour.gHergrightgatrialgpressuregthroughgthegsubclaviangcentralglinegisglowgatg3gmmgHg.
gHergurinegisgconcentrated.gHergBUNgandgcreatinineglevelsghavegbeengstablegandgingnormalgrange.
gHergabdominalgdressinggisgdrygwithgnogindicationgofgbleeding.gMygassessmentgsuggestsgthatgMrs.g
P.gisghypovolemicgandgIgwouldglikegyougtogconsidergincreasingghergfluidsgorggivingghergagfluidgchall
enge.gUsinggthegSBARgmodelgforgcommunication,gtheginformationgthegnurseggivesgaboutgthegpatie
nt’sghistorygandgvitalgsignsgis:g
a. Situationg
b. Backgroundg
c. Assessmentg
d. Recommendationg
g
g
ANS:gBg
Theghistorygandgvitalgsignsgaregpartgofgthegbackground.gInformationgregardinggtheglowgurinegoutp
utgisgthegsituation.gInformationgregardinggpossibleghypovolemiagisgpartgofgthegnurse’sgassessmen
t,gandgthegsuggestiongforgfluidsgisgthegrecommendation.g
Test Bank
MULTIPLE CHOICE
1. Whichgofgthegfollowinggprofessionalgorganizationsgbestgsupportsgcriticalgcaregnursinggpractice?g
a. AmericangAssociationgofgCritical-CaregNursesg
b. AmericangHeartgAssociationg
c. AmericangNursesgAssociationg
d. SocietygofgCriticalgCaregMedicineg
g
g
ANS:gAg
ThegAmericangAssociationgofgCritical-
CaregNursesgisgthegspecialtygorganizationgthatgsupportsgandgrepresentsgcriticalgcaregnurses.gTheg
AmericangHeartgAssociationgsupportsgcardiovascularginitiatives.gThegAmericangNursesgAssocia
tiongsupportsgallgnurses.gThegSocietygofgCriticalgCaregMedicinegrepresentsgthegmultiprofessional
gcriticalgcaregteamgundergthegdirectiongofgangintensivist.g
g
DIF:gCognitivegLevel:gKnowledgeg REF:gp.g4g g
OBJ:gDiscussgthegpurposesgandgfunctionsgofgthegprofessionalgorganizationsgthatgsupportgcriticalgcareg
practice.g TOP:gNursinggProcessgStep:gN/Ag g
MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
2. Agnurseghasgbeengworkinggasgagstaffgnursegingthegsurgicalgintensivegcaregunitgforg2gyearsgandgisgintere
stedgingcertification.gWhichgcredentialgwouldgbegmostgapplicablegforghergtogseek?g
a. ACNPCg
b. CCNSg
c. CCRNg
d. PCCNg
g
g
ANS:gCg
ThegCCRNgcertificationgisgappropriategforgnursesgingbedsidegpracticegwhogcaregforgcriticallygillgp
atients.gThegACNPCgcertificationgisgforgacutegcaregnursegpractitioners.gThegCCNSgcertificationgi
sgforgcriticalgcaregclinicalgnursegspecialists.gThegPCCNgcertificationgisgforgstaffgnursesgworkinggi
ngprogressivegcare,gintermediategcare,gorgstep-downgunitgsettings.g
g
DIF:gCognitivegLevel:gApplicationg REF:gp.g5g g
OBJ:gExplaingcertificationgoptionsgforgcriticalgcaregnurses.g TOP:gNursinggProcessgStep:gN/Ag
MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
3. Thegmaingpurposegofgcertificationgisgto:g
a. assuregthegconsumergthatgyougwillgnotgmakegagmistake.g
b. preparegforggraduategschool.g
c. promotegmagnetgstatusgforgyourgfacility.g
d. validategknowledgegofgcriticalgcaregnursing.g
g
g
, ANS:gDg
Certificationgassistsgingvalidatinggknowledgegofgthegfield,gpromotesgexcellencegingthegprofession
,gandghelpsgnursesgtogmaintaingtheirgknowledgegofgcriticalgcaregnursing.gCertificationghelpsgtogass
uregthegconsumergthatgthegnurseghasgagminimumglevelgofgknowledge;ghowever,gitgdoesgnotgensure
gthatgcaregwillgbegmistake-
free.gCertificationgdoesgnotgpreparegonegforggraduategschool;ghowever,gachievinggcertificationgd
emonstratesgmotivationgforgachievementgandgprofessionalism.gMagnetgfacilitiesgaregratedgongthe
gnumbergofgcertifiedgnurses;ghowever,gthatgisgnotgthegpurposegofgcertification.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gpp.g4-5g g
OBJ:gExplaingcertificationgoptionsgforgcriticalgcaregnurses.g TOP:gNursinggProcessgStep:gN/Ag
MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
4. Thegsynergygmodelgofgpracticegfocusesgon:g
a. allowinggunrestrictedgvisitinggforgthegpatientg24ghoursgeachgday.g
b. holisticgandgalternativegtherapies.g
c. needsgofgpatientsgandgtheirgfamilies,gwhichgdrivesgnursinggcompetency.g
d. patients’gneedsgforgenergygandgsupport.g
g
g
ANS:gCg
Thegsynergygmodelgofgpracticegstatesgthatgthegneedsgofgpatientsgandgfamiliesginfluencegandgdriveg
competenciesgofgnurses.gNursinggpracticegbasedgongthegsynergygmodelgwouldginvolvegtailoredgvi
sitinggtogmeetgthegpatient’sgandgfamily’sgneedsgandgapplicationgofgalternativegtherapiesgifgdesired
gbygthegpatient,gbutgthatgisgnotgthegprimarygfocusgofgthegmodel.g
g
DIF:gCognitivegLevel:gApplicationg REF:gp.g5g|gFig.g1-3gg g
OBJ:gDescribegstandardsgofgprofessionalgpracticegforgcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
5. Thegfamilygofgyourgcriticallygillgpatientgtellsgyougthatgtheyghavegnotgspokengwithgthegphysiciangingo
verg24ghoursgandgtheyghavegsomegquestionsgthatgtheygwantgclarified.gDuringgmorninggrounds,gyoug
conveygthisgconcerngtogthegattendinggintensivistgandgarrangegforghergtogmeetgwithgthegfamilygatg4:00
gPMgingthegconferencegroom.gWhichgcompetencygofgcriticalgcaregnursinggdoesgthisgrepresent?g
a. Advocacygandgmoralgagencygingsolvinggethicalgissuesg
b. Clinicalgjudgmentgandgclinicalgreasoninggskillsg
c. Collaborationgwithgpatients,gfamilies,gandgteamgmembersg
d. Facilitationgofglearninggforgpatients,gfamilies,gandgteamgmembersg
g
g
ANS:gCg
Althoughgonegmightgconsidergthatgallgofgthesegcompetenciesgaregbeinggaddressed,gcommunicatio
ngandgcollaborationgwithgthegfamilygandgphysiciangbestgexemplifygthegcompetencygofgcollaborati
on.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gp.g9g g
OBJ:gDescribegstandardsgofgprofessionalgpracticegforgcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
6. ThegAACNgStandardsgforgAcutegandgCriticalgCaregNursinggPracticegusegwhatgframeworkgtogguideg
criticalgcaregnursinggpractice?g
, a. Evidence-basedgpracticeg
b. Healthygworkgenvironmentg
c. NationalgPatientgSafetygGoalsg
d. Nursinggprocessg
g
g
ANS:gDg
ThegAACNgStandardsgforgAcutegandgCriticalgCaregNursinggPracticegdelineategthegnursinggproce
ssgasgappliedgtogcriticallygillgpatients:gcollectgdata,gdeterminegdiagnoses,gidentifygexpectedgoutco
mes,gdevelopgagplangofgcare,gimplementginterventions,gandgevaluategcare.gAACNgpromotesgaghea
lthygworkgenvironment,gbutgthisgisgnotgincludedgingthegStandards.gThegJointgCommissionghasgest
ablishedgNationalgPatientgSafetygGoals,gbutgthesegaregnotgthegAACNgStandards.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gp.g5g|gBoxg1-2gg g
OBJ:gDescribegstandardsgofgprofessionalgpracticegforgcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
7. Thegchargegnursegisgresponsiblegforgmakinggthegpatientgassignmentsgongthegcriticalgcaregunit.gShega
ssignsgthegexperienced,gcertifiedgnursegtogcaregforgthegacutelygillgpatientgwithgsepsisgwhogalsogrequi
resgcontinuousgrenalgreplacementgtherapygandgmechanicalgventilation.gShegassignsgthegnursegwithgl
essgthang1gyeargofgexperiencegtogtwogpatientsgwhogaregmoregstable.gThisgassignmentgreflectsgimple
mentationgofgthe:g
a. crewgresourcegmanagementgmodelg
b. NationalgPatientgSafetygGoalsg
c. QualitygandgSafetygEducationgforgNursesg(QSEN)gmodelg
d. synergygmodelgofgpracticeg
g
g
ANS:gDg
Thisgassignmentgdemonstratesgnursinggcaregtogmeetgthegneedsgofgthegpatient.gThegsynergygmodel
gnotesgthatgthegnursegcompetenciesgaregmatchedgtogthegpatientgcharacteristics.gCrewgresourcegma
nagementgconceptsgrelatedgtogteamgtraining,gNationalgPatientgSafetygGoalsgaregspecifiedgbygTheg
JointgCommissiongtogpromotegsafegcaregbutgdognotgincorporategthegsynergygmodel.gThegQualityg
andgSafetygEducationgforgNursesginitiativeginvolvesgtargetedgeducationgtogundergraduategandggr
aduategnursinggstudentsgtoglearngqualitygandgsafetygconcepts.g
g
DIF:gCognitivegLevel:gAnalysisg REF:gp.g5g|gFig.g1-3gg g
OBJ:gDescribegstandardsgofgprofessionalgpracticegforgcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
8. ThegvisiongofgthegAmericangAssociationgofgCritical-CaregNursesgisgaghealthcaregsystemgdrivengby:g
a. aghealthygworkgenvironment.g
b. caregfromgagmultiprofessionalgteamgundergthegdirectiongofgagcriticalgcaregphysician.g
c. thegneedsgofgcriticallygillgpatientsgandgfamilies.g
d. respectful,ghealing,gandghumanegenvironments.g
g
g
ANS:gCg
ThegAACNgvisiongisgaghealthcaregsystemgdrivengbygthegneedsgofgcriticallygillgpatientsgandgfamili
esgwheregcriticalgcaregnursesgmakegtheirgoptimumgcontributions.gAACNgpromotesginitiativesgtog
, supportgaghealthygworkgenvironmentgasgwellgasgrespectfulgandghealinggenvironments,gbutgthatgisg
notgthegorganization’sgvision.gThegSCCMgpromotesgcaregfromgagmultiprofessionalgteamgundergt
hegdirectiongofgagcriticalgcaregphysician.g
g
DIF:gCognitivegLevel:gKnowledgeg REF:gp.g4g g
OBJ:gDiscussgthegpurposesgandgfunctionsgofgthegprofessionalgorganizationsgthatgsupportgcriticalgcareg
practice.g TOP:gNursinggProcessgStep:gN/Ag g
MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
9. Thegmostgimportantgoutcomegofgeffectivegcommunicationgisgto:g
a. demonstrategcaringgpracticesgtogfamilygmembers.g
b. ensuregthatgpatientgteachinggisgdone.g
c. meetgthegdiversitygneedsgofgpatients.g
d. reducegpatientgerrors.g
g
g
ANS:gDg
Manygerrorsgaregdirectlygattributedgtogfaultygcommunication.gEffectivegcommunicationghasgbee
ngidentifiedgasgangessentialgstrategygtogreducegpatientgerrorsgandgresolvegissuesgrelatedgtogpatientg
caregdelivery.gCommunicationgmaygdemonstrategcaringgpractices,gbegusedgforgpatient/familygtea
ching,gandgaddressgdiversitygneeds;ghowever,gthegmaingoutcomegofgeffectivegcommunicationgisg
patientgsafety.g
g
DIF:gCognitivegLevel:gKnowledgeg REF:gpp.g8-9g g
OBJ:gDescribegqualitygandgsafetyginitiativesgrelatedgtogcriticalgcaregnursing.g
TOP:gNursinggProcessgStep:gN/Ag MSC:gNCLEX:gSafegandgEffectivegCaregEnvironmentg
g
10. Yougaregcaringgforgagcriticallygillgpatientgwhosegurinegoutputghasgbeenglowgforg2gconsecutiveghours.
gAftergagthoroughgpatientgassessment,gyougcallgthegintensivistgwithgthegfollowinggreport.gDr.gSmith,
gI’mgcallinggaboutgMrs.gP.,gyourg65-year-
oldgpatientgingCCUg10.gHergurinegoutputgforgthegpastg2ghoursgtotaledgonlyg40gmL.gShegarrivedgfrom
gsurgerygtogrepairgangaorticganeurysmg4ghoursgagogandgremainsgongmechanicalgventilation.gIngtheg
pastg2ghours,ghergheartgrateghasgincreasedgfromg80gtog100gbeatsgpergminutegandghergbloodgpressur
eghasgdecreasedgfromg128/82gtog100/70gmmgHg.gShegisgbeingggivenganginfusiongofgnormalgsalinegatg
100gmLgperghour.gHergrightgatrialgpressuregthroughgthegsubclaviangcentralglinegisglowgatg3gmmgHg.
gHergurinegisgconcentrated.gHergBUNgandgcreatinineglevelsghavegbeengstablegandgingnormalgrange.
gHergabdominalgdressinggisgdrygwithgnogindicationgofgbleeding.gMygassessmentgsuggestsgthatgMrs.g
P.gisghypovolemicgandgIgwouldglikegyougtogconsidergincreasingghergfluidsgorggivingghergagfluidgchall
enge.gUsinggthegSBARgmodelgforgcommunication,gtheginformationgthegnurseggivesgaboutgthegpatie
nt’sghistorygandgvitalgsignsgis:g
a. Situationg
b. Backgroundg
c. Assessmentg
d. Recommendationg
g
g
ANS:gBg
Theghistorygandgvitalgsignsgaregpartgofgthegbackground.gInformationgregardinggtheglowgurinegoutp
utgisgthegsituation.gInformationgregardinggpossibleghypovolemiagisgpartgofgthegnurse’sgassessmen
t,gandgthegsuggestiongforgfluidsgisgthegrecommendation.g
