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