Test Bank for Critical Care Nursing: Diagnosis and Management 10th Edition by Urden and Stacy isbn-9780443115813

,Chapter 01: Critical Care Nursing Practice Urden:
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Critical Care Nursing, 10th Edition
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MULTIPLECHOICE n




1. During World War II, what types of wards were developed to care for critically injured
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patients?
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a. Intensivecare n




b. Triage
c. Shock
d. Postoperative
ANS: C n




During World War II, shock wards were established to care for critically injured patients. Triage
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wards establish the order in which a patient is seen or treated upon arrival to a hospital.
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Postoperative wards were developed in 1900 and later evolved into intensive care units.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice n n n n n n




MSC: NCLEX: Safe and Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise and
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manages complex clinical and system issues?
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a. Registered nurses n




b. Advanced practicenurses n n




c. Clinical nurse leaders n n




d. Intensivists
ANS: B n




Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their specialty
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area and manage complex clinical and systems issues. Intensivists are medical practitioners who
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manage the critical ill patient. Registered nurses (RNs) are generally direct care providers. Clinical
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nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice n n n n n n




MSC: NCLEX: Safe and Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based and that
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safety programs are in place?
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a. Clinical nurse specialist n n




b. Advanced practicenurse n n




c. Registered nurses n




d. Nursepractitioners n




n ANS: A n




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, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
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research, leadership, and consultative abilities. They are instrumental in ensuring that care is
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evidence based and that safety programs are in place. Advanced practice nurses (APNs) have a
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broad depth of knowledge and expertise in their specialty area and manage complex clinical and
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systems issues. Registered nurses are generally direct care providers. Nurse practitioners (NPs)
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manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 6 n n n




OBJ: Nursing Process Step: N/A
n TOP: Critical CareNursingPractice n n n n n n




MSC: NCLEX: Safe and Effective Care Environment
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4. Which professional organization administers critical care certification exams for registered
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nurses?
n




a. State Board of Registered Nurses
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b. National Association of Clinical Nurse Specialist n n n n n




c. Society of Critical Care Medicine n n n n




d. American Association of Critical-CareNurses n n n n




ANS: D n




American Association of Critical-Care Nurses (AACN) administers certification exams for
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registered nurses. The State Board of Registered Nurses (SBON) does not administer
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certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
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administer certification exams. Society of Critical Care Medicine (SCCM) does not administer
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nursing certification exams for registered nurses.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7 n n n




OBJ: NursingProcessStep:NW/ WAW.TBSM T. OW PS: CriticalCareNursingPractice
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MSC: NCLEX: Safe and Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are
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interdependent and inseparable. This statement describes which methodology of care?
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a. Holistic care n




b. Individualized care n




c. Cultural care n




d. Interdisciplinary care n




ANS: A n




Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
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interdependent and inseparable. Individualized care recognizes the uniqueness of each
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patient’s preferences, condition, and physiologic and psychosocial status. Cultural diversity in
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health care is not a new topic, but it is gaining emphasis and importance as the world becomes
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more accessible to all as the result of increasing technologies and interfaces with places and
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peoples. Interdisciplinary care is care among a variety of health care professionals with the
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patient’s health as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 12 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice n n n n n n




MSC: NCLEX: Safe and Effective Care Environment
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, 6. The American Association of Critical-Care Nurses (AACN) has developed short directives that
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can be used as quick references for clinical use that are known as
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a. Critical Care Protocol. n n




b. Practice Policies. n




c. Evidence-Based Research. n




d. Practice Alerts. n




ANS: D n




The American Association of Critical-Care Nurses (AACN) has promulgated several evidence-
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based practice summaries in the form of “Practice Alerts.” Evidence-based nursing practice
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considers the best research evidence on the care topic along with clinical expertise of the nurse
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and patient preferences. Critical care protocol and practice policies are established by
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individual institutions.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 9 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice n n n n n n




MSC: NCLEX: Safe and Effective Care Environment
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7. What type of therapy is an option to conventional treatment?
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a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A n




The term alternative denotes that a specific therapy is an option or alternative to what is
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considered conventional treatmWenWt Wo .f aTcBoSnM
di.
tioWnSor state. Theterm complementarywasproposed
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to describe therapies that can be used to complement or support conventional treatments. Holistic
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care focuses on human integrity and stresses that the body, mind, and
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spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of each
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patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 16 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice n n n n n n




MSC: NCLEX: Safe and Effective Care Environment
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8. Prayer, guided imagery, and massage are all examples of what type of treatment?
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a. Alternative therapy n




b. Holistic care n




c. Complementary care n




d. Individualized care n




n ANS: C n




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