Complete Test Bank Critical Care Nursing- Diagnosis and Management 9th Edition Linda D. Urden, Kathleen M. Stacy Chapter 1-41

,Chapter01:CriticalCareNursingPracticeUrden: n




CriticalCareNursing,10thEdition
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MULTIPLECHOICE

1. DuringWorldWarII,whattypesofwardsweredevelopedtocareforcriticallyinjured
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patients?
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a. Intensivecare
b. Triage
c. Shock
d. Postoperative
ANS: C n n




DuringWorldWarII,shockwardswereestablishedtocareforcriticallyinjuredpatients.Triage wards
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establishtheorderinwhichapatientisseenortreateduponarrivaltoahospital.
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Postoperativewardsweredeveloped in1900 andlaterevolved intointensivecare units. n n n




PTS: 1 DIF: CognitiveLevel:Remembering REF: p.2 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice
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MSC: NCLEX: Safeand Effective CareEnvironment
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2. What typeofpractitionerhasabroad depthofspecialtyknowledgeand expertiseand
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n manages complex clinical and system issues?
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a. Registerednurses n




b. Advancedpracticenurses
c. Clinicalnurseleaders
d. Intensivists
ANS: B n n




Advancedpracticenurses(APNs)haveabroaddepthofknowledgeandexpertiseintheirspecialty area
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and manage complex clinical and systemsissues. Intensivists aremedical practitioners who
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managethecriticalillpatient.Registerednurses(RNs)aregenerallydirect care providers. Clinical
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nurseleaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: CognitiveLevel:Remembering REF: p.5 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice
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MSC: NCLEX: Safeand Effective CareEnvironment
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3. What typeofpractitionerisinstrumentalinensuringcarethatisevidencebased andthat
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n safety programs arein place?
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a. Clinicalnursespecialist
b. Advancedpracticenurse
c. Registerednurses n




d. Nursepractitioners
n ANS: A n




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, Clinicalnursespecialists(CNSs)serveinspecialtyrolesthatusetheirclinical,teaching,
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research,leadership,andconsultativeabilities.Theyareinstrumentalin ensuring that careis
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evidencebasedandthatsafetyprogramsareinplace.Advancedpracticenurses(APNs)havea
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broaddepthofknowledgeandexpertiseintheirspecialtyareaandmanagecomplexclinicaland
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systemsissues.Registerednursesaregenerallydirectcareproviders.Nursepractitioners(NPs)
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manage direct clinical care of groups of patients.
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PTS: 1 DIF: CognitiveLevel:Remembering REF: p.6 n n n




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




MSC: NCLEX: Safeand Effective CareEnvironment
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4. Whichprofessionalorganizationadministers criticalcarecertificationexamsforregistered n n




nurses?
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a. StateBoardofRegistered Nurses n




b. NationalAssociationofClinicalNurseSpecialist n




c. SocietyofCriticalCare Medicine n




d. American Association ofCritical-CareNurses n n




ANS: D n n




AmericanAssociationofCritical-Care Nurses(AACN)administerscertificationexamsfor n n




registerednurses. TheStateBoardofRegisteredNurses(SBON)doesnotadminister certification
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exams. National Association ofClinicalNurseSpecialists(NACNS)doesnot administer
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certificationexams.SocietyofCriticalCareMedicine(SCCM)doesnotadminister nursing
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certification exams for registered nurses.
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PTS: 1 DIF: CognitiveLevel:Remembering
n REF: p.7 n n n




OBJ: NursingProcessStep:NW/ WAW.TBSMT.OWPS: CriticalCareNursingPractice
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MSC: NCLEX: Safeand Effective Care Environment
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5. Emphasisisonhumanintegrityandstresses thetheorythatthebody,mind, andspiritare n n




ninterdependentandinseparable.Thisstatementdescribeswhichmethodologyofcare? n n n n n n n n n




a. Holisticcare
b. Individualized care n




c. Cultural care n




d. Interdisciplinary care n




ANS: A n n




Holisticcarefocusesonhumanintegrityandstressesthatthebody,mind,andspirit are
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interdependent and inseparable. Individualized carerecognizes theuniqueness ofeach
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patient’spreferences,condition,and physiologicandpsychosocialstatus.Culturaldiversityin
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healthcareisnotanewtopic,butitisgainingemphasisandimportanceastheworldbecomes more
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accessibletoallastheresultofincreasingtechnologiesandinterfaceswithplacesand peoples.
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Interdisciplinary careiscareamongavarietyofhealthcareprofessionals with the patient’s health
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as the common goal.
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PTS: 1 DIF: CognitiveLevel:Remembering REF: p.12 n n n




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




MSC: NCLEX: Safeand Effective CareEnvironment
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, 6. TheAmericanAssociation ofCritical-CareNurses (AACN) hasdeveloped shortdirectivesthat n n n




can be used as quick references forclinical use that areknown as
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a. CriticalCareProtocol. n




b. PracticePolicies. n




c. Evidence-Based Research. n




d. PracticeAlerts. n




ANS: D n n




TheAmericanAssociationofCritical-CareNurses(AACN)haspromulgatedseveralevidence-
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basedpracticesummariesin theformof“PracticeAlerts.”Evidence-based nursingpractice
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considersthebestresearchevidenceonthecaretopicalongwithclinicalexpertiseofthenurse and
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patient preferences. Critical careprotocol and practicepolicies areestablished by
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individualinstitutions.
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PTS: 1 DIF: CognitiveLevel:Remembering REF: p.9 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice
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MSC: NCLEX: Safeand Effective CareEnvironment
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7. Whattypeoftherapyisan optiontoconventionaltreatment? n




a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A n n




Thetermalternativedenotesthataspecifictherapyisan optionoralternativetowhatis
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consideredconventionaltreatmWenW t Wo .f aTcBoSnM
di.tioWnSor state.Thetermcomplementarywasproposed n n n n n n n n n




to describe therapies that can be used to complement or support conventionaltreatments. Holistic
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carefocuseson humanintegrityandstressesthatthebody,mind,and
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spiritareinterdependent andinseparable. Individualizedcare recognizes theuniquenessof each n n n n n




patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: CognitiveLevel:Remembering REF: p.16 n n n




OBJ: Nursing Process Step: N/A
n TOP: CriticalCareNursingPractice
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MSC: NCLEX: Safeand Effective CareEnvironment
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8. Prayer, guidedimagery, andmassageareallexamplesofwhattypeoftreatment?
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a. Alternative therapy n




b. Holisticcare
c. Complementary care n




d. Individualized care n




ANS: C
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