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

1 | P a
yy yy yy

g e
yy yy

,Chapter 01: Critical Care Nursing Practice Urden:
yy yy yy yy yy yy


Critical Care Nursing, 10th Edition
yy yy yy yy




MULTIPLE CHOICE yy




1. During World War II, what types of wards were developed to care for critically
yy yy yy yy yy yy yy yy yy yy yy yy yy


injured patients?
yy yy


a. Intensive care yy


b. Triage
c. Shock
d. Postoperative
ANS: C
During World War II, shock wards were established to care for critically injured
yy yy yy yy yy yy yy yy yy yy yy yy


patients. Triage wards establish the order in which a patient is seen or treated upon
yy yy yy yy yy yy yy yy yy yy yy yy yy yy yy


arrival to a hospital. Postoperative wards were developed in 1900 and later evolved into
yy yy yy yy yy yy yy yy yy yy yy yy yy yy


intensive care units.
yy yy yy




PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 yy yy yy


OBJ: Nursing Process Step: N/A
yy TOP: Critical Care Nursing Practice
yy yy yy y yy yy


MSC: NCLEX: Safe and Effective Care Environment
yy yy yy yy yy yy




2. What type of practitioner has a broad depth of specialty knowledge and expertise
yy yy yy yy yy yy yy yy yy yy yy yy


and manages complex clinical and system issues?
yy yy yy yy yy yy yy


a. Registered nurses yy


b. Advanced practice nurses yy yy


c. Clinical nurse leaders yy yy


d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
yy yy yy yy yy yy yy yy yy yy yy yy yy


specialty area and manage complex clinical and systems issues. Intensivists are medical
yy yy yy yy yy yy yy yy yy yy yy yy


practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
yy yy yy yy yy yy yy yy yy yy yy yy yy


care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
yy yy yy yy yy yy yy yy yy yy yy yy




PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5 yy yy yy


OBJ: Nursing Process Step: N/A
yy TOP: Critical Care Nursing Practice
yy yy yy y yy yy


MSC: NCLEX: Safe and Effective Care Environment
yy yy yy yy yy yy




3. What type of practitioner is instrumental in ensuring care that is evidence based and
yy yy yy yy yy yy yy yy yy yy yy yy yy


that safety programs are in place?
yy yy yy yy yy yy


a. Clinical nurse specialist yy yy


b. Advanced practice nurse yy yy


c. Registered nurses yy


d. Nurse practitioners yy




n ANS: y y A




2 | P a
yy yy yy

g e
yy yy

, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical,
yy yy yy yy yy yy yy yy yy yy yy


teaching, research, leadership, and consultative abilities. They are instrumental in
yy yy yy yy yy yy yy yy yy yy


ensuring that care is evidence based and that safety programs are in place. Advanced
yy yy yy yy yy yy yy yy yy yy yy yy yy yy


practice nurses (APNs) have a broad depth of knowledge and expertise in their
yy yy yy yy yy yy yy yy yy yy yy yy yy


specialty area and manage complex clinical and systems issues. Registered nurses are
yy yy yy yy yy yy yy yy yy yy yy yy


generally direct care providers. Nurse practitioners (NPs) manage direct clinical care
yy yy yy yy yy yy yy yy yy yy yy


of groups of patients.
yy yy yy yy




PTS: 1 DIF: Cognitive Level: Remembering REF: p. 6 yy yy yy


OBJ: Nursing Process Step: N/A
yy TOP: Critical Care Nursing Practice
yy yy yy yy yy yy


MSC: NCLEX: Safe and Effective Care Environment
yy yy yy yy yy yy




4. Which professional organization administers critical care certification exams for
yy yy yy yy yy yy yy yy


registered nurses?
yy yy


a. State Board of Registered Nurses
yy yy yy yy


b. National Association of Clinical Nurse Specialist
yy yy yy yy yy


c. Society of Critical Care Medicine yy yy yy yy


d. American Association of Critical-Care Nurses yy yy yy yy




ANS: D
American Association of Critical-Care Nurses (AACN) administers certification exams
yy yy yy yy yy yy yy yy


for registered nurses. The State Board of Registered Nurses (SBON) does not
yy yy yy yy yy yy yy yy yy yy yy yy


administer certification exams. National Association of Clinical Nurse Specialists
yy yy yy yy yy yy yy yy yy


(NACNS) does not administer certification exams. Society of Critical Care Medicine
yy yy yy yy yy yy yy yy yy yy yy


(SCCM) does not administer nursing certification exams for registered nurses.
yy yy yy yy yy yy yy yy yy yy




PTS: 1 yDIF: Cognitive Level: Remembering yy yy REF: p. 7 yy


OBJ: Nursing Process Step:NW/ WAW.TBSMT.OWPS:
yy n n y y


Critical Care Nursing Practice MSC:
y y n n n yy


NCLEX: Safe and Effective Care Environment yy yy yy yy yy




5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
yy yy yy yy yy yy yy yy yy yy yy yy yy yy


are interdependent and inseparable. This statement describes which methodology
yy yy yy yy yy yy yy yy yy


of care?
yy yy


a. Holistic care yy


b. Individualized care yy


c. Cultural care yy


d. Interdisciplinary care yy




ANS: A
Holistic care focuses on human integrity and stresses that the body, mind, and spirit
yy yy yy yy yy yy yy yy yy yy yy yy yy


are interdependent and inseparable. Individualized care recognizes the uniqueness of
yy yy yy yy yy yy yy yy yy yy


each patient’s preferences, condition, and physiologic and psychosocial status. Cultural
yy yy yy yy yy yy yy yy yy yy


diversity in health care is not a new topic, but it is gaining emphasis and importance
yy yy yy yy yy yy yy yy yy yy yy yy yy yy yy yy


as the world becomes more accessible to all as the result of increasing technologies
yy yy yy yy yy yy yy yy yy yy yy yy yy yy


and interfaces with places and peoples. Interdisciplinary care is care among a variety
yy yy yy yy yy yy yy yy yy yy yy yy yy


of health care professionals with the patient’s health as the common goal.
yy yy yy yy yy yy yy yy yy yy yy yy




PTS: 1 DIF: Cognitive Level: Remembering REF: p. 12 yy yy yy


OBJ: Nursing Process Step: N/A
yy TOP: Critical Care Nursing Practice
yy yy yy y yy yy


MSC: NCLEX: Safe and Effective Care Environment
yy yy yy yy yy yy




3 | P a
yy yy yy

g e
yy yy

, 6. The American Association of Critical-Care Nurses (AACN) has developed short
yy yy yy yy yy yy yy yy yy


directives that can be used as quick references for clinical use that are known as
yy yy yy yy yy yy yy yy yy yy yy yy yy yy yy


a. Critical Care Protocol. yy yy


b. Practice Policies. yy


c. Evidence-Based Research. yy


d. Practice Alerts. yy




ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
yy yy yy yy yy yy yy yy yy


evidence-based practice summaries in the form of “Practice Alerts.” Evidence-based
yy yy yy yy yy yy yy yy yy yy


nursing practice considers the best research evidence on the care topic along with
yy yy yy yy yy yy yy yy yy yy yy yy yy


clinical expertise of the nurse and patient preferences. Critical care protocol and
yy yy yy yy yy yy yy yy yy yy yy yy


practice policies are established by individual institutions.
yy yy yy yy yy yy yy




PTS: 1 DIF: Cognitive Level: Remembering REF: p. 9 yy yy yy


OBJ: Nursing Process Step: N/A
yy TOP: Critical Care Nursing Practice
yy yy yy y yy yy


MSC: NCLEX: Safe and Effective Care Environment
yy yy yy yy yy yy




7. What type of therapy is an option to conventional treatment?
yy yy yy yy yy yy yy yy yy


a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
The term alternative denotes that a specific therapy is an option or alternative to what is
yy yy yy yy yy yy yy yy yy yy yy yy yy yy yy


considered conventional t reatmWenWt Wo .f aTcBoSnM
yy di.
tioWnSor state. The term complementary was yy n yy yy yy yy yy n yy n


proposed to describe therapies that can be used to complement or support
yy yy yy yy yy yy yy yy yy yy yy yy

conventional treatments. Holistic care focuses on human integrity and stresses that the
yy yy yy yy yy yy yy yy yy yy yy yy

body, mind, and
yy yy yy


spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
yy yy yy yy yy yy yy yy yy yy


each patient’s preferences, condition, and physiologic and psychosocial status.
yy yy yy yy yy yy yy yy yy




PTS: 1 DIF: Cognitive Level: Remembering REF: p. 16 yy yy yy


OBJ: Nursing Process Step: N/A
yy TOP: Critical Care Nursing Practice
yy yy yy y yy yy


MSC: NCLEX: Safe and Effective Care Environment
yy yy yy yy yy yy




8. Prayer, guided imagery, and massage are all examples of what type of treatment?
yy yy yy yy yy yy yy yy yy yy yy yy


a. Alternative therapy yy


b. Holistic care yy


c. Complementary care yy


d. Individualized care yy




n ANS: y y C




4 | P a
yy yy yy

g e
yy yy