TEST BANK FOR PRIORITIES
CRITICAL CARE NURSING
9TH EDITION BY LINDA D.
URDEN, KATHLEEN M.
STACY, MARY E. LOUGH
, 1. What is the systematic decision-making model used by nurses termed? a. Nursing
diagnosis
b. Nursing interventions
c. Nursing evaluations
d. Nursing process
ANS: D
The nursing process is a systematic decision-making model that is cyclic, not linear. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria.
PTS: 1 DIF: Cognitive Level: Understanding REF: n/a OBJ:
Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
2. What is a health condition primarily resolved by nursing interventions or therapies called?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
ANS: A
An essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
3. Designing therapeutic activities that move a patient from one state of health to another is an
example of which of the following?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
, Nursing interventions constitute the treatment approach to an identified health alteration. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
4. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this
type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical
providers. Currently, there are tele-ICUs in areas where there are limited resources onsite.
However, experts (critical care nurses, intensivists) are located in a central distant site.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
5. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care b. Values and ethics for
interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and responsibilities for
collaborative practice include using knowledge of one’s own role and the roles of other professions to
appropriately assess and address the health care needs of the patients and populations served. Interprofessional
communication includes communicating with patients, families, communities, and other health professionals in
a responsive and responsible manner that supports a team approach to maintaining health and treatment of
disease. Interprofessional teamwork and team-based care means applying relationship- building values and
principles of team dynamics to perform effectively in different team roles to plan and deliver patient population-
centered care that is safe, timely, efficient, effective, and equitable.
, PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
6. What is the stepwise decision-making flowchart for a specific care process
named?
a. Algorithm
b. Practice guideline
c. Protocol
d. Order set
ANS: A
An algorithm is a stepwise decision-making flowchart for a specific care process or
processes. A practice guideline is usually created by an expert panel and developed by a
professional organization. Protocols are more directive and rigid than guidelines, and
providers are not supposed to vary from a protocol. An order set consists of preprinted
provider orders that are used to expedite the order process after a standard has been
validated through analytic review of practice and research.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 6
OBJ: Nursing Process Step: Intervention TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
7. Which nursing intervention continues to be one of the most error-prone for critical care
nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication administration
ANS: D
Medication administration continues to be one of the most error-prone nursing interventions
for critical care nurses. Intimidating and disruptive clinician behaviors can lead to errors and
preventable adverse patient outcomes. Patient safety has been described as an ethical
imperative and one that is inherent in health care professionals’ actions and interpersonal
processes; examples include inappropriate care and injury to patients by falls.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7
OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
8. A practitioner and nurse are performing a dressing change on an unresponsive patient in
room
CRITICAL CARE NURSING
9TH EDITION BY LINDA D.
URDEN, KATHLEEN M.
STACY, MARY E. LOUGH
, 1. What is the systematic decision-making model used by nurses termed? a. Nursing
diagnosis
b. Nursing interventions
c. Nursing evaluations
d. Nursing process
ANS: D
The nursing process is a systematic decision-making model that is cyclic, not linear. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria.
PTS: 1 DIF: Cognitive Level: Understanding REF: n/a OBJ:
Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
2. What is a health condition primarily resolved by nursing interventions or therapies called?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
ANS: A
An essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
3. Designing therapeutic activities that move a patient from one state of health to another is an
example of which of the following?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
, Nursing interventions constitute the treatment approach to an identified health alteration. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
4. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this
type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical
providers. Currently, there are tele-ICUs in areas where there are limited resources onsite.
However, experts (critical care nurses, intensivists) are located in a central distant site.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
5. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care b. Values and ethics for
interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and responsibilities for
collaborative practice include using knowledge of one’s own role and the roles of other professions to
appropriately assess and address the health care needs of the patients and populations served. Interprofessional
communication includes communicating with patients, families, communities, and other health professionals in
a responsive and responsible manner that supports a team approach to maintaining health and treatment of
disease. Interprofessional teamwork and team-based care means applying relationship- building values and
principles of team dynamics to perform effectively in different team roles to plan and deliver patient population-
centered care that is safe, timely, efficient, effective, and equitable.
, PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
6. What is the stepwise decision-making flowchart for a specific care process
named?
a. Algorithm
b. Practice guideline
c. Protocol
d. Order set
ANS: A
An algorithm is a stepwise decision-making flowchart for a specific care process or
processes. A practice guideline is usually created by an expert panel and developed by a
professional organization. Protocols are more directive and rigid than guidelines, and
providers are not supposed to vary from a protocol. An order set consists of preprinted
provider orders that are used to expedite the order process after a standard has been
validated through analytic review of practice and research.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 6
OBJ: Nursing Process Step: Intervention TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
7. Which nursing intervention continues to be one of the most error-prone for critical care
nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication administration
ANS: D
Medication administration continues to be one of the most error-prone nursing interventions
for critical care nurses. Intimidating and disruptive clinician behaviors can lead to errors and
preventable adverse patient outcomes. Patient safety has been described as an ethical
imperative and one that is inherent in health care professionals’ actions and interpersonal
processes; examples include inappropriate care and injury to patients by falls.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7
OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
8. A practitioner and nurse are performing a dressing change on an unresponsive patient in
room
