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e
,Chapter 01: Critical Care Nursing Practice Ur
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den: Critical Care Nursing, 10th Edition
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MULTIPLE CHOICE @q
1. During World War II, what types of wards were developed to care for critically
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injured patients? @q
a. Intensive care @q
b. Triage
c. Shock
d. Postoperative
ANS: C @ q
During World War II, shock wards were established to care for critically injured pati
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ents. Triage wards establish the order in which a patient is seen or treated upon arri
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val to a hospital. Postoperative wards were developed in 1900 and later evolved into i
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ntensive care units. @q @q
PTS: 1 DIF: Cognitive Level: Remembering REF: @q @q
p. 2 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing Practice MSC: NCLEX: Safe and Effective C
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are Environment
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2. What type of practitioner has a broad depth of specialty knowledge and experti
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se and manages complex clinical and system issues?
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a. Registered nurses @q
b. Advanced practice nurses @q @q
c. Clinical nurse leaders @q @q
d. Intensivists
ANS: B @ q
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in th
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eir specialty area and manage complex clinical and systems issues. Intensivists are medi
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cal practitioners who manage the critical ill patient. Registered nurses (RNs) are generall
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y direct care providers. Clinical nurse leaders (CNLs) generally do not manage system i
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ssues.
PTS: 1 DIF: Cognitive Level: Remembering REF: @q @q
p. 5 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing Practice MSC: NCLEX: Safe and Effective C
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are Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based a
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nd that safety programs are in place?
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a. Clinical nurse specialist @q @q
b. Advanced practice nurse @q @q
c. Registered nurses @q
d. Nurse practitioner @q
s ANS: A
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2 | P a g
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e
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teachi
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ng, research, leadership, and consultative abilities. They are instrumental in ensuring th
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at care is evidence based and that safety programs are in place. Advanced practice n
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urses (APNs) have a broad depth of knowledge and expertise in their specialty area
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and manage complex clinical and systems issues. Registered nurses are generally dire
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ct care providers. Nurse practitioners (NPs) manage direct clinical care of groups of
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patients.
PTS: 1 DIF: Cognitive Level: Remembering REF: @q @q
p. 6 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing Practice MSC: NCLEX: Safe and Effective C
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are Environment
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4. Which professional organization administers critical care certification exams for regist
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ered nurses? @q
a. State Board of Registered Nurses
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b. National Association of Clinical Nurse Specialist
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c. Society of Critical Care Medicine @q @q @q @q
d. American Association of Critical-Care Nurses @q @q @q @q
ANS: D @ q
American Association of Critical- @q @q @q
Care Nurses (AACN) administers certification exams for registered nurses. The State
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Board of Registered Nurses (SBON) does not administer certification exams. National
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Association of Clinical Nurse Specialists (NACNS) does not administer certification
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exams. Society of Critical Care Medicine (SCCM) does not administer nursing certifi
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cation exams for registered nurses.
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PTS: 1 DIF: Cognitive Level: Remembering REF: @q @q
p. 7 OBJ: @q @q
Nursing Process Step: NW/ WAW.TBSM T. OW PS: Critical Care Nursing Pract
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ice 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 sp
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irit are interdependent and inseparable. This statement describes which methodolog
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y of care?
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a. Holistic care @q
b. Individualized care @q
c. Cultural care @q
d. Interdisciplinary care @q
ANS: A @ q
Holistic care focuses on human integrity and stresses that the body, mind, and spirit
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are interdependent and inseparable. Individualized care recognizes the uniqueness of e
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ach patient’s preferences, condition, and physiologic and psychosocial status. Cultural
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diversity in health care is not a new topic, but it is gaining emphasis and importanc
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e as the world becomes more accessible to all as the result of increasing technologie
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s and interfaces with places and peoples. Interdisciplinary care is care among a varie
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ty of health care professionals with the patient’s health as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: @q @q
p. 12 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing Practice MSC: NCLEX: Safe and Effective C
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are Environment
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3 | P a g
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e
, 6. The American Association of Critical-
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Care Nurses (AACN) has developed short directives that can be used as quick refer
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ences for clinical use that are known as
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a. Critical Care Protocol. @q @q
b. Practice Policies. @q
c. Evidence-Based Research. @q
d. Practice Alerts. @q
ANS: D @ q
The American Association of Critical-
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Care Nurses (AACN) has promulgated several evidence-
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based practice summaries in the form of ―Practice Alerts.‖ Evidence-
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based nursing practice considers the best research evidence on the care topic along w
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ith clinical expertise of the nurse and patient preferences. Critical care protocol and p
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ractice policies are established by individual institutions.
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PTS: 1 DIF: Cognitive Level: Remembering REF: @q @q
p. 9 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing Practice MSC: NCLEX: Safe and Effective C
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are 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 @ q
The term alternative denotes that a specific therapy is an option or alternative to what i
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s
considered conventional t reat mWe nWt Wo .f aTcBoSnM
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tioWnSor state. The term complementary was p
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roposed to describe therapies that can be used to complement or support conventional t
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reatments. Holistic care focuses on human integrity and stresses that the body, mind, an
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d
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness
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of each patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Remembering REF: @q @q
p. 16 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing Practice MSC: NCLEX: Safe and Effective C
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are 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 @q
b. Holistic care @q
c. Complementary care @q
d. Individualized car @q
e ANS: C
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4 | P a g
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e