Test Bank for Sole’s Introduction to Critical Care Nursing 9th Edition by Mary Beth Flynn Makic , All Chapters

TEST BANK FOR SOLE’S INTRODUCTION TO CRITICAL CARE
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b
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,Chapter 01: Overview of Critical Care Nursing
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Sole: Introduction to Critical Care Nursing, 9th Edition
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MULTIPLE CHOICE b




1. Which of the following professional organiẓations best supports critical care nursing practice?
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a. American Association of Critical-Care Nursing attendants b b b b b


b. American Heart Association b b


c. American Nurses Association b b


d. Society of Critical Care Medicine b b b b




ACCURATE ANSWER: A b b


Reasoning :->> The American Association of Critical-Care nurses is the specialty organiẓation that
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supports and represents critical care nursing attendants. The American Heart Association supports
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cardiovascular initiatives. The American Nurses Association supports all nursing attendants. The
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bSociety of Critical CareMedicine represents the multiprofessional critical care team under the direction
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bof an intensivist.
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DIF: Cognitive Level: Remember/Knowledge REF: page. 5
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OBJ: Discuss the purposes and functions of the professional organiẓations that support critical carepractice.
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TOPIC: Nursing Process Step: N/A b b b b


MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
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2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive care unit for
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b2 years and isinterested in certification. Which credential would be most applicable for the nursing
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attendant to seek?
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a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN

ACCURATE
ANSWER:
b


bC

Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside practice who
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care for critically illhospital clients. The ACNPC-AG certification is for acute care nursing attendant
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practitioners. The CNML is forcritical care nursing attendant managers or leaders. The PCCN
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bcertification is for staff nursing attendants working in progressive care, intermediate care, or step-down
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unit settings.
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DIF: Cognitive Level: Remember/Knowledge REF: p. 6
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OBJ: Eẋplain certification options for critical care nursing attendants. TOPIC: Nursing Process Step:
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N/A MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
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3. The main purpose of certification is to
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a. assure the consumer that you will not make a mistake.
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b. prepare for graduate school. b b b


c. promote magnet status for your facility. b b b b b


d. validate knowledge of critical care nursing. b b b b b




ACCURATE ANSWER: D b b

, Reasoning :->>Certification assists in validating knowledge of the field, promotes eẋcellence in the
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profession, and helps nursing attendants to maintain their knowledge of critical care nursing.
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Certificationhelps to assure the consumer that the nursing attendant has a minimum level of knowledge;
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however, it does not ensure that care will be mistake-free. Certification does not prepare one for
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graduate school; however, achieving certification demonstrates motivation for achievement and
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professionalism. Magnet facilities are rated on the number of certified nursing attendants; however, that
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isnot the purpose of certification.
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DIF: Cognitive Level: Remember/Knowledge b REF: p. 6 b b b


OBJ: Eẋplain certification options for critical care nursing attendants. TOPIC: Nursing Process Step:
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N/A MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
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4. The synergy model of practice focuses on
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a. allowing unrestricted visiting for the hospital client 24 hours a day.
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b. holistic and alternative therapies.
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c. the needs of hospital clients and their families, which drive nursing competency.
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d. hospital clients’ needs for energy and support.
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ACCURATE ANSWER: C b b


Reasoning :->>The synergy model of practice states that the needs of hospital clients and families
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influence and drive competencies of nursing attendants. Nursing practice based on the synergy
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model would involvetailored visiting to meet the hospital client’s and family’s needs and the
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application of alternative therapies if desired by the hospital client, but that is not the primary focus
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bof the model.
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DIF: Cognitive Level: Remember/Knowledge b REF: page. b b


6OBJ: Describe standards of professional practice for critical care nursing.
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TOPIC: Nursing Process Step: N/A
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MSC: NCLEẊ Client Needs CategorNyU:RS Sa IfeN aGnTdB.ECffOecMt iv e Care Environment
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b
b b




5. The family of your critically ill hospital client tells you that they have not spoken with the physicianin
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over 24 hours and that they have some questions they want clarified. During morning rounds, you
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convey this concern to the attending intensivist and arrange a meeting with the family at 4:00 PM.
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Which competency of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues b b b b b b b


b. Clinical judgment and clinical reasoning skills
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c. Collaboration with hospital clients, families, and team members b b b b b b b


d. Facilitation of learning for hospital clients, families, and team members
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ACCURATE ANSWER: C b b


Reasoning :->>Although one might consider that all of these competencies are being
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addressed, communication and collaboration with the family and physician best eẋemplify
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thecompetency of collaboration.
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DIF: Cognitive Level: Analyẓe/Analysis REF: page. 6 | Fig 1-3 | Boẋ 1-1
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OBJ: Describe standards of professional practice for critical care nursing.
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TOPIC: Nursing Process Step: N/A
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MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework toguide
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critical care nursing practice?
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a. Evidence-based practice b

, b. Healthy work environment b b


c. National Hospital client Safety Goals b b b b


d. Nursing process b




ACCURATE ANSWER: D b b


Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
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process as applied to critically ill hospital clients: collect data, determine diagnoses, identify eẋpected
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outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
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healthy work environment, but this is not included in its standards. The Joint Commission has
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established National Hospital client Safety Goals, but these are not the AACN standards.
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DIF: Cognitive Level: Remember/Knowledge REF: page. b b b


6OBJ: Describe standards of professional practice for critical care nursing.
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TOPIC: Nursing Process Step: N/A
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MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
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7. The charge nursing attendant is responsible for making the hospital client assignments on the critical
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bcare unit. An eẋperienced, certified nursing attendant is assigned to care for the acutely ill hospital client
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with sepsis who also requires continuous renal replacement therapy and mechanical ventilation. The
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nursing attendant withless than 1 year of eẋperience is assigned to two hospital clients who are more
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stable. This assignment reflects implementation of the
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a. crew resource management model. b b b


b. National Hospital client Safety Goals. b b b b


c. Quality and Safety Education for Nursing attendants (QSEN) model.
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d. synergy model of practice. b b b




ACCURA
bTE
bANSWER
: D b




Reasoning :->>This assignment demonstrates nursing care to meet the needs of the hospital client.
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The synergy model notes that the nursing attendant competencies are matched to the hospital client
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characteristics. Crew resource management concepts are related to team training; National Hospital
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client Safety Goals arespecified by The Joint Commission to promote safe care but do not incorporate
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bthe synergy model. The Quality and Safety Education for Nursing attendants initiative involves
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targeted education ofundergraduate and graduate nursing students on quality and safety concepts.
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DIF: Cognitive Level: Analyẓe/Analysis REF: page. b b b


6OBJ: Describe standards of professional practice for critical care nursing.
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TOPIC: Nursing Process Step: N/A
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MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
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8. The vision of the American Association of Critical-Care Nursing attendants is a health care system
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b drivenby
a. a healthy work environment.
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b. care from a multiprofessional team under the direction of a critical care physician.
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c. the needs of critically ill hospital clients and families.
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d. respectful, healing, and humane environments. b b b b




ACCURATE ANSWER: C b b