TESTBANK FOR SOLE’S INTRODUCTION TO CRITICAL
vv vv vv vv vv
vv CARE NURSING 9TH EDITION BY MARYBETH & LAUREN
vv vv vv vv vv vv vv
,Chapter 01: Overview of Critical Care Nursing
vv vv vv vv vv vv
Sole: Introduction to Critical Care Nursing, 9th Edition
vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. Which of the following professional organizations best supports critical care nursing practice?
vv vv vv vv vv vv vv vv vv vv vv
a. American Association of Critical-Care Nursing attendants vv vv vv vv vv
b. American Heart Association vv vv
c. American Nurses Association vv vv
d. Society of Critical Care Medicine vv vv vv vv
ACCURATE
ANSWER: A
vv vv
Reasoning :->> The American Association of Critical-Care nurses is the specialty
vv vv vv vv vv vv vv vv vv vv
organization that supports and represents critical care nursing attendants. The American
vv vv vv vv vv vv vv vv vv vv vv
Heart Association supports cardiovascular initiatives. The American Nurses Association
vv vv vv vv vv vv vv vv vv
supports all nursing attendants. The Society of Critical CareMedicine represents the
vv vv vv vv vv vv vv vv vv v vv vv
multiprofessional critical care team under the direction of an intensivist.
vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: page. 5 vv vv vv vv
OBJ: Discuss the purposes and functions of the professional organizations that support critical
vv vv vv vv vv vv vv vv vv vv vv vv
carepractice.
vv v TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
v v vv vv vv vv vv vv vv vv
2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
care unit for 2 years and isinterested in certification. Which credential would be most
vv vv vv vv vv vv vv v vv vv vv vv vv vv vv
applicable for the nursing attendant to seek?
vv vv vv vv vv vv vv
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
vv vv
Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
vv vv vv vv vv vv vv vv vv vv
practice who care for critically illhospital clients. The ACNPC-AG certification is for acute
vv vv vv vv vv vv v vv vv vv vv vv vv vv
care nursing attendant practitioners. The CNML is forcritical care nursing attendant
vv vv vv vv vv vv vv vv v vv vv vv
managers or leaders. The PCCN certification is for staff nursing attendants working in
vv vv vv vv vv vv vv vv vv vv vv vv vv
progressive care, intermediate care, or step-down unit settings.
vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 vv vv vv vv v v vv
OBJ: Explain certification options for critical care nursing attendants.TOPIC: Nursing Process
vv vv v v vv vv vv vv vv vv vv v v vv
Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
vv vv v v v vv vv vv vv vv vv vv vv
3. The main purpose of certification is to
vv vv vv vv vv vv
a. assure the consumer that you will not make a mistake.
vv vv vv vv vv vv vv vv vv
b. prepare for graduate school. vv vv vv
c. promote magnet status for your facility. vv vv vv vv vv
d. validate knowledge of critical care nursing. vv vv vv vv vv
ACCURATE ANSWER: D vv vv
, Reasoning :->>Certification assists in validating knowledge of the field, promotes
vv vv vv vv vv vv vv vv vv
excellence in the profession, and helps nursing attendants to maintain their knowledge of
vv vv vv vv vv vv vv vv vv vv vv vv vv
critical care nursing. Certificationhelps to assure the consumer that the nursing attendant
vv vv vv vv v vv vv vv vv vv vv vv vv
has a minimum level of knowledge; however, it does not ensure that care will be mistake-
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
free. Certification does not prepare one for graduate school; however, achieving
vv vv vv vv vv vv vv vv vv vv
certification demonstrates motivation for achievement and professionalism. Magnet
vv vv vv vv vv vv vv vv
facilities are rated on the number of certified nursing attendants; however, that isnot the
vv vv vv vv vv vv vv vv vv vv vv vv vv v vv
purpose of certification.
vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 vv vv vv vv v v vv
OBJ: Explain certification options for critical care nursing attendants.TOPIC: Nursing Process
vv vv v v vv vv vv vv vv vv vv v v vv
Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
vv vv v v v vv vv vv vv vv vv vv vv
4. The synergy model of practice focuses on
vv vv vv vv vv vv
a. allowing unrestricted visiting for the hospital client 24 hours a day.
vv vv vv vv vv vv vv vv vv vv
b. holistic and alternative therapies. vv vv vv
c. the needs of hospital clients and their families, which drive nursing competency.
vv vv vv vv vv vv vv vv vv vv vv
d. hospital clients’ needs for energy and support. vv vv vv vv vv vv
ACCURATE ANSWER: C vv vv
Reasoning :->>The synergy model of practice states that the needs of hospital clients
vv vv vv vv vv vv vv vv vv vv vv vv
and families influence and drive competencies of nursing attendants. Nursing practice
vv vv vv vv vv vv vv vv vv vv vv
based on the synergy model would involvetailored visiting to meet the hospital client’s
vv vv vv vv vv vv vv v vv vv vv vv vv vv
and family’s needs and the application of alternative therapies if desired by the hospital
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
client, but that is not the primary focus of the model.
vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: vv vv
page. 6OBJ: Describe standards of professional practice for critical care
vv vv v vv vv vv vv vv vv vv vv
nursing.
vv
TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs CategoN
vv vv ryU: R
SSafIN
eGanTdBE
.CfO
feM
ctive Care Environment
vv vv vv v vv vv vv
5. The family of your critically ill hospital client tells you that they have not spoken with the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
physicianin over 24 hours and that they have some questions they want clarified. During
vv v vv vv vv vv vv vv vv vv vv vv vv vv vv
morning rounds, you convey this concern to the attending intensivist and arrange a
vv vv vv vv vv vv vv vv vv vv vv vv vv
meeting with the family at 4:00 PM. Which competency of critical care nursing does this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
represent?
vv
a. Advocacy and moral agency in solving ethical issues vv vv vv vv vv vv vv
b. Clinical judgment and clinical reasoning skills vv vv vv vv vv
c. Collaboration with hospital clients, families, and team members vv vv vv vv vv vv vv
d. Facilitation of learning for hospital clients, families, and team members vv vv vv vv vv vv vv vv vv
ACCURATE ANSWER: C vv vv
Reasoning :->>Although one might consider that all of these competencies are
vv vv vv vv vv vv vv vv vv vv
being addressed, communication and collaboration with the family and physician
vv vv vv vv vv vv vv vv vv vv
best exemplify thecompetency of collaboration.
vv vv vv v vv vv
DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 |
vv vv vv vv vv vv vv vv
Box 1-1OBJ: Describe standards of professional practice for critical care nursing.
vv vv v vv vv vv vv vv vv vv vv vv
TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
v v vv vv vv vv vv vv vv vv
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework
vv vv vv vv vv vv vv vv vv vv vv vv
toguide critical care nursing practice?
vv v vv vv vv vv
a. Evidence-based practice vv
, b. Healthy work environment vv vv
c. National Hospital client Safety Goals vv vv vv vv
d. Nursing process vv
ACCURATE ANSWER: D vv vv
Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice
vv vv vv vv vv vv vv vv vv vv
delineate the nursing process as applied to critically ill hospital clients: collect data,
vv vv vv vv vv vv vv vv vv vv vv vv vv
determine diagnoses, identify expectedoutcomes, develop a plan of care, implement
vv vv vv vv v vv vv vv vv vv vv
interventions, and evaluate care. AACN promotes a healthy work environment, but this is
vv vv vv vv vv vv vv vv vv vv vv vv vv
not included in its standards. The Joint Commission has established National Hospital
vv vv vv vv vv vv vv vv vv vv vv vv
client Safety Goals, but these are not the AACN standards.
vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: vv vv
page. 6OBJ: Describe standards of professional practice for critical care
vv vv v vv vv vv vv vv vv vv vv
nursing.
vv
TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
v v vv vv vv vv vv vv vv vv
7. The charge nursing attendant is responsible for making the hospital client assignments on
vv vv vv vv vv vv vv vv vv vv vv vv
the critical care unit. An experienced, certified nursing attendant is assigned to care for the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
acutely ill hospital client with sepsis who also requires continuous renal replacement
vv vv vv vv vv vv vv vv vv vv vv vv
therapy and mechanical ventilation. The nursing attendant withless than 1 year of
vv vv vv vv vv vv vv vv v vv vv vv vv
experience is assigned to two hospital clients who are more stable. This assignment
vv vv vv vv vv vv vv vv vv vv vv vv vv
reflects implementation of the
vv vv vv vv
a. crew resource management model. vv vv vv
b. National Hospital client Safety Goals. vv vv vv vv
c. Quality and Safety Education for Nursing attendants (QSEN) model.
vv vv vv vv vv vv vv vv
d. synergy model of practice. vv vv vv
ACCUR
ATE
ANSW
vv
ER: D v v
Reasoning :->>This assignment demonstrates nursing care to meet the needs of the
vv vv vv vv vv vv vv vv vv vv vv
hospital client. The synergy model notes that the nursing attendant competencies are
vv vv vv vv vv vv vv vv vv vv vv vv
matched to the hospital client characteristics. Crew resource management concepts are
vv vv vv vv vv vv vv vv vv vv vv
related to team training; National Hospital client Safety Goals arespecified by The Joint
vv vv vv vv vv vv vv vv vv vv v vv vv vv
Commission to promote safe care but do not incorporate the synergy model. The Quality
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and Safety Education for Nursing attendants initiative involves targeted education
vv vv vv vv vv vv vv vv vv vv
ofundergraduate and graduate nursing students on quality and safety concepts.
vv v vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Analyze/Analysis REF: vv vv
page. 6OBJ: Describe standards of professional practice for critical care
vv vv v vv vv vv vv vv vv vv vv
nursing.
vv
TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
v v vv vv vv vv vv vv vv vv
8. The vision of the American Association of Critical-Care Nursing attendants is a health care
vv vv vv vv vv vv vv vv vv vv vv vv vv
system drivenby
vv vv v
a. a healthy work environment.
vv vv vv
b. care from a multiprofessional team under the direction of a critical care physician.
vv vv vv vv vv vv vv vv vv vv vv vv
c. the needs of critically ill hospital clients and families.
vv vv vv vv vv vv vv vv
d. respectful, healing, and humane environments. vv vv vv vv
ACCURATE ANSWER: C vv vv
vv vv vv vv vv
vv CARE NURSING 9TH EDITION BY MARYBETH & LAUREN
vv vv vv vv vv vv vv
,Chapter 01: Overview of Critical Care Nursing
vv vv vv vv vv vv
Sole: Introduction to Critical Care Nursing, 9th Edition
vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. Which of the following professional organizations best supports critical care nursing practice?
vv vv vv vv vv vv vv vv vv vv vv
a. American Association of Critical-Care Nursing attendants vv vv vv vv vv
b. American Heart Association vv vv
c. American Nurses Association vv vv
d. Society of Critical Care Medicine vv vv vv vv
ACCURATE
ANSWER: A
vv vv
Reasoning :->> The American Association of Critical-Care nurses is the specialty
vv vv vv vv vv vv vv vv vv vv
organization that supports and represents critical care nursing attendants. The American
vv vv vv vv vv vv vv vv vv vv vv
Heart Association supports cardiovascular initiatives. The American Nurses Association
vv vv vv vv vv vv vv vv vv
supports all nursing attendants. The Society of Critical CareMedicine represents the
vv vv vv vv vv vv vv vv vv v vv vv
multiprofessional critical care team under the direction of an intensivist.
vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: page. 5 vv vv vv vv
OBJ: Discuss the purposes and functions of the professional organizations that support critical
vv vv vv vv vv vv vv vv vv vv vv vv
carepractice.
vv v TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
v v vv vv vv vv vv vv vv vv
2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
care unit for 2 years and isinterested in certification. Which credential would be most
vv vv vv vv vv vv vv v vv vv vv vv vv vv vv
applicable for the nursing attendant to seek?
vv vv vv vv vv vv vv
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
vv vv
Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
vv vv vv vv vv vv vv vv vv vv
practice who care for critically illhospital clients. The ACNPC-AG certification is for acute
vv vv vv vv vv vv v vv vv vv vv vv vv vv
care nursing attendant practitioners. The CNML is forcritical care nursing attendant
vv vv vv vv vv vv vv vv v vv vv vv
managers or leaders. The PCCN certification is for staff nursing attendants working in
vv vv vv vv vv vv vv vv vv vv vv vv vv
progressive care, intermediate care, or step-down unit settings.
vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 vv vv vv vv v v vv
OBJ: Explain certification options for critical care nursing attendants.TOPIC: Nursing Process
vv vv v v vv vv vv vv vv vv vv v v vv
Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
vv vv v v v vv vv vv vv vv vv vv vv
3. The main purpose of certification is to
vv vv vv vv vv vv
a. assure the consumer that you will not make a mistake.
vv vv vv vv vv vv vv vv vv
b. prepare for graduate school. vv vv vv
c. promote magnet status for your facility. vv vv vv vv vv
d. validate knowledge of critical care nursing. vv vv vv vv vv
ACCURATE ANSWER: D vv vv
, Reasoning :->>Certification assists in validating knowledge of the field, promotes
vv vv vv vv vv vv vv vv vv
excellence in the profession, and helps nursing attendants to maintain their knowledge of
vv vv vv vv vv vv vv vv vv vv vv vv vv
critical care nursing. Certificationhelps to assure the consumer that the nursing attendant
vv vv vv vv v vv vv vv vv vv vv vv vv
has a minimum level of knowledge; however, it does not ensure that care will be mistake-
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
free. Certification does not prepare one for graduate school; however, achieving
vv vv vv vv vv vv vv vv vv vv
certification demonstrates motivation for achievement and professionalism. Magnet
vv vv vv vv vv vv vv vv
facilities are rated on the number of certified nursing attendants; however, that isnot the
vv vv vv vv vv vv vv vv vv vv vv vv vv v vv
purpose of certification.
vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: p. 6 vv vv vv vv v v vv
OBJ: Explain certification options for critical care nursing attendants.TOPIC: Nursing Process
vv vv v v vv vv vv vv vv vv vv v v vv
Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
vv vv v v v vv vv vv vv vv vv vv vv
4. The synergy model of practice focuses on
vv vv vv vv vv vv
a. allowing unrestricted visiting for the hospital client 24 hours a day.
vv vv vv vv vv vv vv vv vv vv
b. holistic and alternative therapies. vv vv vv
c. the needs of hospital clients and their families, which drive nursing competency.
vv vv vv vv vv vv vv vv vv vv vv
d. hospital clients’ needs for energy and support. vv vv vv vv vv vv
ACCURATE ANSWER: C vv vv
Reasoning :->>The synergy model of practice states that the needs of hospital clients
vv vv vv vv vv vv vv vv vv vv vv vv
and families influence and drive competencies of nursing attendants. Nursing practice
vv vv vv vv vv vv vv vv vv vv vv
based on the synergy model would involvetailored visiting to meet the hospital client’s
vv vv vv vv vv vv vv v vv vv vv vv vv vv
and family’s needs and the application of alternative therapies if desired by the hospital
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
client, but that is not the primary focus of the model.
vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: vv vv
page. 6OBJ: Describe standards of professional practice for critical care
vv vv v vv vv vv vv vv vv vv vv
nursing.
vv
TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs CategoN
vv vv ryU: R
SSafIN
eGanTdBE
.CfO
feM
ctive Care Environment
vv vv vv v vv vv vv
5. The family of your critically ill hospital client tells you that they have not spoken with the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
physicianin over 24 hours and that they have some questions they want clarified. During
vv v vv vv vv vv vv vv vv vv vv vv vv vv vv
morning rounds, you convey this concern to the attending intensivist and arrange a
vv vv vv vv vv vv vv vv vv vv vv vv vv
meeting with the family at 4:00 PM. Which competency of critical care nursing does this
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
represent?
vv
a. Advocacy and moral agency in solving ethical issues vv vv vv vv vv vv vv
b. Clinical judgment and clinical reasoning skills vv vv vv vv vv
c. Collaboration with hospital clients, families, and team members vv vv vv vv vv vv vv
d. Facilitation of learning for hospital clients, families, and team members vv vv vv vv vv vv vv vv vv
ACCURATE ANSWER: C vv vv
Reasoning :->>Although one might consider that all of these competencies are
vv vv vv vv vv vv vv vv vv vv
being addressed, communication and collaboration with the family and physician
vv vv vv vv vv vv vv vv vv vv
best exemplify thecompetency of collaboration.
vv vv vv v vv vv
DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 |
vv vv vv vv vv vv vv vv
Box 1-1OBJ: Describe standards of professional practice for critical care nursing.
vv vv v vv vv vv vv vv vv vv vv vv
TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
v v vv vv vv vv vv vv vv vv
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework
vv vv vv vv vv vv vv vv vv vv vv vv
toguide critical care nursing practice?
vv v vv vv vv vv
a. Evidence-based practice vv
, b. Healthy work environment vv vv
c. National Hospital client Safety Goals vv vv vv vv
d. Nursing process vv
ACCURATE ANSWER: D vv vv
Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice
vv vv vv vv vv vv vv vv vv vv
delineate the nursing process as applied to critically ill hospital clients: collect data,
vv vv vv vv vv vv vv vv vv vv vv vv vv
determine diagnoses, identify expectedoutcomes, develop a plan of care, implement
vv vv vv vv v vv vv vv vv vv vv
interventions, and evaluate care. AACN promotes a healthy work environment, but this is
vv vv vv vv vv vv vv vv vv vv vv vv vv
not included in its standards. The Joint Commission has established National Hospital
vv vv vv vv vv vv vv vv vv vv vv vv
client Safety Goals, but these are not the AACN standards.
vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Remember/Knowledge REF: vv vv
page. 6OBJ: Describe standards of professional practice for critical care
vv vv v vv vv vv vv vv vv vv vv
nursing.
vv
TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
v v vv vv vv vv vv vv vv vv
7. The charge nursing attendant is responsible for making the hospital client assignments on
vv vv vv vv vv vv vv vv vv vv vv vv
the critical care unit. An experienced, certified nursing attendant is assigned to care for the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
acutely ill hospital client with sepsis who also requires continuous renal replacement
vv vv vv vv vv vv vv vv vv vv vv vv
therapy and mechanical ventilation. The nursing attendant withless than 1 year of
vv vv vv vv vv vv vv vv v vv vv vv vv
experience is assigned to two hospital clients who are more stable. This assignment
vv vv vv vv vv vv vv vv vv vv vv vv vv
reflects implementation of the
vv vv vv vv
a. crew resource management model. vv vv vv
b. National Hospital client Safety Goals. vv vv vv vv
c. Quality and Safety Education for Nursing attendants (QSEN) model.
vv vv vv vv vv vv vv vv
d. synergy model of practice. vv vv vv
ACCUR
ATE
ANSW
vv
ER: D v v
Reasoning :->>This assignment demonstrates nursing care to meet the needs of the
vv vv vv vv vv vv vv vv vv vv vv
hospital client. The synergy model notes that the nursing attendant competencies are
vv vv vv vv vv vv vv vv vv vv vv vv
matched to the hospital client characteristics. Crew resource management concepts are
vv vv vv vv vv vv vv vv vv vv vv
related to team training; National Hospital client Safety Goals arespecified by The Joint
vv vv vv vv vv vv vv vv vv vv v vv vv vv
Commission to promote safe care but do not incorporate the synergy model. The Quality
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and Safety Education for Nursing attendants initiative involves targeted education
vv vv vv vv vv vv vv vv vv vv
ofundergraduate and graduate nursing students on quality and safety concepts.
vv v vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Analyze/Analysis REF: vv vv
page. 6OBJ: Describe standards of professional practice for critical care
vv vv v vv vv vv vv vv vv vv vv
nursing.
vv
TOPIC: Nursing Process Step: N/A v v vv vv vv
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
v v vv vv vv vv vv vv vv vv
8. The vision of the American Association of Critical-Care Nursing attendants is a health care
vv vv vv vv vv vv vv vv vv vv vv vv vv
system drivenby
vv vv v
a. a healthy work environment.
vv vv vv
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. vv vv vv vv
ACCURATE ANSWER: C vv vv