Diagnosis and Management 9th Edition
Linda D. Urden, Kathleen M. Stacy
Chapter 1-41
,Chapter901:9Critical9Care9Nursing9Practice9Urd
en:9Critical9Care9Nursing,99th9Edition
MULTIPLE9CHOICE
1. During9World9War9II,9what9types9of9wards9were9developed9to9care9for9critically9inju
red9patients?
a. Intensive9care
b. Triage
c. Shock
d. Postoperative
ANS:9 C
During9World9War9II,9shock9wards9were9established9to9care9for9critically9injured9patients.
9Triage9wards9establish9the9order9in9which9a9patient9is9seen9or9treated9upon9arrival9to9a9h
ospital.9Postoperative9wards9were9developed9in919009and9later9evolved9into9intensive9care9
units.
PTS: 1 DIF: Cognitive9Level:9Remembering REF:
p.929OBJ: Nursing9Process9Step:9N/A TOP:
Critical9Care9Nursing9Practice9MSC:9 NCLEX:9Safe9and9Effective9Care9
Environment
2. What9type9of9practitioner9has9a9broad9depth9of9specialty9knowledge9and9expertise9a
nd9manages9complex9clinical9and9system9issues?
a. Registered9nurses
b. Advanced9practice9nurses
c. Clinical9nurse9leaders
d. Intensivists
ANS:9 B
Advanced9practice9nurses9(APNs)9have9a9broad9depth9of9knowledge9and9expertise9in9their9s
pecialty9area9and9manage9complex9clinical9and9systems9issues.9Intensivists9are9medical9prac
titioners9who9manage9the9critical9ill9patient.9Registered9nurses9(RNs)9are9generally9direct9car
e9providers.9Clinical9nurse9leaders9(CNLs)9generally9do9not9manage9system9issues.
PTS: 1 DIF: Cognitive9Level:9Remembering REF:
p.959OBJ: Nursing9Process9Step:9N/A TOP:
Critical9Care9Nursing9Practice9MSC:9 NCLEX:9Safe9and9Effective9Care9
Environment
3. What9type9of9practitioner9is9instrumental9in9ensuring9care9that9is9evidence9based9and9t
hat9safety9programs9are9in9place?
a. Clinical9nurse9specialist
b. Advanced9practice9nurse
c. Registered9nurses
d. Nurse9practitioner
s9ANS:9 A
19|9P9a9g9
e
, Clinical9nurse9specialists9(CNSs)9serve9in9specialty9roles9that9use9their9clinical,9teaching,9
research,9leadership,9and9consultative9abilities.9They9are9instrumental9in9ensuring9that9care
9is9evidence9based9and9that9safety9programs9are9in9place.9Advanced9practice9nurses9(APN
s)9have9a9broad9depth9of9knowledge9and9expertise9in9their9specialty9area9and9manage9co
mplex9clinical9and9systems9issues.9Registered9nurses9are9generally9direct9care9providers.9
Nurse9practitioners9(NPs)9manage9direct9clinical9care9of9groups9of9patients.
PTS: 1 DIF: Cognitive9Level:9Remembering REF:
p.969OBJ: Nursing9Process9Step:9N/A TOP:
Critical9Care9Nursing9Practice9MSC:9 NCLEX:9Safe9and9Effective9Care9
Environment
4. Which9professional9organization9administers9critical9care9certification9exams9for9register
ed9nurses?
a. State9Board9of9Registered9Nurses
b. National9Association9of9Clinical9Nurse9Specialist
c. Society9of9Critical9Care9Medicine
d. American9Association9of9Critical-Care9Nurses
ANS:9 D
American9Association9of9Critical-
Care9Nurses9(AACN)9administers9certification9exams9for9registered9nurses.9The9State9Boa
rd9of9Registered9Nurses9(SBON)9does9not9administer9certification9exams.9National9Associ
ation9of9Clinical9Nurse9Specialists9(NACNS)9does9not9administer9certification9exams.9Soc
iety9of9Critical9Care9Medicine9(SCCM)9does9not9administer9nursing9certification9exams9f
or9registered9nurses.
PTS: 1 DIF: Cognitive9Level:9Remembering REF:
p.979OBJ:
Nursing9Process9Step:9NW/ W
AW.TBS9M T. OW PS: 9 Critical9Care9Nursing9Practic
e9MSC:9 NCLEX:9Safe9and9Effective9Care9Environment
5. Emphasis9is9on9human9integrity9and9stresses9the9theory9that9the9body,9mind,9and9spirit9
are9interdependent9and9inseparable.9This9statement9describes9which9methodology9of9ca
re?
a. Holistic9care
b. Individualized9care
c. Cultural9care
d. Interdisciplinary9care
ANS:9 A
Holistic9care9focuses9on9human9integrity9and9stresses9that9the9body,9mind,9and9spirit9are9i
nterdependent9and9inseparable.9Individualized9care9recognizes9the9uniqueness9of9each9pati
ent’s9preferences,9condition,9and9physiologic9and9psychosocial9status.9Cultural9diversity9in
9health9care9is9not9a9new9topic,9but9it9is9gaining9emphasis9and9importance9as9the9world9b
ecomes9more9accessible9to9all9as9the9result9of9increasing9technologies9and9interfaces9with
9places9and9peoples.9Interdisciplinary9care9is9care9among9a9variety9of9health9care9professi
onals9with9the9patient’s9health9as9the9common9goal.
PTS: 1 DIF: Cognitive9Level:9Remembering REF:
p.9129OBJ: Nursing9Process9Step:9N/A TOP:
Critical9Care9Nursing9Practice9MSC:9 NCLEX:9Safe9and9Effective9Care9
Environment
29|9P9a9g9
e
, 6. The9American9Association9of9Critical-
Care9Nurses9(AACN)9has9developed9short9directives9that9can9be9used9as9quick9reference
s9for9clinical9use9that9are9known9as
a. Critical9Care9Protocol.
b. Practice9Policies.
c. Evidence-Based9Research.
d. Practice9Alerts.
ANS:9 D
The9American9Association9of9Critical-
Care9Nurses9(AACN)9has9promulgated9several9evidence-
based9practice9summaries9in9the9form9of9“Practice9Alerts.”9Evidence-
based9nursing9practice9considers9the9best9research9evidence9on9the9care9topic9along9with9c
linical9expertise9of9the9nurse9and9patient9preferences.9Critical9care9protocol9and9practice9p
olicies9are9established9by9individual9institutions.
PTS: 1 DIF: Cognitive9Level:9Remembering REF:
p.999OBJ: Nursing9Process9Step:9N/A TOP:
Critical9Care9Nursing9Practice9MSC:9 NCLEX:9Safe9and9Effective9Care9
Environment
7. What9type9of9therapy9is9an9option9to9conventional9treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:9 A
The9term9alternative9denotes9that9a9specific9therapy9is9an9option9or9alternative9to9what9is
considered9conventional9t9reat9mWe9nWt Wo .f 9 aTcBoSnM
di.
tioWnSor9state.9The9term9complementary9was9pro
posed9to9describe9therapies9that9can9be9used9to9complement9or9support9conventional9treatme
nts.9Holistic9care9focuses9on9human9integrity9and9stresses9that9the9body,9mind,9and
spirit9are9interdependent9and9inseparable.9Individualized9care9recognizes9the9uniqueness9of
9each9patient’s9preferences,9condition,9and9physiologic9and9psychosocial9status.
PTS: 1 DIF: Cognitive9Level:9Remembering REF:
p.9169OBJ: Nursing9Process9Step:9N/A TOP:
Critical9Care9Nursing9Practice9MSC:9 NCLEX:9Safe9and9Effective9Care9
Environment
8. Prayer,9guided9imagery,9and9massage9are9all9examples9of9what9type9of9treatment?
a. Alternative9therapy
b. Holistic9care
c. Complementary9care
d. Individualized9car
e9ANS:9 C
39|9P9a9g9
e