,Sole's Introduction to Critical Care Nursing 9th Edition
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1 Overview of Critical Care Nursing
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2 Patient and Family Response to the Critical Care Experience
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3 Ethical and Legal Issues in Critical Care Nursing
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4 Palliative and End-of-Life Care
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5 Organ Donation
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6 Comfort and Sedation
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7 Nutritional Therapy ap
8 Dysrhythmia Interpretation and Management
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9 Hemodynamic Monitoring ap
10 Ventilatory Assistance ap
11 Rapid Response Teams and Code Management
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12 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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13 Cardiovascular Alterations ap
14 Nervous System Alterations
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15 Acute Respiratory Failure
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16 Acute Kidney Injury
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17 Hematological and Immune Disorders ap ap ap
18 Gastrointestinal Alterations ap
19 Endocrine Alterations ap
20 Trauma and Surgical Management
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21 Burns
,Chapter 01: Overview of Critical Care Nursing
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Sole’s Introduction to Critical Care Nursing 9th Edition
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MULTIPLE CHOICE ap
1. Which of the following professional organizations best supports critical care nursing
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practice?
a. American Association of Critical-Care Nurses ap ap ap ap
b. American Heart Association ap ap
c. American Nurses Association ap ap
d. Society of Critical Care Medicine ap ap ap ap
ANS: A a p
Rationale: The American Association of Critical- ap ap ap ap ap
Care Nurses is the specialty organization that supports and represents critical care nurse
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s. The American Heart Association supports cardiovascular initiatives. The American N
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urses Association supports all nurses. The Society of Critical Care Medicine represents
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the multiprofessional critical care team under the direction of an intensivist.
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DIF: Cognitive Level: Remember/Knowledge ap ap
OBJ: Discuss the purposes and functions of the professional organizations that support critical
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care practice.
ap TOP: Nursing Process Step: N/A
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MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years a
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nd is interested in certification. Which credential would be most applicable for the nur
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se to seek? ap ap
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C a p
Rationale:The CCRN certification is appropriate for nurses in bedside practice who carap ap ap ap ap ap ap ap ap ap ap
e for critically ill patients. The ACNPC-
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AG certification is for acute care nurse practitioners. The CNML is for critical care nurs
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e managers or leaders. The PCCN certification is for staff nurses working in progressive
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care, intermediate care, or step-down unit settings.
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DIF: Cognitive Level: Remember/Knowledge ap ap
OBJ: Explain certification options for critical care nurses.
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TOP: Nursing Process Step a p ap ap
: N/Aap
MSC: NCLEX 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. ap ap ap ap ap ap ap ap ap
b. prepare for graduate school. ap ap ap
c. promote magnet status for your facility. ap ap ap ap ap
d. validate knowledge of critical care nursing. ap ap ap ap ap
, ANS: D a p
Rationale:Certification assists in validating knowledge of the field, promotes excellenc ap ap ap ap ap ap ap ap ap
e in the profession, and helps nurses to maintain their knowledge of critical care nursing
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.
Certification helps to assure the consumer that the nurse has a minimum level of knowle
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dge; however, it does not ensure that care will be mistake-
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free. Certification does not prepare one for graduate school; however, achieving certifica
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tion demonstrates motivation for achievement and professionalism. Magnet facilities are
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rated on the number of certified nurses; however, that is not the purpose of certification.
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
DIF: Cognitive Level: Remember/Knowledge ap ap
OBJ: Explain certification options for critical care nurses.
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TOP: Nursing Process Step a p ap ap
: N/A
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MSC: NCLEX 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 patient 24 hours a day. ap ap ap ap ap ap ap ap ap
b. holistic and alternative therapies. ap ap ap
c. the needs of patients and their families, which drive nursing competency.
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d. patients’ needs for energy and support. ap ap ap ap ap
ANS: C a p
Rationale:The synergy model of practice states that the needs of patients and families i
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nfluence and drive competencies of nurses. Nursing practice based on the synergy mode
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l would involve tailored visiting to meet the patient’s and family’s needs and the applicat
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
ion of alternative therapies if desired by the patient, but that is not the primary focus of t
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he model. ap
DIF: Cognitive Level: Remember/Knowledge ap ap
OBJ: Describe standards of professional practice for critical care nursing. TO
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P: Nursing Process Step: N/A
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MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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5. The family of your critically ill patient tells you that they have not spoken with the physi
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cian in over 24 hours and that they have some questions they want clarified. During mor
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ning rounds, you convey this concern to the attending intensivist and arrange a meeting w
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ith the family at 4:00 PM. Which competency of critical care nursing does this represent
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?
a. Advocacy and moral agency in solving ethical issues ap ap ap ap ap ap ap
b. Clinical judgment and clinical reasoning skills ap ap ap ap ap
c. Collaboration with patients, families, and team members ap ap ap ap ap ap
d. Facilitation of learning for patients, families, and team members ap ap ap ap ap ap ap ap
ANS: C a p
Rationale:Although one might consider that all of these competencies are being addres ap ap ap ap ap ap ap ap ap ap ap
sed, communication and collaboration with the family and physician best exemplify the
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competency of collaboration. ap ap
DIF: Cognitive Level: Analyze/Analysis ap ap
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1 Overview of Critical Care Nursing
ap ap ap ap
2 Patient and Family Response to the Critical Care Experience
ap ap ap ap ap ap ap ap
3 Ethical and Legal Issues in Critical Care Nursing
ap ap ap ap ap ap ap
4 Palliative and End-of-Life Care
ap ap ap
5 Organ Donation
ap
6 Comfort and Sedation
ap ap
7 Nutritional Therapy ap
8 Dysrhythmia Interpretation and Management
ap ap ap
9 Hemodynamic Monitoring ap
10 Ventilatory Assistance ap
11 Rapid Response Teams and Code Management
ap ap ap ap ap
12 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
ap ap ap ap ap ap
13 Cardiovascular Alterations ap
14 Nervous System Alterations
ap ap
15 Acute Respiratory Failure
ap ap
16 Acute Kidney Injury
ap ap
17 Hematological and Immune Disorders ap ap ap
18 Gastrointestinal Alterations ap
19 Endocrine Alterations ap
20 Trauma and Surgical Management
ap ap ap
21 Burns
,Chapter 01: Overview of Critical Care Nursing
ap ap ap ap ap ap
Sole’s Introduction to Critical Care Nursing 9th Edition
ap ap ap ap ap ap ap
MULTIPLE CHOICE ap
1. Which of the following professional organizations best supports critical care nursing
ap ap ap ap ap ap ap ap ap ap ap
practice?
a. American Association of Critical-Care Nurses ap ap ap ap
b. American Heart Association ap ap
c. American Nurses Association ap ap
d. Society of Critical Care Medicine ap ap ap ap
ANS: A a p
Rationale: The American Association of Critical- ap ap ap ap ap
Care Nurses is the specialty organization that supports and represents critical care nurse
ap ap ap ap ap ap ap ap ap ap ap ap
s. The American Heart Association supports cardiovascular initiatives. The American N
ap ap ap ap ap ap ap ap ap ap
urses Association supports all nurses. The Society of Critical Care Medicine represents
ap ap ap ap ap ap ap ap ap ap ap ap
the multiprofessional critical care team under the direction of an intensivist.
ap ap ap ap ap ap ap ap ap ap
DIF: Cognitive Level: Remember/Knowledge ap ap
OBJ: Discuss the purposes and functions of the professional organizations that support critical
a p ap ap ap ap ap ap ap ap ap ap ap
care practice.
ap TOP: Nursing Process Step: N/A
ap a p ap ap ap
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
a p ap ap ap ap ap ap ap ap
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years a
ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap
nd is interested in certification. Which credential would be most applicable for the nur
ap ap ap ap ap ap ap ap ap ap ap ap ap
se to seek? ap ap
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ANS: C a p
Rationale:The CCRN certification is appropriate for nurses in bedside practice who carap ap ap ap ap ap ap ap ap ap ap
e for critically ill patients. The ACNPC-
ap ap ap ap ap ap
AG certification is for acute care nurse practitioners. The CNML is for critical care nurs
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
e managers or leaders. The PCCN certification is for staff nurses working in progressive
ap ap ap ap ap ap ap ap ap ap ap ap ap
care, intermediate care, or step-down unit settings.
ap ap ap ap ap ap ap
DIF: Cognitive Level: Remember/Knowledge ap ap
OBJ: Explain certification options for critical care nurses.
a p ap ap ap ap ap ap
TOP: Nursing Process Step a p ap ap
: N/Aap
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
a p ap ap ap ap ap ap ap ap
3. The main purpose of certification is to
ap ap ap ap ap ap
a. assure the consumer that you will not make a mistake. ap ap ap ap ap ap ap ap ap
b. prepare for graduate school. ap ap ap
c. promote magnet status for your facility. ap ap ap ap ap
d. validate knowledge of critical care nursing. ap ap ap ap ap
, ANS: D a p
Rationale:Certification assists in validating knowledge of the field, promotes excellenc ap ap ap ap ap ap ap ap ap
e in the profession, and helps nurses to maintain their knowledge of critical care nursing
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
.
Certification helps to assure the consumer that the nurse has a minimum level of knowle
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
dge; however, it does not ensure that care will be mistake-
ap ap ap ap ap ap ap ap ap ap
free. Certification does not prepare one for graduate school; however, achieving certifica
ap ap ap ap ap ap ap ap ap ap ap
tion demonstrates motivation for achievement and professionalism. Magnet facilities are
ap ap ap ap ap ap ap ap ap ap
rated on the number of certified nurses; however, that is not the purpose of certification.
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
DIF: Cognitive Level: Remember/Knowledge ap ap
OBJ: Explain certification options for critical care nurses.
a p ap ap ap ap ap ap
TOP: Nursing Process Step a p ap ap
: N/A
ap
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
a p ap ap ap ap ap ap ap ap
4. The synergy model of practice focuses on
ap ap ap ap ap ap
a. allowing unrestricted visiting for the patient 24 hours a day. ap ap ap ap ap ap ap ap ap
b. holistic and alternative therapies. ap ap ap
c. the needs of patients and their families, which drive nursing competency.
ap ap ap ap ap ap ap ap ap ap
d. patients’ needs for energy and support. ap ap ap ap ap
ANS: C a p
Rationale:The synergy model of practice states that the needs of patients and families i
ap ap ap ap ap ap ap ap ap ap ap ap ap
nfluence and drive competencies of nurses. Nursing practice based on the synergy mode
ap ap ap ap ap ap ap ap ap ap ap ap
l would involve tailored visiting to meet the patient’s and family’s needs and the applicat
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
ion of alternative therapies if desired by the patient, but that is not the primary focus of t
ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap
he model. ap
DIF: Cognitive Level: Remember/Knowledge ap ap
OBJ: Describe standards of professional practice for critical care nursing. TO
a p ap ap ap ap ap ap ap ap ap
P: Nursing Process Step: N/A
a p ap ap ap
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
a p ap ap ap ap ap ap ap ap
5. The family of your critically ill patient tells you that they have not spoken with the physi
ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap ap
cian in over 24 hours and that they have some questions they want clarified. During mor
ap ap ap ap ap ap ap ap ap ap ap ap ap a p ap
ning rounds, you convey this concern to the attending intensivist and arrange a meeting w
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
ith the family at 4:00 PM. Which competency of critical care nursing does this represent
ap ap ap ap ap ap ap ap ap ap ap ap ap ap
?
a. Advocacy and moral agency in solving ethical issues ap ap ap ap ap ap ap
b. Clinical judgment and clinical reasoning skills ap ap ap ap ap
c. Collaboration with patients, families, and team members ap ap ap ap ap ap
d. Facilitation of learning for patients, families, and team members ap ap ap ap ap ap ap ap
ANS: C a p
Rationale:Although one might consider that all of these competencies are being addres ap ap ap ap ap ap ap ap ap ap ap
sed, communication and collaboration with the family and physician best exemplify the
ap ap ap ap ap ap ap ap ap ap ap ap
competency of collaboration. ap ap
DIF: Cognitive Level: Analyze/Analysis ap ap