n n n n n
iagnosis and Management 9th Edition
n n n n n
Linda D. Urden, Kathleen M. Stacy Chapt
n n n n n n
er 1-41 n n
n
n
n
n
n
n
n
Chapter 01: Critical Care Nursing Practice
n n n n n n
Urden: Critical Care Nursing, 9th Edition
n n n n n n n
,n
n
MULTIPLEnCHOICEn
n
1. DuringnWorldnWarnII,nwhatntypesnofnwardsnwerendevelopedntoncarenforncriticallyninjurednpat
ients?n
a. Intensivencaren
b. Triagen
c. Shockn
d. Postoperativen
ANS:nnCn
DuringnWorldnWarnII,nshocknwardsnwerenestablishedntoncarenforncriticallyninjurednpatients.nTri
agenwardsnestablishnthenorderninnwhichnanpatientnisnseennorntreatednuponnarrivalntonanhospital.nP
ostoperativenwardsnwerendevelopedninn1900nandnlaternevolvednintonintensivencarenunits.n
n
PTS:n 1n DIF:n CognitivenLevel:nRememberingn REF:np.n2n
OBJ:n NursingnProcessnStep:nN/An
TOP:nCriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvir
onmentn
n
2. Whatntypenofnpractitionernhasnanbroadndepthnofnspecialtynknowledgenandnexpertisenandnman
agesncomplexnclinicalnandnsystemnissues?na.nRegisterednnursesn
b. Advancednpracticennursesnnn
c. Clinicalnnursenleadersn
d. Intensivistsn
ANS:nnBn
Advancednpracticennursesn(APNs)nhavenanbroadndepthnofnknowledgenandnexpertiseninntheirnspe
cialtynareanandnmanagencomplexnclinicalnandnsystemsnissues.nIntensivistsnarenmedicalnpractitio
nersnwhonmanagenthencriticalnillnpatient.nRegisterednnursesn(RNs)narengenerallyndirectncarenpro
viders.nClinicalnnursenleadersn(CNLs)ngenerallyndonnotnmanagensystemnissues.n
n
PTS:n 1n DIF:n CognitivenLevel:nRememberingn REF:np.n5n
OBJ:n NursingnProcessnStep:nN/An
TOP:nCriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvir
onmentn
n
3. Whatntypenofnpractitionernisninstrumentalninnensuringncarenthatnisnevidencenbasednandnthatns
afetynprogramsnareninnplace?na.nClinicalnnursenspecialistn
b. Advancednpracticennursen
c. Registerednnursesn
d. Nursenpractitionersn
ANS:nAn
1n|nPnangn
Clinicalnnursenspecialistsn(CNSs)nserveninnspecialtynrolesnthatnusentheirnclinical,nteaching,nrese
arch,nleadership,nandnconsultativenabilities.nTheynareninstrumentalninnensuringnthatncarenisnevid
encenbasednandnthatnsafetynprogramsnareninnplace.nAdvancednpracticennursesn(APNs)nhavenanbr
oadndepthnofnknowledgenandnexpertiseninntheirnspecialtynareanandnmanagencomplexnclinicalnan
n en
,n
dnsystemsnissues.nRegisterednnursesnarengenerallyndirectncarenproviders.nNursenpractitionersn(
NPs)nmanagendirectnclinicalncarenofngroupsnofnpatients.n
n
PTS:n 1n DIF:n CognitivenLevel:nRememberingn REF:np.n6n
OBJ:n NursingnProcessnStep:nN/An
TOP:nCriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvir
onmentn
n
4. Whichnprofessionalnorganizationnadministersncriticalncarencertificationnexamsnfornregistere
dnnurses?n
a. StatenBoardnofnRegisterednNursesn
b. NationalnAssociationnofnClinicalnNursenSpecialistn
c. SocietynofnCriticalnCarenMedicinen
d. AmericannAssociationnofnCritical-CarenNursesn
ANS:nnDn
AmericannAssociationnofnCritical-
CarenNursesn(AACN)nadministersncertificationnexamsnfornregisterednnurses.nThenStatenBoardn
ofnRegisterednNursesn(SBON)ndoesnnotnadministerncertificationnexams.nNationalnAssociationn
ofnClinicalnNursenSpecialistsn(NACNS)ndoesnnotnadministerncertificationnexams.nSocietynofnC
riticalnCarenMedicinen(SCCM)ndoesnnotnadministernnursingncertificationnexamsnfornregisteredn
nurses.n
n
PTS:n n1n DIF:n CognitivenLevel:nRememberingn REF:np.n7n
OBJ:nNursingnProcessnStep:nNW/WAW.TBSMT.OWPS:nCriticalnCarenNursingnPracticen
MSC:nNCLEX:nSafenandnEffectivenCarenEnvironmentn
n
5. Emphasisnisnonnhumannintegritynandnstressesnthentheorynthatnthenbody,nmind,nandnspiritnareni
nterdependentnandninseparable.nThisnstatementndescribesnwhichnmethodologynofncare?na.nH
olisticncaren
b. Individualizedncaren
c. Culturalncaren
d. Interdisciplinaryncaren
ANS:nnAn
Holisticncarenfocusesnonnhumannintegritynandnstressesnthatnthenbody,nmind,nandnspiritnareninterd
ependentnandninseparable.nIndividualizedncarenrecognizesnthenuniquenessnofneachnpatient’snpr
eferences,ncondition,nandnphysiologicnandnpsychosocialnstatus.nCulturalndiversityninnhealthncar
enisnnotnannewntopic,nbutnitnisngainingnemphasisnandnimportancenasnthenworldnbecomesnmorenac
cessiblentonallnasnthenresultnofnincreasingntechnologiesnandninterfacesnwithnplacesnandnpeoples.n
Interdisciplinaryncarenisncarenamongnanvarietynofnhealthncarenprofessionalsnwithnthenpatient’snh
ealthnasnthencommonngoal.n
n
PTS:n n1n DIF:n CognitivenLevel:nRememberingn REF:np.n12n
OBJ:n NursingnProcessnStep:nN/An TOP:nCriticalnCarenNursingnPracticen
MSC:nNCLEX:nSafenandnEffectivenCarenEnvironmentn
n 2n|nPnangnen
, n
6. ThenAmericannAssociationnofnCritical-
CarenNursesn(AACN)nhasndevelopednshortndirectivesnthatncannbenusednasnquicknreferencesnfo
rnclinicalnusenthatnarenknownnasna.nCriticalnCarenProtocol.n
b. PracticenPolicies.n
c. Evidence-BasednResearch.n
d. PracticenAlerts.n
ANS:nnDn
ThenAmericannAssociationnofnCritical-
CarenNursesn(AACN)nhasnpromulgatednseveralnevidence-
basednpracticensummariesninnthenformnofn“PracticenAlerts.”nEvidence-
basednnursingnpracticenconsidersnthenbestnresearchnevidencenonnthencarentopicnalongnwithnclini
calnexpertisenofnthennursenandnpatientnpreferences.nCriticalncarenprotocolnandnpracticenpoliciesn
arenestablishednbynindividualninstitutions.n
n
PTS:n 1n DIF:n CognitivenLevel:nRememberingn REF:np.n9n
OBJ:n NursingnProcessnStep:nN/An
TOP:nCriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvir
onmentn
n
7. Whatntypenofntherapynisnannoptionntonconventionalntreatment?n
a. Alternativen
b. Holisticn
c. Complementaryn
d. Individualizedn
ANS:nnAn
Thentermnalternativendenotesnthatnanspecificntherapynisnannoptionnornalternativentonwhatnisnconsi
derednconventionalntreatmnenntnonfnanconditionnornstate.nThentermncomplementarynwasn
WWW.TBSM.WSnproposedntondescribentherapiesnthatncannb
enusedntoncomplementnornsupportnconventionalntreatments.nHolisticncarenfocusesnonnhumanni
ntegritynandnstressesnthatnthenbody,nmind,nandnspiritnareninterdependentnandninseparable.nIndi
vidualizedncarenrecognizesnthenuniquenessnofneachnpatient’snpreferences,ncondition,nandnphy
siologicnandnpsychosocialnstatus.n
n
PTS:n 1n DIF:n CognitivenLevel:nRememberingn REF:np.n16n
OBJ:n NursingnProcessnStep:nN/An
TOP:nCriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvir
onmentn
8.nPrayer,nguidednimagery,nandnmassagenarenallnexamplesnofnwhatntypenofntreatment?na.n
Alternativentherapyn
b. Holisticncaren
c. Complementaryncaren
d. Individualizedncaren
ANS:nCn
Thentermncomplementarynwasnproposedntondescribentherapiesnthatncannbenusedntoncomplementn
ornsupportnconventionalntreatments.nSpirituality,nprayer,nguidednimagery,nmassage,nandnanima
l-
assistedntherapynarenallnexamplesnofncomplementaryncare.nThentermnalternativendenotesnthatnan
specificntherapynisnannoptionnornalternativentonwhatnisnconsiderednconventionalntreatmentnofnanc
onditionnornstate.nHolisticncarenfocusesnonnhumannintegritynandnstressesnthatnthenbody,nmind,na
n 3n|nPnangnen