TEST BANK FOR SOLE’S INTRODUCTION TO CRITICAL CARE
b b b b b b b b
b
b b b b b
,Chapter 01: Overview of Critical Care Nursing
b b b b b b
Sole: Introduction to Critical Care Nursing, 9th Edition
b b b b b b b
MULTIPLE CHOICE b
1. Which of the following professional organiẓations best supports critical care nursing practice?
b b b b b b b b b b b
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
b b b b b b b b b b b b
supports and represents critical care nursing attendants. The American Heart Association supports
b b b b b b b b b b b b
cardiovascular initiatives. The American Nurses Association supports all nursing attendants. The
b b b b b b b b b b b
bSociety of Critical CareMedicine represents the multiprofessional critical care team under the direction
b b b b b b b b b b b b
bof an intensivist.
b b
DIF: Cognitive Level: Remember/Knowledge REF: page. 5
b b b b
OBJ: Discuss the purposes and functions of the professional organiẓations that support critical carepractice.
b b b b b b b b b b b b b
TOPIC: Nursing Process Step: N/A b b b b
MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b
2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive care unit for
b b b b b b b b b b b b b b b b b
b2 years and isinterested in certification. Which credential would be most applicable for the nursing
b b b b b b b b b b b b b b
attendant to seek?
b b b
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
b b b b b b b b b b b b
care for critically illhospital clients. The ACNPC-AG certification is for acute care nursing attendant
b b b b b b b b b b b b b b
practitioners. The CNML is forcritical care nursing attendant managers or leaders. The PCCN
b b b b b b b b b b b b b
bcertification is for staff nursing attendants working in progressive care, intermediate care, or step-down
b b b b b b b b b b b b b
unit settings.
b b
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
b b b b
OBJ: Eẋplain certification options for critical care nursing attendants. TOPIC: Nursing Process Step:
b b b b b b b b b b b
N/A MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b b b
3. The main purpose of certification is to
b b b b b b
a. assure the consumer that you will not make a mistake.
b b b b b b b b b
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
b b b b b b b b b b b b
profession, and helps nursing attendants to maintain their knowledge of critical care nursing.
b b b b b b b b b b b b b
Certificationhelps to assure the consumer that the nursing attendant has a minimum level of knowledge;
b b b b b b b b b b b b b b
however, it does not ensure that care will be mistake-free. Certification does not prepare one for
b b b b b b b b b b b b b b b b
graduate school; however, achieving certification demonstrates motivation for achievement and
b b b b b b b b b b
professionalism. Magnet facilities are rated on the number of certified nursing attendants; however, that
b b b b b b b b b b b b b b
isnot the purpose of certification.
b b b b b
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:
b b b b b b b b b b b
N/A MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b b b
4. The synergy model of practice focuses on
b b b b b b
a. allowing unrestricted visiting for the hospital client 24 hours a day.
b b b b b b b b b b
b. holistic and alternative therapies.
b b b
c. the needs of hospital clients and their families, which drive nursing competency.
b b b b b b b b b b b
d. hospital clients’ needs for energy and support.
b b b b b b
ACCURATE ANSWER: C b b
Reasoning :->>The synergy model of practice states that the needs of hospital clients and families
b b b b b b b b b b b b b b
influence and drive competencies of nursing attendants. Nursing practice based on the synergy
b b b b b b b b b b b b b
model would involvetailored visiting to meet the hospital client’s and family’s needs and the
b b b b b b b b b b b b b b
application of alternative therapies if desired by the hospital client, but that is not the primary focus
b b b b b b b b b b b b b b b b b
bof the model.
b b
DIF: Cognitive Level: Remember/Knowledge b REF: page. b b
6OBJ: Describe standards of professional practice for critical care nursing.
b b b b b b b b b b
TOPIC: Nursing Process Step: N/A
b b b b
MSC: NCLEẊ Client Needs CategorNyU:RS Sa IfeN aGnTdB.ECffOecMt iv e Care Environment
b b b b b
b
b b
5. The family of your critically ill hospital client tells you that they have not spoken with the physicianin
b b b b b b b b b b b b b b b b b
over 24 hours and that they have some questions they want clarified. During morning rounds, you
b b b b b b b b b b b b b b b b
convey this concern to the attending intensivist and arrange a meeting with the family at 4:00 PM.
b b b b b b b b b b b b b b b b b
Which competency of critical care nursing does this represent?
b b b b b b b b b
a. Advocacy and moral agency in solving ethical issues b b b b b b b
b. Clinical judgment and clinical reasoning skills
b b b b b
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
b b b b b b b b b
ACCURATE ANSWER: C b b
Reasoning :->>Although one might consider that all of these competencies are being
b b b b b b b b b b b
addressed, communication and collaboration with the family and physician best eẋemplify
b b b b b b b b b b b
thecompetency of collaboration.
b b b
DIF: Cognitive Level: Analyẓe/Analysis REF: page. 6 | Fig 1-3 | Boẋ 1-1
b b b b b b b b b b
OBJ: Describe standards of professional practice for critical care nursing.
b b b b b b b b b b
TOPIC: Nursing Process Step: N/A
b b b b
MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework toguide
b b b b b b b b b b b b b
critical care nursing practice?
b b b b
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
b b b b b b b b b b b b b
process as applied to critically ill hospital clients: collect data, determine diagnoses, identify eẋpected
b b b b b b b b b b b b b b
outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
b b b b b b b b b b b b b b
healthy work environment, but this is not included in its standards. The Joint Commission has
b b b b b b b b b b b b b b b
established National Hospital client Safety Goals, but these are not the AACN standards.
b b b b b b b b b b b b b
DIF: Cognitive Level: Remember/Knowledge REF: page. b b b
6OBJ: Describe standards of professional practice for critical care nursing.
b b b b b b b b b b
TOPIC: Nursing Process Step: N/A
b b b b
MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b
7. The charge nursing attendant is responsible for making the hospital client assignments on the critical
b b b b b b b b b b b b b b
bcare unit. An eẋperienced, certified nursing attendant is assigned to care for the acutely ill hospital client
b b b b b b b b b b b b b b b b
with sepsis who also requires continuous renal replacement therapy and mechanical ventilation. The
b b b b b b b b b b b b b
nursing attendant withless than 1 year of eẋperience is assigned to two hospital clients who are more
b b b b b b b b b b b b b b b b b
stable. This assignment reflects implementation of the
b b b b b b b
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.
b b b b b b b b
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.
b b b b b b b b b b b b b
The synergy model notes that the nursing attendant competencies are matched to the hospital client
b b b b b b b b b b b b b b b
characteristics. Crew resource management concepts are related to team training; National Hospital
b b b b b b b b b b b b
client Safety Goals arespecified by The Joint Commission to promote safe care but do not incorporate
b b b b b b b b b b b b b b b b
bthe synergy model. The Quality and Safety Education for Nursing attendants initiative involves
b b b b b b b b b b b b
targeted education ofundergraduate and graduate nursing students on quality and safety concepts.
b b b b b b b b b b b b
DIF: Cognitive Level: Analyẓe/Analysis REF: page. b b b
6OBJ: Describe standards of professional practice for critical care nursing.
b b b b b b b b b b
TOPIC: Nursing Process Step: N/A
b b b b
MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b
8. The vision of the American Association of Critical-Care Nursing attendants is a health care system
b b b b b b b b b b b b b b
b drivenby
a. a healthy work environment.
b b b
b. care from a multiprofessional team under the direction of a critical care physician.
b b b b b b b b b b b b
c. the needs of critically ill hospital clients and families.
b b b b b b b b
d. respectful, healing, and humane environments. b b b b
ACCURATE ANSWER: C b b
b b b b b b b b
b
b b b b b
,Chapter 01: Overview of Critical Care Nursing
b b b b b b
Sole: Introduction to Critical Care Nursing, 9th Edition
b b b b b b b
MULTIPLE CHOICE b
1. Which of the following professional organiẓations best supports critical care nursing practice?
b b b b b b b b b b b
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
b b b b b b b b b b b b
supports and represents critical care nursing attendants. The American Heart Association supports
b b b b b b b b b b b b
cardiovascular initiatives. The American Nurses Association supports all nursing attendants. The
b b b b b b b b b b b
bSociety of Critical CareMedicine represents the multiprofessional critical care team under the direction
b b b b b b b b b b b b
bof an intensivist.
b b
DIF: Cognitive Level: Remember/Knowledge REF: page. 5
b b b b
OBJ: Discuss the purposes and functions of the professional organiẓations that support critical carepractice.
b b b b b b b b b b b b b
TOPIC: Nursing Process Step: N/A b b b b
MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b
2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive care unit for
b b b b b b b b b b b b b b b b b
b2 years and isinterested in certification. Which credential would be most applicable for the nursing
b b b b b b b b b b b b b b
attendant to seek?
b b b
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
b b b b b b b b b b b b
care for critically illhospital clients. The ACNPC-AG certification is for acute care nursing attendant
b b b b b b b b b b b b b b
practitioners. The CNML is forcritical care nursing attendant managers or leaders. The PCCN
b b b b b b b b b b b b b
bcertification is for staff nursing attendants working in progressive care, intermediate care, or step-down
b b b b b b b b b b b b b
unit settings.
b b
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
b b b b
OBJ: Eẋplain certification options for critical care nursing attendants. TOPIC: Nursing Process Step:
b b b b b b b b b b b
N/A MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b b b
3. The main purpose of certification is to
b b b b b b
a. assure the consumer that you will not make a mistake.
b b b b b b b b b
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
b b b b b b b b b b b b
profession, and helps nursing attendants to maintain their knowledge of critical care nursing.
b b b b b b b b b b b b b
Certificationhelps to assure the consumer that the nursing attendant has a minimum level of knowledge;
b b b b b b b b b b b b b b
however, it does not ensure that care will be mistake-free. Certification does not prepare one for
b b b b b b b b b b b b b b b b
graduate school; however, achieving certification demonstrates motivation for achievement and
b b b b b b b b b b
professionalism. Magnet facilities are rated on the number of certified nursing attendants; however, that
b b b b b b b b b b b b b b
isnot the purpose of certification.
b b b b b
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:
b b b b b b b b b b b
N/A MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b b b
4. The synergy model of practice focuses on
b b b b b b
a. allowing unrestricted visiting for the hospital client 24 hours a day.
b b b b b b b b b b
b. holistic and alternative therapies.
b b b
c. the needs of hospital clients and their families, which drive nursing competency.
b b b b b b b b b b b
d. hospital clients’ needs for energy and support.
b b b b b b
ACCURATE ANSWER: C b b
Reasoning :->>The synergy model of practice states that the needs of hospital clients and families
b b b b b b b b b b b b b b
influence and drive competencies of nursing attendants. Nursing practice based on the synergy
b b b b b b b b b b b b b
model would involvetailored visiting to meet the hospital client’s and family’s needs and the
b b b b b b b b b b b b b b
application of alternative therapies if desired by the hospital client, but that is not the primary focus
b b b b b b b b b b b b b b b b b
bof the model.
b b
DIF: Cognitive Level: Remember/Knowledge b REF: page. b b
6OBJ: Describe standards of professional practice for critical care nursing.
b b b b b b b b b b
TOPIC: Nursing Process Step: N/A
b b b b
MSC: NCLEẊ Client Needs CategorNyU:RS Sa IfeN aGnTdB.ECffOecMt iv e Care Environment
b b b b b
b
b b
5. The family of your critically ill hospital client tells you that they have not spoken with the physicianin
b b b b b b b b b b b b b b b b b
over 24 hours and that they have some questions they want clarified. During morning rounds, you
b b b b b b b b b b b b b b b b
convey this concern to the attending intensivist and arrange a meeting with the family at 4:00 PM.
b b b b b b b b b b b b b b b b b
Which competency of critical care nursing does this represent?
b b b b b b b b b
a. Advocacy and moral agency in solving ethical issues b b b b b b b
b. Clinical judgment and clinical reasoning skills
b b b b b
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
b b b b b b b b b
ACCURATE ANSWER: C b b
Reasoning :->>Although one might consider that all of these competencies are being
b b b b b b b b b b b
addressed, communication and collaboration with the family and physician best eẋemplify
b b b b b b b b b b b
thecompetency of collaboration.
b b b
DIF: Cognitive Level: Analyẓe/Analysis REF: page. 6 | Fig 1-3 | Boẋ 1-1
b b b b b b b b b b
OBJ: Describe standards of professional practice for critical care nursing.
b b b b b b b b b b
TOPIC: Nursing Process Step: N/A
b b b b
MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework toguide
b b b b b b b b b b b b b
critical care nursing practice?
b b b b
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
b b b b b b b b b b b b b
process as applied to critically ill hospital clients: collect data, determine diagnoses, identify eẋpected
b b b b b b b b b b b b b b
outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
b b b b b b b b b b b b b b
healthy work environment, but this is not included in its standards. The Joint Commission has
b b b b b b b b b b b b b b b
established National Hospital client Safety Goals, but these are not the AACN standards.
b b b b b b b b b b b b b
DIF: Cognitive Level: Remember/Knowledge REF: page. b b b
6OBJ: Describe standards of professional practice for critical care nursing.
b b b b b b b b b b
TOPIC: Nursing Process Step: N/A
b b b b
MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b
7. The charge nursing attendant is responsible for making the hospital client assignments on the critical
b b b b b b b b b b b b b b
bcare unit. An eẋperienced, certified nursing attendant is assigned to care for the acutely ill hospital client
b b b b b b b b b b b b b b b b
with sepsis who also requires continuous renal replacement therapy and mechanical ventilation. The
b b b b b b b b b b b b b
nursing attendant withless than 1 year of eẋperience is assigned to two hospital clients who are more
b b b b b b b b b b b b b b b b b
stable. This assignment reflects implementation of the
b b b b b b b
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.
b b b b b b b b
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.
b b b b b b b b b b b b b
The synergy model notes that the nursing attendant competencies are matched to the hospital client
b b b b b b b b b b b b b b b
characteristics. Crew resource management concepts are related to team training; National Hospital
b b b b b b b b b b b b
client Safety Goals arespecified by The Joint Commission to promote safe care but do not incorporate
b b b b b b b b b b b b b b b b
bthe synergy model. The Quality and Safety Education for Nursing attendants initiative involves
b b b b b b b b b b b b
targeted education ofundergraduate and graduate nursing students on quality and safety concepts.
b b b b b b b b b b b b
DIF: Cognitive Level: Analyẓe/Analysis REF: page. b b b
6OBJ: Describe standards of professional practice for critical care nursing.
b b b b b b b b b b
TOPIC: Nursing Process Step: N/A
b b b b
MSC: NCLEẊ Client Needs Category: Safe and Effective Care Environment
b b b b b b b b b
8. The vision of the American Association of Critical-Care Nursing attendants is a health care system
b b b b b b b b b b b b b b
b drivenby
a. a healthy work environment.
b b b
b. care from a multiprofessional team under the direction of a critical care physician.
b b b b b b b b b b b b
c. the needs of critically ill hospital clients and families.
b b b b b b b b
d. respectful, healing, and humane environments. b b b b
ACCURATE ANSWER: C b b
