https://www.stuvia.com/
INTRODUCTION TO CRITICAL CARE
NURSING 8TH EDITION SOLE KLEIN MOSELEY TEST BANk
,https://www.stuvia.com/
Chapter 1: Overview of Critical Care Nursing
Test Bank
MULTIPLE CHOICE
1. Which of the!!following!!professional!!organizations!!best!!supports!!critical!!care!!nursing!!practice?
a. American!!Association!!of!!Critical-Care!!Nurses
b. American!!Heart!!Association
c. American!!Nurses!!Association
d. Society!!of!!Critical!!Care!!Medicine
ANS:! ! A
The!!American!!Association!!of!!Critical-
Care!!Nurses!!is!!the!!specialty!!organization!!that!!supports!!and!!represents!!critical!!care!!nurses.!!
The!!American!!Heart!!Association!!supports!!cardiovascular!!initiatives. !!The!!American!!Nurses!!
Association!!supports!!all!!nurses.!!The!!Society!!of!!Critical!!Care!!Medicine!!represents!!the!!multip
rofessional!!critical!!care!!team!!under!!the!!direction!!of!!an!!intensivist.
DIF: Cognitive!!Level:!!Knowledge REF:! ! ! ! p.!!4
OBJ:! ! Discuss!!the!!purposes!!and!!functions!!of!!the!!professional!!organizations !!that!!support!!critical!!
care!!practice. TOP:! ! Nursing!!Process!!Step:!!N/A
MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
2. A!!nurse!!has!!been!!working!!as!!a!!staff!!nurse!!in!!the!!surgical!!intensive!!care!!unit!!for!!2!!years!!and
is!!interested!!in!!certification.!!Which!!credential!!would!!be!!most!!applicable!!for!!her!!to!!seek?
!!
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:! ! C
The!!CCRN!!certification!!is!!appropriate!!for!!nurses!!in!!bedside!!practice!!who!!care!!for!!critically!!il
l!!patients.!!The!!ACNPC!!certification!!is!!for!!acute!!care!!nurse!!practitioners.!!The!!CCNS!!certifi
cation!!is!!for!!critical!!care!!clinical!!nurse!!specialists.!!The!!PCCN!!certification!!is!!for!!staff!!nurs
es!!working!!in!!progressive!!care,!!intermediate!!care, !!or!!step-down!!unit!!settings.
DIF: Cognitive!!Level:!!Application REF:! ! ! ! p.!!5
OBJ:! ! Explain!!certification!!options!!for!!critical!!care!!nurses.
TOP:! ! Nursing!!Process!!Step:!!N/
A!!MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
3. The!!main!!purpose!!of!!certification!!is!!to:
a. assure!!the!!consumer !!that!!you!!will!!not!!make!!a!!mistake.
b. prepare!!for!!graduate!!school.
c. promote!!magnet!!status!!for!!your!!facility.
d. validate!!knowledge!!of!!critical!!care!!nursing.
ANS:! ! D
,https://www.stuvia.com/
Certification!!assists!!in!!validating!!knowledge!!of!!the!!field,!!promotes!!excellence!!in!!the!!profes
sion, !!and!!helps!!nurses!!to!!maintain!!their!!knowledge!!of!!critical!!care!!nursing.!!Certification!!help
s!!to!!assure!!the!!consumer!!that!!the!!nurse!!has!!a!!minimum!!level!!of!!knowledge;!!however,!!it!!do
es!!not!!ensure!!that!!care!!will!!be!!mistake-
free.!!Certification!!does!!not!!prepare!!one!!for!!graduate!!school;!!however,!!achieving!!certificatio
n!!demonstrates!!motivation!!for!!achievement!!and!!professionalism.!!Magnet!!facilities!!are!!rated!!
on!!the!!number!!of!!certified!!nurses;!!however,!!that!!is!!not!!the!!purpose!!of!!certification.
DIF: Cognitive!!Level:!!Analysis REF:! ! pp.!!4-5
OBJ:! ! Explain!!certification!!options!!for!!critical!!care!!nurses.
TOP:! ! Nursing!!Process!!Step:!!N/
A!!MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
4. The!!synergy!!model!!of!!practice!!focuses!!on:
a. allowing!!unrestricted!!visiting!!for!!the!!patient!!24!!hours!!each!!day.
b. holistic!!and!!alternative!!therapies.
c. needs!!of!!patients!!and!!their!!families,!!which!!drives!!nursing!!competency.
d. patients’!!needs!!for!!energy!!and!!support.
ANS:! ! C
The!!synergy!!model!!of!!practice!!states!!that!!the!!needs!!of!!patients!!and!!families!!influence!!and!!d
rive!!competencies!!of!!nurses.!!Nursing!!practice!!based!!on!!the!!synergy!!model!!would!!involve!!tail
ored!!visiting!!to!!meet!!the!!patient’s!!and!!family’s!!needs!!and!!application!!of!!alternative!!therapi
es!!if!!desired!!by!!the!!patient,!!but!!that!!is!!not!!the!!primary!!focus!!of!!the!!model.
DIF: Cognitive!!Level:!!Application REF:! ! ! ! p.!!5!!|!!Fig.!!1-3
OBJ:! ! ! ! Describe!!standards!!of!!professional!!practice!!for!!critical!!care!!nursing.
TOP:! ! Nursing!!Process!!Step:!!N/A MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
5. The!!family!!of!!your!!critically!!ill!!patient!!tells!!you!!that!!they!!have!!not!!spoken!!with!!the!!physici
an!!in!!over!!24!!hours!!and!!they!!have!!some!!questions!!that!!they!!want!!clarified.!!During!!morni
ng!!rounds,!!you!!convey!!this!!concern!!to!!the!!attending!!intensivist!!and!!arrange!!for!!her!!to!!mee
t!!with!!the!!family!!at!!4:00!!PM!!in!!the!!conference!!room.!!Which!!competency!!of!!critical!!care!!
nursing!!does!!this!!represent?
a. Advocacy!!and!!moral!!agency!!in!!solving!!ethical!!issues
b. Clinical!!judgment!!and!!clinical!!reasoning!!skills
c. Collaboration!!with!!patients,!!families,!!and!!team!!members
d. Facilitation!!of!!learning!!for!!patients,!!families,!!and!!team!!members
ANS:! ! C
Although!!one!!might!!consider!!that!!all!!of!!these!!competencies!!are!!being!!addressed,!!communi
cation!!and!!collaboration!!with!!the!!family!!and!!physician!!best!!exemplify!!the!!competency!!of!!col
laboration.
DIF: Cognitive!!Level:!!Analysis REF:! ! ! ! p.!!9
OBJ:! ! ! ! Describe!!standards!!of!!professional!!practice!!for!!critical!!care!!nursing.
TOP:! ! Nursing!!Process!!Step:!!N/A MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
6. The!!AACN!!Standards!!for!!Acute!!and!!Critical!!Care!!Nursing!!Practice!!use!!what!!framework!!t
o!!guide!!critical!!care!!nursing!!practice?
a. Evidence-based!! practice
b. Healthy!!work!!environment
,https://www.stuvia.com/
c. National!!Patient!!Safety!!Goals
d. Nursing!!process
ANS:! ! D
The!!AACN!!Standards!!for!!Acute!!and!!Critical!!Care!!Nursing!!Practice!!delineate!!the!!nursing!!p
rocess!!as!!applied!!to!!critically!!ill!!patients:!!collect!!data,!!determine!!diagnoses,!!identify!!expected
!!outcomes,!!develop!!a !!plan!!of!!care,!!implement !!interventions, !!and!!evaluate!!care.!!AACN !!pro
motes!!a!!healthy!!work!!environment,!!but!!this!!is!!not!!included!!in!!the!!Standards.!!The!!Joint!!Co
mmission!!has!!established!!National!!Patient!!Safety!!Goals,!!but!!these!!are!!not!!the!!AACN!!Stand
ards.
DIF: Cognitive!!Level:!!Analysis REF:! ! ! ! p.!!5!!|!!Box!!1-2
OBJ:! ! ! ! Describe!!standards!!of!!professional!!practice!!for!!critical!!care!!nursing.
TOP:! ! Nursing!!Process!!Step:!!N/A MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
7. The! ! charge!!nurse!!is!!responsible!!for!!making!!the!!patient!!assignments!!on!!the!!critical!!care!!u
nit.!!She!!assigns!!the!!experienced,!!certified!!nurse!!to!!care!!for!!the!!acutely!!ill!!patient!!with!!sepsi
s!!who!!also!!requires!!continuous!!renal!!replacement!!therapy!!and!!mechanical!!ventilation.!!She
!!assigns!!the!!nurse!!with!!less!!than!!1!!year!!of!!experience!!to !!two !!patients!!who !!are!!more!!stabl
e.!!This!!assignment!!reflects!!implementation!!of!!the:
a. crew!!resource!!management!!model
b. National!!Patient!!Safety!!Goals
c. Quality!!and!!Safety!!Education!!for!!Nurses!!(QSEN)!!model
d. synergy!!model!!of!!practice
ANS:! ! D
This!!assignment!!demonstrates!!nursing!!care!!to!!meet!!the!!needs!!of!!the!!patient.!!The!!synergy!!
model!!notes!!that!!the!!nurse!!competencies!!are!!matched!!to!!the!!patient!!characteristics.!!Crew!!re
source!!management!!concepts!!related!!to!!team!!training,!!National!!Patient!!Safety!!Goals!!are!!sp
ecified!!by!!The!!Joint!!Commission!!to!!promote!!safe!!care!!but!!do!!not!!incorporate!!the!!synergy!!
model. !!The!!Quality!!and!!Safety!!Education!!for!!Nurses!!initiative!!involves!!targeted!!education!!to!
!undergraduate!!and!!graduate!!nursing!!students!!to !!learn!!quality!!and !!safety!!concepts.
DIF: Cognitive!!Level:!!Analysis REF:! ! ! ! p.!!5!!|!!Fig.!!1-3
OBJ:! ! ! ! Describe!!standards!!of!!professional!!practice!!for!!critical!!care!!nursing.
TOP:! ! Nursing!!Process!!Step:!!N/A MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
8. The!!vision!!of!!the!!American!!Association!!of!!Critical-
Care!!Nurses!!is!!a!!healthcare!!system!!driven!!by:
a. a!!healthy!!work!!environment.
b. care!!from!!a!!multiprofessional!!team!!under!!the!!direction!!of!!a!!critical!!care!!physician.
c. the!!needs!!of!!critically!!ill!!patients!!and!!families.
d. respectful,!!healing,!!and!!humane!!environments.
ANS:! ! C
The!!AACN!!vision!!is!!a!!healthcare!!system!!driven!!by!!the!!needs!!of!!critically!!ill!!patients!!and!!fa
milies!!where!!critical!!care!!nurses!!make!!their!!optimum!!contributions.!!AACN!!promotes!!initiat
ives!!to!!support!!a!!healthy!!work!!environment!!as!!well!!as!!respectful!!and!!healing!!environments,
!!but !!that !!is!!not !!the!!organization’s!!vision.!!The !!SCCM!!promotes!!care!!from!!a!!multiprofessional!
!team!!under!!the!!direction!!of!!a!!critical!!care!!physician.
DIF: Cognitive!!Level:!!Knowledge REF:! ! ! ! p.!!4
INTRODUCTION TO CRITICAL CARE
NURSING 8TH EDITION SOLE KLEIN MOSELEY TEST BANk
,https://www.stuvia.com/
Chapter 1: Overview of Critical Care Nursing
Test Bank
MULTIPLE CHOICE
1. Which of the!!following!!professional!!organizations!!best!!supports!!critical!!care!!nursing!!practice?
a. American!!Association!!of!!Critical-Care!!Nurses
b. American!!Heart!!Association
c. American!!Nurses!!Association
d. Society!!of!!Critical!!Care!!Medicine
ANS:! ! A
The!!American!!Association!!of!!Critical-
Care!!Nurses!!is!!the!!specialty!!organization!!that!!supports!!and!!represents!!critical!!care!!nurses.!!
The!!American!!Heart!!Association!!supports!!cardiovascular!!initiatives. !!The!!American!!Nurses!!
Association!!supports!!all!!nurses.!!The!!Society!!of!!Critical!!Care!!Medicine!!represents!!the!!multip
rofessional!!critical!!care!!team!!under!!the!!direction!!of!!an!!intensivist.
DIF: Cognitive!!Level:!!Knowledge REF:! ! ! ! p.!!4
OBJ:! ! Discuss!!the!!purposes!!and!!functions!!of!!the!!professional!!organizations !!that!!support!!critical!!
care!!practice. TOP:! ! Nursing!!Process!!Step:!!N/A
MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
2. A!!nurse!!has!!been!!working!!as!!a!!staff!!nurse!!in!!the!!surgical!!intensive!!care!!unit!!for!!2!!years!!and
is!!interested!!in!!certification.!!Which!!credential!!would!!be!!most!!applicable!!for!!her!!to!!seek?
!!
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:! ! C
The!!CCRN!!certification!!is!!appropriate!!for!!nurses!!in!!bedside!!practice!!who!!care!!for!!critically!!il
l!!patients.!!The!!ACNPC!!certification!!is!!for!!acute!!care!!nurse!!practitioners.!!The!!CCNS!!certifi
cation!!is!!for!!critical!!care!!clinical!!nurse!!specialists.!!The!!PCCN!!certification!!is!!for!!staff!!nurs
es!!working!!in!!progressive!!care,!!intermediate!!care, !!or!!step-down!!unit!!settings.
DIF: Cognitive!!Level:!!Application REF:! ! ! ! p.!!5
OBJ:! ! Explain!!certification!!options!!for!!critical!!care!!nurses.
TOP:! ! Nursing!!Process!!Step:!!N/
A!!MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
3. The!!main!!purpose!!of!!certification!!is!!to:
a. assure!!the!!consumer !!that!!you!!will!!not!!make!!a!!mistake.
b. prepare!!for!!graduate!!school.
c. promote!!magnet!!status!!for!!your!!facility.
d. validate!!knowledge!!of!!critical!!care!!nursing.
ANS:! ! D
,https://www.stuvia.com/
Certification!!assists!!in!!validating!!knowledge!!of!!the!!field,!!promotes!!excellence!!in!!the!!profes
sion, !!and!!helps!!nurses!!to!!maintain!!their!!knowledge!!of!!critical!!care!!nursing.!!Certification!!help
s!!to!!assure!!the!!consumer!!that!!the!!nurse!!has!!a!!minimum!!level!!of!!knowledge;!!however,!!it!!do
es!!not!!ensure!!that!!care!!will!!be!!mistake-
free.!!Certification!!does!!not!!prepare!!one!!for!!graduate!!school;!!however,!!achieving!!certificatio
n!!demonstrates!!motivation!!for!!achievement!!and!!professionalism.!!Magnet!!facilities!!are!!rated!!
on!!the!!number!!of!!certified!!nurses;!!however,!!that!!is!!not!!the!!purpose!!of!!certification.
DIF: Cognitive!!Level:!!Analysis REF:! ! pp.!!4-5
OBJ:! ! Explain!!certification!!options!!for!!critical!!care!!nurses.
TOP:! ! Nursing!!Process!!Step:!!N/
A!!MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
4. The!!synergy!!model!!of!!practice!!focuses!!on:
a. allowing!!unrestricted!!visiting!!for!!the!!patient!!24!!hours!!each!!day.
b. holistic!!and!!alternative!!therapies.
c. needs!!of!!patients!!and!!their!!families,!!which!!drives!!nursing!!competency.
d. patients’!!needs!!for!!energy!!and!!support.
ANS:! ! C
The!!synergy!!model!!of!!practice!!states!!that!!the!!needs!!of!!patients!!and!!families!!influence!!and!!d
rive!!competencies!!of!!nurses.!!Nursing!!practice!!based!!on!!the!!synergy!!model!!would!!involve!!tail
ored!!visiting!!to!!meet!!the!!patient’s!!and!!family’s!!needs!!and!!application!!of!!alternative!!therapi
es!!if!!desired!!by!!the!!patient,!!but!!that!!is!!not!!the!!primary!!focus!!of!!the!!model.
DIF: Cognitive!!Level:!!Application REF:! ! ! ! p.!!5!!|!!Fig.!!1-3
OBJ:! ! ! ! Describe!!standards!!of!!professional!!practice!!for!!critical!!care!!nursing.
TOP:! ! Nursing!!Process!!Step:!!N/A MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
5. The!!family!!of!!your!!critically!!ill!!patient!!tells!!you!!that!!they!!have!!not!!spoken!!with!!the!!physici
an!!in!!over!!24!!hours!!and!!they!!have!!some!!questions!!that!!they!!want!!clarified.!!During!!morni
ng!!rounds,!!you!!convey!!this!!concern!!to!!the!!attending!!intensivist!!and!!arrange!!for!!her!!to!!mee
t!!with!!the!!family!!at!!4:00!!PM!!in!!the!!conference!!room.!!Which!!competency!!of!!critical!!care!!
nursing!!does!!this!!represent?
a. Advocacy!!and!!moral!!agency!!in!!solving!!ethical!!issues
b. Clinical!!judgment!!and!!clinical!!reasoning!!skills
c. Collaboration!!with!!patients,!!families,!!and!!team!!members
d. Facilitation!!of!!learning!!for!!patients,!!families,!!and!!team!!members
ANS:! ! C
Although!!one!!might!!consider!!that!!all!!of!!these!!competencies!!are!!being!!addressed,!!communi
cation!!and!!collaboration!!with!!the!!family!!and!!physician!!best!!exemplify!!the!!competency!!of!!col
laboration.
DIF: Cognitive!!Level:!!Analysis REF:! ! ! ! p.!!9
OBJ:! ! ! ! Describe!!standards!!of!!professional!!practice!!for!!critical!!care!!nursing.
TOP:! ! Nursing!!Process!!Step:!!N/A MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
6. The!!AACN!!Standards!!for!!Acute!!and!!Critical!!Care!!Nursing!!Practice!!use!!what!!framework!!t
o!!guide!!critical!!care!!nursing!!practice?
a. Evidence-based!! practice
b. Healthy!!work!!environment
,https://www.stuvia.com/
c. National!!Patient!!Safety!!Goals
d. Nursing!!process
ANS:! ! D
The!!AACN!!Standards!!for!!Acute!!and!!Critical!!Care!!Nursing!!Practice!!delineate!!the!!nursing!!p
rocess!!as!!applied!!to!!critically!!ill!!patients:!!collect!!data,!!determine!!diagnoses,!!identify!!expected
!!outcomes,!!develop!!a !!plan!!of!!care,!!implement !!interventions, !!and!!evaluate!!care.!!AACN !!pro
motes!!a!!healthy!!work!!environment,!!but!!this!!is!!not!!included!!in!!the!!Standards.!!The!!Joint!!Co
mmission!!has!!established!!National!!Patient!!Safety!!Goals,!!but!!these!!are!!not!!the!!AACN!!Stand
ards.
DIF: Cognitive!!Level:!!Analysis REF:! ! ! ! p.!!5!!|!!Box!!1-2
OBJ:! ! ! ! Describe!!standards!!of!!professional!!practice!!for!!critical!!care!!nursing.
TOP:! ! Nursing!!Process!!Step:!!N/A MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
7. The! ! charge!!nurse!!is!!responsible!!for!!making!!the!!patient!!assignments!!on!!the!!critical!!care!!u
nit.!!She!!assigns!!the!!experienced,!!certified!!nurse!!to!!care!!for!!the!!acutely!!ill!!patient!!with!!sepsi
s!!who!!also!!requires!!continuous!!renal!!replacement!!therapy!!and!!mechanical!!ventilation.!!She
!!assigns!!the!!nurse!!with!!less!!than!!1!!year!!of!!experience!!to !!two !!patients!!who !!are!!more!!stabl
e.!!This!!assignment!!reflects!!implementation!!of!!the:
a. crew!!resource!!management!!model
b. National!!Patient!!Safety!!Goals
c. Quality!!and!!Safety!!Education!!for!!Nurses!!(QSEN)!!model
d. synergy!!model!!of!!practice
ANS:! ! D
This!!assignment!!demonstrates!!nursing!!care!!to!!meet!!the!!needs!!of!!the!!patient.!!The!!synergy!!
model!!notes!!that!!the!!nurse!!competencies!!are!!matched!!to!!the!!patient!!characteristics.!!Crew!!re
source!!management!!concepts!!related!!to!!team!!training,!!National!!Patient!!Safety!!Goals!!are!!sp
ecified!!by!!The!!Joint!!Commission!!to!!promote!!safe!!care!!but!!do!!not!!incorporate!!the!!synergy!!
model. !!The!!Quality!!and!!Safety!!Education!!for!!Nurses!!initiative!!involves!!targeted!!education!!to!
!undergraduate!!and!!graduate!!nursing!!students!!to !!learn!!quality!!and !!safety!!concepts.
DIF: Cognitive!!Level:!!Analysis REF:! ! ! ! p.!!5!!|!!Fig.!!1-3
OBJ:! ! ! ! Describe!!standards!!of!!professional!!practice!!for!!critical!!care!!nursing.
TOP:! ! Nursing!!Process!!Step:!!N/A MSC:! ! NCLEX:!!Safe!!and!!Effective!!Care!!Environment
8. The!!vision!!of!!the!!American!!Association!!of!!Critical-
Care!!Nurses!!is!!a!!healthcare!!system!!driven!!by:
a. a!!healthy!!work!!environment.
b. care!!from!!a!!multiprofessional!!team!!under!!the!!direction!!of!!a!!critical!!care!!physician.
c. the!!needs!!of!!critically!!ill!!patients!!and!!families.
d. respectful,!!healing,!!and!!humane!!environments.
ANS:! ! C
The!!AACN!!vision!!is!!a!!healthcare!!system!!driven!!by!!the!!needs!!of!!critically!!ill!!patients!!and!!fa
milies!!where!!critical!!care!!nurses!!make!!their!!optimum!!contributions.!!AACN!!promotes!!initiat
ives!!to!!support!!a!!healthy!!work!!environment!!as!!well!!as!!respectful!!and!!healing!!environments,
!!but !!that !!is!!not !!the!!organization’s!!vision.!!The !!SCCM!!promotes!!care!!from!!a!!multiprofessional!
!team!!under!!the!!direction!!of!!a!!critical!!care!!physician.
DIF: Cognitive!!Level:!!Knowledge REF:! ! ! ! p.!!4
