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Edition) by Sole| New 2026
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CH 01: Overview of Critical Care Nursing
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MULTIPLE CHOICE x
1. Which of the following professional organizations best supports critical care nursing practice?
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a. American Association of Critical-Care nursing attendants
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b. American Heart Association x x
c. American Nurses Association x x
d. Society of Critical Care Medicine
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ACCURATE ANSWER:-A x
Reasoning:->>>The American Association of Critical-Care nursing attendants is the specialty
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organization that supports and represents critical care nursing attendants. The American Heart Association
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supports cardiovascular initiatives. The American Nurses Association supports all nursing attendants. The
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Society of Critical Care Medicine represents the multi professional critical care team under the direction
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xof an intensivist.
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DIFFICULT: Cognitive Level: Knowledge REF: p. 4 x x x x x x
OBJECTIVE: Discuss the purposes and functions of the professional organizations that support critical care
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practice.TOPIC:Nursing Process Step: N/A
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MSC: NCLEX: Safe and Effective Care Environment
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2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive care
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unit for 2 years and is interested in certification. Which credential would be most applicable
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xfor her to seek?
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a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ACCURATE ANSWER:-C x
Reasoning:->>>The CCRN certification is appropriate for nursing attendants in bedside practice
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xwho care for critically ill hospital patients. The ACNPC certification is for acute care nursing attendant
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practitioners. The CCNS certification is for critical care clinical nursing attendant specialists. The PCCN
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certification is for staff nursing attendants working in progressive care, intermediate care, orstep-down
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xunit settings.
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DIFFICULT: Cognitive Level: Application REF: p. 5 x x x x x x
OBJECTIVE: Explain certification options for critical care nursing attendants.TOPIC:Nursing
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Process Step: N/A MSC: NCLEX: 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.
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b. prepare for graduate school. x x x
c. promote magnet status for your facility. x x x x x
d. validate knowledge of critical care nursing.x x x x x
ACCURATE ANSWER:-D x
Reasoning:->>>Certification assists in validating knowledge of the field, promotes excellence in x x x x x x x x x x
xthe profession, and helps nursing attendants to maintain their knowledge of critical care nursing.
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Certification helps to assure the consumer that the nursing attendant has a minimum level of knowledge;
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however, it does not ensure that care will be mistake-free.
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Certification does not prepare one for graduate school; however, achieving certification demonstrates
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motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nursing
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attendants; however, that is not the purpose of certification.
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DIFFICULT: Cognitive Level: Analysis REF: pp. 4-5
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OBJECTIVE: Explain certification options for critical care nursing attendants.TOPIC:Nursing
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Process Step: N/A MSC: NCLEX: 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 hospital patient 24 hours each day.
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b. holistic and alternative therapies. x x x
c. needs of hospital patients and their families, which drives nursing competency.
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d. hospital patients needs for energy and support.
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ACCURATE ANSWER:-C x
Reasoning:->>>The synergy model of practice states that the needs of hospital patients and families
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influence and drive competencies of nursing attendants. Nursing practice based on the synergy model would
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involve tailored visiting to meet the hospital patients and family’s needs and application of alternative
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therapies if desired by the hospital patient, but that is not the primary focus of the model.
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DIFFICULT: Cognitive Level: Application REF: p. 5 | Fig. 1-3
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OBJECTIVE: Describe standards of professional practice for critical care nursing.
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x TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care
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Environment
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5. The family of your critically ill hospital patient tells you that they have not spoken with the
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xphysician in over 24 hours and they have some questions that they want clarified. During morning rounds,
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you convey this concern to the attending intensivist and arrange for her to meet with the family at
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x4:00 PM in the conference room. Which competency of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues
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b. Clinical judgment and clinical reasoning skills
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c. Collaboration with hospital patients, families, and team members
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d. Facilitation of learning for hospital patients, families, and team
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members ACCURATE ANSWER:-C
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Reasoning:->>>Although one might consider that all of these competencies are being addressed, x x x x x x x x x x x
communication and collaboration with the family and physician best exemplify the competency of
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collaboration.
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DIFFICULT: Cognitive Level: Analysis REF: p. 9
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OBJECTIVE: Describe standards of professional practice for critical care nursing.
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x TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care
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Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
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critical care nursing practice?
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a. Evidence-based practice x
b. Healthy work environment x x
c. National Hospital patient Safety Goals
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d. Nursing process x
ACCURATE ANSWER:-D x
Reasoning:->>>The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
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process as applied tocritically ill hospital patients: collect data, determine diagnoses, identify expected
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outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
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xhealthy work environment, but this is not included in the Standards. The Joint Commission has
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established National Hospital patient Safety Goals, but these are not the AACN Standards.
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DIFFICULT: Cognitive Level: Analysis REF: p. 5 | Box 1-2
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OBJECTIVE: Describe standards of professional practice for critical care nursing.
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x TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care
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Environment
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7. The charge nursing attendant is responsible for making the hospital patient assignments on the critical
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care unit. She assigns the experienced, certified nursing attendant to care for the acutely ill hospital
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patient with sepsis who also requires continuous renal replacement therapy and mechanical ventilation.
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She assigns the nursing attendant with less than 1 year of experience to two hospital patients who are
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xmore stable. This assignment reflects implementation of the:
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