Critical Care Nursing
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
1. Foundations of Critical Care
2. Special Populations
3. Special Situations
4. Cardiovascular System
,5. Respiratory System
6. Renal System
7. Nervous System
8. Gastrointestinal System
9. Endocrine System
• Key Disorders:
10. Hematologic & Immune
11. Integumentary System
12. Multisystem & Emergencies
CORE PRIORITIES (ALWAYS REMEMBER)
• ABCs: Airway, Breathing, Circulation
• Early recognition + rapid intervention
• Holistic care: patient + family
• Interprofessional collaboration
• Patient safety & ethical practice
,Question 1
An ICU nurse notes that team communication during handoff is
inconsistent, leading to missed clinical information and delayed
interventions. Which action best reflects improvement aligned
with a healthy work environment?
A. Document thoroughly in the electronic record
B. Implement structured communication tools during handoff
C. Increase staffing during shift change
D. Delegate handoff responsibility to charge nurse
Correct Answer: B
Rationale:
Structured communication improves clarity, reduces errors, and
enhances patient safety. Documentation alone does not ensure
real-time understanding. Staffing changes do not directly
address communication breakdown. Delegation does not solve
inconsistency.
Source: Morton & Thurman, Ch. 1
Question 2
A nurse identifies a gap between current ICU practice and
research-supported interventions. What is the priority step in
applying evidence-based practice (EBP)?
A. Immediately change the unit protocol
B. Identify and appraise the available evidence
, C. Discuss concerns with patients and families
D. Implement changes based on peer opinion
Correct Answer: B
Rationale:
EBP requires systematic evaluation of evidence before
implementation. Immediate change without appraisal risks
unsafe practice. Peer opinion lacks reliability. Patient discussion
occurs after evidence-informed decisions.
Source: Morton & Thurman, Ch. 1
Question 3
An ICU patient deteriorates, and the nurse hesitates to
question a physician’s order despite concerns. Which healthy
work environment standard is most directly compromised?
A. Appropriate staffing
B. Skilled communication
C. Meaningful recognition
D. Authentic leadership
Correct Answer: B
Rationale:
Skilled communication includes assertiveness and advocacy.
Hesitation compromises patient safety. Staffing and recognition
are unrelated to speaking up. Leadership supports but does not
replace communication responsibility.
Source: Morton & Thurman, Ch. 1
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
1. Foundations of Critical Care
2. Special Populations
3. Special Situations
4. Cardiovascular System
,5. Respiratory System
6. Renal System
7. Nervous System
8. Gastrointestinal System
9. Endocrine System
• Key Disorders:
10. Hematologic & Immune
11. Integumentary System
12. Multisystem & Emergencies
CORE PRIORITIES (ALWAYS REMEMBER)
• ABCs: Airway, Breathing, Circulation
• Early recognition + rapid intervention
• Holistic care: patient + family
• Interprofessional collaboration
• Patient safety & ethical practice
,Question 1
An ICU nurse notes that team communication during handoff is
inconsistent, leading to missed clinical information and delayed
interventions. Which action best reflects improvement aligned
with a healthy work environment?
A. Document thoroughly in the electronic record
B. Implement structured communication tools during handoff
C. Increase staffing during shift change
D. Delegate handoff responsibility to charge nurse
Correct Answer: B
Rationale:
Structured communication improves clarity, reduces errors, and
enhances patient safety. Documentation alone does not ensure
real-time understanding. Staffing changes do not directly
address communication breakdown. Delegation does not solve
inconsistency.
Source: Morton & Thurman, Ch. 1
Question 2
A nurse identifies a gap between current ICU practice and
research-supported interventions. What is the priority step in
applying evidence-based practice (EBP)?
A. Immediately change the unit protocol
B. Identify and appraise the available evidence
, C. Discuss concerns with patients and families
D. Implement changes based on peer opinion
Correct Answer: B
Rationale:
EBP requires systematic evaluation of evidence before
implementation. Immediate change without appraisal risks
unsafe practice. Peer opinion lacks reliability. Patient discussion
occurs after evidence-informed decisions.
Source: Morton & Thurman, Ch. 1
Question 3
An ICU patient deteriorates, and the nurse hesitates to
question a physician’s order despite concerns. Which healthy
work environment standard is most directly compromised?
A. Appropriate staffing
B. Skilled communication
C. Meaningful recognition
D. Authentic leadership
Correct Answer: B
Rationale:
Skilled communication includes assertiveness and advocacy.
Hesitation compromises patient safety. Staffing and recognition
are unrelated to speaking up. Leadership supports but does not
replace communication responsibility.
Source: Morton & Thurman, Ch. 1
