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
,Section A — 10 High-Level MCQs
Question 1
A critically ill patient’s condition is rapidly deteriorating. The
nurse uses a holistic approach to guide care. Which action best
reflects this approach?
A. Focus on stabilizing only the patient’s vital signs
B. Address physiologic instability while also supporting family
coping
C. Delegate all psychosocial concerns to social services
D. Prioritize physician-directed interventions only
Correct Answer: B
Rationale:
Holistic critical care nursing integrates physiologic,
psychological, and family-centered care. Addressing both
instability and family needs reflects this model.
A: Too narrow—ignores psychosocial aspects.
C: Abdicates nursing responsibility.
D: Undermines independent nursing judgment.
Source: Morton & Thurman, Ch. 1
Question 2
A nurse identifies conflicting information between current
, practice and new evidence-based guidelines. What is the most
appropriate initial action?
A. Continue current practice until policy changes
B. Immediately change practice independently
C. Critically appraise the evidence for validity and applicability
D. Report the discrepancy to administration only
Correct Answer: C
Rationale:
EBP requires evaluation of evidence before implementation.
Critical appraisal ensures safe, applicable practice.
A: Delays improvement.
B: Unsafe without evaluation.
D: Does not address clinical decision-making.
Source: Morton & Thurman, Ch. 1
Question 3
A nurse notes poor communication during shift handoff leading
to missed care. Which healthy work environment standard is
most directly compromised?
A. Appropriate staffing
B. Skilled communication
C. Authentic leadership
D. Meaningful recognition
Correct Answer: B