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 — High-Level MCQs (10 Items)
Question 1
A newly admitted ICU patient is rapidly deteriorating. The nurse
notes fragmented communication among team members
contributing to delayed interventions. Which action best
reflects the standard of skilled communication?
A. Document all findings at the end of the shift
B. Use structured, clear communication to convey urgent
patient data immediately
C. Wait for the physician to request updates before reporting
D. Communicate only abnormal findings during rounds
Correct Answer: B
Rationale:
Skilled communication requires timely, clear, accurate
exchange of critical information to prevent deterioration.
A: Delayed documentation risks missed interventions.
C: Waiting delays care.
D: Selective communication may omit crucial trends.
Source: Morton & Thurman, Ch. 1
Question 2
An ICU nurse identifies early signs of sepsis but hesitates to
escalate care due to hierarchical barriers. Which healthy work
environment standard is most directly compromised?
, A. Appropriate staffing
B. True collaboration
C. Meaningful recognition
D. Authentic leadership
Correct Answer: B
Rationale:
True collaboration requires open communication and mutual
respect among team members to act on clinical concerns.
A: Staffing relates to workload, not communication barriers.
C: Recognition does not affect escalation.
D: Leadership influences culture but collaboration is directly
impacted.
Source: Morton & Thurman, Ch. 1
Question 3
A nurse evaluates a research study before applying findings to
practice. Which principle reflects evidence-based practice
(EBP)?
A. Applying interventions based on personal experience only
B. Using the highest level of evidence combined with clinical
expertise
C. Following unit traditions without questioning
D. Implementing new interventions without evaluation
Correct Answer: B