Critical Care Nursing
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Question 1:
Question Type: MCQ
Question Stem:
A newly hired critical care nurse asks why modern intensive
care units were developed. Which response by the preceptor is
most accurate?
Options:
A. To provide long-term rehabilitation services for patients with
chronic illness
B. To centralize the care of critically ill patients requiring
,advanced monitoring and interventions
C. To reduce the need for physician involvement in patient care
D. To replace medical-surgical units in acute care hospitals
Correct Answer: B
Rationale for A:
Rehabilitation services focus on recovery and restoration of
function, not the primary purpose of intensive care units.
Critical care units are designed for acute, life-threatening
conditions requiring intensive monitoring.
Rationale for B:
Critical care units evolved to provide concentrated resources,
specialized personnel, and advanced technology for patients
with actual or potential life-threatening conditions requiring
continuous assessment and intervention.
Rationale for C:
Critical care promotes interprofessional collaboration rather
than reducing physician involvement. Care is delivered by a
multidisciplinary team.
Rationale for D:
Medical-surgical units remain essential for less acute patients.
Critical care units complement rather than replace these units.
Key Takeaway:
Modern critical care developed to support complex monitoring
and interventions for critically ill patients.
Question 2:
,Question Type: MCQ
Question Stem:
Which nursing action best demonstrates patient-centered care
in the intensive care unit?
Options:
A. Prioritizing unit routines over patient preferences
B. Including the patient and family in care planning whenever
possible
C. Restricting communication to clinical information only
D. Discouraging family participation during rounds
Correct Answer: B
Rationale for A:
Patient-centered care emphasizes individual needs and
preferences rather than strict adherence to routines.
Rationale for B:
Patient-centered care recognizes patients and families as
partners in decision-making and care planning.
Rationale for C:
Effective care includes emotional, psychosocial, and
educational communication, not only clinical information.
Rationale for D:
Family involvement often improves understanding, satisfaction,
and continuity of care.
, Key Takeaway:
Patient-centered care incorporates patient and family values
into clinical decision-making.
Question 3:
Question Type: MCQ
Question Stem:
A nurse practitioner working in a critical care unit is considered
which type of nursing professional?
Options:
A. Unlicensed assistive personnel
B. Advanced practice nurse
C. Case manager only
D. Staff nurse without expanded responsibilities
Correct Answer: B
Rationale for A:
Nurse practitioners are licensed advanced practice providers
with graduate-level education.
Rationale for B:
Advanced practice nurses include nurse practitioners, clinical
nurse specialists, nurse anesthetists, and nurse midwives.
Rationale for C:
Although nurse practitioners may coordinate care, their role
extends far beyond case management.
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Question 1:
Question Type: MCQ
Question Stem:
A newly hired critical care nurse asks why modern intensive
care units were developed. Which response by the preceptor is
most accurate?
Options:
A. To provide long-term rehabilitation services for patients with
chronic illness
B. To centralize the care of critically ill patients requiring
,advanced monitoring and interventions
C. To reduce the need for physician involvement in patient care
D. To replace medical-surgical units in acute care hospitals
Correct Answer: B
Rationale for A:
Rehabilitation services focus on recovery and restoration of
function, not the primary purpose of intensive care units.
Critical care units are designed for acute, life-threatening
conditions requiring intensive monitoring.
Rationale for B:
Critical care units evolved to provide concentrated resources,
specialized personnel, and advanced technology for patients
with actual or potential life-threatening conditions requiring
continuous assessment and intervention.
Rationale for C:
Critical care promotes interprofessional collaboration rather
than reducing physician involvement. Care is delivered by a
multidisciplinary team.
Rationale for D:
Medical-surgical units remain essential for less acute patients.
Critical care units complement rather than replace these units.
Key Takeaway:
Modern critical care developed to support complex monitoring
and interventions for critically ill patients.
Question 2:
,Question Type: MCQ
Question Stem:
Which nursing action best demonstrates patient-centered care
in the intensive care unit?
Options:
A. Prioritizing unit routines over patient preferences
B. Including the patient and family in care planning whenever
possible
C. Restricting communication to clinical information only
D. Discouraging family participation during rounds
Correct Answer: B
Rationale for A:
Patient-centered care emphasizes individual needs and
preferences rather than strict adherence to routines.
Rationale for B:
Patient-centered care recognizes patients and families as
partners in decision-making and care planning.
Rationale for C:
Effective care includes emotional, psychosocial, and
educational communication, not only clinical information.
Rationale for D:
Family involvement often improves understanding, satisfaction,
and continuity of care.
, Key Takeaway:
Patient-centered care incorporates patient and family values
into clinical decision-making.
Question 3:
Question Type: MCQ
Question Stem:
A nurse practitioner working in a critical care unit is considered
which type of nursing professional?
Options:
A. Unlicensed assistive personnel
B. Advanced practice nurse
C. Case manager only
D. Staff nurse without expanded responsibilities
Correct Answer: B
Rationale for A:
Nurse practitioners are licensed advanced practice providers
with graduate-level education.
Rationale for B:
Advanced practice nurses include nurse practitioners, clinical
nurse specialists, nurse anesthetists, and nurse midwives.
Rationale for C:
Although nurse practitioners may coordinate care, their role
extends far beyond case management.
