Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
L
YFT YFT L L
YFT L
YFT L
YFT L
YFT YFT L L
YFT L
YFT YFT L 1
Table of Contents Y F T L Y F T L
Table of Y FT L
1
Contents
Y FT L
Chapter 01: Overview of Critical Care Nursing
Y FT L Y F T L Y F T L Y F T L Y F T L Y FT L 2
Chapter 02: Patient and Family Response to the Critical Care Experience
L
YFT L
YFT YFT L L
YFT Y FT L YFT L L
YFT L
YFT L
YF T L
YFT 14
Chapter 03: Ethical and Legal Issues in Critical Care Nursing
L
YFT L
YFT L
YFT L
YF T L
YFT L
YFT YFT L YFT L L
YF T L
YFT 30
Chapter 04: Palliative and End-of-Life Care
L
YFT L
YFT L
YFT YFT L L
YFT 42
Chapter 05: Comfort and Sedation
L
YFT Y F T L Y F T L Y F T L Y F T L 56
Chapter 06: Nutritional Therapy
L
YFT L
YFT L
YFT YF T L 69
Chapter 07: Dysrhythmia Interpretation and Management
L
YFT L
YFT L
YFT L
YF T YFT L 83
Chapter 08: Hemodynamic Monitoring
L
YFT L
YFT L
YFT YFT L 117
Chapter 09: Ventilatory Assistance
Y F T L Y F T L Y F T L 137
Chapter 10: Rapid Response Teams and Code Management
L
YFT L
YFT L
YFT YFT L L
YFT YFT L L
YFT 156
Chapter 11: Organ Donation
L
YFT L
YFT L
YFT YFT L 171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
L
YFT L
YFT L
YFT L
YF T L
YFT YF T L L
YFT L
YFT 189
Chapter 13: Cardiovascular Alterations
L
YFT L
YFT L
YFT YFT L 207
Chapter 14: Nervous System Alterations
L
YFT L
YFT L
YFT YFTL 225
Chapter 15: Acute Respiratory Failure
L
YFT L
YFT L
YFT L
YFT L
Y FT 243
Chapter 16: Acute Kidney Injury
L
YFT Y F T L Y F T L Y F T L Y F T L 260
Chapter 17: Gastrointestinal Alterations
L
YFT L
YFT L
YFT YF T L 285
Chapter 17: Hematological and Immune Disorders
L
YFT L
YFT L
YF T YFT L L
YFT 312
Chapter 19: Endocrine Alterations
L
YFT L
YFT L
YFT L
YFT 341
Chapter 20: Trauma and Surgical Management
L
YFT L
YFT YFT L YFT L Y FTL 361
Chapter 21: Burns
L
YFT L
YFT L
YFT 377
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
YFT L L
YFT L
YFT YFT L YFTL L
YFT YFTL L
YFT L
YFT L
YFT 2
Chapter 01: Overview of Critical Care Nursing Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
MULTIPLE CHOICE Y F T L
1. Which of the following professional organizations best supports critical care nursing practice?
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
a. American Association of Critical-Care Nurses Y F T L Y F T L Y F T L Y F T L
b. American Heart Association Y F T L Y F T L
c. American Nurses Association Y F T L Y F T L
d. Society of Critical Care Medicine Y F T L Y F T L YF T L Y F T L
ANS: A Y F T L
The American Association of Critical-Care Nurses is the specialty organization that supports and
YF T L YF T L YF T L YF T L YFT L YF T L YF T L YFT L Y FT L YF TL YF TL YFT L
represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
YFT L YF T L YF T L YFT L Y FT L YF T L YF T L L
YFT YF TL YF T L YFT L Y FT L
American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
YFT L YF T L Y F T L YF TL YFT L YF T L YF T L YFT L Y FT L Y FT L YF T L YFT L L
YF T L
YF T
multiprofessional critical care team under the direction of an intensivist.
YFT L YF TL Y F T L YF TL Y FT L YFT L Y FT L YF T L YF T L YFT L
DIF: Cognitive Level: Knowledge REF: p. 4
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
YFTL YFT L YFT L YF TL Y FT L YF TL YF TL YF T L YFT L YFT L YF T L YFT L YFT L
practice. TOP: Nursing Process Step: N/A
YFT L Y F T L YF T L Y FT L YFT L YF T L
MSC: NCLEX: Safe and Effective Care Environment
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
YF TL L
YF T YF T L L
YF T Y FT L YFT L YFT L Y FT L YF TL Y FT L Y FT L YFT L YF T L YFT L YF T L YFT L YF T L L
YFT YFT L
interested in certification. Which credential would be most applicable for her to seek?
YFT L YFT L Y F T L YFT L L
YF T YF TL YFT L YFT L YFT L YF T L YFT L L
YF T Y FT L
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C Y F T L
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
YF T L YF TL YFT L Y FT L YF T L YFT L YF TL Y FT L YFT L Y FT L Y FT L L
YF T YFT L Y FT L Y FT L L
YF T
Y ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care
F T L YF T L YF TL YF T L YFT L YF T L YFT L YF T L YF T L Y FT L YF T L L
YF T YF TL YFT L YFT L
clinical
YFT L nurse specialists. The PCCN certification is for staff nurses working in progressive care,
Y F T L YF TL YF T L YF T L YFT L Y FT L YFT L YFT L YF TL Y FT L YFT L YF T L Y FT L
intermediate care, or
YFT L step-down unit settings. YF T L YFT L Y F T L YFT L YF T L
DIF: Cognitive Level: Application REF: p. 5
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
YFTL YFT L Y FT L YF T L YFT L YFT L L
YF T YFT L Y FT L L
YF T YF T L Y FT L
Y F T L MSC: NCLEX: Safe and Effective Care Environment
Y FT L YF T L Y FT L YF T L YF T L YF T L
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
YFT L YFT L YFT L L
YFT YFT L YFT L YFT L YFT L YFTL YFT L 3
3. The main purpose of certification is to: Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
a. assure the consumer that you will not make a mistake. Y F T L YF T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
b. prepare for graduate school. Y F T L Y F T L Y F T L
c. promote magnet status for your facility. Y F T L Y F T L Y F T L Y F T L Y F T L
d. validate knowledge of critical care nursing. Y F T L Y F T L Y F T L Y F T L Y F T L
ANS: D Y F T L
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps YF T L YFT L YF T L YFT L YF T L YF TL YF T L YFT L Y FT L Y FT L YF T L YF TL YF T L Y FT L
Y nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer
F T L YF T L YFT L YF T L YF TL Y FT L Y FT L YFT L YF T L Y FT L YF T L YF T L Y FT L YF T L YF T L
that the nurse has a minimum level of knowledge; however, it does not ensure that
YFT L YFT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y care will be mistake-free.
F T L Y F T L Y F T L Y F T L
Certification does not prepare one for graduate school; however, achieving certification demonstrates YF T L YF T L Y FT L YFT L YF T L YFT L Y FT L Y FT L YFT L YF T L YF T L
Y motivation for achievement and professionalism. Magnet facilities are rated on the number of certified
F T L Y FT L YF T L YFT L Y FT L YF T L YF T L L
YF T YF T L YF T L YF T L YF T L YFT L YF T L
nurses; however, that is not the purpose of certification.
YFT L Y F T L YFT L YFT L YF T L YFT L YFT L YFT L YFT L
DIF: Cognitive Level: Analysis REF: pp. 4-5
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
YFT L YFT L Y FT L YF T L YFT L YFT L YF T L YFT L Y FT L YF T L YF T L Y FT L
YFT L MSC: NCLEX: Safe and Effective Care Environment YF T L YFT L YF TL YFT L Y FT L YFT L
4. The synergy model of practice focuses on: Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
a. allowing unrestricted visiting for the patient 24 hours each day. Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
b. holistic and alternative therapies. Y F T L Y F T L Y F T L
c. needs of patients and their families, which drives nursing competency.
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
d. patients needs for energy and support. Y F T L Y F T L Y F T L Y F T L Y F T L
ANS: C Y F T L
The synergy model of practice states that the needs of patients and families influence
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y and drive competencies of nurses. Nursing practice based on the synergy model would involve tailored
F T L Y F T L Y F T L Y FT L Y FT L YF T L Y FT L YFT L Y FT L Y FT L Y FT L YFT L Y FT L Y FT L YF T L
visiting to meet the patients and
YFT L familys needs and application of alternative therapies if desired
YF TL Y FT L YF TL YF TL YFT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y by the patient, but that is not the primary focus of the model.
F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y FT L Y FT L Y FT L
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Describe standards of professional practice for critical care nursing.
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
5. The family of your critically ill patient tells you that they have not spoken with the
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y physician in over 24 hours and they have some questions that they want clarified. During
F T L Y F T L Y F T L Y F T L YFTL Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y morning rounds, you convey this concern to the attending intensivist and arrange for her to
F T L Y F T L Y F T L Y F T L Y F T L Y F T L L
YF T Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y meet with the family at 4:00 PM in the conference room. Which competency of critical care
F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y FT L Y FT L Y FT L Y FT L YFT L
nursing does this represent?
YFT L YF TL YFT L Y FT L
, Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
YFTL YFT L L
YFT YFT L L
YFT YFT L YFTL YFT L L
YFT L
YFT 4
a. Advocacy and moral agency in solving ethical issues Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
b. Clinical judgment and clinical reasoning skills Y F T L Y F T L Y F T L Y F T L Y F T L
c. Collaboration with patients, families, and team members Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
d. Facilitation of learning for patients, families, and team members Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
ANS: C Y F T L
Although one might consider that all of these competencies are being addressed, communication and
Y FT L YF T L YFT L YFT L YFT L YF T L YF TL YF T L YF T L YFTL YF T L YF TL Y FT L
collaboration with the family and physician best exemplify the competency of collaboration.
YFT L Y FT L L
YF T YF T L Y FT L YF T L Y FT L Y FT L YF T L YF T L YFT L YFT L
DIF: Cognitive Level: Analysis REF: p. 9 Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Describe standards of professional practice for critical care nursing.
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
YF T L YFT L YFT L YFT L YF T L YF TL YFT L YF T L YF T L Y FT L Y FT L YF T L Y FT L YF TL
critical care nursing practice?
YFT L YF TL YFT L YF T L
a. Evidence-based practice Y F T L
b. Healthy work environment Y F T L Y F T L
c. National Patient Safety Goals Y F T L Y F T L Y F T L
d. Nursing process Y F T L
ANS: D Y F T L
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied
YF T L YFT L YFT L YFT L YF T L YF T L YFT L YF TL YF T L Y FT L YF T L YF T L YFT L Y FT L YFT L
to
YFT L critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan
Y F T L YF TL YF T L YF TL YF T L YFT L YFT L YF T L YF T L YF T L YF TL L
YF T L
YF T
of care,
YFT L implement interventions, and evaluate care. AACN promotes a healthy work environment, but
L
YF T Y F T L Y FT L YF T L YF TL YF T L YFT L L
YF T Y FT L YFT L Y FT L L
YF T YFT L
this is not
YFT L included in the Standards. The Joint Commission has established National
L
YF T Y FT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y Patient Safety Goals, but these are not the AACN Standards.
F T L Y F T L Y F T L Y F T L Y F T L Y F T L YF T L YF T L YF T L L
YFT
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Describe standards of professional practice for critical care nursing.
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns
YF T L YF T L Y FT L YF T L YF T L YFT L Y FT L Y FT L L
YF T YF T L Y FT L YF T L YFT L YFT L YF T L Y FT L
the
YFT L experienced, certified nurse to care for the acutely ill patient with sepsis who also requires
Y F T L YF T L Y FT L YFT L Y FT L YFT L YF T L YF T L YF T L L
YF T Y FT L YFT L YFT L Y FT L Y FT L
continuous renal
YFT L replacement therapy and mechanical ventilation. She assigns the nurse YFT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y with less than 1 year of experience to two patients who are more stable. This
F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y FT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y assignment reflects implementation of the:
F T L Y F T L Y F T L Y F T L Y F T L
a. crew resource management model Y F T L Y F T L Y F T L
L
YFT YFT L L
YFT L
YFT L
YFT L
YFT YFT L L
YFT L
YFT YFT L 1
Table of Contents Y F T L Y F T L
Table of Y FT L
1
Contents
Y FT L
Chapter 01: Overview of Critical Care Nursing
Y FT L Y F T L Y F T L Y F T L Y F T L Y FT L 2
Chapter 02: Patient and Family Response to the Critical Care Experience
L
YFT L
YFT YFT L L
YFT Y FT L YFT L L
YFT L
YFT L
YF T L
YFT 14
Chapter 03: Ethical and Legal Issues in Critical Care Nursing
L
YFT L
YFT L
YFT L
YF T L
YFT L
YFT YFT L YFT L L
YF T L
YFT 30
Chapter 04: Palliative and End-of-Life Care
L
YFT L
YFT L
YFT YFT L L
YFT 42
Chapter 05: Comfort and Sedation
L
YFT Y F T L Y F T L Y F T L Y F T L 56
Chapter 06: Nutritional Therapy
L
YFT L
YFT L
YFT YF T L 69
Chapter 07: Dysrhythmia Interpretation and Management
L
YFT L
YFT L
YFT L
YF T YFT L 83
Chapter 08: Hemodynamic Monitoring
L
YFT L
YFT L
YFT YFT L 117
Chapter 09: Ventilatory Assistance
Y F T L Y F T L Y F T L 137
Chapter 10: Rapid Response Teams and Code Management
L
YFT L
YFT L
YFT YFT L L
YFT YFT L L
YFT 156
Chapter 11: Organ Donation
L
YFT L
YFT L
YFT YFT L 171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
L
YFT L
YFT L
YFT L
YF T L
YFT YF T L L
YFT L
YFT 189
Chapter 13: Cardiovascular Alterations
L
YFT L
YFT L
YFT YFT L 207
Chapter 14: Nervous System Alterations
L
YFT L
YFT L
YFT YFTL 225
Chapter 15: Acute Respiratory Failure
L
YFT L
YFT L
YFT L
YFT L
Y FT 243
Chapter 16: Acute Kidney Injury
L
YFT Y F T L Y F T L Y F T L Y F T L 260
Chapter 17: Gastrointestinal Alterations
L
YFT L
YFT L
YFT YF T L 285
Chapter 17: Hematological and Immune Disorders
L
YFT L
YFT L
YF T YFT L L
YFT 312
Chapter 19: Endocrine Alterations
L
YFT L
YFT L
YFT L
YFT 341
Chapter 20: Trauma and Surgical Management
L
YFT L
YFT YFT L YFT L Y FTL 361
Chapter 21: Burns
L
YFT L
YFT L
YFT 377
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
YFT L L
YFT L
YFT YFT L YFTL L
YFT YFTL L
YFT L
YFT L
YFT 2
Chapter 01: Overview of Critical Care Nursing Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
MULTIPLE CHOICE Y F T L
1. Which of the following professional organizations best supports critical care nursing practice?
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
a. American Association of Critical-Care Nurses Y F T L Y F T L Y F T L Y F T L
b. American Heart Association Y F T L Y F T L
c. American Nurses Association Y F T L Y F T L
d. Society of Critical Care Medicine Y F T L Y F T L YF T L Y F T L
ANS: A Y F T L
The American Association of Critical-Care Nurses is the specialty organization that supports and
YF T L YF T L YF T L YF T L YFT L YF T L YF T L YFT L Y FT L YF TL YF TL YFT L
represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
YFT L YF T L YF T L YFT L Y FT L YF T L YF T L L
YFT YF TL YF T L YFT L Y FT L
American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
YFT L YF T L Y F T L YF TL YFT L YF T L YF T L YFT L Y FT L Y FT L YF T L YFT L L
YF T L
YF T
multiprofessional critical care team under the direction of an intensivist.
YFT L YF TL Y F T L YF TL Y FT L YFT L Y FT L YF T L YF T L YFT L
DIF: Cognitive Level: Knowledge REF: p. 4
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
YFTL YFT L YFT L YF TL Y FT L YF TL YF TL YF T L YFT L YFT L YF T L YFT L YFT L
practice. TOP: Nursing Process Step: N/A
YFT L Y F T L YF T L Y FT L YFT L YF T L
MSC: NCLEX: Safe and Effective Care Environment
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
YF TL L
YF T YF T L L
YF T Y FT L YFT L YFT L Y FT L YF TL Y FT L Y FT L YFT L YF T L YFT L YF T L YFT L YF T L L
YFT YFT L
interested in certification. Which credential would be most applicable for her to seek?
YFT L YFT L Y F T L YFT L L
YF T YF TL YFT L YFT L YFT L YF T L YFT L L
YF T Y FT L
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C Y F T L
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
YF T L YF TL YFT L Y FT L YF T L YFT L YF TL Y FT L YFT L Y FT L Y FT L L
YF T YFT L Y FT L Y FT L L
YF T
Y ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care
F T L YF T L YF TL YF T L YFT L YF T L YFT L YF T L YF T L Y FT L YF T L L
YF T YF TL YFT L YFT L
clinical
YFT L nurse specialists. The PCCN certification is for staff nurses working in progressive care,
Y F T L YF TL YF T L YF T L YFT L Y FT L YFT L YFT L YF TL Y FT L YFT L YF T L Y FT L
intermediate care, or
YFT L step-down unit settings. YF T L YFT L Y F T L YFT L YF T L
DIF: Cognitive Level: Application REF: p. 5
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
YFTL YFT L Y FT L YF T L YFT L YFT L L
YF T YFT L Y FT L L
YF T YF T L Y FT L
Y F T L MSC: NCLEX: Safe and Effective Care Environment
Y FT L YF T L Y FT L YF T L YF T L YF T L
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
YFT L YFT L YFT L L
YFT YFT L YFT L YFT L YFT L YFTL YFT L 3
3. The main purpose of certification is to: Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
a. assure the consumer that you will not make a mistake. Y F T L YF T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
b. prepare for graduate school. Y F T L Y F T L Y F T L
c. promote magnet status for your facility. Y F T L Y F T L Y F T L Y F T L Y F T L
d. validate knowledge of critical care nursing. Y F T L Y F T L Y F T L Y F T L Y F T L
ANS: D Y F T L
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps YF T L YFT L YF T L YFT L YF T L YF TL YF T L YFT L Y FT L Y FT L YF T L YF TL YF T L Y FT L
Y nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer
F T L YF T L YFT L YF T L YF TL Y FT L Y FT L YFT L YF T L Y FT L YF T L YF T L Y FT L YF T L YF T L
that the nurse has a minimum level of knowledge; however, it does not ensure that
YFT L YFT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y care will be mistake-free.
F T L Y F T L Y F T L Y F T L
Certification does not prepare one for graduate school; however, achieving certification demonstrates YF T L YF T L Y FT L YFT L YF T L YFT L Y FT L Y FT L YFT L YF T L YF T L
Y motivation for achievement and professionalism. Magnet facilities are rated on the number of certified
F T L Y FT L YF T L YFT L Y FT L YF T L YF T L L
YF T YF T L YF T L YF T L YF T L YFT L YF T L
nurses; however, that is not the purpose of certification.
YFT L Y F T L YFT L YFT L YF T L YFT L YFT L YFT L YFT L
DIF: Cognitive Level: Analysis REF: pp. 4-5
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
YFT L YFT L Y FT L YF T L YFT L YFT L YF T L YFT L Y FT L YF T L YF T L Y FT L
YFT L MSC: NCLEX: Safe and Effective Care Environment YF T L YFT L YF TL YFT L Y FT L YFT L
4. The synergy model of practice focuses on: Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
a. allowing unrestricted visiting for the patient 24 hours each day. Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
b. holistic and alternative therapies. Y F T L Y F T L Y F T L
c. needs of patients and their families, which drives nursing competency.
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
d. patients needs for energy and support. Y F T L Y F T L Y F T L Y F T L Y F T L
ANS: C Y F T L
The synergy model of practice states that the needs of patients and families influence
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y and drive competencies of nurses. Nursing practice based on the synergy model would involve tailored
F T L Y F T L Y F T L Y FT L Y FT L YF T L Y FT L YFT L Y FT L Y FT L Y FT L YFT L Y FT L Y FT L YF T L
visiting to meet the patients and
YFT L familys needs and application of alternative therapies if desired
YF TL Y FT L YF TL YF TL YFT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y by the patient, but that is not the primary focus of the model.
F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y FT L Y FT L Y FT L
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Describe standards of professional practice for critical care nursing.
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
5. The family of your critically ill patient tells you that they have not spoken with the
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y physician in over 24 hours and they have some questions that they want clarified. During
F T L Y F T L Y F T L Y F T L YFTL Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y morning rounds, you convey this concern to the attending intensivist and arrange for her to
F T L Y F T L Y F T L Y F T L Y F T L Y F T L L
YF T Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y meet with the family at 4:00 PM in the conference room. Which competency of critical care
F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y FT L Y FT L Y FT L Y FT L YFT L
nursing does this represent?
YFT L YF TL YFT L Y FT L
, Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
YFTL YFT L L
YFT YFT L L
YFT YFT L YFTL YFT L L
YFT L
YFT 4
a. Advocacy and moral agency in solving ethical issues Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
b. Clinical judgment and clinical reasoning skills Y F T L Y F T L Y F T L Y F T L Y F T L
c. Collaboration with patients, families, and team members Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
d. Facilitation of learning for patients, families, and team members Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
ANS: C Y F T L
Although one might consider that all of these competencies are being addressed, communication and
Y FT L YF T L YFT L YFT L YFT L YF T L YF TL YF T L YF T L YFTL YF T L YF TL Y FT L
collaboration with the family and physician best exemplify the competency of collaboration.
YFT L Y FT L L
YF T YF T L Y FT L YF T L Y FT L Y FT L YF T L YF T L YFT L YFT L
DIF: Cognitive Level: Analysis REF: p. 9 Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Describe standards of professional practice for critical care nursing.
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
YF T L YFT L YFT L YFT L YF T L YF TL YFT L YF T L YF T L Y FT L Y FT L YF T L Y FT L YF TL
critical care nursing practice?
YFT L YF TL YFT L YF T L
a. Evidence-based practice Y F T L
b. Healthy work environment Y F T L Y F T L
c. National Patient Safety Goals Y F T L Y F T L Y F T L
d. Nursing process Y F T L
ANS: D Y F T L
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied
YF T L YFT L YFT L YFT L YF T L YF T L YFT L YF TL YF T L Y FT L YF T L YF T L YFT L Y FT L YFT L
to
YFT L critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan
Y F T L YF TL YF T L YF TL YF T L YFT L YFT L YF T L YF T L YF T L YF TL L
YF T L
YF T
of care,
YFT L implement interventions, and evaluate care. AACN promotes a healthy work environment, but
L
YF T Y F T L Y FT L YF T L YF TL YF T L YFT L L
YF T Y FT L YFT L Y FT L L
YF T YFT L
this is not
YFT L included in the Standards. The Joint Commission has established National
L
YF T Y FT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y Patient Safety Goals, but these are not the AACN Standards.
F T L Y F T L Y F T L Y F T L Y F T L Y F T L YF T L YF T L YF T L L
YFT
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
OBJ: Describe standards of professional practice for critical care nursing.
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns
YF T L YF T L Y FT L YF T L YF T L YFT L Y FT L Y FT L L
YF T YF T L Y FT L YF T L YFT L YFT L YF T L Y FT L
the
YFT L experienced, certified nurse to care for the acutely ill patient with sepsis who also requires
Y F T L YF T L Y FT L YFT L Y FT L YFT L YF T L YF T L YF T L L
YF T Y FT L YFT L YFT L Y FT L Y FT L
continuous renal
YFT L replacement therapy and mechanical ventilation. She assigns the nurse YFT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y with less than 1 year of experience to two patients who are more stable. This
F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L Y FT L Y F T L Y F T L Y F T L Y F T L Y F T L Y F T L
Y assignment reflects implementation of the:
F T L Y F T L Y F T L Y F T L Y F T L
a. crew resource management model Y F T L Y F T L Y F T L
