7 7 7 7 7
Diagnosis and Management 9th Edition Linda
7 7 7 7 7 7 7
D. Urden, Kathleen M. Stacy
7 7 7 7
Chapter 1-41 7
,Chapter701:7Critical7Care7Nursing7Practice7Urde
n:7Critical7Care7Nursing,79th7Edition
MULTIPLE7CHOICE
1. During7World7War7II,7what7types7of7wards7were7developed7to7care7for7critically7injure
d7patients?
a. Intensive7care
b. Triage
c. Shock
d. Postoperative
ANS:7 C
During7World7War7II,7shock7wards7were7established7to7care7for7critically7injured7patients.7
Triage7wards7establish7the7order7in7which7a7patient7is7seen7or7treated7upon7arrival7to7a7hosp
ital.7Postoperative7wards7were7developed7in719007and7later7evolved7into7intensive7care7units.
PTS: 1 DIF: Cognitive7Level:7Remembering REF:
p.727OBJ: Nursing7Process7Step:7N/A TOP:
Critical7Care7Nursing7Practice7MSC:7 NCLEX:7Safe7and7Effective7Care7En
vironment
2. What7type7of7practitioner7has7a7broad7depth7of7specialty7knowledge7and7expertise7an
d7manages7complex7clinical7and7system7issues?
a. Registered7nurses
b. Advanced7practice7nurses
c. Clinical7nurse7leaders
d. Intensivists
ANS:7 B
Advanced7practice7nurses7(APNs)7have7a7broad7depth7of7knowledge7and7expertise7in7their7
specialty7area7and7manage7complex7clinical7and7systems7issues.7Intensivists7are7medical7pr
actitioners7who7manage7the7critical7ill7patient.7Registered7nurses7(RNs)7are7generally7direct7
care7providers.7Clinical7nurse7leaders7(CNLs)7generally7do7not7manage7system7issues.
PTS: 1 DIF: Cognitive7Level:7Remembering REF:
p.757OBJ: Nursing7Process7Step:7N/A TOP:
Critical7Care7Nursing7Practice7MSC:7 NCLEX:7Safe7and7Effective7Care7En
vironment
3. What7type7of7practitioner7is7instrumental7in7ensuring7care7that7is7evidence7based7and7th
at7safety7programs7are7in7place?
a. Clinical7nurse7specialist
b. Advanced7practice7nurse
c. Registered7nurses
d. Nurse7practitioners
ANS:7 A
7
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, Clinical7nurse7specialists7(CNSs)7serve7in7specialty7roles7that7use7their7clinical,7teaching,7r
esearch,7leadership,7and7consultative7abilities.7They7are7instrumental7in7ensuring7that7care7i
s7evidence7based7and7that7safety7programs7are7in7place.7Advanced7practice7nurses7(APNs)7
have7a7broad7depth7of7knowledge7and7expertise7in7their7specialty7area7and7manage7comple
x7clinical7and7systems7issues.7Registered7nurses7are7generally7direct7care7providers.7Nurse7
practitioners7(NPs)7manage7direct7clinical7care7of7groups7of7patients.
PTS: 1 DIF: Cognitive7Level:7Remembering REF:
p.767OBJ: Nursing7Process7Step:7N/A TOP:
Critical7Care7Nursing7Practice7MSC:7 NCLEX:7Safe7and7Effective7Care7En
vironment
4. Which7professional7organization7administers7critical7care7certification7exams7for7registere
d7nurses?
a. State7Board7of7Registered7Nurses
b. National7Association7of7Clinical7Nurse7Specialist
c. Society7of7Critical7Care7Medicine
d. American7Association7of7Critical-Care7Nurses
ANS:7 D
American7Association7of7Critical-
Care7Nurses7(AACN)7administers7certification7exams7for7registered7nurses.7The7State7Board
7of7Registered7Nurses7(SBON)7does7not7administer7certification7exams.7National7Associati
on7of7Clinical7Nurse7Specialists7(NACNS)7does7not7administer7certification7exams.7Society7
of7Critical7Care7Medicine7(SCCM)7does7not7administer7nursing7certification7exams7for7regi
stered7nurses.
PTS: 1 DIF: Cognitive7Level:7Remembering REF:
p.777OBJ:
Nursing7Process7Step:7NW/ WAW . T B S7MT.OWPS:77Critical7Care7Nursing7Practice
7MSC:7 NCLEX:7Safe7and7Effective7Care7Environment
5. Emphasis7is7on7human7integrity7and7stresses7the7theory7that7the7body,7mind,7and7spirit7a
re7interdependent7and7inseparable.7This7statement7describes7which7methodology7of7care
?
a. Holistic7care
b. Individualized7care
c. Cultural7care
d. Interdisciplinary7care
ANS:7 A
Holistic7care7focuses7on7human7integrity7and7stresses7that7the7body,7mind,7and7spirit7are7in
terdependent7and7inseparable.7Individualized7care7recognizes7the7uniqueness7of7each7patien
t’s7preferences,7condition,7and7physiologic7and7psychosocial7status.7Cultural7diversity7in7hea
lth7care7is7not7a7new7topic,7but7it7is7gaining7emphasis7and7importance7as7the7world7become
s7more7accessible7to7all7as7the7result7of7increasing7technologies7and7interfaces7with7places7
and7peoples.7Interdisciplinary7care7is7care7among7a7variety7of7health7care7professionals7wit
h7the7patient’s7health7as7the7common7goal.
PTS: 1 DIF: Cognitive7Level:7Remembering REF:
p.7127OBJ: Nursing7Process7Step:7N/A TOP:
Critical7Care7Nursing7Practice7MSC:7 NCLEX:7Safe7and7Effective7Care7En
vironment
27|7P7a7g7e
, 6. The7American7Association7of7Critical-
Care7Nurses7(AACN)7has7developed7short7directives7that7can7be7used7as7quick7references7
for7clinical7use7that7are7known7as
a. Critical7Care7Protocol.
b. Practice7Policies.
c. Evidence-Based7Research.
d. Practice7Alerts.
ANS:7 D
The7American7Association7of7Critical-
Care7Nurses7(AACN)7has7promulgated7several7evidence-
based7practice7summaries7in7the7form7of7“Practice7Alerts.”7Evidence-
based7nursing7practice7considers7the7best7research7evidence7on7the7care7topic7along7with7cli
nical7expertise7of7the7nurse7and7patient7preferences.7Critical7care7protocol7and7practice7poli
cies7are7established7by7individual7institutions.
PTS: 1 DIF: Cognitive7Level:7Remembering REF:
p.797OBJ: Nursing7Process7Step:7N/A TOP:
Critical7Care7Nursing7Practice7MSC:7 NCLEX:7Safe7and7Effective7Care7En
vironment
7. What7type7of7therapy7is7an7option7to7conventional7treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:7 A
The7term7alternative7denotes7that7a7specific7therapy7is7an7option7or7alternative7to7what7is
considered7conventional7t7r e a t7mWe7nWt Wo.f77aTcBoSnM
di.
tioWnSor7state.7The7term7complementary7was7prop
osed7to7describe7therapies7that7can7be7used7to7complement7or7support7conventional7treatme
nts.7Holistic7care7focuses7on7human7integrity7and7stresses7that7the7body,7mind,7and
spirit7are7interdependent7and7inseparable.7Individualized7care7recognizes7the7uniqueness7of7e
ach7patient’s7preferences,7condition,7and7physiologic7and7psychosocial7status.
PTS: 1 DIF: Cognitive7Level:7Remembering REF:
p.7167OBJ: Nursing7Process7Step:7N/A TOP:
Critical7Care7Nursing7Practice7MSC:7 NCLEX:7Safe7and7Effective7Care7En
vironment
8. Prayer,7guided7imagery,7and7massage7are7all7examples7of7what7type7of7treatment?
a. Alternative7therapy
b. Holistic7care
c. Complementary7care
d. Individualized7care
ANS:7 C
7
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