Diagnosis and Management 9th Edition
Linda D. Urden, Kathleen M. Stacy
Chapter 1-41
,Chapter 01: Critical Care Nursing Practice
Urden: Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. During World War II, what types of wards were developed to care for critically injured
patients?
a. Intensive care
b. Triage
c. Shock
d. Postoperative
ANS: C
During World War II, shock wards were established to care for critically injured patients.
Triage wards establish the order in which a patient is seen or treated upon arrival to a
hospital. Postoperative wards were developed in 1900 and later evolved into intensive care
units.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
2. Whattytypetyoftypractitionertyhastyatybroadtydepthtyoftyspecialtytyknowledgetyandtyexpertisetyan
dtymanagestycomplextyclinicaltyandtysystemtyissues?
a. Registeredtynurses
b. Advancedtypracticetynurses
c. Clinicaltynursetyleaders
d. Intensivists
ANS:t y B
Advancedtypracticetynursesty(APNs)tyhavetyatybroadtydepthtyoftyknowledgetyandtyexpertisetyintytheirtys
pecialtytyareatyandtymanagetycomplextyclinicaltyandtysystemstyissues.tyIntensiviststyaretymedicaltypract
itionerstywhotymanagetythetycriticaltyilltypatient.tyRegisteredtynursesty(RNs)tyaretygenerallytydirecttycarety
providers.tyClinicaltynursetyleadersty(CNLs)tygenerallytydotynottymanagetysystemtyissues.
PTS: 1 DIF: CognitivetyLevel:tyRemembering REF:
p.ty5tyOBJ: NursingtyProcesstyStep:tyN/A TOP:
CriticaltyCaretyNursingtyPracticetyMSC:t y NCLEX:tySafetyandtyEffectivetyCarety
Environment
3. Whattytypetyoftypractitionertyistyinstrumentaltyintyensuringtycaretythattyistyevidencetybasedtyandtyth
attysafetytyprogramstyaretyintyplace?
a. Clinicaltynursetyspecialist
b. Advancedtypracticetynurse
c. Registeredtynurses
d. Nursetypractitioners
ANS:t y A
ty
1ty|tyPtyatygtye
, Clinicaltynursetyspecialiststy(CNSs)tyservetyintyspecialtytyrolestythattyusetytheirtyclinical,tyteaching,tyr
esearch,tyleadership,tyandtyconsultativetyabilities.tyTheytyaretyinstrumentaltyintyensuringtythattycaretyi
styevidencetybasedtyandtythattysafetytyprogramstyaretyintyplace.tyAdvancedtypracticetynursesty(APNs)t
yhavetyatybroadtydepthtyoftyknowledgetyandtyexpertisetyintytheirtyspecialtytyareatyandtymanagetycompl
extyclinicaltyandtysystemstyissues.tyRegisteredtynursestyaretygenerallytydirecttycaretyproviders.tyNurs
etypractitionersty(NPs)tymanagetydirecttyclinicaltycaretyoftygroupstyoftypatients.
PTS: 1 DIF: CognitivetyLevel:tyRemembering REF:
p.ty6tyOBJ: NursingtyProcesstyStep:tyN/A TOP:
CriticaltyCaretyNursingtyPracticetyMSC:t y NCLEX:tySafetyandtyEffectivetyCarety
Environment
4. Whichtyprofessionaltyorganizationtyadministerstycriticaltycaretycertificationtyexamstyfortyregistere
dtynurses?
a. StatetyBoardtyoftyRegisteredtyNurses
b. NationaltyAssociationtyoftyClinicaltyNursetySpecialist
c. SocietytyoftyCriticaltyCaretyMedicine
d. AmericantyAssociationtyoftyCritical-CaretyNurses
ANS:t y D
AmericantyAssociationtyoftyCritical-
CaretyNursesty(AACN)tyadministerstycertificationtyexamstyfortyregisteredtynurses.tyThetyStatetyBoar
dtyoftyRegisteredtyNursesty(SBON)tydoestynottyadministertycertificationtyexams.tyNationaltyAssocia
tiontyoftyClinicaltyNursetySpecialiststy(NACNS)tydoestynottyadministertycertificationtyexams.tySoci
etytyoftyCriticaltyCaretyMedicinety(SCCM)tydoestynottyadministertynursingtycertificationtyexamstyfo
rtyregisteredtynurses.
PTS: 1 DIF: CognitivetyLevel:tyRemembering REF:
p.ty7tyOBJ:
NursingtyProcesstyStep:tyNW/ WAW.TBSM
y T
t . OW PS: t y CriticaltyCaretyNursingtyPractice
tyMSC:t y NCLEX:tySafetyandtyEffectivetyCaretyEnvironment
5. Emphasistyistyontyhumantyintegritytyandtystressestythetytheorytythattythetybody,tymind,tyandtyspirittya
retyinterdependenttyandtyinseparable.tyThistystatementtydescribestywhichtymethodologytyoftycar
e?
a. Holistictycare
b. Individualizedtycare
c. Culturaltycare
d. Interdisciplinarytycare
ANS:t y A
Holistictycaretyfocusestyontyhumantyintegritytyandtystressestythattythetybody,tymind,tyandtyspirittyaretyi
nterdependenttyandtyinseparable.tyIndividualizedtycaretyrecognizestythetyuniquenesstyoftyeachtypati
ent’stypreferences,tycondition,tyandtyphysiologictyandtypsychosocialtystatus.tyCulturaltydiversitytyinty
healthtycaretyistynottyatynewtytopic,tybuttyittyistygainingtyemphasistyandtyimportancetyastythetyworldtybec
omestymoretyaccessibletytotyalltyastythetyresulttyoftyincreasingtytechnologiestyandtyinterfacestywithtypl
acestyandtypeoples.tyInterdisciplinarytycaretyistycaretyamongtyatyvarietytyoftyhealthtycaretyprofessiona
lstywithtythetypatient’styhealthtyastythetycommontygoal.
PTS: 1 DIF: CognitivetyLevel:tyRemembering REF:
p.ty12tyOBJ: NursingtyProcesstyStep:tyN/A TOP:
CriticaltyCaretyNursingtyPracticetyMSC:t y NCLEX:tySafetyandtyEffectivetyCarety
Environment
2ty|tyPtyatygtye
, 6. ThetyAmericantyAssociationtyoftyCritical-
CaretyNursesty(AACN)tyhastydevelopedtyshorttydirectivestythattycantybetyusedtyastyquicktyreferences
tyfortyclinicaltyusetythattyaretyknowntyas
a. CriticaltyCaretyProtocol.
b. PracticetyPolicies.
c. Evidence-BasedtyResearch.
d. PracticetyAlerts.
ANS:t y D
ThetyAmericantyAssociationtyoftyCritical-
CaretyNursesty(AACN)tyhastypromulgatedtyseveraltyevidence-
basedtypracticetysummariestyintythetyformtyofty“PracticetyAlerts.”tyEvidence-
basedtynursingtypracticetyconsiderstythetybesttyresearchtyevidencetyontythetycaretytopictyalongtywithtyc
linicaltyexpertisetyoftythetynursetyandtypatienttypreferences.tyCriticaltycaretyprotocoltyandtypracticetyp
oliciestyaretyestablishedtybytyindividualtyinstitutions.
PTS: 1 DIF: CognitivetyLevel:tyRemembering REF:
p.ty9tyOBJ: NursingtyProcesstyStep:tyN/A TOP:
CriticaltyCaretyNursingtyPracticetyMSC:t y NCLEX:tySafetyandtyEffectivetyCarety
Environment
7. Whattytypetyoftytherapytyistyantyoptiontytotyconventionaltytreatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:t y A
Thetytermtyalternativetydenotestythattyatyspecifictytherapytyistyantyoptiontyortyalternativetytotywhattyis
consideredtyconventionaltyttyreattymWetynWt Wo .f t y aTcBoSnM
di.
tioWnSortystate.tyThetytermtycomplementarytywastyprop
osedtytotydescribetytherapiestythattycantybetyusedtytotycomplementtyortysupporttyconventionaltytreatment
s.tyHolistictycaretyfocusestyontyhumantyintegritytyandtystressestythattythetybody,tymind,tyand
spirittyaretyinterdependenttyandtyinseparable.tyIndividualizedtycaretyrecognizestythetyuniquenesstyofty
eachtypatient’stypreferences,tycondition,tyandtyphysiologictyandtypsychosocialtystatus.
PTS: 1 DIF: CognitivetyLevel:tyRemembering REF:
p.ty16tyOBJ: NursingtyProcesstyStep:tyN/A TOP:
CriticaltyCaretyNursingtyPracticetyMSC:t y NCLEX:tySafetyandtyEffectivetyCarety
Environment
8. Prayer,tyguidedtyimagery,tyandtymassagetyaretyalltyexamplestyoftywhattytypetyoftytreatment?
a. Alternativetytherapy
b. Holistictycare
c. Complementarytycare
d. Individualizedtycare
ANS:t y C
ty
3ty|tyPtyatygtye