,TestvBank:vIntroductionvTovCriticalvCarevNursing,v8thvEditionv
Chapterv01:vOverviewvofvCriticalvCarevNursing
MULTIPLEvCHOICE
1.vWhichvofvthevfollowingvprofessionalvorganizationsvbestvsupportsvcritica
lvcarevnursingvpractice?
a. AmericanvAssociationv ofvCritical-Carev Nurses
b. AmericanvHeartv Association
c. Americanv NursesvAssociation
d. Societyv ofvCriticalv Carev Medicine
ThevAmericanvAssociationvofvCritical-
CarevNursesvisvthevspecialtyvorganizationvthatvsupportsvandvrepresentsvcriticalvcarevnurses.vThevAmericanvHeartvAs
sociationvsupportsvcardiovascularvinitiatives.vThevAmericanvNursesvAssociationvsupportsvallvnurses.vThevSocietyvo
fvCriticalvCarevMedicinevrepresentsvthevmultiprofessionalvcriticalvcarevteamvundervthevdirectionvofvanvintensivist.
DIF:vCognitivevLevel:vKnowledgev REF:v p.v4
OBJ:vDiscussvthevpurposesvandvfunctionsvofvthevprofessionalvorganizationsvthatvsupportvcriticalvcarevpractice.vT
OP:vNursingvProcessvStep:vN/A
MSC:vNCLEX:v Safevandv Effectivev Carev Environment
2.vAvnursevhasvbeenvworkingvasvavstaffvnursevinvthevsurgicalvintensivevcarevunitvforv2vyearsvandvisvinterestedvinvcertific
ation.v Whichv credentialv wouldv bev mostv applicablev forv herv tov seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:v C
Thev CCRNv certificationv isv appropriatev forv nursesv inv bedsidev practicev whov carev forv criticallyv illv patients.v Thev
ACNPCvcertificationvisvforvacutevcarevnursevpractitioners.vThevCCNSvcertificationvisvforvcriticalvcarevclinicalvnur
sevspecialists.vThevPCCNvcertificationvisvforvstaffvnursesvworkingvinvprogressivevcare,vintermediatevcare,vorvstep-
downvunitvsettings.
DIF:vCognitivev Level:vApplicationv REF:v p.v5
OBJ:vExplainvcertificationvoptionsvforvcriticalvcarevnurses.vTOP:vNursingvProcessvStep:vN/AvMSC
:vNCLEX:v SafevandvEffectivev CarevEnvironment
,3. Thevmainvpurposevofvcertificationv isvto:
a. assurevthevconsumervthatvyouvwillv notvmakev avmistake.
b. preparev forv graduatev school.
c. promotev magnetvstatusv forv yourv facility.
d. validatevknowledgev ofvcriticalv carevnursing.
ANS:v D
Certificationv assistsv inv validatingv knowledgev ofv thev field,v promotesv excellencev inv thev profession,v andv helpsvn
ursesvtovmaintainvtheirvknowledgevofvcriticalvcarevnursing.vCertificationvhelpsvtovassurevthevconsumervthatvthevnurs
ev hasv av minimumv levelv ofvknowledge;v however,v itv doesv notv ensurevthatv carev willv bev mistake-free.
Certificationv doesv notv preparev onev forv graduatev school;v however,v achievingv certificationv demonstratesvmotivati
onvforvachievementvandvprofessionalism.vMagnetvfacilitiesvarevratedvonvthevnumbervofvcertifiedvnurses;vhowever,vthat
visvnotvthevpurposevofvcertification.
DIF:vCognitivevLevel:vAnalysisv REF:vpp.v4-5
OBJ:vExplainvcertificationvoptionsvforvcriticalvcarevnurses.vTOP:vNursingvProcessvStep:vN/AvMSC
:vNCLEX:v SafevandvEffectivev CarevEnvironment
4. Thevsynergyv modelv ofvpracticev focusesvon:
a. allowingvunrestrictedv visitingv forvthevpatientv 24vhoursv eachvday.
b. holisticvandvalternativev therapies.
c. needsvofvpatientsv andvtheirvfamilies,v whichv drivesv nursingvcompetency.
d. patientsv needsv forv energyvandvsupport.
ANS:v C
Thev synergyv modelv ofv practicev statesv thatv thev needsv ofv patientsv andv familiesv influencev andv drivev competenciesv
ofvnurses.vNursingvpracticevbasedvonvthevsynergyvmodelvwouldvinvolvevtailoredvvisitingvtovmeetvthevpatientsvandvf
amilysvneedsvandvapplicationvofvalternativevtherapiesvifvdesiredvbyvthevpatient,vbutvthatvisvnotvthevprimaryvfocusv of
vthevmodel.
DIF:vCognitivev Level:vApplicationv REF:vp.v5v|vFig.v1-3
OBJ:vDescribevstandardsv ofvprofessionalvpracticev forv criticalv carev nursing.
TOP:vNursingv Processv Step:vN/Av MSC:vNCLEX:v Safev andvEffectivev Carev Environment
5. Thev familyv ofv yourv criticallyv illv patientv tellsv youv thatv theyv havev notv spokenv withv thev physicianv inv overv 24v
hoursvandvtheyvhavevsomevquestionsvthatvtheyvwantvclarified.vDuringvmorningvrounds,vyouvconveyvthisvconcernv t
ov thev attendingv intensivistv andv arrangev forv herv tov meetv withv thev familyv atv 4:00v PMv inv thev conferencev room.v
Whichv competencyv ofv criticalv carev nursingv doesvthisv represent?
, a. Advocacyvandv moralv agencyvinv solvingv ethicalv issues
b. Clinicalvjudgmentvandv clinicalvreasoningv skills
c. Collaborationvwithv patients,vfamilies,vandvteamvmembers
d. Facilitationvofvlearningv forv patients,vfamilies,v andvteamv members
ANS:vC
Althoughvonevmightvconsidervthatvallvofvthesevcompetenciesvarevbeingvaddressed,vcommunicationvandvcollaboratio
nv withv thev familyv andv physicianv bestv exemplifyv thev competencyv ofv collaboration.
DIF:vCognitivev Level:v Analysisv REF:vp.v9
OBJ:vDescribevstandardsv ofvprofessionalvpracticev forv criticalv carev nursing.
TOP:vNursingv Processv Step:vN/Av MSC:vNCLEX:v Safev andvEffectivev Carev Environment
6. ThevAACNvStandardsvforvAcutevandvCriticalvCarevNursingvPracticevusevwhatvframeworkvtovguidevcriticalvc
arevnursingvpractice?
a. Evidence-basedv practice
b. Healthyvworkv environment
c. NationalvPatientvSafetyvGoals
d. Nursingvprocess
ANS:vD
ThevAACNvStandardsvforvAcutevandvCriticalvCarevNursingvPracticevdelineatevthevnursingvprocessvasvappliedvtovcr
iticallyv illv patients:v collectv data,v determinev diagnoses,v identifyv expectedv outcomes,v developv av planv ofv care,vi
mplementv interventions,v andv evaluatev care.v AACNv promotesv av healthyv workv environment,v butv thisv isv notvi
ncludedvinvthevStandards.vThevJointvCommissionvhasvestablishedvNationalvPatientvSafetyvGoals,vbutvthesevarev not
vthevAACNvStandards.
DIF:vCognitivevLevel:vAnalysisv REF:vp.v5v |vBoxv1-2
OBJ:vDescribevstandardsv ofvprofessionalvpracticev forv criticalv carev nursing.
TOP:vNursingv Processv Step:vN/Av MSC:vNCLEX:v Safev andvEffectivev Carev Environment
7. Thevchargevnursevisvresponsiblevforvmakingvthevpatientvassignmentsvonvthevcriticalvcarevunit.vShevassignsvtheve
xperienced,vcertifiedv nursev tov carev forv thev acutelyv illv patientv withv sepsisv whov alsov requiresv continuousv renalvr
eplacementvtherapyvandvmechanicalvventilation.vShevassignsvthevnursevwithvlessvthanv1vyearvofvexperiencevtovtwo
v patientsv whov arev morev stable.v Thisv assignmentv reflectsv implementationv ofv the:
a. crewvresourcev managementvmodel
Chapterv01:vOverviewvofvCriticalvCarevNursing
MULTIPLEvCHOICE
1.vWhichvofvthevfollowingvprofessionalvorganizationsvbestvsupportsvcritica
lvcarevnursingvpractice?
a. AmericanvAssociationv ofvCritical-Carev Nurses
b. AmericanvHeartv Association
c. Americanv NursesvAssociation
d. Societyv ofvCriticalv Carev Medicine
ThevAmericanvAssociationvofvCritical-
CarevNursesvisvthevspecialtyvorganizationvthatvsupportsvandvrepresentsvcriticalvcarevnurses.vThevAmericanvHeartvAs
sociationvsupportsvcardiovascularvinitiatives.vThevAmericanvNursesvAssociationvsupportsvallvnurses.vThevSocietyvo
fvCriticalvCarevMedicinevrepresentsvthevmultiprofessionalvcriticalvcarevteamvundervthevdirectionvofvanvintensivist.
DIF:vCognitivevLevel:vKnowledgev REF:v p.v4
OBJ:vDiscussvthevpurposesvandvfunctionsvofvthevprofessionalvorganizationsvthatvsupportvcriticalvcarevpractice.vT
OP:vNursingvProcessvStep:vN/A
MSC:vNCLEX:v Safevandv Effectivev Carev Environment
2.vAvnursevhasvbeenvworkingvasvavstaffvnursevinvthevsurgicalvintensivevcarevunitvforv2vyearsvandvisvinterestedvinvcertific
ation.v Whichv credentialv wouldv bev mostv applicablev forv herv tov seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:v C
Thev CCRNv certificationv isv appropriatev forv nursesv inv bedsidev practicev whov carev forv criticallyv illv patients.v Thev
ACNPCvcertificationvisvforvacutevcarevnursevpractitioners.vThevCCNSvcertificationvisvforvcriticalvcarevclinicalvnur
sevspecialists.vThevPCCNvcertificationvisvforvstaffvnursesvworkingvinvprogressivevcare,vintermediatevcare,vorvstep-
downvunitvsettings.
DIF:vCognitivev Level:vApplicationv REF:v p.v5
OBJ:vExplainvcertificationvoptionsvforvcriticalvcarevnurses.vTOP:vNursingvProcessvStep:vN/AvMSC
:vNCLEX:v SafevandvEffectivev CarevEnvironment
,3. Thevmainvpurposevofvcertificationv isvto:
a. assurevthevconsumervthatvyouvwillv notvmakev avmistake.
b. preparev forv graduatev school.
c. promotev magnetvstatusv forv yourv facility.
d. validatevknowledgev ofvcriticalv carevnursing.
ANS:v D
Certificationv assistsv inv validatingv knowledgev ofv thev field,v promotesv excellencev inv thev profession,v andv helpsvn
ursesvtovmaintainvtheirvknowledgevofvcriticalvcarevnursing.vCertificationvhelpsvtovassurevthevconsumervthatvthevnurs
ev hasv av minimumv levelv ofvknowledge;v however,v itv doesv notv ensurevthatv carev willv bev mistake-free.
Certificationv doesv notv preparev onev forv graduatev school;v however,v achievingv certificationv demonstratesvmotivati
onvforvachievementvandvprofessionalism.vMagnetvfacilitiesvarevratedvonvthevnumbervofvcertifiedvnurses;vhowever,vthat
visvnotvthevpurposevofvcertification.
DIF:vCognitivevLevel:vAnalysisv REF:vpp.v4-5
OBJ:vExplainvcertificationvoptionsvforvcriticalvcarevnurses.vTOP:vNursingvProcessvStep:vN/AvMSC
:vNCLEX:v SafevandvEffectivev CarevEnvironment
4. Thevsynergyv modelv ofvpracticev focusesvon:
a. allowingvunrestrictedv visitingv forvthevpatientv 24vhoursv eachvday.
b. holisticvandvalternativev therapies.
c. needsvofvpatientsv andvtheirvfamilies,v whichv drivesv nursingvcompetency.
d. patientsv needsv forv energyvandvsupport.
ANS:v C
Thev synergyv modelv ofv practicev statesv thatv thev needsv ofv patientsv andv familiesv influencev andv drivev competenciesv
ofvnurses.vNursingvpracticevbasedvonvthevsynergyvmodelvwouldvinvolvevtailoredvvisitingvtovmeetvthevpatientsvandvf
amilysvneedsvandvapplicationvofvalternativevtherapiesvifvdesiredvbyvthevpatient,vbutvthatvisvnotvthevprimaryvfocusv of
vthevmodel.
DIF:vCognitivev Level:vApplicationv REF:vp.v5v|vFig.v1-3
OBJ:vDescribevstandardsv ofvprofessionalvpracticev forv criticalv carev nursing.
TOP:vNursingv Processv Step:vN/Av MSC:vNCLEX:v Safev andvEffectivev Carev Environment
5. Thev familyv ofv yourv criticallyv illv patientv tellsv youv thatv theyv havev notv spokenv withv thev physicianv inv overv 24v
hoursvandvtheyvhavevsomevquestionsvthatvtheyvwantvclarified.vDuringvmorningvrounds,vyouvconveyvthisvconcernv t
ov thev attendingv intensivistv andv arrangev forv herv tov meetv withv thev familyv atv 4:00v PMv inv thev conferencev room.v
Whichv competencyv ofv criticalv carev nursingv doesvthisv represent?
, a. Advocacyvandv moralv agencyvinv solvingv ethicalv issues
b. Clinicalvjudgmentvandv clinicalvreasoningv skills
c. Collaborationvwithv patients,vfamilies,vandvteamvmembers
d. Facilitationvofvlearningv forv patients,vfamilies,v andvteamv members
ANS:vC
Althoughvonevmightvconsidervthatvallvofvthesevcompetenciesvarevbeingvaddressed,vcommunicationvandvcollaboratio
nv withv thev familyv andv physicianv bestv exemplifyv thev competencyv ofv collaboration.
DIF:vCognitivev Level:v Analysisv REF:vp.v9
OBJ:vDescribevstandardsv ofvprofessionalvpracticev forv criticalv carev nursing.
TOP:vNursingv Processv Step:vN/Av MSC:vNCLEX:v Safev andvEffectivev Carev Environment
6. ThevAACNvStandardsvforvAcutevandvCriticalvCarevNursingvPracticevusevwhatvframeworkvtovguidevcriticalvc
arevnursingvpractice?
a. Evidence-basedv practice
b. Healthyvworkv environment
c. NationalvPatientvSafetyvGoals
d. Nursingvprocess
ANS:vD
ThevAACNvStandardsvforvAcutevandvCriticalvCarevNursingvPracticevdelineatevthevnursingvprocessvasvappliedvtovcr
iticallyv illv patients:v collectv data,v determinev diagnoses,v identifyv expectedv outcomes,v developv av planv ofv care,vi
mplementv interventions,v andv evaluatev care.v AACNv promotesv av healthyv workv environment,v butv thisv isv notvi
ncludedvinvthevStandards.vThevJointvCommissionvhasvestablishedvNationalvPatientvSafetyvGoals,vbutvthesevarev not
vthevAACNvStandards.
DIF:vCognitivevLevel:vAnalysisv REF:vp.v5v |vBoxv1-2
OBJ:vDescribevstandardsv ofvprofessionalvpracticev forv criticalv carev nursing.
TOP:vNursingv Processv Step:vN/Av MSC:vNCLEX:v Safev andvEffectivev Carev Environment
7. Thevchargevnursevisvresponsiblevforvmakingvthevpatientvassignmentsvonvthevcriticalvcarevunit.vShevassignsvtheve
xperienced,vcertifiedv nursev tov carev forv thev acutelyv illv patientv withv sepsisv whov alsov requiresv continuousv renalvr
eplacementvtherapyvandvmechanicalvventilation.vShevassignsvthevnursevwithvlessvthanv1vyearvofvexperiencevtovtwo
v patientsv whov arev morev stable.v Thisv assignmentv reflectsv implementationv ofv the:
a. crewvresourcev managementvmodel
