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CRITICAL CARE
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NURSING:
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A Holistic Approach
11th Edition, Morton Fontaine
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TEST BANK
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, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
Table of Contents
Part 1 The Concept of Holism Applied to Critical Care Nursing Practice
Chapter 1. Critical Care Nursing Practice: Promoting Excellence Through Caring, Collaboration, and Evidence
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Chapter 2. The Patient’s Experience With Critical Illness
Chapter 3. The Family’s Experience With Critical Illness
Chapter 4. Patient and Family Education in Critical Care
Chapter 5. Relieving Pain and Providing Comfort
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Chapter 6. Palliative Care and End-of-Life Issues in Critical Care
Part 2 Professional Practice Issues in Critical Care
Chapter 7. Ethical Issues in Critical Care Nursing
Chapter 8. Legal Issues in Critical Care Nursing
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Chapter 9. Building a Professional Practice Model for Excellence in Critical Care Nursing
Part 3 Special Populations in Critical Care
Chapter 10. The Critically Ill Pediatric Patient
Chapter 11. The Critically Ill Pregnant Woman
Chapter 12. The Critically Ill Older Patient
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Chapter 13. The Postanesthesia Patient
Part 4 Special Situations in Critical Care
Chapter 14. Rapid Response Teams and Transport of the Critically Ill Patient
Chapter 15. Disaster Management: Implications for the Critical Care Nurse
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Part 5 Cardiovascular System
Chapter 16. Anatomy and Physiology of the Cardiovascular System
Chapter 17. Patient Assessment: Cardiovascular System
Chapter 18. Patient Management: Cardiovascular System
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Chapter 19. Common Cardiovascular Disorders
Chapter 20. Heart Failure
Chapter 21. Acute Myocardial Infarction
Chapter 22. Cardiac Surgery
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Part 6 Respiratory System
Chapter 23. Anatomy and Physiology of the Respiratory System
Chapter 24. Patient Assessment: Respiratory System
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
Chapter 25. Patient Management: Respiratory System
Chapter 26. Common Respiratory Disorders
Chapter 27. Acute Respiratory Distress Syndrome
is
Part 7 Renal System
Chapter 28. Anatomy and Physiology of the Renal System
Chapter 29. Patient Assessment: Renal System
Chapter 30. Patient Management: Renal System
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Chapter 31. Acute Kidney Injury and Chronic Kidney Disease
Part 8 Nervous System
Chapter 32. Anatomy and Physiology of the Nervous System
Chapter 33. Patient Assessment: Nervous System
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Chapter 34. Patient Management: Nervous System
Chapter 35. Common Neurosurgical and Neurological Disorders
Chapter 36. Traumatic Brain Injury
Chapter 37. Spinal Cord Injury
Part 9 Gastrointestinal System
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Chapter 38. Anatomy and Physiology of the Gastrointestinal System
Chapter 39. Patient Assessment: Gastrointestinal System
Chapter 40. Patient Management: Gastrointestinal System
Chapter 41. Common Gastrointestinal Disorders
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Part 10 Endocrine System
Chapter 42. Anatomy and Physiology of the Endocrine System
Chapter 43. Patient Assessment: Endocrine System
Chapter 44. Common Endocrine Disorders
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Part 11 Hematological and Immune Systems
Chapter 45. Anatomy and Physiology of the Hematological and Immune Systems
Chapter 46. Patient Assessment: Hematological and Immune Systems
Chapter 47. Organ and Hematopoietic Stem Cell Transplantation
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Chapter 48. Common Immunological Disorders
Chapter 49. Common Hematological Disorders
Part 12 Integumentary System
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
Chapter 50. Anatomy and Physiology of the Integumentary System
Chapter 51. Patient Assessment: Integumentary System
Chapter 52. Patient Management: Integumentary System
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Chapter 53. Burns and Common Integumentary Disorders
Part 13 Multisystem Dysfunction
Chapter 54. Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome
Chapter 55. Trauma
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Chapter 56. Drug Overdose and Poisoning
ro
fe
ss
or
@
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence
Multiple Choice
is
1. A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient because
she doubts the accuracy of her knowledge and her intuition. She loves her work but
wishes she could do it with a greater level of competence. What is the most important
effect that obtaining certification would likely have on the nurses practice?
ep
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both candidates
ro
have around 10 years of experience working in the ICU. Both have excellent
interpersonal skills and highly positive references. One, however, has certification in
critical care nursing. Which of the following is the most compelling and accurate reason
for the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
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B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about in
ss
a recent article in a nursing journal. She then brings a cup of water and a straw to the
patient because she observes that his lips are dry. Later, she has the patient sit in a
wheelchair and takes him to have some blood tests performed. He objects at first, saying
that he can walk on his own, but the nurse explains that it is hospital policy to use the
wheelchair. That evening, she recognizes signs of an imminent stroke in the patient and
immediately pages the physician. Which action taken by the nurse is the best example of
evidence-based practice?
or
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physician
@
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have
been shown to be most effective in reducing these infections. She consults many different
sources and finds conflicting information. Which of the following sources should she
is
consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
ep
5. A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following
would be the best step for her to take to promote incorporating evidence into clinical
practice?
A) Only hire nurses certified in critical care nursing.
ro
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research
on it.
fe
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose.
The physician has the nurse paged and consults with him in the hallway regarding the
patients request for stronger pain medication. The nurse explains that patient was started
on a morphine drip only 20 minutes ago and that the drug has not had time to take effect
yet. The physician agrees and tells the patient to give it just a bit more time. Which
component of a healthy work environment is most evident in this scenario?
ss
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
or
7. A nurse in the ICU is responding to a patient who has just gone into cardiac arrest. A
moment later, the nurse is notified that another patient has just gone into anaphylactic
shock due to a drug allergy. She is conflicted as to what to do, as she is the only nurse
available at the moment to tend to both patients. Which component of a healthy work
environment is lacking in this scenario?
A) Effective decision making
@
CRITICAL CARE
is
NURSING:
ep
A Holistic Approach
11th Edition, Morton Fontaine
ro
fe
ss
or
TEST BANK
@
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
Table of Contents
Part 1 The Concept of Holism Applied to Critical Care Nursing Practice
Chapter 1. Critical Care Nursing Practice: Promoting Excellence Through Caring, Collaboration, and Evidence
is
Chapter 2. The Patient’s Experience With Critical Illness
Chapter 3. The Family’s Experience With Critical Illness
Chapter 4. Patient and Family Education in Critical Care
Chapter 5. Relieving Pain and Providing Comfort
ep
Chapter 6. Palliative Care and End-of-Life Issues in Critical Care
Part 2 Professional Practice Issues in Critical Care
Chapter 7. Ethical Issues in Critical Care Nursing
Chapter 8. Legal Issues in Critical Care Nursing
ro
Chapter 9. Building a Professional Practice Model for Excellence in Critical Care Nursing
Part 3 Special Populations in Critical Care
Chapter 10. The Critically Ill Pediatric Patient
Chapter 11. The Critically Ill Pregnant Woman
Chapter 12. The Critically Ill Older Patient
fe
Chapter 13. The Postanesthesia Patient
Part 4 Special Situations in Critical Care
Chapter 14. Rapid Response Teams and Transport of the Critically Ill Patient
Chapter 15. Disaster Management: Implications for the Critical Care Nurse
ss
Part 5 Cardiovascular System
Chapter 16. Anatomy and Physiology of the Cardiovascular System
Chapter 17. Patient Assessment: Cardiovascular System
Chapter 18. Patient Management: Cardiovascular System
or
Chapter 19. Common Cardiovascular Disorders
Chapter 20. Heart Failure
Chapter 21. Acute Myocardial Infarction
Chapter 22. Cardiac Surgery
@
Part 6 Respiratory System
Chapter 23. Anatomy and Physiology of the Respiratory System
Chapter 24. Patient Assessment: Respiratory System
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
Chapter 25. Patient Management: Respiratory System
Chapter 26. Common Respiratory Disorders
Chapter 27. Acute Respiratory Distress Syndrome
is
Part 7 Renal System
Chapter 28. Anatomy and Physiology of the Renal System
Chapter 29. Patient Assessment: Renal System
Chapter 30. Patient Management: Renal System
ep
Chapter 31. Acute Kidney Injury and Chronic Kidney Disease
Part 8 Nervous System
Chapter 32. Anatomy and Physiology of the Nervous System
Chapter 33. Patient Assessment: Nervous System
ro
Chapter 34. Patient Management: Nervous System
Chapter 35. Common Neurosurgical and Neurological Disorders
Chapter 36. Traumatic Brain Injury
Chapter 37. Spinal Cord Injury
Part 9 Gastrointestinal System
fe
Chapter 38. Anatomy and Physiology of the Gastrointestinal System
Chapter 39. Patient Assessment: Gastrointestinal System
Chapter 40. Patient Management: Gastrointestinal System
Chapter 41. Common Gastrointestinal Disorders
ss
Part 10 Endocrine System
Chapter 42. Anatomy and Physiology of the Endocrine System
Chapter 43. Patient Assessment: Endocrine System
Chapter 44. Common Endocrine Disorders
or
Part 11 Hematological and Immune Systems
Chapter 45. Anatomy and Physiology of the Hematological and Immune Systems
Chapter 46. Patient Assessment: Hematological and Immune Systems
Chapter 47. Organ and Hematopoietic Stem Cell Transplantation
@
Chapter 48. Common Immunological Disorders
Chapter 49. Common Hematological Disorders
Part 12 Integumentary System
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
Chapter 50. Anatomy and Physiology of the Integumentary System
Chapter 51. Patient Assessment: Integumentary System
Chapter 52. Patient Management: Integumentary System
is
Chapter 53. Burns and Common Integumentary Disorders
Part 13 Multisystem Dysfunction
Chapter 54. Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome
Chapter 55. Trauma
ep
Chapter 56. Drug Overdose and Poisoning
ro
fe
ss
or
@
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence
Multiple Choice
is
1. A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient because
she doubts the accuracy of her knowledge and her intuition. She loves her work but
wishes she could do it with a greater level of competence. What is the most important
effect that obtaining certification would likely have on the nurses practice?
ep
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both candidates
ro
have around 10 years of experience working in the ICU. Both have excellent
interpersonal skills and highly positive references. One, however, has certification in
critical care nursing. Which of the following is the most compelling and accurate reason
for the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
fe
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about in
ss
a recent article in a nursing journal. She then brings a cup of water and a straw to the
patient because she observes that his lips are dry. Later, she has the patient sit in a
wheelchair and takes him to have some blood tests performed. He objects at first, saying
that he can walk on his own, but the nurse explains that it is hospital policy to use the
wheelchair. That evening, she recognizes signs of an imminent stroke in the patient and
immediately pages the physician. Which action taken by the nurse is the best example of
evidence-based practice?
or
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physician
@
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have
been shown to be most effective in reducing these infections. She consults many different
sources and finds conflicting information. Which of the following sources should she
is
consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
ep
5. A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following
would be the best step for her to take to promote incorporating evidence into clinical
practice?
A) Only hire nurses certified in critical care nursing.
ro
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research
on it.
fe
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose.
The physician has the nurse paged and consults with him in the hallway regarding the
patients request for stronger pain medication. The nurse explains that patient was started
on a morphine drip only 20 minutes ago and that the drug has not had time to take effect
yet. The physician agrees and tells the patient to give it just a bit more time. Which
component of a healthy work environment is most evident in this scenario?
ss
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
or
7. A nurse in the ICU is responding to a patient who has just gone into cardiac arrest. A
moment later, the nurse is notified that another patient has just gone into anaphylactic
shock due to a drug allergy. She is conflicted as to what to do, as she is the only nurse
available at the moment to tend to both patients. Which component of a healthy work
environment is lacking in this scenario?
A) Effective decision making
@
