Critical Care Nursing 8th Edition Urden Test Bank
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Test bank for Critical Care Nursing 8th Edition
Urden
Chapter 01: Critical Care Nursing Practice
Urden: Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. Designing therapeutic activities that move a patient from one state of health to another is an
example of which of the following?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
ANS: B
Nursing interventions constitute the treatment approach to an identified health alteration. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic
decision-making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
2. A practitioner and nurse are performing a dressing change on an unresponsive patient in room
14. The practitioner asks the nurse for an update on the patient in room 13. Which action
should the nurse take next?
a. Give the update to the practitioner.
b. Refuse to give the update because of Health Insurance Portability and
Accountability Act (HIPAA) requirements.
c. Give the update because the is patient’s unconscious.
d. Refuse to give the update because of Occupational Safety and Health
Administration (OSHA) requirements.
ANS: B
Most specific to critical care clinicians is the privacy and confidentiality related to protection
of health care data. This has implications when interacting with family members and others
and the often very close work environments, tight working spaces, and emergency situations.
A patient’s unconscious state is not a reason for another patient’s care to be discussed in his or
her presence. Research shows hearing is the last sense to deteriorate. Occupational Safety and
Health Administration (OSHA) has to do with safety in the workplace, not privacy and
confidentiality.
PTS: 1 DIF: Cognitive Level: Applying REF: p. 8
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
NURSINGTB.COM
, Test Bank
Test bank for Critical Care Nursing 8th Edition
Urden
3. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are assisting with
monitoring and care of the patient from the closest major city. What is this type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical providers.
Currently, there are tele-ICUs in areas where there are limited resources onsite. However,
experts (critical care nurses, intensivists) are located in a central distant site.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
4. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interproNfes
U Rsion
S NIal pTGractBic.eOCmeaMn working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served. Interprofessional communication includes communicating
with patients, families, communities, and other health professionals in a responsive and
responsible manner that supports a team approach to maintaining health and treatment of
disease. Interprofessional teamwork and team-based care means applying
relationship-building values and principles of team dynamics to perform effectively in
different team roles to plan and deliver patient population-centered care that is safe, timely,
efficient, effective, and equitable.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
5. What is the stepwise decision-making flowchart for a specific care process named?
a. Algorithm
b. Practice guideline
c. Protocol
d. Order set
ANS: A
NURSINGTB.COM
, Test Bank
Test bank for Critical Care Nursing 8th Edition
Urden
An algorithm is a stepwise decision-making flowchart for a specific care process or processes.
A practice guideline is usually created by an expert panel and developed by a professional
organization. Protocols are more directive and rigid than guidelines, and providers are not
supposed to vary from a protocol. An order set consists of preprinted provider orders that are
used to expedite the order process after a standard has been validated through analytic review
of practice and research.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 6
OBJ: Nursing Process Step: Intervention TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
NURSINGTB.COM
FULL TEST BANK
Instant download
TEST BANK
, Test Bank
Test bank for Critical Care Nursing 8th Edition
Urden
Chapter 01: Critical Care Nursing Practice
Urden: Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. Designing therapeutic activities that move a patient from one state of health to another is an
example of which of the following?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
ANS: B
Nursing interventions constitute the treatment approach to an identified health alteration. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic
decision-making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
2. A practitioner and nurse are performing a dressing change on an unresponsive patient in room
14. The practitioner asks the nurse for an update on the patient in room 13. Which action
should the nurse take next?
a. Give the update to the practitioner.
b. Refuse to give the update because of Health Insurance Portability and
Accountability Act (HIPAA) requirements.
c. Give the update because the is patient’s unconscious.
d. Refuse to give the update because of Occupational Safety and Health
Administration (OSHA) requirements.
ANS: B
Most specific to critical care clinicians is the privacy and confidentiality related to protection
of health care data. This has implications when interacting with family members and others
and the often very close work environments, tight working spaces, and emergency situations.
A patient’s unconscious state is not a reason for another patient’s care to be discussed in his or
her presence. Research shows hearing is the last sense to deteriorate. Occupational Safety and
Health Administration (OSHA) has to do with safety in the workplace, not privacy and
confidentiality.
PTS: 1 DIF: Cognitive Level: Applying REF: p. 8
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
NURSINGTB.COM
, Test Bank
Test bank for Critical Care Nursing 8th Edition
Urden
3. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are assisting with
monitoring and care of the patient from the closest major city. What is this type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical providers.
Currently, there are tele-ICUs in areas where there are limited resources onsite. However,
experts (critical care nurses, intensivists) are located in a central distant site.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
4. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interproNfes
U Rsion
S NIal pTGractBic.eOCmeaMn working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served. Interprofessional communication includes communicating
with patients, families, communities, and other health professionals in a responsive and
responsible manner that supports a team approach to maintaining health and treatment of
disease. Interprofessional teamwork and team-based care means applying
relationship-building values and principles of team dynamics to perform effectively in
different team roles to plan and deliver patient population-centered care that is safe, timely,
efficient, effective, and equitable.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
5. What is the stepwise decision-making flowchart for a specific care process named?
a. Algorithm
b. Practice guideline
c. Protocol
d. Order set
ANS: A
NURSINGTB.COM
, Test Bank
Test bank for Critical Care Nursing 8th Edition
Urden
An algorithm is a stepwise decision-making flowchart for a specific care process or processes.
A practice guideline is usually created by an expert panel and developed by a professional
organization. Protocols are more directive and rigid than guidelines, and providers are not
supposed to vary from a protocol. An order set consists of preprinted provider orders that are
used to expedite the order process after a standard has been validated through analytic review
of practice and research.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 6
OBJ: Nursing Process Step: Intervention TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
NURSINGTB.COM
