Chapter 01: Caring for the Critically Ill Patient
zs zs zs zs zs zs zs
Urden: Priorities in Critical Care Nursing, 8th Edition
zs zs zs zs zs zs zs zs
,MULTIPLE CHOICE
zs
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
complex clinical and system issues?
zs zs zs zs zs
a. Registered nurses zs
b. Advanced practice nurses zs zs
c. Clinical nurse leaders zs zs
d. Intensivists
ANS: B zs
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
zs zs zs zs zs zs zs zs zs zs zs zs zs
specialty area and manage complex clinical and systems issues. Intensivists are medical
zs zs zs zs zs zs zs zs zs zs zs zs
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
zs zs zs zs zs zs zs zs zs zs zs zs zs
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
zs zs zs zs zs zs zs zs zs zs zs zs
PTS: 1 z s DIF: Cognitive Level:
z s zs
Remembering OBJ: Nursing Process Step: N/A zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs zs
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
zs zs zs zs zs zs zs zs
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
zs programs are in place? zs zs zs
a. Clinical nurse specialist zs zs
b. Advanced practice nurse zs zs
c. Registered nurses zs
d. Nurse practitioners zs
ANS: A zs
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
zs zs zs zs zs zs zs zs zs zs zs zs
research, leadership, and consultative abilities. They are instrumental in ensuring that care is
zs zs zs zs zs zs zs zs zs zs zs zs zs
evidence based and that safety programs are in place. Advanced practice nurses (APNs)
zs zs zs zs zs zs zs zs zs zs zs zs zs
have a broad depth of knowledge and expertise in their specialty area and manage complex
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
clinical and systems issues. Registered nurses are generally direct care providers. Nurse
zs zs zs zs zs zs zs zs zs zs zs zs
practitioners (NPs) manage direct clinical care of groups of patients.
zs zs zs zs zs zs zs zs zs zs
PTS: 1 z s DIF: Cognitive Level:
z s zs
Remembering OBJ: Nursing Process Step: N/A zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs zs
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
zs zs zs zs zs zs zs zs
3. Which professional organization administers critical care certification exams for registered
zs zs zs zs zs zs zs zs zs
zs nurses?
a. State Board of Registered Nurses
zs zs zs zs
b. National Association of Clinical Nurse Specialist zs zs zs zs zs
c. Society of Critical Care Medicine zs zs zs zs
, d. American Association of Critical-Care Nurses zs zs zs zs
ANS:D
American Association of Critical-Care Nurses (AACN) administers certification exams for
zs zs zs zs zs zs zs zs zs
registered nurses. The State Board of Registered Nurses (SBON) does not administer
zs zs zs zs zs zs zs zs zs zs zs zs
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
zs zs zs zs zs zs zs zs zs zs zs
administer certification exams. Society of Critical Care Medicine (SCCM) does not
zs zs zs zs zs zs zs zs zs zs zs
administer nursing certification exams for registered nurses.
zs zs zs zs zs zs zs
PTS: 1 DIF: Cognitive Level:
z s z s zs
Remembering OBJ: Nursing Process Step: N/A zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs zs
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
zs zs zs zs zs zs zs zs
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
zs zs zs zs zs zs zs zs zs zs
zs that can be used as quick references for clinical use that are known as:
zs zs zs zs zs zs zs zs zs zs zs zs zs
a. critical care protocol. zs zs
b. practice policies. zs
c. evidence-based research. zs
d. practice alerts. zs
ANS: D zs
The American Association of Critical-Care Nurses (AACN) has promulgated several
zs zs zs zs zs zs zs zs zs
evidence-based practice summaries in the form of ―practice alerts.‖ Evidence-based nursing
zs zs zs zs zs zs zs zs zs zs zs
practice considers the best research evidence on the care topic along with clinical expertise of
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
the nurse and patient preferences. Critical care protocol and practice policies are established
zs zs zs zs zs zs zs zs zs zs zs zs zs
by individual institutions.
zs zs zs
PTS: 1 DIF: Cognitive Level: Remembering
z s zs zs
OBJ: Nursing Process Step: Planning
zs zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs
MSC: NCLEX: Safe and Effective
zs zs zs zs zs
Care Environment: Coordinated Care
zs zs zs zs
5. What type of therapy is an option to conventional treatment?
zs zs zs zs zs zs zs zs zs
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A zs
The term alternative denotes that a specific therapy is an option or alternative to what is
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
considered conventional treatment of a condition or state. The term complementary was
zs zs zs zs zs zs zs zs zs zs zs zs
proposed to describe therapies that can be used to complement or support conventional
zs zs zs zs zs zs zs zs zs zs zs zs zs
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
zs zs zs zs zs zs zs zs zs zs zs
each patient’s preferences, condition, and physiologic and psychosocial status.
zs zs zs zs zs zs zs zs zs
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
z s zs zs zs zs zs zs
Implementation
zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
zs zs zs zs zs zs zs
6. Guided imagery and massage are both examples of what type of treatment?
zs zs zs zs zs zs zs zs zs zs zs
a. Alternative therapy zs
b. Holistic care zs
, c. Complementary care zs
d. Individualized care zs
ANS: C zs
The term complementary was proposed to describe therapies that can be used to complement
zs zs zs zs zs zs zs zs zs zs zs zs zs
or support conventional treatments. Guided imagery, massage, and animal-assisted therapy
zs zs zs zs zs zs zs zs zs zs
are all examples of complementary care. The term alternative denotes that aspecific therapy
zs zs zs zs zs zs zs zs zs zs zs zs zs
is an option or alternative to what is considered conventional treatment of a condition or state.
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
interdependent and inseparable. Individualized care recognizes the uniqueness of each
zs zs zs zs zs zs zs zs zs zs
patient’s preferences, condition, and physiologic and psychosocial status.
zs zs zs zs zs zs zs zs
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
z s zs zs zs zs zs zs
Implementation
zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
zs zs zs zs zs zs zs
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
assisting with monitoring and care of the patient from the closest major city. What is this
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
type of practice termed?
zs zs zs zs
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B zs
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
zs zs zs zs zs zs zs zs zs zs zs zs
remote rural geographic locations, and areas where there was a dearth of medical
zs zs zs zs zs zs zs zs zs zs zs zs zs
providers. Currently, there are tele-ICUs in areas where there are limited resources on-
zs zs zs zs zs zs zs zs zs zs zs zs zs
site. However, experts (critical care nurses, intensivists) are located in a central distant
zs zs zs zs zs zs zs zs zs zs zs zs zs
site.
PTS: 1 DIF: Cognitive Level: Understanding
z s zs zs
OBJ: Nursing Process Step: Evaluation
zs zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs
MSC: NCLEX: Physiological Integrity:
zs zs zs zs
Reduction of Risk Potential zs zs zs
8. Which core competency for interprofessional practice can be described as working with
zs zs zs zs zs zs zs zs zs zs zs
zs individuals of other professions to maintain a climate of mutual respect and shared values?
zs zs zs zs zs zs zs zs zs zs zs zs zs
a. Interprofessional teamwork and team-based care zs zs zs zs
b. Values and ethics for interprofessional practice zs zs zs zs zs
c. Interprofessional communication zs
d. Roles and responsibilities for collaborative practice
zs zs zs zs zs
ANS: B zs
Values and ethics for interprofessional practice mean working with individuals of other
zs zs zs zs zs zs zs zs zs zs zs
professions to maintain a climate of mutual respect and shared values. Roles and
zs zs zs zs zs zs zs zs zs zs zs zs zs
responsibilities for collaborative practice include using knowledge of one’s own role and the
zs zs zs zs zs zs zs zs zs zs zs zs zs
roles of other professions to appropriately assess and address the health care needs of the
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
patients and populations served.
zs zs zs zs
Interprofessional communication includes communicating with patients, families, zs zs zs zs zs zs
communities, and other health professionals in a responsive and responsible manner that
zs zs zs zs zs zs zs zs zs zs zs zs
supports a team approach to maintaining health and treatment of disease. Interprofessional
zs zs zs zs zs zs zs zs zs zs zs zs
teamwork and team-based care means applying relationship-building values and principles of
zs zs zs zs zs zs zs zs zs zs zs
team dynamics to perform effectively in different team roles to plan and deliver patient
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
population-centered care that is safe, timely, efficient, effective, and equitable.
zs zs zs zs zs zs zs zs zs zs
zs zs zs zs zs zs zs
Urden: Priorities in Critical Care Nursing, 8th Edition
zs zs zs zs zs zs zs zs
,MULTIPLE CHOICE
zs
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
complex clinical and system issues?
zs zs zs zs zs
a. Registered nurses zs
b. Advanced practice nurses zs zs
c. Clinical nurse leaders zs zs
d. Intensivists
ANS: B zs
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
zs zs zs zs zs zs zs zs zs zs zs zs zs
specialty area and manage complex clinical and systems issues. Intensivists are medical
zs zs zs zs zs zs zs zs zs zs zs zs
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
zs zs zs zs zs zs zs zs zs zs zs zs zs
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
zs zs zs zs zs zs zs zs zs zs zs zs
PTS: 1 z s DIF: Cognitive Level:
z s zs
Remembering OBJ: Nursing Process Step: N/A zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs zs
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
zs zs zs zs zs zs zs zs
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
zs programs are in place? zs zs zs
a. Clinical nurse specialist zs zs
b. Advanced practice nurse zs zs
c. Registered nurses zs
d. Nurse practitioners zs
ANS: A zs
Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
zs zs zs zs zs zs zs zs zs zs zs zs
research, leadership, and consultative abilities. They are instrumental in ensuring that care is
zs zs zs zs zs zs zs zs zs zs zs zs zs
evidence based and that safety programs are in place. Advanced practice nurses (APNs)
zs zs zs zs zs zs zs zs zs zs zs zs zs
have a broad depth of knowledge and expertise in their specialty area and manage complex
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
clinical and systems issues. Registered nurses are generally direct care providers. Nurse
zs zs zs zs zs zs zs zs zs zs zs zs
practitioners (NPs) manage direct clinical care of groups of patients.
zs zs zs zs zs zs zs zs zs zs
PTS: 1 z s DIF: Cognitive Level:
z s zs
Remembering OBJ: Nursing Process Step: N/A zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs zs
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
zs zs zs zs zs zs zs zs
3. Which professional organization administers critical care certification exams for registered
zs zs zs zs zs zs zs zs zs
zs nurses?
a. State Board of Registered Nurses
zs zs zs zs
b. National Association of Clinical Nurse Specialist zs zs zs zs zs
c. Society of Critical Care Medicine zs zs zs zs
, d. American Association of Critical-Care Nurses zs zs zs zs
ANS:D
American Association of Critical-Care Nurses (AACN) administers certification exams for
zs zs zs zs zs zs zs zs zs
registered nurses. The State Board of Registered Nurses (SBON) does not administer
zs zs zs zs zs zs zs zs zs zs zs zs
certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
zs zs zs zs zs zs zs zs zs zs zs
administer certification exams. Society of Critical Care Medicine (SCCM) does not
zs zs zs zs zs zs zs zs zs zs zs
administer nursing certification exams for registered nurses.
zs zs zs zs zs zs zs
PTS: 1 DIF: Cognitive Level:
z s z s zs
Remembering OBJ: Nursing Process Step: N/A zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs zs
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
zs zs zs zs zs zs zs zs
4. The American Association of Critical-Care Nurses (AACN) has developed short directives
zs zs zs zs zs zs zs zs zs zs
zs that can be used as quick references for clinical use that are known as:
zs zs zs zs zs zs zs zs zs zs zs zs zs
a. critical care protocol. zs zs
b. practice policies. zs
c. evidence-based research. zs
d. practice alerts. zs
ANS: D zs
The American Association of Critical-Care Nurses (AACN) has promulgated several
zs zs zs zs zs zs zs zs zs
evidence-based practice summaries in the form of ―practice alerts.‖ Evidence-based nursing
zs zs zs zs zs zs zs zs zs zs zs
practice considers the best research evidence on the care topic along with clinical expertise of
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
the nurse and patient preferences. Critical care protocol and practice policies are established
zs zs zs zs zs zs zs zs zs zs zs zs zs
by individual institutions.
zs zs zs
PTS: 1 DIF: Cognitive Level: Remembering
z s zs zs
OBJ: Nursing Process Step: Planning
zs zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs
MSC: NCLEX: Safe and Effective
zs zs zs zs zs
Care Environment: Coordinated Care
zs zs zs zs
5. What type of therapy is an option to conventional treatment?
zs zs zs zs zs zs zs zs zs
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A zs
The term alternative denotes that a specific therapy is an option or alternative to what is
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
considered conventional treatment of a condition or state. The term complementary was
zs zs zs zs zs zs zs zs zs zs zs zs
proposed to describe therapies that can be used to complement or support conventional
zs zs zs zs zs zs zs zs zs zs zs zs zs
treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
zs zs zs zs zs zs zs zs zs zs zs
each patient’s preferences, condition, and physiologic and psychosocial status.
zs zs zs zs zs zs zs zs zs
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
z s zs zs zs zs zs zs
Implementation
zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
zs zs zs zs zs zs zs
6. Guided imagery and massage are both examples of what type of treatment?
zs zs zs zs zs zs zs zs zs zs zs
a. Alternative therapy zs
b. Holistic care zs
, c. Complementary care zs
d. Individualized care zs
ANS: C zs
The term complementary was proposed to describe therapies that can be used to complement
zs zs zs zs zs zs zs zs zs zs zs zs zs
or support conventional treatments. Guided imagery, massage, and animal-assisted therapy
zs zs zs zs zs zs zs zs zs zs
are all examples of complementary care. The term alternative denotes that aspecific therapy
zs zs zs zs zs zs zs zs zs zs zs zs zs
is an option or alternative to what is considered conventional treatment of a condition or state.
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
interdependent and inseparable. Individualized care recognizes the uniqueness of each
zs zs zs zs zs zs zs zs zs zs
patient’s preferences, condition, and physiologic and psychosocial status.
zs zs zs zs zs zs zs zs
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
z s zs zs zs zs zs zs
Implementation
zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
zs zs zs zs zs zs zs
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
assisting with monitoring and care of the patient from the closest major city. What is this
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
type of practice termed?
zs zs zs zs
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B zs
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
zs zs zs zs zs zs zs zs zs zs zs zs
remote rural geographic locations, and areas where there was a dearth of medical
zs zs zs zs zs zs zs zs zs zs zs zs zs
providers. Currently, there are tele-ICUs in areas where there are limited resources on-
zs zs zs zs zs zs zs zs zs zs zs zs zs
site. However, experts (critical care nurses, intensivists) are located in a central distant
zs zs zs zs zs zs zs zs zs zs zs zs zs
site.
PTS: 1 DIF: Cognitive Level: Understanding
z s zs zs
OBJ: Nursing Process Step: Evaluation
zs zs zs zs zs
TOP: Caring for the Critically Ill Patient
zs zs zs zs zs zs
MSC: NCLEX: Physiological Integrity:
zs zs zs zs
Reduction of Risk Potential zs zs zs
8. Which core competency for interprofessional practice can be described as working with
zs zs zs zs zs zs zs zs zs zs zs
zs individuals of other professions to maintain a climate of mutual respect and shared values?
zs zs zs zs zs zs zs zs zs zs zs zs zs
a. Interprofessional teamwork and team-based care zs zs zs zs
b. Values and ethics for interprofessional practice zs zs zs zs zs
c. Interprofessional communication zs
d. Roles and responsibilities for collaborative practice
zs zs zs zs zs
ANS: B zs
Values and ethics for interprofessional practice mean working with individuals of other
zs zs zs zs zs zs zs zs zs zs zs
professions to maintain a climate of mutual respect and shared values. Roles and
zs zs zs zs zs zs zs zs zs zs zs zs zs
responsibilities for collaborative practice include using knowledge of one’s own role and the
zs zs zs zs zs zs zs zs zs zs zs zs zs
roles of other professions to appropriately assess and address the health care needs of the
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
patients and populations served.
zs zs zs zs
Interprofessional communication includes communicating with patients, families, zs zs zs zs zs zs
communities, and other health professionals in a responsive and responsible manner that
zs zs zs zs zs zs zs zs zs zs zs zs
supports a team approach to maintaining health and treatment of disease. Interprofessional
zs zs zs zs zs zs zs zs zs zs zs zs
teamwork and team-based care means applying relationship-building values and principles of
zs zs zs zs zs zs zs zs zs zs zs
team dynamics to perform effectively in different team roles to plan and deliver patient
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
population-centered care that is safe, timely, efficient, effective, and equitable.
zs zs zs zs zs zs zs zs zs zs
