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