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Table of Contents Il` tp Il` Il` t p Il` Il` Il`
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Chapter 01: Overview of Critical Care Nursing Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` 2 Il`
Chapter 02: Patient Il`t Il`p Il` Il`tp Il` Il` t p and Family Response to the Critical Care
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t Il`p Il` Experience Chapter 03: Ethical and Legal Issues in Critical Care Nursing pt Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il`t Il`p Il` Il`t Il`p Il`t Il`p Il` Il`t Il`p Il`t Il`p Il` Il`t Il`p Il` 30 Il`
Chapter 04: Palliative and End-of-Life Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` 42 Il`
t Il`p Il` Care Chapter 05:
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Sedation 56
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Chapter 06: Nutritional Therapy
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Chapter 07: Il`tp Il` Il` tp Dysrhythmia Interpretation
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and 83 p Il` Il` Il`
tp Management Chapter 08: Hemodynamic Monitoring
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Chapter 09: Il`tp Il` Il` tp Ventilatory
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Chapter 10: Rapid Il`tp Il` Il` tp Il` Il` tp Response
Il` Il` tp Teams
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and Code 156
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tp Management Chapter 11: Organ Donation
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Chapter 12: Shock, Il`tp Il` Il`t Il`p Il` Il` tp Sepsis,
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p Dysfunction
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Chapter 14: Nervous System Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` 225 Il`
tp Il` Alterations Chapter 15: Acute pt Il` Il`t Il`p Il` Il`t Il`p Il` Il` 243 Il`
t Il`p Il` Respiratory Failure Chapter 16: Acute Il`t Il`p Il` Il`tp Il`tp Il`tp Il`tp Il` 260 Il`
Kidney Injury Chapter 17:
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t Il`p Il` Gastrointestinal Alterations Il`t Il`p Il` Il` 312 Il`
Chapter 17: Il`tp Il` Il` Hematological tp Il` Il` t p and
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Immune tp Il` Il` 341 Il`
t Il`p Il` Disorders Chapter 19: Endocrine Alterations pt Il` Il`tp Il`t Il`p Il`t Il`p Il` 361 Il`
Chapter 20: Trauma and Surgical Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` 377 Il`
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Chapter Il` tp Il` 01: Il` tp Il` Overview Il` t p of Critical
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MULTIPLE CHOICE Il` tp Il` Il`
1. Which of the following professional organizations best supports critical care
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practice?
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a. American Association Il` t Il`p Il` Il` t Il`p Il`of Critical-Care Il`t Il`p Il` Il` t Nurses
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b. American Heart Association Il` t Il`p Il` Il`t Il`p Il` Il`
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c. American Il` t p Nurses Association
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d. Society of Critical Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il`Care Il`
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The American Association of Critical-Care Nurses is the specialty organization that supports and
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represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The American
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Nurses Association supports all nurses. The Society of Critical Care Medicine represents the multiprofessional
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care team under the direction of an intensivist.
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DIF: Cognitive Level: Knowledge Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t p REF: p. 4
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OBJ: Discuss the purposes and functions of the professional organizations
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practice. t Il`p Il` Il`
TOP: Nursing Process Step: N/A tp Il`tp Il`tp Il`tp Il`tp Il`
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MSC: NCLEX: Safe and Effective Care Environment Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is
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interested in
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certification. Which credential would be most applicable for her to seek?
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a. ACNPC Il`
b. CCNS Il`
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, Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
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c. CCRN Il`
d. PCCN Il`
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The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients.
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The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical
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nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate
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care, or step-down unit settings.
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DIF: Cognitive Level: Application REF: p. 5 Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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OBJ: Explain certification options for critical care nurses. TOP:
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N/A MSC: p Il` pt Il` Il`
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3. The main purpose of certification is to:
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a. assure the consumer that you will not make a mistake. Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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c. promote magnet status for your facility. Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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d. validate knowledge of critical care nursing. Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps nurses Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`t Il`p
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maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
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tp nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
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Certification does not prepare one for graduate school; however, achieving certification demonstrates motivation Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`tp Il`
t for achievement
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of certified nurses; however, t p Il` Il`t Il`p Il` Il`t Il`p Il` Il`tp Il`
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that is not the purpose of certification.
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DIF: Cognitive Level: Analysis Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t p Il`REF: pp. 4-5 Il`t Il`p Il` Il`t Il`p Il` Il`
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OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
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MSC: NCLEX: Safe and Effective Care Environment
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4. The synergy model of practice focuses on:
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a. allowing unrestricted visiting for the patient 24 hours each day. Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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b. holistic and alternative therapies. Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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c. needs of patients and their families, which drives Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il` nursing competency. Il`t Il`p Il` Il`
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The synergy model of practice states that the needs
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t nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the
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patients and t Il`p Il` Il`t Il`p Il` Il`
familys needs and application of alternative therapies if desired by the patient, but that is not the
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primary focus of the model.
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DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
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OBJ: Describe standards of professional practice Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il`for Il` t Il`p Il` critical care Il`t Il`p Il` Il` t nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il` Safe Il` t Il`p Il` and Effective Il`t Il`p Il` Il` t Il`p Il`Care Environment Il`t Il`p Il` Il`
5. The family of your critically ill patient tells you that they have not spoken with the physician in over 24 hours
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t and they have some questions that they want clarified. During morning rounds, you convey this
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attending intensivist and arrange for her to meet with the family at 4:00 PM in the conference room. Which
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competency of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues Il`t Il`p Il` Il` t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
b. Clinical judgment and clinical reasoning skills Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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c. Collaboration with patients, families, and team members Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
d. Facilitation of learning for patients, families, Il`t Il`p Il` Il` t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t and team
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Although one might consider that all of these competencies are being addressed, Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il` Il`t Il`p Il` Il` tp communication
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collaboration with the family and physician best exemplify the competency of collaboration.
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DIF: Cognitive Level: Analysis REF: p. 9 Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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OBJ: Describe standards of professional practice Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il`for Il` t Il`p Il` critical care Il`t Il`p Il` Il` t nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il` Safe Il` t Il`p Il` and Effective Il`t Il`p Il` Il` t Il`p Il`Care Environment Il`t Il`p Il` Il`
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
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critical
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a. Evidence-based Il` t p practice
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b. Healthy work environment Il`t Il`p Il` Il`t Il`p Il` Il`
c. National Patient Safety Goals Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
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The AACN Standards for Acute and Critical
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Il` nursing process as applied Il`t Il`p Il` Il` t Il`p Il` Il`t Il`p Il` Il`
to critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of
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care, implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
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tp included in the Standards. The Joint Commission has established National Patient Safety Goals, but these
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are not
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DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2 Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`
OBJ: Describe standards of professional practice Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il`for Il` t Il`p Il` critical care Il`t Il`p Il` Il` t nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il`t Il`p Il` Il` t Il`p Il` Safe Il` t Il`p Il` and Effective Il`t Il`p Il` Il` t Il`p Il`Care Environment Il`t Il`p Il` Il`
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7. The charge nurse is responsible for making the patient assignments on the critical care unit. She
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assigns the Il` Il`t Il`p Il` Il`
experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous
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renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of
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to two patients who are more stable. This assignment reflects implementation of the:
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