Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
c c c c c c c c c c 1
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
c c c c c c c c c c 2
Chapter 01: Overview of Critical Care Nursing
c c c c c c
MULTIPLE CHOICE c
1. Which of the following professional organizations best supports critical care nursing practice?
c c c c c c c c c c c
a. American Association of Critical-Care Nurses c c c c
b. American Heart Association c c
c. American Nurses Association c c
d. Society of Critical Care Medicine c c c c
ANS: A c
The American Association of Critical-Care Nurses is the specialty organization that supports and represents
c c c c c c c c c c c c c
critical care nurses. The American Heart Association supports cardiovascular initiatives. The American Nurses
c c c c c c c c c c c c c
Association supports all nurses. The Society of Critical Care Medicine represents the multiprofessional critical
c c c c c c c c c c c c c c
care team under the direction of an intensivist.
c c c c c c c c
DIF: Cognitive Level: Knowledge REF: p. 4
c c c c c c
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
c c c c c c c c c c c c c c
TOP: Nursing Process Step: N/A
c c c c c
MSC: NCLEX: Safe and Effective Care Environment
c c c c c c
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
c c c c c c c c c c c c c c c c c c c c c
certification. Which credential would be most applicable for her to seek?
c c c c c c c c c c c
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C c
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
c c c c c c c c c c c c c c c c
ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
c c c c c c c c c c c c c c c c
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
c c c c c c c c c c c c c c c c
step-down unit settings.
c c c
DIF: Cognitive Level: Application REF: p. 5
c c c c c c
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
c c c c c c c c c c c c
c MSC: NCLEX: Safe and Effective Care Environment
c c c c c c
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
c c c c c c c c c c 3
3. The main purpose of certification is to:
c c c c c c
a. assure the consumer that you will not make a mistake.
c c c c c c c c c
b. prepare for graduate school. c c c
c. promote magnet status for your facility. c c c c c
d. validate knowledge of critical care nursing. c c c c c
ANS: D c
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
c c c c c c c c c c c c c c
nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
c c c c c c c c c c c c c c c c c
nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
c c c c c c c c c c c c c c c c c
Certification does not prepare one for graduate school; however, achieving certification demonstrates
c c c c c c c c c c c
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
c c c c c c c c c c c c c c c
however, that is not the purpose of certification.
c c c c c c c c
DIF: Cognitive Level: Analysis REF: pp. 4-5
c c c c c c
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
c c c c c c c c c c c c
c MSC: NCLEX: Safe and Effective Care Environment
c c c c c c
4. The synergy model of practice focuses on:
c c c c c c
a. allowing unrestricted visiting for the patient 24 hours each day.
c c c c c c c c c
b. holistic and alternative therapies. c c c
c. needs of patients and their families, which drives nursing competency.
c c c c c c c c c
d. patients needs for energy and support. c c c c c
ANS: C c
The synergy model of practice states that the needs of patients and families influence and drive competencies
c c c c c c c c c c c c c c c c
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
c c c c c c c c c c c c c c c c c c
familys needs and application of alternative therapies if desired by the patient, but that is not the primary
c c c c c c c c c c c c c c c c c c
focus of the model.
c c c c
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
c c c c c c c c c
OBJ: Describe standards of professional practice for critical care nursing.
c c c c c c c c c
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
c c c c c c c c c c c
5. The family of your critically ill patient tells you that they have not spoken with the physician in over 24
c c c c c c c c c c c c c c c c c c c
hours and they have some questions that they want clarified. During morning rounds, you convey this concern
c c c c c c c c c c c c c c c c c
cto the attending intensivist and arrange for her to meet with the family at 4:00 PM in the conference
c c c c c c c c c c c c c c c c c c
room. Which competency of critical care nursing does this represent?
c c c c c c c c c c
, Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
c c c c c c c c c c 4
a. Advocacy and moral agency in solving ethical issues c c c c c c c
b. Clinical judgment and clinical reasoning skills
c c c c c
c. Collaboration with patients, families, and team members c c c c c c
d. Facilitation of learning for patients, families, and team members
c c c c c c c c
ANS: C c
Although one might consider that all of these competencies are being addressed, communication and
c c c c c c c c c c c c c
collaboration with the family and physician best exemplify the competency of collaboration.
c c c c c c c c c c c c
DIF: Cognitive Level: Analysis REF: p. 9
c c c c c c
OBJ: Describe standards of professional practice for critical care nursing.
c c c c c c c c c
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
c c c c c c c c c c c
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
c c c c c c c c c c c c c c c
care nursing practice?
c c c
a. Evidence-based practice c
b. Healthy work environment c c
c. National Patient Safety Goals c c c
d. Nursing process c
ANS: D c
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
c c c c c c c c c c c c c c c c
critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care,
c c c c c c c c c c c c c c c
implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
c c c c c c c c c c c c c c c
included in the Standards. The Joint Commission has established National Patient Safety Goals, but these are
c c c c c c c c c c c c c c c c
not the AACN Standards.
c c c c
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
c c c c c c c c c
OBJ: Describe standards of professional practice for critical care nursing.
c c c c c c c c c
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
c c c c c c c c c c c
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
c c c c c c c c c c c c c c c c c
experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous renal
c c c c c c c c c c c c c c c c c
replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of experience to
c c c c c c c c c c c c c c c c c
two patients who are more stable. This assignment reflects implementation of the:
c c c c c c c c c c c c
a. crew resource management model
c c c
c c c c c c c c c c 1
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
c c c c c c c c c c 2
Chapter 01: Overview of Critical Care Nursing
c c c c c c
MULTIPLE CHOICE c
1. Which of the following professional organizations best supports critical care nursing practice?
c c c c c c c c c c c
a. American Association of Critical-Care Nurses c c c c
b. American Heart Association c c
c. American Nurses Association c c
d. Society of Critical Care Medicine c c c c
ANS: A c
The American Association of Critical-Care Nurses is the specialty organization that supports and represents
c c c c c c c c c c c c c
critical care nurses. The American Heart Association supports cardiovascular initiatives. The American Nurses
c c c c c c c c c c c c c
Association supports all nurses. The Society of Critical Care Medicine represents the multiprofessional critical
c c c c c c c c c c c c c c
care team under the direction of an intensivist.
c c c c c c c c
DIF: Cognitive Level: Knowledge REF: p. 4
c c c c c c
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
c c c c c c c c c c c c c c
TOP: Nursing Process Step: N/A
c c c c c
MSC: NCLEX: Safe and Effective Care Environment
c c c c c c
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
c c c c c c c c c c c c c c c c c c c c c
certification. Which credential would be most applicable for her to seek?
c c c c c c c c c c c
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C c
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
c c c c c c c c c c c c c c c c
ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
c c c c c c c c c c c c c c c c
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
c c c c c c c c c c c c c c c c
step-down unit settings.
c c c
DIF: Cognitive Level: Application REF: p. 5
c c c c c c
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
c c c c c c c c c c c c
c MSC: NCLEX: Safe and Effective Care Environment
c c c c c c
,Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
c c c c c c c c c c 3
3. The main purpose of certification is to:
c c c c c c
a. assure the consumer that you will not make a mistake.
c c c c c c c c c
b. prepare for graduate school. c c c
c. promote magnet status for your facility. c c c c c
d. validate knowledge of critical care nursing. c c c c c
ANS: D c
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
c c c c c c c c c c c c c c
nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
c c c c c c c c c c c c c c c c c
nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
c c c c c c c c c c c c c c c c c
Certification does not prepare one for graduate school; however, achieving certification demonstrates
c c c c c c c c c c c
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
c c c c c c c c c c c c c c c
however, that is not the purpose of certification.
c c c c c c c c
DIF: Cognitive Level: Analysis REF: pp. 4-5
c c c c c c
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
c c c c c c c c c c c c
c MSC: NCLEX: Safe and Effective Care Environment
c c c c c c
4. The synergy model of practice focuses on:
c c c c c c
a. allowing unrestricted visiting for the patient 24 hours each day.
c c c c c c c c c
b. holistic and alternative therapies. c c c
c. needs of patients and their families, which drives nursing competency.
c c c c c c c c c
d. patients needs for energy and support. c c c c c
ANS: C c
The synergy model of practice states that the needs of patients and families influence and drive competencies
c c c c c c c c c c c c c c c c
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
c c c c c c c c c c c c c c c c c c
familys needs and application of alternative therapies if desired by the patient, but that is not the primary
c c c c c c c c c c c c c c c c c c
focus of the model.
c c c c
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
c c c c c c c c c
OBJ: Describe standards of professional practice for critical care nursing.
c c c c c c c c c
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
c c c c c c c c c c c
5. The family of your critically ill patient tells you that they have not spoken with the physician in over 24
c c c c c c c c c c c c c c c c c c c
hours and they have some questions that they want clarified. During morning rounds, you convey this concern
c c c c c c c c c c c c c c c c c
cto the attending intensivist and arrange for her to meet with the family at 4:00 PM in the conference
c c c c c c c c c c c c c c c c c c
room. Which competency of critical care nursing does this represent?
c c c c c c c c c c
, Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016)
c c c c c c c c c c 4
a. Advocacy and moral agency in solving ethical issues c c c c c c c
b. Clinical judgment and clinical reasoning skills
c c c c c
c. Collaboration with patients, families, and team members c c c c c c
d. Facilitation of learning for patients, families, and team members
c c c c c c c c
ANS: C c
Although one might consider that all of these competencies are being addressed, communication and
c c c c c c c c c c c c c
collaboration with the family and physician best exemplify the competency of collaboration.
c c c c c c c c c c c c
DIF: Cognitive Level: Analysis REF: p. 9
c c c c c c
OBJ: Describe standards of professional practice for critical care nursing.
c c c c c c c c c
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
c c c c c c c c c c c
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
c c c c c c c c c c c c c c c
care nursing practice?
c c c
a. Evidence-based practice c
b. Healthy work environment c c
c. National Patient Safety Goals c c c
d. Nursing process c
ANS: D c
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
c c c c c c c c c c c c c c c c
critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care,
c c c c c c c c c c c c c c c
implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
c c c c c c c c c c c c c c c
included in the Standards. The Joint Commission has established National Patient Safety Goals, but these are
c c c c c c c c c c c c c c c c
not the AACN Standards.
c c c c
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
c c c c c c c c c
OBJ: Describe standards of professional practice for critical care nursing.
c c c c c c c c c
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
c c c c c c c c c c c
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
c c c c c c c c c c c c c c c c c
experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous renal
c c c c c c c c c c c c c c c c c
replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of experience to
c c c c c c c c c c c c c c c c c
two patients who are more stable. This assignment reflects implementation of the:
c c c c c c c c c c c c
a. crew resource management model
c c c
