,Chapter 01: Critical Care Nursing Practice
n n n n n
Urden: Critical Care Nursing, 9th Edition
n n n n n
MULTIPLEnCHOICE
1. DuringnWorldnWarnII,nwhatntypesnofnwardsnwerendevelopedntoncarenforncriticallyninjurednp
atients?
a. Intensivencare
b. Triage
c. Shock
d. Postoperative
ANS:n C
DuringnWorldnWarnII,nshocknwardsnwerenestablishedntoncarenforncriticallyninjurednpatients.nTri
agenwardsnestablishnthenorderninnwhichnanpatientnisnseennorntreatednuponnarrivalntonanhospital.nP
ostoperativenwardsnwerendevelopedninn1900nandnlaternevolvednintonintensivencarenunits.
PTS: 1 DIF: CognitivenLevel:nRemembering REF:
p.n2nOBJ: NursingnProcessnStep:nN/A TOP:
CriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvi
ronment
2. Whatntypenofnpractitionernhasnanbroadndepthnofnspecialtynknowledgenandnexpertisenandn
managesncomplexnclinicalnandnsystemnissues?
a. Registerednnurses
b. Advancednpracticennurses WWW.TBSM.WS
c. Clinicalnnursenleaders
d. Intensivists
ANS:n n B
Advancednpracticennursesn(APNs)nhavenanbroadndepthnofnknowledgenandnexpertiseninntheirnspeci
altynareanandnmanagencomplexnclinicalnandnsystemsnissues.nIntensivistsnarenmedicalnpractitioners
nwhonmanagenthencriticalnillnpatient.nRegisterednnursesn(RNs)narengenerallyndirectncarenproviders.n
Clinicalnnursenleadersn(CNLs)ngenerallyndonnotnmanagensystemnissues.
PTS: 1 DIF: CognitivenLevel:nRemembering REF:
p.n5nOBJ: NursingnProcessnStep:nN/A TOP:
CriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvi
ronment
3. Whatntypenofnpractitionernisninstrumentalninnensuringncarenthatnisnevidencenbasednandnthatns
afetynprogramsnareninnplace?
a. Clinicalnnursenspecialist
b. Advancednpracticennurse
c. Registerednnurses
d. Nursenpractitioners
n ANS:n A
2n|nPnangne
, Clinicalnnursenspecialistsn(CNSs)nserveninnspecialtynrolesnthatnusentheirnclinical,nteaching,nrese
arch,nleadership,nandnconsultativenabilities.nTheynareninstrumentalninnensuringnthatncarenisnevid
encenbasednandnthatnsafetynprogramsnareninnplace.nAdvancednpracticennursesn(APNs)nhavenanbr
oadndepthnofnknowledgenandnexpertiseninntheirnspecialtynareanandnmanagencomplexnclinicalnan
dnsystemsnissues.nRegisterednnursesnarengenerallyndirectncarenproviders.nNursenpractitionersn(
NPs)nmanagendirectnclinicalncarenofngroupsnofnpatients.
PTS: 1 DIF: CognitivenLevel:nRemembering REF:
p.n6nOBJ: NursingnProcessnStep:nN/A TOP:
CriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvi
ronment
4. Whichnprofessionalnorganizationnadministersncriticalncarencertificationnexamsnfornregisteredn
nurses?
a. StatenBoardnofnRegisterednNurses
b. NationalnAssociationnofnClinicalnNursenSpecialist
c. SocietynofnCriticalnCarenMedicine
d. AmericannAssociationnofnCritical-CarenNurses
ANS:n D
AmericannAssociationnofnCritical-
CarenNursesn(AACN)nadministersncertificationnexamsnfornregisterednnurses.nThenStatenBoardn
ofnRegisterednNursesn(SBON)ndoesnnotnadministerncertificationnexams.nNationalnAssociationn
ofnClinicalnNursenSpecialistsn(NACNS)ndoesnnotnadministerncertificationnexams.nSocietynofnC
riticalnCarenMedicinen(SCCM)ndoesnnotnadministernnursingncertificationnexamsnfornregisteredn
nurses.
PTS: 1 DIF: CognitivenLevel:nRemembering REF:
p.n7nOBJ: W W
Nursingn Processn Step:n N / A W . T B S M . W
TOP:S
CriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvi
ronment
5. Emphasisnisnonnhumannintegritynandnstressesnthentheorynthatnthenbody,nmind,nandnspiritnareni
nterdependentnandninseparable.nThisnstatementndescribesnwhichnmethodologynofncare?
a. Holisticncare
b. Individualizedncare
c. Culturalncare
d. Interdisciplinaryncare
ANS:n A
Holisticncarenfocusesnonnhumannintegritynandnstressesnthatnthenbody,nmind,nandnspiritnareninter
dependentnandninseparable.nIndividualizedncarenrecognizesnthenuniquenessnofneachnpatient’snp
references,ncondition,nandnphysiologicnandnpsychosocialnstatus.nCulturalndiversityninnhealthnca
renisnnotnannewntopic,nbutnitnisngainingnemphasisnandnimportancenasnthenworldnbecomesnmorena
ccessiblentonallnasnthenresultnofnincreasingntechnologiesnandninterfacesnwithnplacesnandnpeoples
.nInterdisciplinaryncarenisncarenamongnanvarietynofnhealthncarenprofessionalsnwithnthenpatient’sn
healthnasnthencommonngoal.
PTS: 1 DIF: CognitivenLevel:nRemembering REF:
p.n12nOBJ: NursingnProcessnStep:nN/A TOP:
CriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvi
ronment
3n|nPnangne
, 6. ThenAmericannAssociationnofnCritical-
CarenNursesn(AACN)nhasndevelopednshortndirectivesnthatncannbenusednasnquicknreferencesnfor
nclinicalnusenthatnarenknownnas
a. CriticalnCarenProtocol.
b. PracticenPolicies.
c. Evidence-BasednResearch.
d. PracticenAlerts.
ANS:n D
ThenAmericannAssociationnofnCritical-
CarenNursesn(AACN)nhasnpromulgatednseveralnevidence-
basednpracticensummariesninnthenformnofn“PracticenAlerts.”nEvidence-
basednnursingnpracticenconsidersnthenbestnresearchnevidencenonnthencarentopicnalongnwithnclinic
alnexpertisenofnthennursenandnpatientnpreferences.nCriticalncarenprotocolnandnpracticenpoliciesnar
enestablishednbynindividualninstitutions.
PTS: 1 DIF: CognitivenLevel:nRemembering REF:
p.n9nOBJ: NursingnProcessnStep:nN/A TOP:
CriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvi
ronment
7. Whatntypenofntherapynisnannoptionntonconventionalntreatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:n A
Thentermnalternativendenotesnthatnanspecificntherapynisnannoptionnornalternativentonwhatnis
considerednconventionalnt r e a t mWe nWt Wo.f naTcBoSnM
di.
tioWnSornstate.nThentermncomplementarynwasnpropos
edntondescribentherapiesnthatncannbenusedntoncomplementnornsupportnconventionalntreatments.nHol
isticncarenfocusesnonnhumannintegritynandnstressesnthatnthenbody,nmind,nand
spiritnareninterdependentnandninseparable.nIndividualizedncarenrecognizesnthenuniquenessnofnea
chnpatient’snpreferences,ncondition,nandnphysiologicnandnpsychosocialnstatus.
PTS: 1 DIF: CognitivenLevel:nRemembering REF:
p.n16nOBJ: NursingnProcessnStep:nN/A TOP:
CriticalnCarenNursingnPracticenMSC:nNCLEX:nSafenandnEffectivenCarenEnvi
ronment
8. Prayer,nguidednimagery,nandnmassagenarenallnexamplesnofnwhatntypenofntreatment?
a. Alternativentherapy
b. Holisticncare
c. Complementaryncare
d. Individualizedncare
n ANS:n C
4n|nPnangne