Test Bank: Introduction to Critical Care Nursing, 8th Edition, Mary Lou Sole, Deborah Klein, Marthe Moseley

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Test Bank:
Introduction to Critical
Care Nursing, 8th
Edition, Mary Lou
Sole, Deborah Klein,
Marthe Moseley

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Chapter 01: Overview of Critical Care Nursing
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Sole: Introduction to Critical Care Nursing, 8th Edition
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MULTIPLE CHOICE g


1. Which of the following professional organizations best supports critical care nursing practice?
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a. American Association of Critical-Care Nurses g g g g


b. American Heart Association g g


c. American Nurses Association g g


d. Society of Critical Care Medicine g g g g


ANS: A g


The American Association of Critical-Care Nurses is the Organization that supports and represents
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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 multi
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professional critical care team under the direction of an
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DIF: Cognitive Level: Knowledge g g


OBJ: Discuss the purposes and functions of the professional Orgnization that support critical
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care practice. TOP: Nursing Process Step: N/A
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MSC: NCLEX: Safe and Effective Care Environment
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2. A nurse has been working as a staff nurse in the surgical inabteirbn.scoivme/tecsat re unit for 2
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years and is interested in certification. Which credential would be most applicable for her to seek?
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a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C g


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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care clinical nurse specialists. The PCCN certification is for staff nurses working in progressive care,
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intermediate care, or satbeiprb-.cdoomw/tenstunit settings.
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DIF: Cognitive Level: Application g g


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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3. What is the main purpose of certification for critical care nursing?
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a. To assure the consumer that critical nurses will not maakbeirba.commi/tsetsatke.
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b. To help prepare the critical care nurse for graduate school.
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c. To assist in promoting magnet status for a facility.
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d. To validate a nurse’s knowledge of critical care nursing.
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ANS: D g


Certification assists in validating knowledge of the field, promotes excellence in the profession, and
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helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the
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consumer that the nurse has a minimumablirebv.ceolmo/tefskt nowledge; however, it does not ensure
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that care will be mistake-free. Certification does not prepare one for graduate school; however,
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achieving certification demonstrates motivation for achievement and professionalism. Magnet facilities
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are rated on the number of certified nurses; however, that is not the purpose of certification.
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DIF: Cognitive Level: Analysis g g


OBJ: Explain certification options for critical care nurses. MSC: NCLEX: Safe and Effective Care
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Environment
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4. What is the focus of the synergy model of practice?
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a. Allowing unrestricted visiting for the patient 24 hours aebaircbh.codma/tyes.t
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b. Providing holistic and alternative therapies. g g g g

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c. Considering the needs of patients and their families, which drives nursing g g g g g g g g g g


competency.
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d. Addressing the patients’ needs for energy and support. g g g g g g g


ANS: C g


The synergy model of practice states that the needs of patiaebnirtbs.caomnd/tefsat milies influence and
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drive competencies of nurses. Nursing practice based on the synergy model would involve tailored
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visiting to meet the patient’s and family’s needs and application of alternative therapies if desired by
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the patient, but that is not the primary focus of the model.
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DIF: Cognitive Level: Application g g


OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A
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5. The family of your critically ill patient tells you that they have not spoken with the physician in
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over 24 hours and they have some questions that they want clarified. During morning rounds, you
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convey this concern to the attending intensivisatbiarbn.cdoma/rtersatnge for her to meet with the family
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at 4:00 PM in the conference room. Which competency of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues g g g g g g g


b. Clinical judgment and clinical reasoning skills g g g g g


c. Collaboration with patients, families, and team members g g g g g g


d. Facilitation of learning for patients, families, and team members g g g g g g g g


ANS: C g


Although one might consider that all of these competencies are being addressed, communication and
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collaboration with the family and physician best exemplify the competency of collaboration.
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DIF: Cognitive Level: Analysis g g


OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Saafbeirba.ncodmE/teffset ctive Care
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Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice uses what framework to
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guide critical care nursing practice?
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a. Evidence-based practice g


b. Healthy work environment g g


c. National Patient Safety Goals g g g


d. Nursing process g


ANS: D g


The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as
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applied to critically ill patients: collect data, detaebrirmb.cionme/tdesiat gnoses, identify expected
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outcomes, develop a plan of care, implement interventions, and evaluate care. AACN promotes a
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healthy work environment, but this is not included in the Standards. The Joint Commission has
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established National Patient Safety Goals, but these are not the AACN
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Standards.
DIF: Cognitive Level: Understand g g


OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst.
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TOP: Nursing Process Step: N/A
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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 experienced, certified nurse to care for theaabicrbu.cteomly/teisltl patient diagnosed with
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sepsis who also requires continuous renal replacement therapy and mechanical ventilation. She assigns
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the nurse with less than 1 year of experience to two patients who are more stable. This assignment
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reflects implementation of what guiding farbairmb.ceowm/oterskt ?
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a. Crew resource management model g g g


b. National Patient Safety Goals g g g


c. Quality and Safety Education for Nurses (QSEN) model g g g g g g g


d. Synergy model of practice g g g


ANS: D g


This assignment demonstrates nursing care to meet the needs of the patient. The synergy model notes
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that the nurse competencies are matched to thaebiprba.ctoiemn/tet sct haracteristics. Crew resource
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management concepts related to team training, National Patient Safety Goals are specified by The Joint
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Commission to promote safe care but do not incorporate the synergy model. The Quality and Safety
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Education for Nurses initiaatbivirbe.cionmv/toeslvt es targeted education to undergraduate and
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graduate nursing students to learn quality and safety concepts.
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DIF: Cognitive Level: Analysis g g


OBJ: Describe standards of professional practice for critical caarbeirbn.cuormsi/tnegst.
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TOP: Nursing Process Step: N/A
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8. The vision of the American Association of Critical-Care Nurses is a healthcare system driven
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by achieving what goal?
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a. Maintaining a healthy work environment. g g g g


b. Providing care from a multiprofessional team under the direction of a critical care g g g g g g g g g g g g


physician.
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c. Effectively meeting the needs of critically ill patients and families. g g g g g g g g g


d. Creating respectful, healing, and humane environments. g g g g g


ANS: C g


The AACN vision is a healthcare system driven by the needs of critically ill patients and families where
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critical care nurses make their optimum contributions. AACN promotes initiatives to support a healthy
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work environment as well aasbirrbe.csopme/ctetsftul and healing environments, but that is not the
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organization’s vision. The SCCM promotes care from a multiprofessional team under the direction of a
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critical care physician.
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DIF: Cognitive Level: Knowledge g g


OBJ: Discuss the purposes and functions of the professional organizations that support critical care
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practice.
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MSC: NCLEX: Safe and Effective Care Environment
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9. What is the most important outcome of effective communication?
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a. Demonstrating caring practices to family members. g g g g g


b. Ensuring that patient teaching is provided g g g g g


c. Meeting the diversity needs of patients. g g g g g


ANS: D g


Many errors are directly attributed to faulty communication. Effective communication has been
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identified as an essential strategy to reduce patient errors and resolve issues related to patient care
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delivery. Communication may demonstrate caarbiinrbg.copmra/tecsttices, be used for
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patient/family teaching, and address diversity needs; however, the main outcome of effective
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communication is patient safety.
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DIF: Cognitive Level: Analysis g g


OBJ: Describe quality and safety initiatives related to critical care nursing.
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TOP: Nursing Process Step: N/A
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10. The nurse is caring for a critically ill patient whose urine oaubitrpb.ucotmh/atesstbeen low for 2
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consecutive hours. After a thorough patient assessment, you call the primary care provider with the
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following report.
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Dr. Smith, I’m calling about Mrs. P., your 65-year-old pataibeirnbt.cionm/CteCst U 10. Her urine
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output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an aortic aneurysm 4
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hours ago and remains on mechanical ventilation. In the past 2 hours, her heart rate has increased from
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80 to 100 beats per minute and her blood pressure has decreased from 128/82 to 100/70 mm Hg. She is
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being given an infusaiboirnb.coofmn/toesrtmal saline at 100 mL per hour. Her right atrial pressure
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through the subclavian central line is low at 3 mm Hg. Her urine is concentrated. Her BUN and
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creatinine levels have been stable and in normal range. Her abdominal dressing is dry with no
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gindication of bleedainbigrb..cMomy/teasstsessment suggests that Mrs. P. is hypovolemic and I would
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like you to consider increasing her fluids or giving her a fluid challenge. Using the SBAR model for
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communication, the information the nurse gives about the patient’s history and vital signs is appropriate
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for what part of the model?
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a. Situation
b. Background
c. Assessment