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DiagnosisandManagement9thEdition
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LindaD.Urden,KathleenM.Stacy
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Chapter 1-41 f
,Chapter 01: Critical Care Nursing Practice
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Urden: Critical Care Nursing, 9th Edition
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MULTIPLE CHOICE f
1. During World War II, what types of wards were developed to care for critically injured
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patients?
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a. Intensive care f
b. Triage
c. Shock
d. Postoperative
ANS: C f
During World War II, shock wards were established to care for critically injured patients.
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Triage wards establish the order in which a patient is seen or treated upon arrival to a hospital.
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Postoperative wards were developed in 1900 and later evolved into intensive care units.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 f f f
OBJ: Nursing Process Step: N/A
f TOP: Critical Care Nursing Practice
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MSC: NCLEX: Safe and Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise and
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manages complex clinical and system issues?
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a. Registered nurses f
b. Advanced practice nurses f f
c. Clinical nurse leaders f f
d. Intensivists
ANS: B f
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
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specialty area and manage complex clinical and systems issues. Intensivists are medical
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practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct care
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providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5 f f f
OBJ: Nursing Process Step: N/A
f TOP: Critical Care Nursing Practice
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MSC: NCLEX: Safe and Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based and that
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safety programs are in place?
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a. Clinical nurse specialist f f
b. Advanced practice nurse f f
c. Registered nurses f
d. Nurse practitioners f
fANS: A f
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, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
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research, leadership, and consultative abilities. They are instrumental in ensuring that care is
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evidence based and that safety programs are in place. Advanced practice nurses (APNs) have
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a broad depth of knowledge and expertise in their specialty area and manage complex clinical
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and systems issues. Registered nurses are generally direct care providers. Nurse practitioners
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(NPs) manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 6 f f f
OBJ: Nursing Process Step: N/A
f TOP: Critical Care Nursing Practice f f f f f f
MSC: NCLEX: Safe and Effective Care Environment
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4. Which professional organization administers critical care certification exams for registered
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nurses?
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a. State Board of Registered Nurses f f f f
b. National Association of Clinical Nurse Specialist f f f f f
c. Society of Critical Care Medicine f f f f
d. American Association of Critical-Care Nurses f f f f
ANS: D f
American Association of Critical-Care Nurses (AACN) administers certification exams for
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registered nurses. The State Board of Registered Nurses (SBON) does not administer
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certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
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administer certification exams. Society of Critical Care Medicine (SCCM) does not
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administer nursing certification exams for registered nurses.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7 f f f
OBJ: NursingProcessStep:NW/ WAW.TBSM T. OW PS: Critical CareNursingPractice
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MSC: NCLEX: Safe and Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are
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interdependent and inseparable. This statement describes which methodology of care?
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a. Holistic care f
b. Individualized care f
c. Cultural care f
d. Interdisciplinary care f
ANS: A f
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
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interdependent and inseparable. Individualized care recognizes the uniqueness of each
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patient’s preferences, condition, and physiologic and psychosocial status. Cultural diversity in
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health care is not a new topic, but it is gaining emphasis and importance as the world
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becomes more accessible to all as the result of increasing technologies and interfaces with
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places and peoples. Interdisciplinary care is care among a variety of health care professionals
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with the patient’s health as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 12 f f f
OBJ: Nursing Process Step: N/A
f TOP: Critical Care Nursing Practice f f f f f f
MSC: NCLEX: Safe and Effective Care Environment
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, 6. The American Association of Critical-Care Nurses (AACN) has developed short directives
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that can be used as quick references for clinical use that are known as
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a. Critical Care Protocol. f f
b. Practice Policies. f
c. Evidence-Based Research. f
d. Practice Alerts. f
ANS: D f
The American Association of Critical-Care Nurses (AACN) has promulgated several
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evidence-based practice summaries in the form of “Practice Alerts.” Evidence-based nursing
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practice considers the best research evidence on the care topic along with clinical expertise of
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the nurse and patient preferences. Critical care protocol and practice policies are established
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by individual institutions.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 9 f f f
OBJ: Nursing Process Step: N/A
f TOP: Critical Care Nursing Practice f f f f f f
MSC: NCLEX: Safe and Effective Care Environment
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7. What type of therapy is an option to conventional treatment?
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a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A f
The term alternative denotes that a specific therapy is an option or alternative to what is
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considered conventional treatmWenWt Wo .f aTcBoSnM
di.
tioWnSor state. The term complementarywas proposed
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to describe therapies that can be used to complement or support conventional treatments.
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Holistic care focuses on human integrity and stresses that the body, mind, and
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spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
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each patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 16 f f f
OBJ: Nursing Process Step: N/A
f TOP: Critical Care Nursing Practice f f f f f f
MSC: NCLEX: Safe and Effective Care Environment
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8. Prayer, guided imagery, and massage are all examples of what type of treatment?
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a. Alternative therapy f
b. Holistic care f
c. Complementary care f
d. Individualized care f
f ANS: C f
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