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DiagnosisandManagement9thEdition
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LindaD.Urden,KathleenM.Stacy
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Chapter 1-41 f f
,Chapter 01: Critical Care Nursing Practice
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Urden: Critical Care Nursing, 9th Edition
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MULTIPLE CHOICE ff
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 ff
b. Triage
c. Shock
d. Postoperative
ANS: C f 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
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hospital. Postoperative wards were developed in 1900 and later evolved into intensive care
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units.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 ff ff ff
OBJ: Nursing Process Step: N/A
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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 ff
b. Advanced practice nurses ff ff
c. Clinical nurse leaders ff ff
d. Intensivists
ANS: B f 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
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care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5 ff ff ff
OBJ: Nursing Process Step: N/A
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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 ff ff
b. Advanced practice nurse ff ff
c. Registered nurses ff
d. Nurse practitioners ff
ANS: A
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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
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is evidence based and that safety programs are in place. Advanced practice nurses
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(APNs) have a broad depth of knowledge and expertise in their specialty area and
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manage complex clinical and systems issues. Registered nurses are generally direct care
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providers. Nurse practitioners (NPs) manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 6 ff ff ff
OBJ: Nursing Process Step: N/A
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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 Nursesff ff ff ff
b. National Association of Clinical Nurse Specialist ff ff ff ff ff
c. Society of Critical Care Medicine ff ff ff ff
d. American Association of Critical-Care Nurses ff ff ff ff
ANS: D f 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
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not 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 ff ff ff
OBJ: NursingProcessStep:NW/ WAW.TBSM T. OW PS: Critical Care Nursing Practice
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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 ff
b. Individualized care ff
c. Cultural care ff
d. Interdisciplinary care ff
ANS: A f 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
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in 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
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with places and peoples. Interdisciplinary care is care among a variety of health care
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professionals with the patient’s health as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 12 ff ff ff
OBJ: Nursing Process Step: N/A
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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. ff ff
b. Practice Policies. ff
c. Evidence-Based Research. ff
d. Practice Alerts. ff
ANS: D f 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
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expertise of the nurse and patient preferences. Critical care protocol and practice policies
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are established by individual institutions.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 9 ff ff ff
OBJ: Nursing Process Step: N/A
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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 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
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tioWnSor state. The term complementary was ff f f f ff ff ff ff ff ff
proposed to describe therapies that can be used to complement or support conventional
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treatments. 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 ff ff ff
OBJ: Nursing Process Step: N/A
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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 ff
b. Holistic care ff
c. Complementary care ff
d. Individualized care ff
ff ANS: C f f
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