Diagnosis and Management 9th Edition
Linda D. Urden, Kathleen M. Stacy
Chapter 1-41
,Chapter 01: Critical Care Nursing Practice
r r r r r
Urden: Critical Care Nursing, 9th Edition
r r r r r
MULTIPLErCHOICE
1. DuringrWorldrWarrII,rwhatrtypesrofrwardsrwererdevelopedrtorcarerforrcriticallyrinjuredrpati
ents?
a. Intensivercare
b. Triage
c. Shock
d. Postoperative
ANS:r C
DuringrWorldrWarrII,rshockrwardsrwererestablishedrtorcarerforrcriticallyrinjuredrpatients.rTriag
erwardsrestablishrtherorderrinrwhichrarpatientrisrseenrorrtreatedruponrarrivalrtorarhospital.rPostop
erativerwardsrwererdevelopedrinr1900randrlaterrevolvedrintorintensivercarerunits.
PTS: 1 DIF: CognitiverLevel:rRemembering REF:
p.r2rOBJ: NursingrProcessrStep:rN/A TOP:
CriticalrCarerNursingrPracticerMSC:r NCLEX:rSaferandrEffectiverCarerEnvi
ronment
2. Whatrtyperofrpractitionerrhasrarbroadrdepthrofrspecialtyrknowledgerandrexpertiserandrma
nagesrcomplexrclinicalrandrsystemrissues?
a. Registeredrnurses
b. Advancedrpracticernurses
c. Clinicalrnurserleaders
d. Intensivists
ANS:r B
Advancedrpracticernursesr(APNs)rhaverarbroadrdepthrofrknowledgerandrexpertiserinrtheirrspecialt
yrarearandrmanagercomplexrclinicalrandrsystemsrissues.rIntensivistsrarermedicalrpractitionersrwhor
managerthercriticalrillrpatient.rRegisteredrnursesr(RNs)rarergenerallyrdirectrcarerproviders.rClinical
rnurserleadersr(CNLs)rgenerallyrdornotrmanagersystemrissues.
PTS: 1 DIF: CognitiverLevel:rRemembering REF:
p.r5rOBJ: NursingrProcessrStep:rN/A TOP:
CriticalrCarerNursingrPracticerMSC:r NCLEX:rSaferandrEffectiverCarerEnvi
ronment
3. Whatrtyperofrpractitionerrisrinstrumentalrinrensuringrcarerthatrisrevidencerbasedrandrthatrsaf
etyrprogramsrarerinrplace?
a. Clinicalrnurserspecialist
b. Advancedrpracticernurse
c. Registeredrnurses
d. Nurserpractitionersr
ANS:r A
1r|rPrargre
, Clinicalrnurserspecialistsr(CNSs)rserverinrspecialtyrrolesrthatrusertheirrclinical,rteaching,rresear
ch,rleadership,randrconsultativerabilities.rTheyrarerinstrumentalrinrensuringrthatrcarerisrevidencer
basedrandrthatrsafetyrprogramsrarerinrplace.rAdvancedrpracticernursesr(APNs)rhaverarbroadrdep
throfrknowledgerandrexpertiserinrtheirrspecialtyrarearandrmanagercomplexrclinicalrandrsystemsri
ssues.rRegisteredrnursesrarergenerallyrdirectrcarerproviders.rNurserpractitionersr(NPs)rmanager
directrclinicalrcarerofrgroupsrofrpatients.
PTS: 1 DIF: CognitiverLevel:rRemembering REF:
p.r6rOBJ: NursingrProcessrStep:rN/A TOP:
CriticalrCarerNursingrPracticerMSC:r NCLEX:rSaferandrEffectiverCarerEnvi
ronment
4. Whichrprofessionalrorganizationradministersrcriticalrcarercertificationrexamsrforrregisteredrnu
rses?
a. StaterBoardrofrRegisteredrNurses
b. NationalrAssociationrofrClinicalrNurserSpecialist
c. SocietyrofrCriticalrCarerMedicine
d. AmericanrAssociationrofrCritical-CarerNurses
ANS:r D
AmericanrAssociationrofrCritical-
CarerNursesr(AACN)radministersrcertificationrexamsrforrregisteredrnurses.rTherStaterBoardrofr
RegisteredrNursesr(SBON)rdoesrnotradministerrcertificationrexams.rNationalrAssociationrofrCl
inicalrNurserSpecialistsr(NACNS)rdoesrnotradministerrcertificationrexams.rSocietyrofrCriticalr
CarerMediciner(SCCM)rdoesrnotradministerrnursingrcertificationrexamsrforrregisteredrnurses.
PTS: 1 DIF: CognitiverLevel:rRemembering REF:
p.r7rOBJ:
NursingrProcessrStep:rNW/ WAW.TBSrM T. OW PS: r CriticalrCarerNursingrPracticerM
SC:r NCLEX:rSaferandrEffectiverCarerEnvironment
5. Emphasisrisronrhumanrintegrityrandrstressesrthertheoryrthatrtherbody,rmind,randrspiritrarerinte
rdependentrandrinseparable.rThisrstatementrdescribesrwhichrmethodologyrofrcare?
a. Holisticrcare
b. Individualizedr care
c. Culturalrcare
d. Interdisciplinaryr care
ANS:r A
Holisticrcarerfocusesronrhumanrintegrityrandrstressesrthatrtherbody,rmind,randrspiritrarerinterdep
endentrandrinseparable.rIndividualizedrcarerrecognizesrtheruniquenessrofreachrpatient’srprefere
nces,rcondition,randrphysiologicrandrpsychosocialrstatus.rCulturalrdiversityrinrhealthrcarerisrnotr
arnewrtopic,rbutritrisrgainingremphasisrandrimportancerasrtherworldrbecomesrmoreraccessiblertor
allrasrtherresultrofrincreasingrtechnologiesrandrinterfacesrwithrplacesrandrpeoples.rInterdisciplin
aryrcarerisrcareramongrarvarietyrofrhealthrcarerprofessionalsrwithrtherpatient’srhealthrasrthercom
monrgoal.
PTS: 1 DIF: CognitiverLevel:rRemembering REF:
p.r12rOBJ: NursingrProcessrStep:rN/A TOP:
CriticalrCarerNursingrPracticerMSC:r NCLEX:rSaferandrEffectiverCarerEnvi
ronment
2r|rPrargre
, 6. TherAmericanrAssociationrofrCritical-
CarerNursesr(AACN)rhasrdevelopedrshortrdirectivesrthatrcanrberusedrasrquickrreferencesrforrcl
inicalruserthatrarerknownras
a. CriticalrCarerProtocol.
b. PracticerPolicies.
c. Evidence-BasedrResearch.
d. PracticerAlerts.
ANS:r D
TherAmericanrAssociationrofrCritical-
CarerNursesr(AACN)rhasrpromulgatedrseveralrevidence-
basedrpracticersummariesrinrtherformrofr“PracticerAlerts.”rEvidence-
basedrnursingrpracticerconsidersrtherbestrresearchrevidenceronrthercarertopicralongrwithrclinicalr
expertiserofrthernurserandrpatientrpreferences.rCriticalrcarerprotocolrandrpracticerpoliciesrarerest
ablishedrbyrindividualrinstitutions.
PTS: 1 DIF: CognitiverLevel:rRemembering REF:
p.r9rOBJ: NursingrProcessrStep:rN/A TOP:
CriticalrCarerNursingrPracticerMSC:r NCLEX:rSaferandrEffectiverCarerEnvi
ronment
7. Whatrtyperofrtherapyrisranroptionrtorconventionalrtreatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:r A
Thertermralternativerdenotesrthatrarspecificrtherapyrisranroptionrorralternativertorwhatris
consideredrconventionalrtrreatrmWernWt Wo .f r aTcBoSnM
di.
tioWnSorrstate.rThertermrcomplementaryrwasrproposedr
tordescribertherapiesrthatrcanrberusedrtorcomplementrorrsupportrconventionalrtreatments.rHolisticr
carerfocusesronrhumanrintegrityrandrstressesrthatrtherbody,rmind,rand
spiritrarerinterdependentrandrinseparable.rIndividualizedrcarerrecognizesrtheruniquenessrofreach
rpatient’srpreferences,rcondition,randrphysiologicrandrpsychosocialrstatus.
PTS: 1 DIF: CognitiverLevel:rRemembering REF:
p.r16rOBJ: NursingrProcessrStep:rN/A TOP:
CriticalrCarerNursingrPracticerMSC:r NCLEX:rSaferandrEffectiverCarerEnvi
ronment
8. Prayer,rguidedrimagery,randrmassagerarerallrexamplesrofrwhatrtyperofrtreatment?
a. Alternativertherapy
b. Holisticrcare
c. Complementaryrcare
d. Individualizedrcarer
ANS:r C
3r|rPrargre