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Diagnosis and Management 9th Edition Linda
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D. Urden, Kathleen M. Stacy
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Chapter 1-41 gf
,Chapter 01: Critical Care Nursing PracticeUrde
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n: Critical Care Nursing, 9th Edition
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MULTIPLE CHOICE gf
1. During World War II, what types of wards were developed to care for critically injure
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dpatients?
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a. Intensive care gf
b. Triage
c. Shock
d. Postoperative
ANS: C g f
During World War II, shock wards were established to care for critically injured patients. T
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riage wards establish the order in which a patient is seen or treated upon arrival to a hospit
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al. Postoperative wards were developed in 1900 and later evolved into intensive careunits.
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PTS: 1 DIF: Cognitive Level: Remembering REF: gf gf
p. 2 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing PracticeMSC: NCLEX: Safe and Effective Care En
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vironment
2. What type of practitioner has a broad depth of specialty knowledge and expertise an
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dmanages complex clinical and system issues?
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a. Registered nurses gf
b. Advanced practice nurses gf gf
c. Clinical nurse leaders gf gf
d. Intensivists
ANS: B g f
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their s
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pecialty area and manage complex clinical and systems issues. Intensivists are medical pra
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ctitioners who manage the critical ill patient. Registered nurses (RNs) are generally directcar
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e providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level: Remembering REF: gf gf
p. 5 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing PracticeMSC: NCLEX: Safe and Effective Care En
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vironment
3. What type of practitioner is instrumental in ensuring care that is evidence based and tha
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tsafety programs are in place?
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a. Clinical nurse specialist gf gf
b. Advanced practice nurse gf gf
c. Registered nurses gf
d. Nurse practitioners gf gf
ANS: A gf
1|Pagegf gf gf gf gf
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, re
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search, leadership, and consultative abilities. They are instrumental in ensuring that care ise
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vidence based and that safety programs are in place. Advanced practice nurses (APNs) hav
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e a broad depth of knowledge and expertise in their specialty area and manage complex cli
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nical and systems issues. Registered nurses are generally direct care providers. Nurse pract
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itioners (NPs) manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level: Remembering REF: gf gf
p. 6 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing PracticeMSC: NCLEX: Safe and Effective Care En gf gf gf f
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vironment
4. Which professional organization administers critical care certification exams for registered
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nurses?
a. State Board of Registered Nurses gf gf gf gf
b. National Association of Clinical Nurse Specialist gf gf gf gf gf
c. Society of Critical Care Medicine gf gf gf gf
d. American Association of Critical-Care Nurses gf gf gf gf
ANS: D g f
American Association of Critical- gf gf gf
Care Nurses (AACN) administers certification exams forregistered nurses. The State Board
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of Registered Nurses (SBON) does not administer certification exams. National Associatio
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n of Clinical Nurse Specialists (NACNS) does notadminister certification exams. Society o
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f Critical Care Medicine (SCCM) does not administer nursing certification exams for regist
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ered nurses. gf
PTS: 1 DIF: Cognitive Level: Remembering REF: gf gf
p. 7 OBJ: gf gf
Nursing Process Step: NW/ WAW . T B SMT.OWPS: 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 ar
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einterdependent and inseparable. This statement describes which methodology of care?
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a. Holistic care gf
b. Individualized care gf
c. Cultural care gf
d. Interdisciplinary care gf
ANS: A g f
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are int
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erdependent and inseparable. Individualized care recognizes the uniqueness of each patient
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’s preferences, condition, and physiologic and psychosocial status. Cultural diversityin healt
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h care is not a new topic, but it is gaining emphasis and importance as the world becomes
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more accessible to all as the result of increasing technologies and interfaces with places an
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d peoples. Interdisciplinary care is care among a variety of health care professionals with t
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he patient’s health as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: gf gf
p. 12 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing PracticeMSC: NCLEX: Safe and Effective Care En gf gf gf f
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vironment
2|Page gf gf gf gf gf
, 6. The American Association of Critical-
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Care Nurses (AACN) has developed short directivesthat can be used as quick references f
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or clinical use that are known as
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a. Critical Care Protocol. gf gf
b. Practice Policies. gf
c. Evidence-Based Research. gf
d. Practice Alerts. gf
ANS: D g f
The American Association of Critical-
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Care Nurses (AACN) has promulgated several evidence-
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based practice summaries in the form of ―Practice Alerts.‖ Evidence-
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based nursingpractice considers the best research evidence on the care topic along with clin
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ical expertise of the nurse and patient preferences. Critical care protocol and practice polici
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es are established by individual institutions.
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PTS: 1 DIF: Cognitive Level: Remembering REF: gf gf
p. 9 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing PracticeMSC: NCLEX: Safe and Effective Care En gf gf gf f
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vironment
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 g f
The term alternative denotes that a specific therapy is an option or alternative to what is
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considered conventional t r e a t mWenWt Wo.f aTcBoSnM
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tioWnSor state. The term complementary was propo gf gf gf gf gfgf gf gf gf gf gf gf
sed to describe therapies that can be used to complement or support conventional treatment
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s. 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 ofea
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ch patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Remembering REF: gf gf
p. 16 OBJ: Nursing Process Step: N/A TOP:
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Critical Care Nursing PracticeMSC: NCLEX: Safe and Effective Care En gf gf gf f
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vironment
8. Prayer, guided imagery, and massage are all examples of what type of treatment?
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a. Alternative therapy gf
b. Holistic care gf
c. Complementary care gf
d. Individualized care gf gf
ANS: C gf
3|Page
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