,Test Bank: Introduction To Critical Care Nursing, 8th Edition
Chapter 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best supports
critical care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
The American Association of Critical-Care Nurses is the specialty organization that supports and represents
critical care nurses. The American Heart Association supports cardiovascular initiatives. The American Nurses
Association supports all nurses. The Society of Critical Care Medicine represents the multiprofessional critical
care team under the direction of an intensivist.
DIF: Cognitive Level: Knowledge REF: p. 4
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
certification. Which credential would be most applicable for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
step-down unit settings.
DIF: Cognitive Level: Application REF: p. 5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
,3. The main purpose of certification is to:
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing.
ANS: D
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
Certification does not prepare one for graduate school; however, achieving certification demonstrates
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
however, that is not the purpose of certification.
DIF: Cognitive Level: Analysis REF: pp. 4-5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
4. The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing competency.
d. patients needs for energy and support.
ANS: C
The synergy model of practice states that the needs of patients and families influence and drive competencies
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
familys needs and application of alternative therapies if desired by the patient, but that is not the primary focus
of the model.
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your critically ill patient tells you that they have not spoken with the physician in over 24
hours and they have some questions that they want clarified. During morning rounds, you convey this concern
to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the conference room.
Which competency of critical care nursing does this represent?
, a. Advocacylandl morall agencylinl solvingl ethicall issues
b. Clinicalljudgmentlandl clinicallreasoningl skills
c. Collaborationlwithl patients,lfamilies,landlteamlmembers
d. Facilitationlofllearningl forl patients,lfamilies,l andlteaml members
ANS:lC
Althoughlonelmightlconsiderlthatlalllofltheselcompetencieslarelbeingladdressed,lcommunicationlandlcollaborationl w
ithl thel familyl andl physicianl bestl exemplifyl thel competencyl ofl collaboration.
DIF:lCognitivel Level:l Analysisl REF:lp.l9
OBJ:lDescribelstandardslofl professionallpracticel forl criticall carel nursing.
TOP:lNursingl Processl Step:lN/Al MSC:lNCLEX:l Safel andlEffectivel Carel Environment
6. ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeluselwhatlframeworkltolguidelcriticallcareln
ursinglpractice?
a. Evidence-basedl practice
b. Healthyl workl environment
c. NationallPatientl SafetylGoals
d. Nursinglprocess
ANS:lD
ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeldelineatelthelnursinglprocesslaslappliedltolcritica
llyl illl patients:l collectl data,l determinel diagnoses,l identifyl expectedl outcomes,l developl al planl ofl care,limplemen
tl interventions,l andl evaluatel care.l AACNl promotesl al healthyl workl environment,l butl thisl isl notlincludedlinlthel
Standards.lThelJointlCommissionlhaslestablishedlNationallPatientlSafetylGoals,lbutltheselarel notlthelAACNlStanda
rds.
DIF:lCognitivel Level:lAnalysisl REF:lp.l5l |lBoxl1-2
OBJ:lDescribelstandardslofl professionallpracticel forl criticall carel nursing.
TOP:lNursingl Processl Step:lN/Al MSC:lNCLEX:l Safel andlEffectivel Carel Environment
7. Thelchargelnurselislresponsiblelforlmakinglthelpatientlassignmentslonlthelcriticallcarelunit.lShelassignslthelexperi
enced,lcertifiedl nursel tol carel forl thel acutelyl illl patientl withl sepsisl whol alsol requiresl continuousl renallreplaceme
ntltherapylandlmechanicallventilation.lShelassignslthelnurselwithllesslthanl1lyearloflexperienceltoltwol patientsl whol
arel morel stable.l Thisl assignmentl reflectsl implementationl ofl the:
a. crewlresourcel managementl model
Chapter 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best supports
critical care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
The American Association of Critical-Care Nurses is the specialty organization that supports and represents
critical care nurses. The American Heart Association supports cardiovascular initiatives. The American Nurses
Association supports all nurses. The Society of Critical Care Medicine represents the multiprofessional critical
care team under the direction of an intensivist.
DIF: Cognitive Level: Knowledge REF: p. 4
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
certification. Which credential would be most applicable for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
step-down unit settings.
DIF: Cognitive Level: Application REF: p. 5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
,3. The main purpose of certification is to:
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing.
ANS: D
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
Certification does not prepare one for graduate school; however, achieving certification demonstrates
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
however, that is not the purpose of certification.
DIF: Cognitive Level: Analysis REF: pp. 4-5
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
4. The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing competency.
d. patients needs for energy and support.
ANS: C
The synergy model of practice states that the needs of patients and families influence and drive competencies
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
familys needs and application of alternative therapies if desired by the patient, but that is not the primary focus
of the model.
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your critically ill patient tells you that they have not spoken with the physician in over 24
hours and they have some questions that they want clarified. During morning rounds, you convey this concern
to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the conference room.
Which competency of critical care nursing does this represent?
, a. Advocacylandl morall agencylinl solvingl ethicall issues
b. Clinicalljudgmentlandl clinicallreasoningl skills
c. Collaborationlwithl patients,lfamilies,landlteamlmembers
d. Facilitationlofllearningl forl patients,lfamilies,l andlteaml members
ANS:lC
Althoughlonelmightlconsiderlthatlalllofltheselcompetencieslarelbeingladdressed,lcommunicationlandlcollaborationl w
ithl thel familyl andl physicianl bestl exemplifyl thel competencyl ofl collaboration.
DIF:lCognitivel Level:l Analysisl REF:lp.l9
OBJ:lDescribelstandardslofl professionallpracticel forl criticall carel nursing.
TOP:lNursingl Processl Step:lN/Al MSC:lNCLEX:l Safel andlEffectivel Carel Environment
6. ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeluselwhatlframeworkltolguidelcriticallcareln
ursinglpractice?
a. Evidence-basedl practice
b. Healthyl workl environment
c. NationallPatientl SafetylGoals
d. Nursinglprocess
ANS:lD
ThelAACNlStandardslforlAcutelandlCriticallCarelNursinglPracticeldelineatelthelnursinglprocesslaslappliedltolcritica
llyl illl patients:l collectl data,l determinel diagnoses,l identifyl expectedl outcomes,l developl al planl ofl care,limplemen
tl interventions,l andl evaluatel care.l AACNl promotesl al healthyl workl environment,l butl thisl isl notlincludedlinlthel
Standards.lThelJointlCommissionlhaslestablishedlNationallPatientlSafetylGoals,lbutltheselarel notlthelAACNlStanda
rds.
DIF:lCognitivel Level:lAnalysisl REF:lp.l5l |lBoxl1-2
OBJ:lDescribelstandardslofl professionallpracticel forl criticall carel nursing.
TOP:lNursingl Processl Step:lN/Al MSC:lNCLEX:l Safel andlEffectivel Carel Environment
7. Thelchargelnurselislresponsiblelforlmakinglthelpatientlassignmentslonlthelcriticallcarelunit.lShelassignslthelexperi
enced,lcertifiedl nursel tol carel forl thel acutelyl illl patientl withl sepsisl whol alsol requiresl continuousl renallreplaceme
ntltherapylandlmechanicallventilation.lShelassignslthelnurselwithllesslthanl1lyearloflexperienceltoltwol patientsl whol
arel morel stable.l Thisl assignmentl reflectsl implementationl ofl the:
a. crewlresourcel managementl model
