,Chapter 01: Critical Care Nursing Practice
xd xd xd xd xd d
x
Urden: Critical Care Nursing, 9th
xd xd xd xd
MULTIPLE xd
CHOICE
1. During World War II, what type of wards were developed to care for criticallyi
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
njured patients? xd
a. Intensive care xd
b. Triage
c. Shock
d. Postoperative
ANS: C xd
During World War II, shock wards were established to care for critically injured patients. T
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
riage wards establish the order in which a patient is seen or treated upon arrival to a hospit
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
al. Postoperative wards were developed in 1900 and later evolved into intensive careunits.
xd xd xd xd xd xd xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 1 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
manages complex clinical and system issues?
xd xd xd xd xd
a. Registered nurses xd
b. Advanced practice nurses xd xd
c. Clinical nurse leaders xd xd
d. Intensivists
ANS: B xd
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
specialty area and manage complex clinical and systems issues. Intensivists are medical pra
xd xd xd xd xd xd xd xd xd xd xd xd
ctitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct c
xd xd xd xd xd xd xd xd xd xd xd xd xd
are providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
xd xd xd xd xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 2 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
3. What type of practitioner is instrumental in ensuring care that is evidence based andt
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
hat safety programs are in place?
xd xd xd xd xd
a. Clinical nurse spec xd xd
ialist b. Advancedpract
xd xd xd
ice nurse c.
xd xd
Registered nurses xd
d. Nurse practitioners
xd xd
ANS: A xd
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese
xd xd xd xd xd xd xd xd xd xd xd xd xd
arch, leadership, and consultative abilities. They are instrumental in ensuring that careis evi
xd xd xd xd xd xd xd xd xd xd xd xd xd
dence based and that safety programs are in place. Advanced practice nurses (APNs)have
xd xd xd xd xd xd xd xd xd xd xd xd xd
a broad depth of knowledge and expertise in their specialty area and manage complex cli
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
nical and systems issues. Registered nurses are generally direct care providers. Nurseprac
xd xd xd xd xd xd xd xd xd xd xd xd
titioners (NPs) manage direct clinical care of groups of patients.
xd xd xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 2 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
4. Which professional organization administers critical care certification exams forre
xd xd xd xd xd xd xd xd xd
gistered nurses? xd
a. State Board of Registered Nurses
xd xd xd xd
b. National Association of Clinical Nurse Specialistxd xd xd xd xd
c. Society of Critical Care Medicine xd xd xd xd
d. American Association of Critical-Care Nurses xd xd xd xd
ANS: D xd
American Association of Critical- xd xd xd
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa
xd xd xd xd xd xd xd xd xd xd xd
rd of Registered Nurses (SBON) does not administercertification exams. National Associ
xd xd xd xd xd xd xd xd xd xd xd
ation of Clinical Nurse Specialists (NACNS) does not administer certification exams. Soci
xd xd xd xd xd xd xd xd xd xd xd
ety of Critical Care Medicine (SCCM) does not administer nursing certification exams for
xd xd xd xd xd xd xd xd xd xd xd xd x
registered nurses.
d xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 3 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
are interdependent and inseparable. This statement describes which methodology of c
xd xd xd xd xd xd xd xd xd xd
are?
a. Holistic care xd
b. Individualized care xd
c. Cultural care xd
d. Interdisciplinary care xd
ANS: A xd
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
rdependent and inseparable. Individualized care recognizes the uniqueness of each patient’s
xd xd xd xd xd xd xd xd xd xd xd
preferences, condition, and physiologic and psychosocial status. Cultural diversityin
xd xd xd xd xd xd xd xd xd
health care is not a new topic, but it is gaining emphasis and importance as the world bec
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
omes more accessible to all as the result of increasing technologies and interfaces withplac
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
es and peoples. Interdisciplinary care is care among a variety of health care professionals w
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
ith the patient’s health as the common goal.
xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 4 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
, 6. The American Association of Critical-
xd xd xd xd
Care Nurses (AACN) has developed shortdirectives that can be used as quick ref
xd xd xd xd xd xd xd xd xd xd xd xd xd
erences for clinical use that are known as
xd xd xd xd xd xd xd
a. Critical Care Protocol. xd xd
b. Practice Policies. xd
c. Evidence-Based Research. xd
d. Practice Alerts. xd
ANS: D xd
The American Association of Critical-
xd xd xd xd
Care Nurses (AACN) has promulgated several evidence-
xd xd xd xd xd xd
based practice summaries in the form of ―Practice Alerts.‖ Evidence-
xd xd xd xd xd xd xd xd xd
based nursing practice considers the best research evidence on the care topic along with c
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
linicalexpertise of the nurse and patient preferences. Critical care protocol and practice po
xd xd xd xd xd xd xd xd xd xd xd xd xd
liciesare established by individual institutions.
xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 3 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
7. What type of therapy is an option to conventional treatment?
xd xd xd xd xd xd xd xd xd
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A xd
The term alternative denotes that a specific therapy is an option or alternative to what isc
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
onsidered conventional treatment of a condition or state. The term complementary wasprop
xd xd xd xd xd xd xd xd xd xd xd xd
osed to describe therapies that can be used to complement or support conventional treat
xd xd xd xd xd xd xd xd xd xd xd xd xd
ments. Holistic care focuses on human integrity and stresses that the body, mind, and sp
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
irit are interdependent and inseparable. Individualized care recognizes the uniqueness of
xd xd xd xd xd xd xd xd xd xd xd
each patient’s preferences, condition, and physiologic and psychosocial status.
xd xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 4 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
8. Prayer, guided imagery, and massage are all examples of what type of treatment?
xd xd xd xd xd xd xd xd xd xd xd xd
a. Alternative therapy xd
b. Holistic care xd
c. Complementary care xd
d. Individualized care xd
ANS: C xd
The term complementary was proposed to describe therapies that can be used to complement
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
or support conventional treatments. Spirituality, prayer, guided imagery, massage, and animal
xd xd xd xd xd xd xd xd xd xd
-
xdassisted therapy are all examples of complementary care. The term alternative denotes that a
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
specific therapy is an option or alternative to what is considered conventional treatment of a
xd xd xd xd xd xd xd xd xd xd xd xd xd xd x
dcondition or state. Holistic care focuses on human integrity and stresses that the body, mind
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
, and spirit are interdependent and inseparable. Individualized care recognizes the uniqueness
xd xd xd xd xd xd xd xd xd xd xd x
dof each patient’s preferences, condition, and physiologic andpsychosocial status.
xd xd xd xd xd xd xd xd xd
PTS: xdxdx d 1 DIF: Cognitive Level: Understanding xd xd REF: p. 4 xd xd
xd xd xd xd xd d
x
Urden: Critical Care Nursing, 9th
xd xd xd xd
MULTIPLE xd
CHOICE
1. During World War II, what type of wards were developed to care for criticallyi
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
njured patients? xd
a. Intensive care xd
b. Triage
c. Shock
d. Postoperative
ANS: C xd
During World War II, shock wards were established to care for critically injured patients. T
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
riage wards establish the order in which a patient is seen or treated upon arrival to a hospit
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
al. Postoperative wards were developed in 1900 and later evolved into intensive careunits.
xd xd xd xd xd xd xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 1 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
manages complex clinical and system issues?
xd xd xd xd xd
a. Registered nurses xd
b. Advanced practice nurses xd xd
c. Clinical nurse leaders xd xd
d. Intensivists
ANS: B xd
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
specialty area and manage complex clinical and systems issues. Intensivists are medical pra
xd xd xd xd xd xd xd xd xd xd xd xd
ctitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct c
xd xd xd xd xd xd xd xd xd xd xd xd xd
are providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
xd xd xd xd xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 2 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
3. What type of practitioner is instrumental in ensuring care that is evidence based andt
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
hat safety programs are in place?
xd xd xd xd xd
a. Clinical nurse spec xd xd
ialist b. Advancedpract
xd xd xd
ice nurse c.
xd xd
Registered nurses xd
d. Nurse practitioners
xd xd
ANS: A xd
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese
xd xd xd xd xd xd xd xd xd xd xd xd xd
arch, leadership, and consultative abilities. They are instrumental in ensuring that careis evi
xd xd xd xd xd xd xd xd xd xd xd xd xd
dence based and that safety programs are in place. Advanced practice nurses (APNs)have
xd xd xd xd xd xd xd xd xd xd xd xd xd
a broad depth of knowledge and expertise in their specialty area and manage complex cli
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
nical and systems issues. Registered nurses are generally direct care providers. Nurseprac
xd xd xd xd xd xd xd xd xd xd xd xd
titioners (NPs) manage direct clinical care of groups of patients.
xd xd xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 2 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
4. Which professional organization administers critical care certification exams forre
xd xd xd xd xd xd xd xd xd
gistered nurses? xd
a. State Board of Registered Nurses
xd xd xd xd
b. National Association of Clinical Nurse Specialistxd xd xd xd xd
c. Society of Critical Care Medicine xd xd xd xd
d. American Association of Critical-Care Nurses xd xd xd xd
ANS: D xd
American Association of Critical- xd xd xd
Care Nurses (AACN) administers certification exams for registered nurses. The State Boa
xd xd xd xd xd xd xd xd xd xd xd
rd of Registered Nurses (SBON) does not administercertification exams. National Associ
xd xd xd xd xd xd xd xd xd xd xd
ation of Clinical Nurse Specialists (NACNS) does not administer certification exams. Soci
xd xd xd xd xd xd xd xd xd xd xd
ety of Critical Care Medicine (SCCM) does not administer nursing certification exams for
xd xd xd xd xd xd xd xd xd xd xd xd x
registered nurses.
d xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 3 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
are interdependent and inseparable. This statement describes which methodology of c
xd xd xd xd xd xd xd xd xd xd
are?
a. Holistic care xd
b. Individualized care xd
c. Cultural care xd
d. Interdisciplinary care xd
ANS: A xd
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
rdependent and inseparable. Individualized care recognizes the uniqueness of each patient’s
xd xd xd xd xd xd xd xd xd xd xd
preferences, condition, and physiologic and psychosocial status. Cultural diversityin
xd xd xd xd xd xd xd xd xd
health care is not a new topic, but it is gaining emphasis and importance as the world bec
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
omes more accessible to all as the result of increasing technologies and interfaces withplac
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
es and peoples. Interdisciplinary care is care among a variety of health care professionals w
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
ith the patient’s health as the common goal.
xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 4 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
, 6. The American Association of Critical-
xd xd xd xd
Care Nurses (AACN) has developed shortdirectives that can be used as quick ref
xd xd xd xd xd xd xd xd xd xd xd xd xd
erences for clinical use that are known as
xd xd xd xd xd xd xd
a. Critical Care Protocol. xd xd
b. Practice Policies. xd
c. Evidence-Based Research. xd
d. Practice Alerts. xd
ANS: D xd
The American Association of Critical-
xd xd xd xd
Care Nurses (AACN) has promulgated several evidence-
xd xd xd xd xd xd
based practice summaries in the form of ―Practice Alerts.‖ Evidence-
xd xd xd xd xd xd xd xd xd
based nursing practice considers the best research evidence on the care topic along with c
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
linicalexpertise of the nurse and patient preferences. Critical care protocol and practice po
xd xd xd xd xd xd xd xd xd xd xd xd xd
liciesare established by individual institutions.
xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 3 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
7. What type of therapy is an option to conventional treatment?
xd xd xd xd xd xd xd xd xd
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A xd
The term alternative denotes that a specific therapy is an option or alternative to what isc
xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd xd
onsidered conventional treatment of a condition or state. The term complementary wasprop
xd xd xd xd xd xd xd xd xd xd xd xd
osed to describe therapies that can be used to complement or support conventional treat
xd xd xd xd xd xd xd xd xd xd xd xd xd
ments. Holistic care focuses on human integrity and stresses that the body, mind, and sp
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
irit are interdependent and inseparable. Individualized care recognizes the uniqueness of
xd xd xd xd xd xd xd xd xd xd xd
each patient’s preferences, condition, and physiologic and psychosocial status.
xd xd xd xd xd xd xd xd
PTS: xdxdx d 1
DIF: Cognitive Level: Remembering xd xd
REF: p. 4 OBJ: Nursing Process Step: N/A xd xd xd x d xd xd xd
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe a xd xd xd xd xd xd xd xd
nd Effective Care Environment
xd xd xd
8. Prayer, guided imagery, and massage are all examples of what type of treatment?
xd xd xd xd xd xd xd xd xd xd xd xd
a. Alternative therapy xd
b. Holistic care xd
c. Complementary care xd
d. Individualized care xd
ANS: C xd
The term complementary was proposed to describe therapies that can be used to complement
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
or support conventional treatments. Spirituality, prayer, guided imagery, massage, and animal
xd xd xd xd xd xd xd xd xd xd
-
xdassisted therapy are all examples of complementary care. The term alternative denotes that a
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
specific therapy is an option or alternative to what is considered conventional treatment of a
xd xd xd xd xd xd xd xd xd xd xd xd xd xd x
dcondition or state. Holistic care focuses on human integrity and stresses that the body, mind
xd xd xd xd xd xd xd xd xd xd xd xd xd xd
, and spirit are interdependent and inseparable. Individualized care recognizes the uniqueness
xd xd xd xd xd xd xd xd xd xd xd x
dof each patient’s preferences, condition, and physiologic andpsychosocial status.
xd xd xd xd xd xd xd xd xd
PTS: xdxdx d 1 DIF: Cognitive Level: Understanding xd xd REF: p. 4 xd xd
