Diagnosis and Management 9th Edition
Linda D. Urden, Kathleen M. Stacy
Chapter 1-41
,Chapter 01: Critical Care Nursing Practice
Urden: Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. During World War II, what types of wards were developed to care for critically injured
patients?
a. Intensive care
b. Triage
c. Shock
d. Postoperative
ANS: C
During World War II, shock wards were established to care for critically injured patients.
Triage wards establish the order in which a patient is seen or treated upon arrival to a
hospital. Postoperative wards were developed in 1900 and later evolved into intensive care
units.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
2. What type of practitioner has a broad depth of specialty knowledge and expertise and
manages complex clinical and system issues?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
specialty area and manage complex clinical and systems issues. Intensivists are medical
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
3. What type of practitioner is instrumental in ensuring care that is evidence based and that
safety programs are in place?
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurses
d. Nurse practitioners
ANS: A
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, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese
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arch, leadership, and consultative abilities. They are instrumental in ensuring that care is evide
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nce based and that safety programs are in place. Advanced practice nurses (APNs) have a bro
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ad depth of knowledge and expertise in their specialty area and manage complex clinical and
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systems issues. Registered nurses are generally direct care providers. Nurse practitioners (NP
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s) manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level: Remembering REF: hj hj
p. 6 OBJ: Nursing Process Step: N/A TOP: hj hj hj hj hj
Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care En hj hj hj hj h j hj hj hj hj hj
vironment
4. Which professional organization administers critical care certification exams for registered n
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urses?
a. State Board of Registered Nurses hj hj hj hj
b. National Association of Clinical Nurse Specialist hj hj hj hj hj
c. Society of Critical Care Medicine hj hj hj hj
d. American Association of Critical-Care Nurses hj hj hj hj
ANS: D h j
American Association of Critical- hj hj hj
Care Nurses (AACN) administers certification exams for registered nurses. The State Board of
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Registered Nurses (SBON) does not administer certification exams. National Association of
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Clinical Nurse Specialists (NACNS) does not administer certification exams. Society of Criti
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cal Care Medicine (SCCM) does not administer nursing certification exams for registered nur
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ses.
PTS: 1 DIF: Cognitive Level: Remembering REF: hj hj
p. 7 OBJ: hj hj
NursingProcessStep:NW/ WAW.TBSM T. OW PS: Critical CareNursingPractice hj hj hj j
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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 int
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erdependent and inseparable. This statement describes which methodology of care? hj hj hj hj hj hj hj hj hj
a. Holistic care hj
b. Individualized care hj
c. Cultural care hj
d. Interdisciplinary care hj
ANS: A h j
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are interd
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ependent and inseparable. Individualized care recognizes the uniqueness of each patient’s pre
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ferences, condition, and physiologic and psychosocial status. Cultural diversity in health care i
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s not a new topic, but it is gaining emphasis and importance as the world becomes more acces
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sible to all as the result of increasing technologies and interfaces with places and peoples. Inte
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rdisciplinary care is care among a variety of health care professionals with the patient’s health
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as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: hj hj
p. 12 OBJ: Nursing Process Step: N/A TOP: hj hj hj hj hj
Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care En hj hj hj hj h j hj hj hj hj hj
vironment
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, 6. The American Association of Critical-
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Care Nurses (AACN) has developed short directives that can be used as quick references for
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clinical use that are known as hj hj hj hj hj
a. Critical Care Protocol. hj hj
b. Practice Policies. hj
c. Evidence-Based Research. hj
d. Practice Alerts. hj
ANS: D h j
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 nursing practice considers the best research evidence on the care topic along with clinic
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al expertise of the nurse and patient preferences. Critical care protocol and practice policies ar
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e established by individual institutions.
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PTS: 1 DIF: Cognitive Level: Remembering REF: hj hj
p. 9 OBJ: Nursing Process Step: N/A TOP: hj hj hj hj hj
Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care En hj hj hj hj h j hj hj hj hj hj
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 h j
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
di.
tioWnSor state. The term complementary was propose
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d to describe therapies that can be used to complement or support conventional treatments. Holis
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tic 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 eac
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h patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Remembering REF: hj hj
p. 16 OBJ: Nursing Process Step: N/A TOP: hj hj hj hj hj
Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care En hj hj hj hj h j hj hj hj hj hj
vironment
8. Prayer, guided imagery, and massage are all examples of what type of treatment?
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a. Alternative therapy hj
b. Holistic care hj
c. Complementary care hj
d. Individualized care hj h
j ANS: C h j
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