critical care nursing diagnosis and management 10th edition urden test bank

,Chapter01:CriticalCareNursingPracticeUrden: n




CriticalCareNursing,10thEdition
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MULTIPLECHOICE

1. DuringWorldWarII,whattypesofwardsweredevelopedtocareforcriticallyinjured
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patients?
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a. Intensivecare
b. Triage
c. Shock
d. Postoperative
ANS: C n n n n




DuringWorldWarII,shockwardswereestablishedtocareforcriticallyinjuredpatients.Triage wards
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establishtheorderinwhichapatientisseenortreateduponarrivaltoahospital.
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Postoperativewardsweredeveloped in1900 andlaterevolved intointensivecareunits. n n n n




PTS: 1 DIF: CognitiveLevel: Remembering REF: p.2 n nn n




OBJ: Nursing Process Step: N/A
nn TOP: CriticalCareNursingPractice
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MSC: NCLEX: Safeand Effective Care Environment
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2. What typeofpractitionerhasabroad depthofspecialtyknowledgeand expertiseand
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n manages complex clinical and system issues?
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a. Registered nurses nn




b. Advancedpracticenurses
c. Clinicalnurseleaders
d. Intensivists
ANS: B n n n n




Advancedpracticenurses(APNs)haveabroaddepthofknowledgeandexpertiseintheirspecialty area
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and manage complex clinical and systemsissues. Intensivists aremedical practitioners who
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managethecriticalillpatient.Registerednurses(RNs)aregenerallydirect care providers. Clinical
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nurseleaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: CognitiveLevel: Remembering REF: p.5 n nn n




OBJ: Nursing Process Step: N/A
nn TOP: CriticalCareNursingPractice
nn nn nn




MSC: NCLEX: Safeand Effective Care Environment
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3. What typeofpractitionerisinstrumentalinensuringcarethatisevidencebased andthat
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n safety programs arein place?
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a. Clinicalnursespecialist
b. Advancedpracticenurse
c. Registered nurses nn




d. Nursepractitioners
nn ANS: A n n




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, Clinical nursespecialists(CNSs)serveinspecialtyrolesthatusetheirclinical,teaching,
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research,leadership,and consultativeabilities.Theyareinstrumentalin ensuring that careis
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evidencebasedandthatsafetyprogramsareinplace.Advancedpracticenurses(APNs)havea
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broaddepthofknowledgeandexpertiseintheirspecialtyareaandmanagecomplexclinicaland
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systemsissues.Registerednursesaregenerallydirectcareproviders.Nursepractitioners(NPs)
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manage direct clinical care of groups of patients.
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PTS: 1 DIF: CognitiveLevel: Remembering REF: p.6 n nn n




OBJ: Nursing Process Step: N/A
nn TOP: CriticalCareNursingPractice nn nn nn




MSC: NCLEX: Safeand Effective Care Environment
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4. Whichprofessionalorganizationadministers criticalcarecertificationexamsforregistered n n n




nnurses?
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a. StateBoardofRegistered Nurses nn




b. NationalAssociationofClinicalNurseSpecialist n




c. SocietyofCriticalCare Medicine nn




d. American Association ofCritical-CareNurses n n




ANS: D n n n n




AmericanAssociationofCritical-Care Nurses(AACN)administerscertificationexamsfor n n




registered nurses. TheStateBoardofRegistered Nurses (SBON) doesnot administer certification
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exams. National Association ofClinical NurseSpecialists (NACNS) does not administer
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certificationexams. SocietyofCriticalCareMedicine(SCCM)doesnotadminister nursing
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certification exams for registered nurses.
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PTS: 1 DIF: CognitiveLevel: Remembering
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OBJ: NursingProcessStep:NW/ WAW.TBSMT.OWPS: CriticalCareNursingPractice
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MSC: NCLEX: Safeand Effective Care Environment
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5. Emphasisisonhumanintegrityandstresses thetheorythatthebody,mind, andspiritare n nn




ninterdependent and inseparable.This statement describes which methodology ofcare?
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a. Holisticcare
b. Individualized care nn




c. Cultural care n




d. Interdisciplinary care nn




ANS: A n n n n




Holisticcare focuses onhumanintegrity and stressesthat thebody,mind,andspirit are
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interdependent and inseparable. Individualized care recognizes theuniqueness of each
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patient’spreferences,condition,and physiologicandpsychosocialstatus.Culturaldiversityin
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healthcareisnotanewtopic,butitisgainingemphasisandimportanceastheworldbecomes more
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accessibletoallastheresultofincreasingtechnologiesandinterfaceswithplacesand peoples.
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Interdisciplinary careis care among a variety ofhealth careprofessionals with the patient’s health
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as the common goal.
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PTS: 1 DIF: CognitiveLevel: Remembering REF: p.12 n nn n




OBJ: Nursing Process Step: N/A
nn TOP: CriticalCareNursingPractice nn nn nn




MSC: NCLEX: Safeand Effective Care Environment
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, 6. TheAmericanAssociation ofCritical-CareNurses (AACN) hasdeveloped shortdirectivesthat n n n




can be used as quick references forclinical use that areknown as
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a. CriticalCareProtocol. n




b. PracticePolicies. nn




c. Evidence-Based Research. nn




d. PracticeAlerts. nn




ANS: D n n n n




TheAmerican AssociationofCritical-CareNurses (AACN)has promulgated several evidence-
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basedpracticesummariesin theformof“PracticeAlerts.”Evidence-based nursingpractice
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considersthe bestresearch evidenceon thecaretopicalong with clinical expertiseofthenurse and
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patient preferences. Critical care protocol and practice policies areestablished by
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individualinstitutions.
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PTS: 1 DIF: CognitiveLevel: Remembering REF: p.9 n nn n




OBJ: Nursing Process Step: N/A
nn TOP: CriticalCareNursingPractice nn nn nn




MSC: NCLEX: Safeand Effective Care Environment
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7. Whattypeoftherapyisan optiontoconventionaltreatment? n n




a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A n n n n




Thetermalternativedenotesthataspecifictherapyisan optionoralternativetowhatis
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consideredconventionaltreatmWenW t Wo .f aTcBoSnM
di.
tioWnSor n n nn nn n n




nstate.Thetermcomplementarywasproposed to describe therapies that can be used to complement or
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support conventionaltreatments. Holistic carefocuseson humanintegrityandstressesthatthebody,
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mind,and
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spiritareinterdependent andinseparable. Individualizedcare recognizes theuniquenessof each nn nn n n nn




patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: CognitiveLevel: Remembering REF: p.16 n nn n




OBJ: Nursing Process Step: N/A
nn TOP: CriticalCareNursingPractice nn nn nn




MSC: NCLEX: Safeand Effective Care Environment
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8. Prayer, guidedimagery, andmassageareallexamplesofwhattypeoftreatment?
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a. Alternative therapy nn




b. Holisticcare
c. Complementary care nn




d. Individualized care n




nn ANS: C n n




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