Test Bank for Critical Care Nursing: Diagnosis and Management 10th Edition by Urden and Stacy isbn-9780443115813

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,Chapter01:Critical CareNursingPractice Urden:
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Critical Care Nursing, 10th Edition
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MULTIPLE CHOICE t




1. During World War II, what types of wards were developed to care for criticallyinjured
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patients?
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a. Intensive care t


b. Triage
c. Shock
d. Postoperative
ANS: C
During World War II, shock wards were established to care for critically injured patients.
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Triage wards establish the order in which a patient is seen or treated upon arrival to a
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hospital. Postoperative wards were developed in 1900 and later evolved into intensive care units.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 t t t


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


MSC: NCLEX: Safe and Effective Care Environment
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2. What type of practitioner has a broad depth of specialtyknowledge and expertise and
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manages complex clinical and system issues?
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a. Registered nurses t


b. Advanced practicenurses t t


c. Clinical nurse leaders t t


d. Intensivists
ANS: B
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
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specialty area and manage complex clinical and systems issues. Intensivists are medical
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practitioners who managethe critical ill patient. Registered nurses (RNs) are generallydirect care
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providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5 t t t


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


MSC: NCLEX: Safe and Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based and that
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safety programs are in place?
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a. Clinical nurse specialist t t


b. Advancedpracticenurse t t


c. Registered nurses t


d. Nursepractitioners t




n ANS: A t




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, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
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research, leadership, and consultative abilities. They are instrumental in ensuring that careis
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evidence based and that safety programs are in place. Advanced practice nurses (APNs) have
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a broad depth of knowledge and expertise in their specialty area and manage complex clinical
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and systems issues. Registered nurses are generally direct care providers. Nurse practitioners
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(NPs) manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 6 t t t


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


MSC: NCLEX: Safe and Effective Care Environment
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4. Which professional organization administers critical care certification exams forregistered
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nurses?
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a. StateBoard ofRegistered Nursest t t t


b. National Association of Clinical Nurse Specialist t t t t t


c. Societyof Critical Care Medicine t t t t


d. American Association of Critical-CareNurses t t t t




ANS: D
American Association of Critical-Care Nurses (AACN) administers certification exams for
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registered nurses. The State Board of Registered Nurses (SBON) does not administer
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certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
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administer certification exams. Society of Critical Care Medicine (SCCM) does not
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administer nursing certification exams for registered nurses.
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PTS: 1 DIF: Cognitive Level: Remembering
t REF: p. 7 t t t


OBJ: Nursing Process Step:NW/ WAW.TBSMT.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 theorythat the body, mind, and spirit are
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interdependent and inseparable. This statement describes which methodology of care?
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a. Holistic care t


b. Individualized care t


c. Cultural care t


d. Interdisciplinary care t




ANS: A
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
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interdependent and inseparable. Individualized care recognizes the uniqueness of each
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patient’s preferences, condition, and physiologicand psychosocial status. Cultural diversity in
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health care is not a new topic, but it is gaining emphasis and importance as the world
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becomes more accessible to all as the result of increasing technologies and interfaces with
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places and peoples. Interdisciplinary care is care among a variety of health care professionals
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with the patient’s health as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 12 t t t


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


MSC: NCLEX: Safe and Effective Care Environment
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, 6. TheAmerican Association ofCritical-Care Nurses (AACN)has developed short directives
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that can be used as quick references for clinical use that are known as
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a. Critical Care Protocol. t t


b. Practice Policies. t


c. Evidence-Based Research. t


d. Practice Alerts. t




ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several
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evidence-based practice summaries in theform of “Practice Alerts.”Evidence-based nursing
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practice considers the best research evidence on the care topic along with clinical expertise of
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the nurse and patient preferences. Critical care protocol and practice policies are established
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by individual institutions.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 9 t t t


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


MSC: NCLEX: Safe and Effective Care Environment
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7. Whattype of therapyis an option to conventional treatment?
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a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A
Theterm alternative denotes that a specific therapy is an option or alternative to what is
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consideredconventionalt reatmWenWtWo.f aTcBoSnM di.
t tioWnSor state.The termcomplementary was t n t t t t t n t n


proposed to describe therapies that can be used to complement or support conventional
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treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
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spirit areinterdependent andinseparable. Individualized care recognizes theuniqueness of each
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patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 16 t t t


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


MSC: NCLEX: Safe and Effective Care Environment
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8. Prayer,guided imagery, and massage areall examples ofwhat typeof treatment?
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a. Alternative therapy t


b. Holistic care t


c. Complementary care t


d. Individualized care t




n ANS: C t




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