TESTBANK FOR SOLE’S INTRODUCTION TO CRITICAL CARE
NURSING 9TH EDITION BY MARYBETH & LAUREN
,Chapter 01: Overview of Critical Care Nursing
Sole: Introduction to Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing
practice?
a. American Association of Critical-Care Nursing attendants
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
ACCURATE ANSWER:
A
Reasoning :->> The American Association of Critical-Care nurses is the specialty
organization that supports and represents critical care nursing attendants. The
American Heart Association supports cardiovascular initiatives. The American Nurses
Association supports all nursing attendants. The Society of Critical CareMedicine
represents the multiprofessional critical care team under the direction of an intensivist.
DIF: Cognitive Level: Remember/Knowledge REF: page. 5
OBJ: Discuss the purposes and functions of the professional organizations that support critical
carepractice. TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
2. A nursing attendant has been working as a staff nursing attendant in the surgical
intensive care unit for 2 years and isinterested in certification. Which credential would
be most applicable for the nursing attendant to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
practice who care for critically illhospital clients. The ACNPC-AG certification is for
acute care nursing attendant practitioners. The CNML is forcritical care nursing
attendant managers or leaders. The PCCN certification is for staff nursing attendants
working in progressive care, intermediate care, or step-down unit settings.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing
Process Step: N/AMSC: NCLEX Client Needs Category: 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.
ACCURATE ANSWER: D
, Reasoning :->>Certification assists in validating knowledge of the field, promotes
excellence in the profession, and helps nursing attendants to maintain their knowledge
of critical care nursing. Certificationhelps to assure the consumer that the nursing
attendant 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 nursing attendants; however, that
isnot the purpose of certification.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing
Process Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
4. The synergy model of practice focuses on
a. allowing unrestricted visiting for the hospital client 24 hours a day.
b. holistic and alternative therapies.
c. the needs of hospital clients and their families, which drive nursing competency.
d. hospital clients’ needs for energy and support.
ACCURATE ANSWER: C
Reasoning :->>The synergy model of practice states that the needs of hospital
clients and families influence and drive competencies of nursing attendants. Nursing
practice based on the synergy model would involvetailored visiting to meet the
hospital client’s and family’s needs and the application of alternative therapies if
desired by the hospital client, but that is not the primary focus of the model.
DIF: Cognitive Level: Remember/Knowledge REF:
page. 6OBJ: Describe standards of professional practice for critical care
nursing.
TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs CategoN ryU: R
SSafIN
eGanTdBE
.CfO
feM
ctive Care Environment
5. The family of your critically ill hospital client tells you that they have not spoken with
the physicianin over 24 hours and that they have some questions they want clarified.
During morning rounds, you convey this concern to the attending intensivist and
arrange a meeting with the family at 4:00 PM. Which competency of critical care
nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with hospital clients, families, and team members
d. Facilitation of learning for hospital clients, families, and team members
ACCURATE ANSWER: C
Reasoning :->>Although one might consider that all of these competencies
are being addressed, communication and collaboration with the family and
physician best exemplify thecompetency of collaboration.
DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 | Box
1-1OBJ: Describe standards of professional practice for critical care nursing.
TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what
framework toguide critical care nursing practice?
a. Evidence-based practice
, b. Healthy work environment
c. National Hospital client Safety Goals
d. Nursing process
ACCURATE ANSWER: D
Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice
delineate the nursing process as applied to critically ill hospital clients: collect data,
determine diagnoses, identify expectedoutcomes, develop a plan of care, implement
interventions, and evaluate care. AACN promotes a healthy work environment, but this
is not included in its standards. The Joint Commission has established National Hospital
client Safety Goals, but these are not the AACN standards.
DIF: Cognitive Level: Remember/Knowledge REF:
page. 6OBJ: Describe standards of professional practice for critical care
nursing.
TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
7. The charge nursing attendant is responsible for making the hospital client assignments
on the critical care unit. An experienced, certified nursing attendant is assigned to care
for the acutely ill hospital client with sepsis who also requires continuous renal
replacement therapy and mechanical ventilation. The nursing attendant withless than 1
year of experience is assigned to two hospital clients who are more stable. This
assignment reflects implementation of the
a. crew resource management model.
b. National Hospital client Safety Goals.
c. Quality and Safety Education for Nursing attendants (QSEN) model.
d. synergy model of practice.
ACCURA
TE
ANSWE
R: D
Reasoning :->>This assignment demonstrates nursing care to meet the needs of the
hospital client. The synergy model notes that the nursing attendant competencies are
matched to the hospital client characteristics. Crew resource management concepts are
related to team training; National Hospital client Safety Goals arespecified by The Joint
Commission to promote safe care but do not incorporate the synergy model. The
Quality and Safety Education for Nursing attendants initiative involves targeted
education ofundergraduate and graduate nursing students on quality and safety
concepts.
DIF: Cognitive Level: Analyze/Analysis REF:
page. 6OBJ: Describe standards of professional practice for critical care
nursing.
TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nursing attendants is a health
care system drivenby
a. a healthy work environment.
b. care from a multiprofessional team under the direction of a critical care physician.
c. the needs of critically ill hospital clients and families.
d. respectful, healing, and humane environments.
NURSING 9TH EDITION BY MARYBETH & LAUREN
,Chapter 01: Overview of Critical Care Nursing
Sole: Introduction to Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing
practice?
a. American Association of Critical-Care Nursing attendants
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
ACCURATE ANSWER:
A
Reasoning :->> The American Association of Critical-Care nurses is the specialty
organization that supports and represents critical care nursing attendants. The
American Heart Association supports cardiovascular initiatives. The American Nurses
Association supports all nursing attendants. The Society of Critical CareMedicine
represents the multiprofessional critical care team under the direction of an intensivist.
DIF: Cognitive Level: Remember/Knowledge REF: page. 5
OBJ: Discuss the purposes and functions of the professional organizations that support critical
carepractice. TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
2. A nursing attendant has been working as a staff nursing attendant in the surgical
intensive care unit for 2 years and isinterested in certification. Which credential would
be most applicable for the nursing attendant to seek?
a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
practice who care for critically illhospital clients. The ACNPC-AG certification is for
acute care nursing attendant practitioners. The CNML is forcritical care nursing
attendant managers or leaders. The PCCN certification is for staff nursing attendants
working in progressive care, intermediate care, or step-down unit settings.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing
Process Step: N/AMSC: NCLEX Client Needs Category: 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.
ACCURATE ANSWER: D
, Reasoning :->>Certification assists in validating knowledge of the field, promotes
excellence in the profession, and helps nursing attendants to maintain their knowledge
of critical care nursing. Certificationhelps to assure the consumer that the nursing
attendant 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 nursing attendants; however, that
isnot the purpose of certification.
DIF: Cognitive Level: Remember/Knowledge REF: p. 6
OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing
Process Step: N/AMSC: NCLEX Client Needs Category: Safe and Effective Care Environment
4. The synergy model of practice focuses on
a. allowing unrestricted visiting for the hospital client 24 hours a day.
b. holistic and alternative therapies.
c. the needs of hospital clients and their families, which drive nursing competency.
d. hospital clients’ needs for energy and support.
ACCURATE ANSWER: C
Reasoning :->>The synergy model of practice states that the needs of hospital
clients and families influence and drive competencies of nursing attendants. Nursing
practice based on the synergy model would involvetailored visiting to meet the
hospital client’s and family’s needs and the application of alternative therapies if
desired by the hospital client, but that is not the primary focus of the model.
DIF: Cognitive Level: Remember/Knowledge REF:
page. 6OBJ: Describe standards of professional practice for critical care
nursing.
TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs CategoN ryU: R
SSafIN
eGanTdBE
.CfO
feM
ctive Care Environment
5. The family of your critically ill hospital client tells you that they have not spoken with
the physicianin over 24 hours and that they have some questions they want clarified.
During morning rounds, you convey this concern to the attending intensivist and
arrange a meeting with the family at 4:00 PM. Which competency of critical care
nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with hospital clients, families, and team members
d. Facilitation of learning for hospital clients, families, and team members
ACCURATE ANSWER: C
Reasoning :->>Although one might consider that all of these competencies
are being addressed, communication and collaboration with the family and
physician best exemplify thecompetency of collaboration.
DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 | Box
1-1OBJ: Describe standards of professional practice for critical care nursing.
TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what
framework toguide critical care nursing practice?
a. Evidence-based practice
, b. Healthy work environment
c. National Hospital client Safety Goals
d. Nursing process
ACCURATE ANSWER: D
Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice
delineate the nursing process as applied to critically ill hospital clients: collect data,
determine diagnoses, identify expectedoutcomes, develop a plan of care, implement
interventions, and evaluate care. AACN promotes a healthy work environment, but this
is not included in its standards. The Joint Commission has established National Hospital
client Safety Goals, but these are not the AACN standards.
DIF: Cognitive Level: Remember/Knowledge REF:
page. 6OBJ: Describe standards of professional practice for critical care
nursing.
TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
7. The charge nursing attendant is responsible for making the hospital client assignments
on the critical care unit. An experienced, certified nursing attendant is assigned to care
for the acutely ill hospital client with sepsis who also requires continuous renal
replacement therapy and mechanical ventilation. The nursing attendant withless than 1
year of experience is assigned to two hospital clients who are more stable. This
assignment reflects implementation of the
a. crew resource management model.
b. National Hospital client Safety Goals.
c. Quality and Safety Education for Nursing attendants (QSEN) model.
d. synergy model of practice.
ACCURA
TE
ANSWE
R: D
Reasoning :->>This assignment demonstrates nursing care to meet the needs of the
hospital client. The synergy model notes that the nursing attendant competencies are
matched to the hospital client characteristics. Crew resource management concepts are
related to team training; National Hospital client Safety Goals arespecified by The Joint
Commission to promote safe care but do not incorporate the synergy model. The
Quality and Safety Education for Nursing attendants initiative involves targeted
education ofundergraduate and graduate nursing students on quality and safety
concepts.
DIF: Cognitive Level: Analyze/Analysis REF:
page. 6OBJ: Describe standards of professional practice for critical care
nursing.
TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
8. The vision of the American Association of Critical-Care Nursing attendants is a health
care system drivenby
a. a healthy work environment.
b. care from a multiprofessional team under the direction of a critical care physician.
c. the needs of critically ill hospital clients and families.
d. respectful, healing, and humane environments.
