Test Bank For Introduction To Critical Care Nursing 9th Edition By
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Sole
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CH 01: Overview of Critical Care Nursing
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MULTIPLE CHOICE b
1. Which of the following professional organizations best supports critical care nursing practice?
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a. American Association of Critical-Care nursing attendants b b b b b b
b. American Heart Association b b
c. American Nurses Association b b
d. Society of Critical Care Medicine b b b b
b ACCURATE ANSWER:-A b
Reasoning:->>>The American Association of Critical-Care nursing attendants is the specialty b b b b b b b b b b
organization that supports and represents critical care nursing attendants. The American Heart Association
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supports cardiovascular initiatives. The American Nurses Association supports all nursing attendants. The Society
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of Critical Care Medicine represents the multi professional critical care team under the direction of an
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intensivist.
b
DIFFICULT: Cognitive Level: Knowledge REF: p. 4 b b b b b b
OBJECTIVE: Discuss the purposes and functions of the professional organizations that support critical care
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practice.TOPIC:Nursing Process Step: N/A
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MSC: NCLEX: Safe and Effective Care Environment
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2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive care unit for 2
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years and is interested in certification. Which credential would be most applicable for her to seek?
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a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ACCURATE ANSWER:-C b
Reasoning:->>>The CCRN certification is appropriate for nursing attendants in bedside practice who b b b b b b b b b b b b
care for critically ill hospital patients. The ACNPC certification is for acute care nursing attendant
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practitioners. The CCNS certification is for critical care clinical nursing attendant specialists. The PCCN
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certification is for staff nursing attendants working in progressive care, intermediate care, orstep-down unit
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settings.
b
DIFFICULT: Cognitive Level: Application REF: p. 5 b b b b b b
OBJECTIVE: Explain certification options for critical care nursing attendants.TOPIC:Nursing
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b Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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3. The main purpose of certification is to:
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a. assure the consumer that you will not make a mistake. b b b b b b b b b
b. prepare for graduate school. b b b
c. promote magnet status for your facility. b b b b b
d. validate knowledge of critical care nursing. b b b b b
ACCURATE ANSWER:-D b
Reasoning:->>>Certification assists in validating knowledge of the field, promotes excellence in the b b b b b b b b b b b
profession, and helps nursing attendants to maintain their knowledge of critical care nursing. Certification helps
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to assure the consumer that the nursing attendant has a minimum level of knowledge; however, it does not ensure
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that care will be mistake-free.
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Certification does not prepare one for graduate school; however, achieving certification demonstrates
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motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nursing
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attendants; however, that is not the purpose of certification.
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DIFFICULT: Cognitive Level: Analysis REF: pp. 4-5 b b b b b b
OBJECTIVE: Explain certification options for critical care nursing attendants.TOPIC:Nursing
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b Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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4. The synergy model of practice focuses on:
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a. allowing unrestricted visiting for the hospital patient 24 hours each day. b b b b b b b b b b
b. holistic and alternative therapies. b b b
c. needs of hospital patients and their families, which drives nursing competency.
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d. hospital patients needs for energy and support. b b b b b b
ACCURATE ANSWER:-C b
Reasoning:->>>The synergy model of practice states that the needs of hospital patients and families influence b b b b b b b b b b b b b b
and drive competencies of nursing attendants. Nursing practice based on the synergy model would involve
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tailored visiting to meet the hospital patients and family’s needs and application of alternative therapies if desired
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by the hospital patient, but that is not the primary focus of the model.
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DIFFICULT: Cognitive Level: Application REF: p. 5 | Fig. 1-3 b b b b b b b b b
OBJECTIVE: Describe standards of professional practice for critical care nursing. b b b b b b b b b
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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5. The family of your critically ill hospital patient tells you that they have not spoken with the physician in
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bover 24 hours and they have some questions that they want clarified. During morning rounds, you convey this
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concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
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conference room. Which competency of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues b b b b b b b
b. Clinical judgment and clinical reasoning skills
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c. Collaboration with hospital patients, families, and team members b b b b b b b
d. Facilitation of learning for hospital patients, families, and team b b b b b b b b
b members ACCURATE ANSWER:-C b b
Reasoning:->>>Although one might consider that all of these competencies are being addressed, b b b b b b b b b b b
communication and collaboration with the family and physician best exemplify the competency of
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collaboration.
b
DIFFICULT: Cognitive Level: Analysis REF: p. 9 b b b b b b
OBJECTIVE: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical care
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nursing practice?
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a. Evidence-based practice b
b. Healthy work environment b b
c. National Hospital patient Safety Goals b b b b
d. Nursing process b
b ACCURATE ANSWER:-D b
Reasoning:->>>The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process
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as applied tocritically ill hospital patients: collect data, determine diagnoses, identify expected outcomes,
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develop a plan of care, implement interventions, and evaluate care. AACN promotes a healthy work
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environment, but this is not included in the Standards. The Joint Commission has established National Hospital
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patient Safety Goals, but these are not the AACN Standards.
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DIFFICULT: Cognitive Level: Analysis REF: p. 5 | Box 1-2 b b b b b b b b b
OBJECTIVE: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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7. The charge nursing attendant is responsible for making the hospital patient assignments on the critical care unit.
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She assigns the experienced, certified nursing attendant to care for the acutely ill hospital patient with sepsis
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who also requires continuous renal replacement therapy and mechanical ventilation. She assigns the nursing
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attendant with less than 1 year of experience to two hospital patients who are more stable. This assignment
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breflects implementation of the: b b b
a. crew resource management model
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