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 care
practice. 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?
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 to
guide 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.
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.
ACCURATE ANSWER: C
The AACN vision is a health care system driven by the needs of critically ill hospital clients
Reasoning :->>and families where critical care nursing attendants make their optimum
contributions. AACN promotes initiatives to support a healthy work environment as well as
respectful and healing environments, but that is not the organization’s vision. The Society of
Critical Care Medicine(SCCM) promotes care from a multiprofessional team under the
direction of a critical care physician.
DIF: Cognitive Level: Remember/Knowledge REF: page. 5
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
practice. TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
9. The most important outcome of effective communication is to
a. demonstrate caring practices to family members.
b. ensure that hospital client teaching is done.
c. meet the diversity needs of hospital clients.
d. reduce hospital client errors.
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 care
practice. 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?
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 to
guide 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.
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.
ACCURATE ANSWER: C
The AACN vision is a health care system driven by the needs of critically ill hospital clients
Reasoning :->>and families where critical care nursing attendants make their optimum
contributions. AACN promotes initiatives to support a healthy work environment as well as
respectful and healing environments, but that is not the organization’s vision. The Society of
Critical Care Medicine(SCCM) promotes care from a multiprofessional team under the
direction of a critical care physician.
DIF: Cognitive Level: Remember/Knowledge REF: page. 5
OBJ: Discuss the purposes and functions of the professional organizations that support critical care
practice. TOPIC: Nursing Process Step: N/A
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
9. The most important outcome of effective communication is to
a. demonstrate caring practices to family members.
b. ensure that hospital client teaching is done.
c. meet the diversity needs of hospital clients.
d. reduce hospital client errors.
