Test Bank for Understanding the Essentials of Critical Care Nursing 3rd Edition Perrin Chapters 1 - 19

Perrin: Understanding the Essentials of Critical Care Nursing Chapter 1: What is Critical Care? MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the ques 1) Of the following patients, who should be cared for in a critical care unit? A patient: (Select all that apply.) A) With an acetaminophen overdose B) Suffering from acute mental illness C) With chronic renal failure D) With acute decompensated heart failure ANSWER: A, D Explanation: A) (Note: This requires multiple responses to be correct.) Critical care units are c o- estfficient units for caring for patients with specific organ system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical nature. Nursing Process: Evaluation Cognitive Level: Analysis Category of Need: Physiological Integrity–Physiological Adaptation 1 B)(Note: This requires multiple responses to be correct.) Critical care units are c o- estfficient units for caring for patients with specific organ system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical nature. Nursing Process: Evaluation Cognitive Level: Analysis Category of Need: Physiological Integrity–Physiological Adaptation C) (Note: This requires multiple responses to be correct.) Critical care units are c o- estfficient units for caring for patients with specific organ system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical nature. Nursing Process: Evaluation Cognitive Level: Analysis Category of Need: Physiological Integrity–Physiological Adaptation D) (Note: This requires multiple responses to be correct.) Critical care units are c o- estfficient units for caring for patients with specific organ system failure. Although the organ failing in #4 is obvious, patients with acetaminophen overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns of a noncritical nature. Nursing Process: Evaluation Cognitive Level: Analysis Category of Need: Physiological Integrity–Physiological Adaptation 2 2)A hospital in a small rural town would be able to provide which level of care in the critical care unit? A) Level I B) Level II C) Level III D) It is unlikely that the hospital would have a critical care unit ANSWER: C Explanation: A) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all because most hospitals have some critical care areas. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Safe, Effective Care Environment–Management of Care B)#1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all because most hospitals have some critical care areas. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Safe, Effective Care Environment–Management of Care C) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all because most hospitals have some critical care areas. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Safe, Effective Care Environment–Management of Care D) #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely a all because most hospitals have some critical care areas. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Safe, Effective Care Environment–Management of Care 3) A nurse employed in an "open" ICU would most likely be working with a: A) Multidisciplinary team with physicians who are also responsible for patients on other units. B) Multidisciplinary team that includes a physician employed by the hospital. C) Physician in charge of patient care who is a specialist in critical care. D) Primary care physician who must consult a critical care specialist. ANSWER: A Explanation: A) #2, #3, and #4 refer to "closed" ICUs. Nursing Process: Evaluation Cognitive Level: Analysis Category of Need: Safe, Effective Care Environment–Management of Care B)#2, #3, and #4 refer to "closed" ICUs. Nursing Process: Evaluation Cognitive Level: Analysis Category of Need: Safe, Effective Care Environment–Management of Care C) #2, #3, and #4 refer to "closed" ICUs. Nursing Process: Evaluation Cognitive Level: Analysis Category of Need: Safe, Effective Care Environment–Management of Care D) #2, #3, and #4 refer to "closed" ICUs. Nursing Process: Evaluation Cognitive Level: Analysis Category of Need: Safe, Effective Care Environment–Management of Care 3 4)According to the Institute of Medicine, technology increases the likelihood of errors in critical care units when: A) It relies heavily on human decisi-omnaking. B) Devices are programmed to function without dou- bclheecks. C) It makes the workload seem overwhelming to health care providers. D) There is uniform equipment throughout each facility. ANSWER: B Explanation: A) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care unit. Nursing Process: Evaluation Cognitive Level: Comprehension Category of Need: Safe, Effective Care Environment–Management of Care B)#1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care unit. Nursing Process: Evaluation Cognitive Level: Comprehension Category of Need: Safe, Effective Care Environment–Management of Care C) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care unit. Nursing Process: Evaluation Cognitive Level: Comprehension Category of Need: Safe, Effective Care Environment–Management of Care D) #1, #3, and #4 have not been identified to increase the likelihood of errors in the critica care unit. Nursing Process: Evaluation Cognitive Level: Comprehension Category of Need: Safe, Effective Care Environment–Management of Care 4 5) Which of the following is a common example of installing forcing functions or system level firewalls in order to prevent errors? A) Prior to administration of insulin, two nurses check the dose. B) Prior to obtaining a medication, height, weight and allergies are recorded. C) All medications are checked by two nurses prior to administration. D) Undiluted potassium chloride is not available on critical care units. ANSWER: D Explanation: A) #1 and #3 are examples of avoiding reliance on vigilance; #2 is an example of utilizing constraints. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Physiological Integrity–Pharmacological and Parenteral Therapies B)#1 and #3 are examples of avoiding reliance on vigilance; #2 is an example of utilizing constraints. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Physiological Integrity–Pharmacological and Parenteral Therapies C) #1 and #3 are examples of avoiding reliance on vigilance; #2 is an example of utilizing constraints. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Physiological Integrity–Pharmacological and Parenteral Therapies D) #1 and #3 are examples of avoiding reliance on vigilance; #2 is an example of utilizing constraints. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Physiological Integrity–Pharmacological and Parenteral Therapies 5 6) The increased use of technology in critical care units has resulted in which of the following consequences for patient care? A) Decreased risk of errors in patient care B) Decreased therapeutic nur-speatient communication C) Improved overall patient satisfaction with care D) Improved patient safety across the entire spectrum ANSWER: B Explanation: A) #1, #3, and #4 have not been demonstrated as outcomes resulting from increased technology use. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Physiological Integrity–Physiological Adaptation B)#1, #3, and #4 have not been demonstrated as outcomes resulting from increased technology use. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Physiological Integrity–Physiological Adaptation C) #1, #3, and #4 have not been demonstrated as outcomes resulting from increased technology use. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Physiological Integrity–Physiological Adaptation D) #1, #3, and #4 have not been demonstrated as outcomes resulting from increased technology use. Nursing Process: Evaluation Cognitive Level: Application Category of Need: Physiological Integrity–Physiological Adaptation