TEST BANK FOR PRIORITIES IN CRITICAL CARE NURSING
9TH EDITION BY URDEN/ALL CHAPTERS 1-27
, CH 01: Caring for the Critically Ill Client Urden:
Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
complex clinical and system issues?
a. Registered professional nurses
b. Advanced practice professional nurses
c. Clinical professional nurse leaders
d. Intensivists
CORRECT CHOICE:- B
Rationale :->>>Advanced practice nurses (APNs) have a broad depth of knowledge and
expertise in their specialty area and manage complex clinical and systems issues. Intensivists
are medical practitioners who manage the critical ill client. Registered professional nurses
(RNs) are generally direct care providers. Clinical nurse leaders (CNLs) generally do not
manage system issues.
POINTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
programs are in place?
a. Clinical professional nurse specialist
b. Advanced practice professional nurse
c. Registered professional nurses
d. Professional nurse practitioners
CORRECT CHOICE:- A
Rationale :->>>Clinical nurse specialists (CNSs) serve in specialty roles that use their
clinical, teaching, research, leadership, and consultative abilities. They are instrumental in
ensuring that care is evidence based and that safety programs are in place. Advanced practice
professional nurses (APNs) have a broad depth of knowledge and expertise in their specialty
area and manage complex clinical and systems issues. Registered professional nurses are
generally direct care providers. nurse practitioners (NPs) manage direct clinical care of
groups of clients.
POINTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Which professional organization administers critical care certification exams for registered
professional nurses?
a. State Board of Registered Professional nurses
b. National Association of Clinical Professional nurse Specialist
c. Society of Critical Care Medicine
, d. American Association of Critical-Care Professional nurses
CORRECT CHOICE:-D
Rationale :->>>American Association of Critical-Care nurses (AACN) administers
certification exams for registered professional nurses. The State Board of Registered nurses
(SBON) does not administer certification exams. National Association of Clinical
Professional nurse Specialists (NACNS) does not administer certification exams. Society of
Critical Care Medicine (SCCM) does not administer nursing certification exams for
registered professional nurses.
POINTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The American Association of Critical-Care Professional nurses (AACN) has developed
short directives that can be used as quick references for clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
CORRECT CHOICE:- D
Rationale :->>>The American Association of Critical-Care Professional nurses (AACN) has
promulgated several evidence-based practice summaries in the form of “practice alerts.”
Evidence-based nursing practice considers the best research evidence on the care topic along
with clinical expertise of the professional nurse and client preferences. Critical care protocol
and practice policies are established by individual institutions.
POINTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning
TOPIC: Caring for the Critically Ill
Client MSC: NCLEX: Safe and
Effective Care Environment:
Coordinated Care
5. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
CORRECT CHOICE:- A
Rationale :->>>The term alternative denotes that a specific therapy is an option or
alternative to what is considered conventional treatment of a condition or state. The term
complementary was proposed to describe therapies that can be used to complement or
support conventional treatments. Holistic care focuses on human integrity and stresses that
the body, mind, and spirit are interdependent and inseparable. Individualized care recognizes
the uniqueness of each client’s preferences, condition, and physiologic and psychosocial
status.
POINTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
Implementation
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
, 6. Guided imagery and massage are both examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
CORRECT CHOICE:- C
Rationale :->>>The term complementary was proposed to describe therapies that can be used
to complement or support conventional treatments. Guided imagery, massage, and animal-
assisted therapy are all examples of complementary care. The term alternative denotes that a
specific therapy is an option or alternative to what is considered conventional treatment of a
condition or state. Holistic care focuses on human integrity and stresses that the body, mind,
and spirit are interdependent and inseparable. Individualized care recognizes the uniqueness
of each client’s preferences, condition, and physiologic and psychosocial status.
POINTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A client was admitted to a rural critical care unit in Montana. Critical care professional
nurses are assisting with monitoring and care of the client from the closest major city.
What is this type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-health center
CORRECT CHOICE:- B
Rationale :->>>Tele-ICU is a form of telemedicine. Telemedicine was initially used in
outclient areas, remote rural geographic locations, and areas where there was a dearth of
medical providers. Currently, there are tele-ICUs in areas where there are limited
resources on- site. However, experts (critical care professional nurses, intensivists) are
located in a central distant
site.
POINTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Evaluation
TOPIC: Caring for the Critically Ill
Client MSC: NCLEX: Physiological
Integrity:
Reduction of Risk Potential
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
CORRECT CHOICE:- B
Rationale :->>>Values and ethics for interprofessional practice mean working with
individuals of other professions to maintain a climate of mutual respect and shared values.
Roles and responsibilities for collaborative practice include using knowledge of one’s own
role and the roles of other professions to appropriately assess and address the health care
needs of the clients and populations served.
Interprofessional communication includes communicating with clients, families,
9TH EDITION BY URDEN/ALL CHAPTERS 1-27
, CH 01: Caring for the Critically Ill Client Urden:
Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
complex clinical and system issues?
a. Registered professional nurses
b. Advanced practice professional nurses
c. Clinical professional nurse leaders
d. Intensivists
CORRECT CHOICE:- B
Rationale :->>>Advanced practice nurses (APNs) have a broad depth of knowledge and
expertise in their specialty area and manage complex clinical and systems issues. Intensivists
are medical practitioners who manage the critical ill client. Registered professional nurses
(RNs) are generally direct care providers. Clinical nurse leaders (CNLs) generally do not
manage system issues.
POINTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
programs are in place?
a. Clinical professional nurse specialist
b. Advanced practice professional nurse
c. Registered professional nurses
d. Professional nurse practitioners
CORRECT CHOICE:- A
Rationale :->>>Clinical nurse specialists (CNSs) serve in specialty roles that use their
clinical, teaching, research, leadership, and consultative abilities. They are instrumental in
ensuring that care is evidence based and that safety programs are in place. Advanced practice
professional nurses (APNs) have a broad depth of knowledge and expertise in their specialty
area and manage complex clinical and systems issues. Registered professional nurses are
generally direct care providers. nurse practitioners (NPs) manage direct clinical care of
groups of clients.
POINTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Which professional organization administers critical care certification exams for registered
professional nurses?
a. State Board of Registered Professional nurses
b. National Association of Clinical Professional nurse Specialist
c. Society of Critical Care Medicine
, d. American Association of Critical-Care Professional nurses
CORRECT CHOICE:-D
Rationale :->>>American Association of Critical-Care nurses (AACN) administers
certification exams for registered professional nurses. The State Board of Registered nurses
(SBON) does not administer certification exams. National Association of Clinical
Professional nurse Specialists (NACNS) does not administer certification exams. Society of
Critical Care Medicine (SCCM) does not administer nursing certification exams for
registered professional nurses.
POINTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The American Association of Critical-Care Professional nurses (AACN) has developed
short directives that can be used as quick references for clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
CORRECT CHOICE:- D
Rationale :->>>The American Association of Critical-Care Professional nurses (AACN) has
promulgated several evidence-based practice summaries in the form of “practice alerts.”
Evidence-based nursing practice considers the best research evidence on the care topic along
with clinical expertise of the professional nurse and client preferences. Critical care protocol
and practice policies are established by individual institutions.
POINTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process Step: Planning
TOPIC: Caring for the Critically Ill
Client MSC: NCLEX: Safe and
Effective Care Environment:
Coordinated Care
5. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
CORRECT CHOICE:- A
Rationale :->>>The term alternative denotes that a specific therapy is an option or
alternative to what is considered conventional treatment of a condition or state. The term
complementary was proposed to describe therapies that can be used to complement or
support conventional treatments. Holistic care focuses on human integrity and stresses that
the body, mind, and spirit are interdependent and inseparable. Individualized care recognizes
the uniqueness of each client’s preferences, condition, and physiologic and psychosocial
status.
POINTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
Implementation
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
, 6. Guided imagery and massage are both examples of what type of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
CORRECT CHOICE:- C
Rationale :->>>The term complementary was proposed to describe therapies that can be used
to complement or support conventional treatments. Guided imagery, massage, and animal-
assisted therapy are all examples of complementary care. The term alternative denotes that a
specific therapy is an option or alternative to what is considered conventional treatment of a
condition or state. Holistic care focuses on human integrity and stresses that the body, mind,
and spirit are interdependent and inseparable. Individualized care recognizes the uniqueness
of each client’s preferences, condition, and physiologic and psychosocial status.
POINTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOPIC: Caring for the Critically Ill Client
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A client was admitted to a rural critical care unit in Montana. Critical care professional
nurses are assisting with monitoring and care of the client from the closest major city.
What is this type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-health center
CORRECT CHOICE:- B
Rationale :->>>Tele-ICU is a form of telemedicine. Telemedicine was initially used in
outclient areas, remote rural geographic locations, and areas where there was a dearth of
medical providers. Currently, there are tele-ICUs in areas where there are limited
resources on- site. However, experts (critical care professional nurses, intensivists) are
located in a central distant
site.
POINTS: 1 DIF: Cognitive Level: Understanding
OBJ: Nursing Process Step: Evaluation
TOPIC: Caring for the Critically Ill
Client MSC: NCLEX: Physiological
Integrity:
Reduction of Risk Potential
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
CORRECT CHOICE:- B
Rationale :->>>Values and ethics for interprofessional practice mean working with
individuals of other professions to maintain a climate of mutual respect and shared values.
Roles and responsibilities for collaborative practice include using knowledge of one’s own
role and the roles of other professions to appropriately assess and address the health care
needs of the clients and populations served.
Interprofessional communication includes communicating with clients, families,
