Test Bank For Priorities in Critical Care Nursing 8th Edition By Linda D. Urden; Kathleen M. Stacy; Mary E. Lough UPDATED 2025!!!

, Chapter 01: Caring for the Critically Ill Patient
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v Urden: Priorities in Critical Care Nursing, 8th Edition
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MULTIPLE CHOICE v




1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages
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complex clinical and system issues?
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a. Registered nurses v


b. Advanced practice nurses v v


c. Clinical nurse leaders v v


d. Intensivists

ANS: B v




Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in their
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specialty area and manage complex clinical and systems issues. Intensivists are medical
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practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
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care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level:
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Remembering OBJ: Nursing Process Step: N/A v v v v


TOP: Caring for the Critically Ill Patient
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MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
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2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety
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vprograms are in place? v v v


a. Clinical nurse specialist v v


b. Advanced practice nurse v v


c. Registered nurses v


d. Nurse practitioners v




ANS: A v




Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
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research, leadership, and consultative abilities. They are instrumental in ensuring that care is
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evidence based and that safety programs are in place. Advanced practice nurses (APNs) have
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a broad depth of knowledge and expertise in their specialty area and manage complex clinical
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and systems issues. Registered nurses are generally direct care providers. Nurse practitioners
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(NPs) manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level:
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Remembering OBJ: Nursing Process Step: N/A v v v v


TOP: Caring for the Critically Ill Patient
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MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
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3. Which professional organization administers critical care certification exams for registered
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vnurses?
a. State Board of Registered Nursesv v v v


b. National Association of Clinical Nurse Specialist v v v v v


c. Society of Critical Care Medicine v v v v

, d. American Association of Critical-Care Nurses v v v v




ANS:D
American Association of Critical-Care Nurses (AACN) administers certification exams for
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registered nurses. The State Board of Registered Nurses (SBON) does not administer
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certification exams. National Association of Clinical Nurse Specialists (NACNS) does not
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administer certification exams. Society of Critical Care Medicine (SCCM) does not
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administer nursing certification exams for registered nurses.
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PTS: 1 v DIF: Cognitive Level:
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Remembering OBJ: Nursing Process Step: N/A v v v v


TOP: Caring for the Critically Ill Patient
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MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
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4. The American Association of Critical-Care Nurses (AACN) has developed short directives
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that can be used as quick references for clinical use that are known as:
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a. critical care protocol. v v


b. practice policies. v


c. evidence-based research. v


d. practice alerts. v




ANS: D v


The American Association of Critical-Care Nurses (AACN) has promulgated several
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evidence-based practice summaries in the form of “practice alerts.” Evidence-based nursing
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practice considers the best research evidence on the care topic along with clinical expertise of
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the nurse and patient preferences. Critical care protocol and practice policies are established
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by individual institutions.
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PTS: 1 DIF: Cognitive Level: Remembering
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OBJ: Nursing Process Step: Planning
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TOP: Caring for the Critically Ill Patient
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MSC: NCLEX: Safe and Effective
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Care Environment: Coordinated Care
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5. What type of therapy is an option to conventional treatment?
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a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A v


The term alternative denotes that a specific therapy is an option or alternative to what is
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considered conventional treatment of a condition or state. The term complementary was
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proposed to describe therapies that can be used to complement or support conventional
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treatments. Holistic care focuses on human integrity and stresses that the body, mind, and
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spirit are interdependent and inseparable. Individualized care recognizes the uniqueness of
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each patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
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Implementation
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TOP: Caring for the Critically Ill Patient
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MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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6. Guided imagery and massage are both examples of what type of treatment?
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a. Alternative therapy v


b. Holistic care v

, c. Complementary care v


d. Individualized care v




ANS: C v


The term complementary was proposed to describe therapies that can be used to complement
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or support conventional treatments. Guided imagery, massage, and animal-assisted therapy
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are all examples of complementary care. The term alternative denotes that aspecific therapy
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is an option or alternative to what is considered conventional treatment of a condition or state.
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Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
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interdependent and inseparable. Individualized care recognizes the uniqueness of each
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patient’s preferences, condition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
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Implementation
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TOP: Caring for the Critically Ill Patient
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MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
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assisting with monitoring and care of the patient from the closest major city. What is this
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type of practice termed?
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a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B v


Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
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remote rural geographic locations, and areas where there was a dearth of medical
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providers. Currently, there are tele-ICUs in areas where there are limited resources on-
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site. However, experts (critical care nurses, intensivists) are located in a central distant
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site.

PTS: 1 DIF: Cognitive Level: Understanding
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OBJ: Nursing Process Step: Evaluation
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TOP: Caring for the Critically Ill Patient
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MSC: NCLEX: Physiological Integrity:
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Reduction of Risk Potential v v v




8. Which core competency for interprofessional practice can be described as working with
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vindividuals of other professions to maintain a climate of mutual respect and shared values?
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a. Interprofessional teamwork and team-based care v v v v


b. Values and ethics for interprofessional practice v v v v v


c. Interprofessional communication v


d. Roles and responsibilities for collaborative practice
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ANS: B v


Values and ethics for interprofessional practice mean working with individuals of other
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vprofessions to maintain a climate of mutual respect and shared values. Roles and
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vresponsibilities for collaborative practice include using knowledge of one’s own role and the
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vroles of other professions to appropriately assess and address the health care needs of the
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vpatients and populations served. v v v


Interprofessional communication includes communicating with patients, families, v v v v v v


vcommunities, and other health professionals in a responsive and responsible manner that
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vsupports a team approach to maintaining health and treatment of disease. Interprofessional
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vteamwork and team-based care means applying relationship-building values and principles of
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vteam dynamics to perform effectively in different team roles to plan and deliver patient
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vpopulation-centered care that is safe, timely, efficient, effective, and equitable. v v v v v v v v v