Test Bank for Sole’s Introduction to Critical Care Nursing, 9th Edition by Mary Beth Flynn Makic & Lauren T. Morata

TESTBANK FOR SOLE’S INTRODUCTION TO CRITICAL
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fn CARE NURSING 9TH EDITION BY MARYBETH & LAUREN
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,Chapter 01: Overview of Critical Care Nursing
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Sole: Introduction to Critical Care Nursing, 9th Edition
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MULTIPLE CHOICE fn




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 fn fn fn fn fn



b. American Heart Association fn fn



c. American Nurses Association fn fn



d. Society of Critical Care Medicine fn fn fn fn




ACCURATE
fn ANSWER: A fn



Reasoning :->> The American Association of Critical-Care nurses is the specialty
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organization that supports and represents critical care nursing attendants. The American
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Heart Association supports cardiovascular initiatives. The American Nurses Association
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supports all nursing attendants. The Society of Critical CareMedicine represents the
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multiprofessional critical care team under the direction of an intensivist.
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DIF: Cognitive Level: Remember/Knowledge REF: page. 5 fn fn fn fn



OBJ: Discuss the purposes and functions of the professional organizations that support critical
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carepractice.
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MSC: NCLEX Client Needs Category: 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
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care unit for 2 years and isinterested in certification. Which credential would be most
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applicable for the nursing attendant to seek?
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a. ACNPC-AG
b. CNML
c. CCRN
d. PCCN
ACCURATE
ANSWER: C
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Reasoning :->>The CCRN certification is appropriate for nursing attendants in bedside
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practice who care for critically illhospital clients. The ACNPC-AG certification is for acute
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care nursing attendant practitioners. The CNML is forcritical care nursing attendant
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managers or leaders. The PCCN certification is for staff nursing attendants working in
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progressive care, intermediate care, or step-down unit settings.
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DIF: Cognitive Level: Remember/Knowledge REF: p. 6 fn fn fn fn f n fn



OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing Process
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Step: N/AMSC: NCLEX Client Needs Category: 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. fn fn fn fn fn fn fn fn fn



b. prepare for graduate school. fn fn fn



c. promote magnet status for your facility. fn fn fn fn fn



d. validate knowledge of critical care nursing. fn fn fn fn fn




ACCURATE ANSWER: D fn fn

, Reasoning :->>Certification assists in validating knowledge of the field, promotes
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excellence in the profession, and helps nursing attendants to maintain their knowledge of
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critical care nursing. Certificationhelps to assure the consumer that the nursing attendant has
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a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
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Certification does not prepare one for graduate school; however, achieving certification
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demonstrates motivation for achievement and professionalism. Magnet facilities are rated on
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the number of certified nursing attendants; however, that isnot the purpose of certification.
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DIF: Cognitive Level: Remember/Knowledge REF: p. 6 fn fn fn fn f n fn



OBJ: Explain certification options for critical care nursing attendants. TOPIC: Nursing Process
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Step: N/AMSC: NCLEX Client Needs Category: 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 client 24 hours a day. fn fn fn fn fn fn fn fn fn fn



b. holistic and alternative therapies. fn fn fn



c. the needs of hospital clients and their families, which drive nursing competency.
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d. hospital clients’ needs for energy and support. fn fn fn fn fn fn




ACCURATE ANSWER: C fn fn



Reasoning :->>The synergy model of practice states that the needs of hospital clients and
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families influence and drive competencies of nursing attendants. Nursing practice based
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on the synergy model would involvetailored visiting to meet the hospital client’s and
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family’s needs and the application of alternative therapies if desired by the hospital
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client, but that is not the primary focus of the model.
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DIF: Cognitive Level: Remember/Knowledge REF: fn fn



page. 6OBJ: Describe standards of professional practice for critical care
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nursing.
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TOPIC: Nursing Process Step: N/A f n fn fn fn



MSC: NCLEX Client Needs CategoN ryU:R
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eG
anTdBE
.CfO
feM
ctive Care Environment fn fn fn fn fn fn fn




5. The family of your critically ill hospital client tells you that they have not spoken with the
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physicianin over 24 hours and that they have some questions they want clarified. During
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morning rounds, you convey this concern to the attending intensivist and arrange a meeting
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with the family at 4:00 PM. Which competency of critical care nursing does this represent?
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a. Advocacy and moral agency in solving ethical issues fn fn fn fn fn fn fn



b. Clinical judgment and clinical reasoning skills fn fn fn fn fn



c. Collaboration with hospital clients, families, and team members fn fn fn fn fn fn fn



d. Facilitation of learning for hospital clients, families, and team members fn fn fn fn fn fn fn fn fn




ACCURATE ANSWER: C fn fn



Reasoning :->>Although one might consider that all of these competencies are
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being addressed, communication and collaboration with the family and physician
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best exemplify thecompetency of collaboration.
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DIF: Cognitive Level: Analyze/Analysis REF: page. 6 | Fig 1-3 | Box fn fn fn fn fn fn fn fn fn



1-1OBJ: Describe standards of professional practice for critical care nursing.
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TOPIC: Nursing Process Step: N/A f n fn fn fn



MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework
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toguide critical care nursing practice?
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a. Evidence-based practice fn

, b. Healthy work environment fn fn



c. National Hospital client Safety Goals fn fn fn fn



d. Nursing process fn




ACCURATE ANSWER: D fn fn



Reasoning :->>The AACN Standards for Acute and Critical Care Nursing Practice delineate
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the nursing process as applied to critically ill hospital clients: collect data, determine
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diagnoses, identify expectedoutcomes, develop a plan of care, implement interventions, and
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evaluate care. AACN promotes a healthy work environment, but this is not included in its
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standards. The Joint Commission has established National Hospital client Safety Goals, but
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these are not the AACN standards.
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DIF: Cognitive Level: Remember/Knowledge REF: fn fn



page. 6OBJ: Describe standards of professional practice for critical care
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nursing.
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TOPIC: Nursing Process Step: N/A f n fn fn fn



MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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7. The charge nursing attendant is responsible for making the hospital client assignments on the
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critical care unit. An experienced, certified nursing attendant is assigned to care for the
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acutely ill hospital client with sepsis who also requires continuous renal replacement therapy
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and mechanical ventilation. The nursing attendant withless than 1 year of experience is
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assigned to two hospital clients who are more stable. This assignment reflects
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implementation of the
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a. crew resource management model. fn fn fn



b. National Hospital client Safety Goals. fn fn fn fn



c. Quality and Safety Education for Nursing attendants (QSEN) model.
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d. synergy model of practice. fn fn fn




ACCUR
ATE
ANSWE
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R: D f n



Reasoning :->>This assignment demonstrates nursing care to meet the needs of the hospital
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client. The synergy model notes that the nursing attendant competencies are matched to the
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hospital client characteristics. Crew resource management concepts are related to team
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training; National Hospital client Safety Goals arespecified by The Joint Commission to
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promote safe care but do not incorporate the synergy model. The Quality and Safety
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Education for Nursing attendants initiative involves targeted education ofundergraduate and
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graduate nursing students on quality and safety concepts.
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DIF: Cognitive Level: Analyze/Analysis REF: fn fn



page. 6OBJ: Describe standards of professional practice for critical care
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nursing.
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TOPIC: Nursing Process Step: N/A f n fn fn fn



MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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8. The vision of the American Association of Critical-Care Nursing attendants is a health care
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system drivenby
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a. a healthy work environment.
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b. care from a multiprofessional team under the direction of a critical care physician.
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c. the needs of critically ill hospital clients and families.
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d. respectful, healing, and humane environments. fn fn fn fn




ACCURATE ANSWER: C fn fn