PRIORITIES6IN6CRITICAL6CARE6NURSING,69TH6EDITION
,
LINDA6D.6URDEN,6KATHLEEN6M.6STACY,6CHAPTERS616-627,6COMPLETE6
,TABLE6OF6CONTENTS
UNIT6ONE:6FOUNDATIONS6IN6CRITICAL6CARE6NURSING
1.6Caring6for6the6Critically6Ill6Patient
2.6Ethical6and6Legal6Issues
3.6Facilitating6Care6Transitions
UNIT6TWO:6COMMON6PROBLEMS6IN6CRITICAL6CARE
4.6Psychosocial6and6Spiritual6Considerations
5.6Nutritional6Alterations6and6Management
6.6The6Older6Adult
7.6Pain6and6Pain6Management
8.6Sedation6and6Delirium6Management
9.6Palliative6and6End-of-Life6Care
UNIT6THREE:6CARDIOVASCULAR6ALTERATIONS
10.6Cardiovascular6Clinical6Assessment6and6Diagnostic6Procedures
11.6Cardiovascular6Disorders
12.6Cardiovascular6Therapeutic6Management
UNIT6FOUR:6PULMONARY6ALTERATIONS
13.6Pulmonary6Clinical6Assessment6and6Diagnostic6Procedures
14.6Pulmonary6Disorders
15.6Pulmonary6Therapeutic6Management
UNIT6FIVE:6NEUROLOGICAL6ALTERATIONS
16.6Neurological6Clinical6Assessment6and6Diagnostic6Procedures
17.6Neurologic6Disorders6and6Therapeutic6Management
UNIT6SIX:6KIDNEY6ALTERATIONS
18.6Kidney6Clinical6Assessment6and6Diagnostic6Procedures
19.6Kidney6Disorders6and6Therapeutic6Management
UNIT6SEVEN:6GASTROINTESTINAL6ALTERATIONS
20.6Gastrointestinal6Clinical6Assessment6and6Diagnostic6Procedures
21.6Gastrointestinal6Disorders6and6Therapeutic6Management
UNIT6EIGHT:6ENDOCRINE6ALTERATIONS
22.6Endocrine6Clinical6Assessment6and6Diagnostic6Procedures
23.6Endocrine6Disorders6and6Therapeutic6Management
UNIT6NINE:6MULTISYSTEM6ALTERATIONS
24.6Trauma
25.6Burns
26.6Shock,6Sepsis,6and6Multiple6Organ6Dysfunction6Syndrome
27.6Hematological6and6Oncological6Emergencies
,Chapter601:6Critical6Care6Nursing6Practic
e6Urden:6Critical6Care6Nursing,69th
MULTIPLE
6CHOICE
1. During6World6War6II,6what6type6of6wards6were6developed6to6care6for6criti
cally6injured6patients?
a. Intensive6care
b. Triage
c. Shock
d. Postoperative
ANS:6C
During6World6War6II,6shock6wards6were6established6to6care6for6critically6injured6patien
ts.6Triage6wards6establish6the6order6in6which6a6patient6is6seen6or6treated6upon6arrival6
to6a6hospital.6Postoperative6wards6were6developed6in619006and6later6evolved6into6inten
sive6care6units.
PTS:666 1 DIF: Cognitive6Level:6Remembering
REF:6p.616OBJ:6 Nursing6Process6Step:6N/A
TOP:6Critical6Care6Nursing6Practice6MSC:6NCLEX:6Safe
6and6Effective6Care6Environment
2. What6type6of6practitioner6has6a6broad6depth6of6specialty6knowledge6and6expertise
6and6manages6complex6clinical6and6system6issues?
a. Registered6nurses
b. Advanced6practice6nurses
c. Clinical6nurse6leaders
d. Intensivists
ANS:6B
Advanced6practice6nurses6(APNs)6have6a6broad6depth6of6knowledge6and6expertise6in6
their6specialty6area6and6manage6complex6clinical6and6systems6issues.6Intensivists6are6m
edical6practitioners6who6manage6the6critical6ill6patient.6Registered6nurses6(RNs)6are6ge
nerally6direct6care6providers.6Clinical6nurse6leaders6(CNLs)6generally6do6not6manage6sy
stem6issues.
PTS:666 1 DIF: Cognitive6Level:6Remembering
REF:6p.626OBJ:6 Nursing6Process6Step:6N/A
TOP:6Critical6Care6Nursing6Practice6MSC:6NCLEX:6Safe
6and6Effective6Care6Environment
3. What6type6of6practitioner6is6instrumental6in6ensuring6care6that6is6evidence6based
6and6that6safety6programs6are6in6place?
a. Clinical6nurse6spe
cialist6b.6Advanced6pr
actice6nurse6c.
Registered6nurses
d.6Nurse6practitioners
ANS:6A
, Clinical6nurse6specialists6(CNSs)6serve6in6specialty6roles6that6use6their6clinical,6teaching,
6research,6leadership,6and6consultative6abilities.6They6are6instrumental6in6ensuring6that6
care6is6evidence6based6and6that6safety6programs6are6in6place.6Advanced6practice6nurses
6(APNs)6have
a6broad6depth6of6knowledge6and6expertise6in6their6specialty6area6and6manage6compl
ex6clinical6and6systems6issues.6Registered6nurses6are6generally6direct6care6providers.6
Nurse6practitioners6(NPs)6manage6direct6clinical6care6of6groups6of6patients.
PTS:666 1 DIF: Cognitive6Level:6Remembering
REF:6p.626OBJ:6 Nursing6Process6Step:6N/A
TOP:6Critical6Care6Nursing6Practice6MSC:6NCLEX:6Safe
6and6Effective6Care6Environment
4. Which6professional6organization6administers6critical6care6certification6exams6f
or6registered6nurses?
a. State6Board6of6Registered6Nurses
b. National6Association6of6Clinical6Nurse6Specialist
c. Society6of6Critical6Care6Medicine
d. American6Association6of6Critical-Care6Nurses
ANS:6D
American6Association6of6Critical-
Care6Nurses6(AACN)6administers6certification6exams6for6registered6nurses.6The6State6
Board6of6Registered6Nurses6(SBON)6does6not6administer6certification6exams.6National
6Association6of6Clinical6Nurse6Specialists6(NACNS)6does6not6administer6certification6
exams.6Society6of6Critical6Care6Medicine6(SCCM)6does6not6administer6nursing6certific
ation6exams6for6registered6nurses.
PTS:666 1 DIF: Cognitive6Level:6Remembering
REF:6p.636OBJ:6 Nursing6Process6Step:6N/A
TOP:6Critical6Care6Nursing6Practice6MSC:6NCLEX:6Safe
6and6Effective6Care6Environment
5. Emphasis6is6on6human6integrity6and6stresses6the6theory6that6the6body,6mind,6and
6spirit6are6interdependent6and6inseparable.6This6statement6describes6which6method
ology6of6care?
a. Holistic6care
b. Individualized6care
c. Cultural6care
d. Interdisciplinary6care
ANS:6A
Holistic6care6focuses6on6human6integrity6and6stresses6that6the6body,6mind,6and6spirit6ar
e6interdependent6and6inseparable.6Individualized6care6recognizes6the6uniqueness6of6each6
patient’s6preferences,6condition,6and6physiologic6and6psychosocial6status.6Cultural6diversit
y6in
health6care6is6not6a6new6topic,6but6it6is6gaining6emphasis6and6importance6as6the6worl
d6becomes6more6accessible6to6all6as6the6result6of6increasing6technologies6and6interface
s6with6places6and6peoples.6Interdisciplinary6care6is6care6among6a6variety6of6health6care
6professionals6with6the6patient’s6health6as6the6common6goal.
PTS:666 1 DIF: Cognitive6Level:6Remembering
REF:6p.646OBJ:6 Nursing6Process6Step:6N/A
TOP:6Critical6Care6Nursing6Practice6MSC:6NCLEX:6Safe
6and6Effective6Care6Environment