Chapterc1c WhatcIscCriticalcCare?
1) Identifyc whoc ofc thec followingc patientsc suffersc fromc criticalc illness.c Ac patient:
1. WithcchroniccairflowclimitationcwhosecVScare:cBPc110/72,cPc110,cRc16.
2. WithcacutecbronchospasmcandcwhosecVScare:cBPc100/60,cPc124,cRc32.
3. WhocwascinvolvedcincacmotorcvehiclecaccidentcwhosecVScare:cBPc124/74,cPc74,cRc18.
4. OncchroniccdialysiscwithcnocurinecoutputcandcwhosecVScare:cBPc98/50,cPc108,cRc12.c
Answer:c 2
Explanation: 1.c Acutecbronchospasmccancpresentcaclife-threateningcsituation,cwhichccancjeopardizecacpatientʹs
survival.c#1,c#3,candc#4carecexamplescofcnon-life-
threateningcsituations.cNursingcProcess:cAssessment
Cognitivec Level:c Analysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
2. Acutec bronchospasmc canc presentc ac life-
threateningc situation,c whichc canc jeopardizec ac patientʹscsurvival.c#1,c#3,candc#4carecexamplescof
cnon-life-threateningc situations.
Nursingc Process:c Assessmentc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
3. Acutec bronchospasmc canc presentc ac life-
threateningc situation,c whichc canc jeopardizec ac patientʹscsurvival.c#1,c#3,candc#4carecexamplescof
cnon-life-threateningc situations.
Nursingc Process:c Assessmentc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
4. Acutec bronchospasmc canc presentc ac life-
threateningc situation,c whichc canc jeopardizec ac patientʹscsurvival.c#1,c#3,candc#4carecexamplescof
cnon-life-threateningc situations.
Nursingc Process:c Assessmentc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
LearningcOutcome:c 1-1:cDefineccriticalccare
Understandingc thec Ess.c ofc Criticalc Carec Nursingc (Perrin)c --cCVCc 12/3/08c --cPagec 1
,2) Ofcthecfollowingcpatients,cwhocshouldcbeccaredcforcincaccriticalccarecunit?cAcpatient:c(Selectcallcthatcapply.)
1. Withc anc acetaminophenc overdose
2. Sufferingc fromc acutec mentalc illness
3. Withc chronicc renalc failure
4. Withc acutec decompensatedc heartc failurec
Answer:c 1,c4
Explanation: 1.c (Note:c Thisc requiresc multiplec responsesc toc bec correct.)
Criticalccarecunitscareccost-
efficientcunitscforccaringcforcpatientscwithcspecificcorgancsystemcfailure.c Althoughc thec organc
failingc inc #4c isc obvious,c patientsc withc acetaminophenc overdosecoftenc sufferc liverc failurec asc ac c
onsequence.c #2c andc #3c presentc patientc concernsc ofc ac noncriticalcnature.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
2. (Note:c Thisc requiresc multiplec responsesc toc bec correct.)
Criticalccarecunitscareccost-
efficientcunitscforccaringcforcpatientscwithcspecificcorgancsystemcfailure.c Althoughc thec organc
failingc inc #4c isc obvious,c patientsc withc acetaminophenc overdosecoftenc sufferc liverc failurec asc ac c
onsequence.c #2c andc #3c presentc patientc concernsc ofc ac noncriticalcnature.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
3. (Note:c Thisc requiresc multiplec responsesc toc bec correct.)
Criticalccarecunitscareccost-
efficientcunitscforccaringcforcpatientscwithcspecificcorgancsystemcfailure.c Althoughc thec organc
failingc inc #4c isc obvious,c patientsc withc acetaminophenc overdosecoftenc sufferc liverc failurec asc ac c
onsequence.c #2c andc #3c presentc patientc concernsc ofc ac noncriticalcnature.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
4. (Note:c Thisc requiresc multiplec responsesc toc bec correct.)
Criticalccarecunitscareccost-
efficientcunitscforccaringcforcpatientscwithcspecificcorgancsystemcfailure.c Althoughc thec organc
failingc inc #4c isc obvious,c patientsc withc acetaminophenc overdosecoftenc sufferc liverc failurec asc ac c
onsequence.c #2c andc #3c presentc patientc concernsc ofc ac noncriticalcnature.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
LearningcOutcome:c 1-1:cDefineccriticalccare
Understandingc thec Ess.c ofc Criticalc Carec Nursingc (Perrin)c --cCVCc 12/3/08c --cPagec 2
,3) Achospitalcincacsmallcruralctowncwouldcbecablectocprovidecwhichclevelcofccarecinctheccriticalccarecunit?
1. LevelcI
2. LevelcII
3. LevelcIII
4. Itciscunlikelycthatcthechospitalcwouldchavecaccriticalccarecunitc
Answer:c 3
Explanation: 1.c#1candc#2cdescribecmorecadvancedcandcinclusiveccriticalccarecabilities;c#4ciscnotclikelycatcall
becausec mostc hospitalsc havec somec criticalc carec areas.c
NursingcProcess:cEvaluation
Cognitivec Level:c Application
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
2. #1candc#2cdescribecmorecadvancedcandcinclusiveccriticalccarecabilities;c#4ciscnotclikelycatcallc
becausecmostchospitalschavecsomeccriticalccarecareas.
NursingcProcess:cEvaluationcC
ognitivec Level:c Application
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
3. #1candc#2cdescribecmorecadvancedcandcinclusiveccriticalccarecabilities;c#4ciscnotclikelycatcallc
becausecmostchospitalschavecsomeccriticalccarecareas.
NursingcProcess:cEvaluationcC
ognitivec Level:c Application
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
4. #1candc#2cdescribecmorecadvancedcandcinclusiveccriticalccarecabilities;c#4ciscnotclikelycatcallc
becausecmostchospitalschavecsomeccriticalccarecareas.
NursingcProcess:cEvaluationcC
ognitivec Level:c Application
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
LearningcOutcome:c 1-2:cStatecthecthreeclevelscofccarecprovidedcinccriticalccarecunits
4) AcnursecemployedcincancʺopenʺcICUcwouldcmostclikelycbecworkingcwithca:
1. Multidisciplinaryc teamc withc physiciansc whoc arec alsoc responsiblec forc patientsc onc otherc units.
2. Multidisciplinaryc teamc thatc includesc ac physicianc employedc byc thec hospital.
3. Physiciancincchargecofcpatientccarecwhociscacspecialistcinccriticalccare.
4. Primaryc carec physicianc whoc mustc consultc ac criticalc carec specialist.c
Answer:c 1
Explanation: 1.c #2,c#3,candc#4creferctocʺclosedʺcICUs.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
2. #2,c#3,candc#4creferctocʺclosedʺcICUs.c
NursingcProcess:cEvaluationcCogni
tivecLevel:cAnalysis
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
3. #2,c#3,candc#4creferctocʺclosedʺcICUs.c
NursingcProcess:cEvaluationcCogni
tivecLevel:cAnalysis
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
4. #2,c#3,candc#4creferctocʺclosedʺcICUs.c
NursingcProcess:cEvaluationcCogni
tivecLevel:cAnalysis
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
LearningcOutcome:c 1-3:cComparecandccontrastcʺopenʺcandcʺclosedʺccriticalccarecunits
Understandingc thec Ess.c ofc Criticalc Carec Nursingc (Perrin)c --cCVCc 12/3/08c --cPagec 3
, 5) Accordingc toc thec Institutec ofc Medicine,c technologyc increasesc thec likelihoodc ofc errorsc inc criticalc carec unitsc when:
1. Itcreliescheavilyconchumancdecision-making.
2. Devicesc arec programmedc toc functionc withoutc double-checks.
3. Itc makesc thec workloadc seemc overwhelmingc toc healthc carec providers.
4. Therec isc uniformc equipmentc throughoutc eachc facility.c
Answer:c 2
Explanation: 1.c#1,c#3,candc#4chavecnotcbeencidentifiedctocincreasectheclikelihoodcofcerrorscinctheccriticalccare
unit.
NursingcProcess:cEvaluationcCog
nitivec Level:c Comprehension
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
2. #1,c#3,candc#4chavecnotcbeencidentifiedctocincreasectheclikelihoodcofcerrorscinctheccriticalccarec
unit.
NursingcProcess:cEvaluationcCog
nitivec Level:c Comprehension
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
3. #1,c#3,candc#4chavecnotcbeencidentifiedctocincreasectheclikelihoodcofcerrorscinctheccriticalccarec
unit.
NursingcProcess:cEvaluationcCog
nitivec Level:c Comprehension
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
4. #1,c#3,candc#4chavecnotcbeencidentifiedctocincreasectheclikelihoodcofcerrorscinctheccriticalccarec
unit.
NursingcProcess:cEvaluationcCog
nitivec Level:c Comprehension
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
LearningcOutcome:c 1-4:cExplaincwhyccriticalccarecunitscareconecofcthecmostccommoncsitescforchealthccarecerrors
Understandingc thec Ess.c ofc Criticalc Carec Nursingc (Perrin)c --cCVCc 12/3/08c --cPagec 4
1) Identifyc whoc ofc thec followingc patientsc suffersc fromc criticalc illness.c Ac patient:
1. WithcchroniccairflowclimitationcwhosecVScare:cBPc110/72,cPc110,cRc16.
2. WithcacutecbronchospasmcandcwhosecVScare:cBPc100/60,cPc124,cRc32.
3. WhocwascinvolvedcincacmotorcvehiclecaccidentcwhosecVScare:cBPc124/74,cPc74,cRc18.
4. OncchroniccdialysiscwithcnocurinecoutputcandcwhosecVScare:cBPc98/50,cPc108,cRc12.c
Answer:c 2
Explanation: 1.c Acutecbronchospasmccancpresentcaclife-threateningcsituation,cwhichccancjeopardizecacpatientʹs
survival.c#1,c#3,candc#4carecexamplescofcnon-life-
threateningcsituations.cNursingcProcess:cAssessment
Cognitivec Level:c Analysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
2. Acutec bronchospasmc canc presentc ac life-
threateningc situation,c whichc canc jeopardizec ac patientʹscsurvival.c#1,c#3,candc#4carecexamplescof
cnon-life-threateningc situations.
Nursingc Process:c Assessmentc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
3. Acutec bronchospasmc canc presentc ac life-
threateningc situation,c whichc canc jeopardizec ac patientʹscsurvival.c#1,c#3,candc#4carecexamplescof
cnon-life-threateningc situations.
Nursingc Process:c Assessmentc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
4. Acutec bronchospasmc canc presentc ac life-
threateningc situation,c whichc canc jeopardizec ac patientʹscsurvival.c#1,c#3,candc#4carecexamplescof
cnon-life-threateningc situations.
Nursingc Process:c Assessmentc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
LearningcOutcome:c 1-1:cDefineccriticalccare
Understandingc thec Ess.c ofc Criticalc Carec Nursingc (Perrin)c --cCVCc 12/3/08c --cPagec 1
,2) Ofcthecfollowingcpatients,cwhocshouldcbeccaredcforcincaccriticalccarecunit?cAcpatient:c(Selectcallcthatcapply.)
1. Withc anc acetaminophenc overdose
2. Sufferingc fromc acutec mentalc illness
3. Withc chronicc renalc failure
4. Withc acutec decompensatedc heartc failurec
Answer:c 1,c4
Explanation: 1.c (Note:c Thisc requiresc multiplec responsesc toc bec correct.)
Criticalccarecunitscareccost-
efficientcunitscforccaringcforcpatientscwithcspecificcorgancsystemcfailure.c Althoughc thec organc
failingc inc #4c isc obvious,c patientsc withc acetaminophenc overdosecoftenc sufferc liverc failurec asc ac c
onsequence.c #2c andc #3c presentc patientc concernsc ofc ac noncriticalcnature.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
2. (Note:c Thisc requiresc multiplec responsesc toc bec correct.)
Criticalccarecunitscareccost-
efficientcunitscforccaringcforcpatientscwithcspecificcorgancsystemcfailure.c Althoughc thec organc
failingc inc #4c isc obvious,c patientsc withc acetaminophenc overdosecoftenc sufferc liverc failurec asc ac c
onsequence.c #2c andc #3c presentc patientc concernsc ofc ac noncriticalcnature.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
3. (Note:c Thisc requiresc multiplec responsesc toc bec correct.)
Criticalccarecunitscareccost-
efficientcunitscforccaringcforcpatientscwithcspecificcorgancsystemcfailure.c Althoughc thec organc
failingc inc #4c isc obvious,c patientsc withc acetaminophenc overdosecoftenc sufferc liverc failurec asc ac c
onsequence.c #2c andc #3c presentc patientc concernsc ofc ac noncriticalcnature.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
4. (Note:c Thisc requiresc multiplec responsesc toc bec correct.)
Criticalccarecunitscareccost-
efficientcunitscforccaringcforcpatientscwithcspecificcorgancsystemcfailure.c Althoughc thec organc
failingc inc #4c isc obvious,c patientsc withc acetaminophenc overdosecoftenc sufferc liverc failurec asc ac c
onsequence.c #2c andc #3c presentc patientc concernsc ofc ac noncriticalcnature.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Physiologicalc Integrity–Physiologicalc Adaptation
LearningcOutcome:c 1-1:cDefineccriticalccare
Understandingc thec Ess.c ofc Criticalc Carec Nursingc (Perrin)c --cCVCc 12/3/08c --cPagec 2
,3) Achospitalcincacsmallcruralctowncwouldcbecablectocprovidecwhichclevelcofccarecinctheccriticalccarecunit?
1. LevelcI
2. LevelcII
3. LevelcIII
4. Itciscunlikelycthatcthechospitalcwouldchavecaccriticalccarecunitc
Answer:c 3
Explanation: 1.c#1candc#2cdescribecmorecadvancedcandcinclusiveccriticalccarecabilities;c#4ciscnotclikelycatcall
becausec mostc hospitalsc havec somec criticalc carec areas.c
NursingcProcess:cEvaluation
Cognitivec Level:c Application
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
2. #1candc#2cdescribecmorecadvancedcandcinclusiveccriticalccarecabilities;c#4ciscnotclikelycatcallc
becausecmostchospitalschavecsomeccriticalccarecareas.
NursingcProcess:cEvaluationcC
ognitivec Level:c Application
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
3. #1candc#2cdescribecmorecadvancedcandcinclusiveccriticalccarecabilities;c#4ciscnotclikelycatcallc
becausecmostchospitalschavecsomeccriticalccarecareas.
NursingcProcess:cEvaluationcC
ognitivec Level:c Application
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
4. #1candc#2cdescribecmorecadvancedcandcinclusiveccriticalccarecabilities;c#4ciscnotclikelycatcallc
becausecmostchospitalschavecsomeccriticalccarecareas.
NursingcProcess:cEvaluationcC
ognitivec Level:c Application
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
LearningcOutcome:c 1-2:cStatecthecthreeclevelscofccarecprovidedcinccriticalccarecunits
4) AcnursecemployedcincancʺopenʺcICUcwouldcmostclikelycbecworkingcwithca:
1. Multidisciplinaryc teamc withc physiciansc whoc arec alsoc responsiblec forc patientsc onc otherc units.
2. Multidisciplinaryc teamc thatc includesc ac physicianc employedc byc thec hospital.
3. Physiciancincchargecofcpatientccarecwhociscacspecialistcinccriticalccare.
4. Primaryc carec physicianc whoc mustc consultc ac criticalc carec specialist.c
Answer:c 1
Explanation: 1.c #2,c#3,candc#4creferctocʺclosedʺcICUs.
Nursingc Process:c Evaluationc
CognitivecLevel:cAnalysis
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
2. #2,c#3,candc#4creferctocʺclosedʺcICUs.c
NursingcProcess:cEvaluationcCogni
tivecLevel:cAnalysis
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
3. #2,c#3,candc#4creferctocʺclosedʺcICUs.c
NursingcProcess:cEvaluationcCogni
tivecLevel:cAnalysis
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
4. #2,c#3,candc#4creferctocʺclosedʺcICUs.c
NursingcProcess:cEvaluationcCogni
tivecLevel:cAnalysis
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
LearningcOutcome:c 1-3:cComparecandccontrastcʺopenʺcandcʺclosedʺccriticalccarecunits
Understandingc thec Ess.c ofc Criticalc Carec Nursingc (Perrin)c --cCVCc 12/3/08c --cPagec 3
, 5) Accordingc toc thec Institutec ofc Medicine,c technologyc increasesc thec likelihoodc ofc errorsc inc criticalc carec unitsc when:
1. Itcreliescheavilyconchumancdecision-making.
2. Devicesc arec programmedc toc functionc withoutc double-checks.
3. Itc makesc thec workloadc seemc overwhelmingc toc healthc carec providers.
4. Therec isc uniformc equipmentc throughoutc eachc facility.c
Answer:c 2
Explanation: 1.c#1,c#3,candc#4chavecnotcbeencidentifiedctocincreasectheclikelihoodcofcerrorscinctheccriticalccare
unit.
NursingcProcess:cEvaluationcCog
nitivec Level:c Comprehension
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
2. #1,c#3,candc#4chavecnotcbeencidentifiedctocincreasectheclikelihoodcofcerrorscinctheccriticalccarec
unit.
NursingcProcess:cEvaluationcCog
nitivec Level:c Comprehension
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
3. #1,c#3,candc#4chavecnotcbeencidentifiedctocincreasectheclikelihoodcofcerrorscinctheccriticalccarec
unit.
NursingcProcess:cEvaluationcCog
nitivec Level:c Comprehension
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
4. #1,c#3,candc#4chavecnotcbeencidentifiedctocincreasectheclikelihoodcofcerrorscinctheccriticalccarec
unit.
NursingcProcess:cEvaluationcCog
nitivec Level:c Comprehension
Categoryc ofc Need:c Safe,c Effectivec Carec Environment–Managementc ofc Care
LearningcOutcome:c 1-4:cExplaincwhyccriticalccarecunitscareconecofcthecmostccommoncsitescforchealthccarecerrors
Understandingc thec Ess.c ofc Criticalc Carec Nursingc (Perrin)c --cCVCc 12/3/08c --cPagec 4
