1
, 2
Chapter 01: Overview of Critical Care Nursing
d d d d d d
MULTIPLE CHOICE d
1. Which of the following professional organizations best supports critical care nursing practice?
d d d d d d d d d d d
a. American Association of Critical-Care Nurses d d d d
b. American Heart Association d d
c. American Nurses Association d d
d. Society of Critical Care Medicine d d d d
ANS: A d
The American Association of Critical-Care Nurses is the specialty organization that supports and
d d d d d d d d d d d d
represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
d d d d d d d d d d d d
American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
d d d d d d d d d d d d d d
multiprofessional critical care team under the direction of an intensivist.
d d d d d d d d d d
DIF: Cognitive Level: Knowledge REF: p. 4
d d d d d d
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
d d d d d d d d d d d d d d
TOP: Nursing Process Step: N/A
d d d d d
MSC: NCLEX: Safe and Effective Care Environment
d d d d d d
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
d d d d d d d d d d d d d d d d d d d d d
certification. Which credential would be most applicable for her to seek?
d d d d d d d d d d d
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C d
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
d d d d d d d d d d d d d d d d
ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
d d d d d d d d d d d d d d d d
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
d d d d d d d d d d d d d d d d
step-down unit settings.
d d d
DIF: Cognitive Level: Application REF: p. 5
d d d d d d
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
d d d d d d d d d d d d
d MSC: NCLEX: Safe and Effective Care Environment
d d d d d d
, 3
3. The main purpose of certification is to:
d d d d d d
a. assure the consumer that you will not make a mistake.
d d d d d d d d d
b. prepare for graduate school. d d d
c. promote magnet status for your facility. d d d d d
d. validate knowledge of critical care nursing. d d d d d
ANS: D d
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
d d d d d d d d d d d d d d
nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
d d d d d d d d d d d d d d d d d
nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
d d d d d d d d d d d d d d d d d
Certification does not prepare one for graduate school; however, achieving certification demonstrates
d d d d d d d d d d d
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
d d d d d d d d d d d d d d d
however, that is not the purpose of certification.
d d d d d d d d
DIF: Cognitive Level: Analysis REF: pp. 4-5
d d d d d d
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
d d d d d d d d d d d d
d MSC: NCLEX: Safe and Effective Care Environment
d d d d d d
4. The synergy model of practice focuses on:
d d d d d d
a. allowing unrestricted visiting for the patient 24 hours each day.
d d d d d d d d d
b. holistic and alternative therapies. d d d
c. needs of patients and their families, which drives nursing competency.
d d d d d d d d d
d. patients needs for energy and support. d d d d d
ANS: C d
The synergy model of practice states that the needs of patients and families influence and drive competencies
d d d d d d d d d d d d d d d d
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
d d d d d d d d d d d d d d d d d d
familys needs and application of alternative therapies if desired by the patient, but that is not the primary
d d d d d d d d d d d d d d d d d d
focus of the model.
d d d d
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
d d d d d d d d d
OBJ: Describe standards of professional practice for critical care nursing.
d d d d d d d d d
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
d d d d d d d d d d d
5. The family of your critically ill patient tells you that they have not spoken with the physician in over
d d d d d d d d d d d d d d d d d d
24 hours and they have some questions that they want clarified. During morning rounds, you convey this
d d d d d d d d d d d d d d d d d
concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
d d d d d d d d d d d d d d d d d d d
conference room. Which competency of critical care nursing does this represent?
d d d d d d d d d d d
, 4
a. Advocacy and moral agency in solving ethical issues
d d d d d d d
b. Clinical judgment and clinical reasoning skills
d d d d d
c. Collaboration with patients, families, and team members d d d d d d
d. Facilitation of learning for patients, families, and team members
d d d d d d d d
ANS: C d
Although one might consider that all of these competencies are being addressed, communication and
d d d d d d d d d d d d d
collaboration with the family and physician best exemplify the competency of collaboration.
d d d d d d d d d d d d
DIF: Cognitive Level: Analysis REF: p. 9
d d d d d d
OBJ: Describe standards of professional practice for critical care nursing.
d d d d d d d d d
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
d d d d d d d d d d d
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
d d d d d d d d d d d d d d d
care nursing practice?
d d d
a. Evidence-based practice d
b. Healthy work environment d d
c. National Patient Safety Goals d d d
d. Nursing process d
ANS: D d
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
d d d d d d d d d d d d d d d d
critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care,
d d d d d d d d d d d d d d d
implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
d d d d d d d d d d d d d d d
included in the Standards. The Joint Commission has established National Patient Safety Goals, but these are
d d d d d d d d d d d d d d d d
not the AACN Standards.
d d d d
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
d d d d d d d d d
OBJ: Describe standards of professional practice for critical care nursing.
d d d d d d d d d
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
d d d d d d d d d d d
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
d d d d d d d d d d d d d d d d d
experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous
d d d d d d d d d d d d d d d d
renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of
d d d d d d d d d d d d d d d d
experience to two patients who are more stable. This assignment reflects implementation of the:
d d d d d d d d d d d d d d
a. crew resource management model
d d d
, 2
Chapter 01: Overview of Critical Care Nursing
d d d d d d
MULTIPLE CHOICE d
1. Which of the following professional organizations best supports critical care nursing practice?
d d d d d d d d d d d
a. American Association of Critical-Care Nurses d d d d
b. American Heart Association d d
c. American Nurses Association d d
d. Society of Critical Care Medicine d d d d
ANS: A d
The American Association of Critical-Care Nurses is the specialty organization that supports and
d d d d d d d d d d d d
represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
d d d d d d d d d d d d
American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
d d d d d d d d d d d d d d
multiprofessional critical care team under the direction of an intensivist.
d d d d d d d d d d
DIF: Cognitive Level: Knowledge REF: p. 4
d d d d d d
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
d d d d d d d d d d d d d d
TOP: Nursing Process Step: N/A
d d d d d
MSC: NCLEX: Safe and Effective Care Environment
d d d d d d
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
d d d d d d d d d d d d d d d d d d d d d
certification. Which credential would be most applicable for her to seek?
d d d d d d d d d d d
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C d
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. The
d d d d d d d d d d d d d d d d
ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care clinical
d d d d d d d d d d d d d d d d
nurse specialists. The PCCN certification is for staff nurses working in progressive care, intermediate care, or
d d d d d d d d d d d d d d d d
step-down unit settings.
d d d
DIF: Cognitive Level: Application REF: p. 5
d d d d d d
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
d d d d d d d d d d d d
d MSC: NCLEX: Safe and Effective Care Environment
d d d d d d
, 3
3. The main purpose of certification is to:
d d d d d d
a. assure the consumer that you will not make a mistake.
d d d d d d d d d
b. prepare for graduate school. d d d
c. promote magnet status for your facility. d d d d d
d. validate knowledge of critical care nursing. d d d d d
ANS: D d
Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps
d d d d d d d d d d d d d d
nurses to maintain their knowledge of critical care nursing. Certification helps to assure the consumer that the
d d d d d d d d d d d d d d d d d
nurse has a minimum level of knowledge; however, it does not ensure that care will be mistake-free.
d d d d d d d d d d d d d d d d d
Certification does not prepare one for graduate school; however, achieving certification demonstrates
d d d d d d d d d d d
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
d d d d d d d d d d d d d d d
however, that is not the purpose of certification.
d d d d d d d d
DIF: Cognitive Level: Analysis REF: pp. 4-5
d d d d d d
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
d d d d d d d d d d d d
d MSC: NCLEX: Safe and Effective Care Environment
d d d d d d
4. The synergy model of practice focuses on:
d d d d d d
a. allowing unrestricted visiting for the patient 24 hours each day.
d d d d d d d d d
b. holistic and alternative therapies. d d d
c. needs of patients and their families, which drives nursing competency.
d d d d d d d d d
d. patients needs for energy and support. d d d d d
ANS: C d
The synergy model of practice states that the needs of patients and families influence and drive competencies
d d d d d d d d d d d d d d d d
of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet the patients and
d d d d d d d d d d d d d d d d d d
familys needs and application of alternative therapies if desired by the patient, but that is not the primary
d d d d d d d d d d d d d d d d d d
focus of the model.
d d d d
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
d d d d d d d d d
OBJ: Describe standards of professional practice for critical care nursing.
d d d d d d d d d
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
d d d d d d d d d d d
5. The family of your critically ill patient tells you that they have not spoken with the physician in over
d d d d d d d d d d d d d d d d d d
24 hours and they have some questions that they want clarified. During morning rounds, you convey this
d d d d d d d d d d d d d d d d d
concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
d d d d d d d d d d d d d d d d d d d
conference room. Which competency of critical care nursing does this represent?
d d d d d d d d d d d
, 4
a. Advocacy and moral agency in solving ethical issues
d d d d d d d
b. Clinical judgment and clinical reasoning skills
d d d d d
c. Collaboration with patients, families, and team members d d d d d d
d. Facilitation of learning for patients, families, and team members
d d d d d d d d
ANS: C d
Although one might consider that all of these competencies are being addressed, communication and
d d d d d d d d d d d d d
collaboration with the family and physician best exemplify the competency of collaboration.
d d d d d d d d d d d d
DIF: Cognitive Level: Analysis REF: p. 9
d d d d d d
OBJ: Describe standards of professional practice for critical care nursing.
d d d d d d d d d
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
d d d d d d d d d d d
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
d d d d d d d d d d d d d d d
care nursing practice?
d d d
a. Evidence-based practice d
b. Healthy work environment d d
c. National Patient Safety Goals d d d
d. Nursing process d
ANS: D d
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to
d d d d d d d d d d d d d d d d
critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care,
d d d d d d d d d d d d d d d
implement interventions, and evaluate care. AACN promotes a healthy work environment, but this is not
d d d d d d d d d d d d d d d
included in the Standards. The Joint Commission has established National Patient Safety Goals, but these are
d d d d d d d d d d d d d d d d
not the AACN Standards.
d d d d
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
d d d d d d d d d
OBJ: Describe standards of professional practice for critical care nursing.
d d d d d d d d d
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
d d d d d d d d d d d
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns the
d d d d d d d d d d d d d d d d d
experienced, certified nurse to care for the acutely ill patient with sepsis who also requires continuous
d d d d d d d d d d d d d d d d
renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of
d d d d d d d d d d d d d d d d
experience to two patients who are more stable. This assignment reflects implementation of the:
d d d d d d d d d d d d d d
a. crew resource management model
d d d
