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den: Critical Care Nursing, 9th
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MULTIPLE x
CHOICE
1. During World War II, what type of wards were developed to care for criticallyinjure
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d patients?
x
a. Intensive care x
b. Triage
c. Shock
d. Postoperative
ANS: C x
During World War II, shock wards were established to care for critically injured patients. Triage
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wards establish the order in which a patient is seen or treated upon arrival to a hospital. Postopera
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tive wards were developed in 1900 and later evolved into intensive careunits.
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PTS: 1 DIF: Cognitive Level: Remembering
xxx x x
REF: p. 1 OBJ: Nursing Process Step: N/A x x x x x x x
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe and x x x x x x x x x
Effective Care Environment x x
2. What type of practitioner has a broad depth of specialty knowledge and expertise andmana
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ges complex clinical and system issues?
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a. Registered nurses x
b. Advanced practice nurses x x
c. Clinical nurse leaders x x
d. Intensivists
ANS: B x
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirspecia
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lty area and manage complex clinical and systems issues. Intensivists are medical practitioners w
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ho manage the critical ill patient. Registered nurses (RNs) are generally direct care providers. Cli
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nical nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level: Remembering
xxx x x
REF: p. 2 OBJ: Nursing Process Step: N/A x x x x x x x
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe and x x x x x x x x x
Effective Care Environment x x
3. What type of practitioner is instrumental in ensuring care that is evidence based andthat sa
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fety programs are in place?
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a. Clinical nurse speci x x
alist b. Advancedpracti
x x x
ce nurse c.
x x
Registered nurses x
d. Nurse practitioners
x x
ANS: A x
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, research,
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leadership, and consultative abilities. They are instrumental in ensuring that careis evidence base
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d 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. Nursepractitioners (
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NPs) manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level: Remembering
xxx x x
REF: p. 2 OBJ: Nursing Process Step: N/A x x x x x x x
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe and x x x x x x x x x
Effective Care Environment x x
4. Which professional organization administers critical care certification exams forregist
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ered nurses? x
a. State Board of Registered Nurses x x x x
b. National Association of Clinical Nurse Specialist x x x x x
c. Society of Critical Care Medicine x x x x
d. American Association of Critical-Care Nurses x x x x
ANS: D x
American Association of Critical- x x x
Care Nurses (AACN) administers certification exams for registered nurses. The State Board of
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Registered Nurses (SBON) does not administercertification exams. National Association of Cl
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inical Nurse Specialists (NACNS) does not administer certification exams. Society of Critical C
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are Medicine (SCCM) does not administer nursing certification exams for registered nurses.
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PTS: 1 DIF: Cognitive Level: Remembering
xxx x x
REF: p. 3 OBJ: Nursing Process Step: N/A x x x x x x x
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe and x x x x x x x x x
Effective Care Environment x x
5. Emphasis is on human integrity and stresses the theory that the body, mind, and spiritare int
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erdependent and inseparable. This statement describes which methodology of care?
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a. Holistic care x
b. Individualized care x
c. Cultural care x
d. Interdisciplinary care x
ANS: A x
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are interdepe
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ndent and inseparable. Individualized care recognizes the uniqueness of each patient’s preference
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s, condition, and physiologic and psychosocial status. Cultural diversityin
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health care is not a new topic, but it is gaining emphasis and importance as the world becomes m
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ore accessible to all as the result of increasing technologies and interfaces withplaces and peoples
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. Interdisciplinary care is care among a variety of health care professionals with the patient’s healt
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h as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering
xxx x x
REF: p. 4 OBJ: Nursing Process Step: N/A x x x x x x x
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe and x x x x x x x x x
Effective Care Environment x x
, 6. The American Association of Critical-
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Care Nurses (AACN) has developed shortdirectives that can be used as quick referenc
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es for clinical use that are known as
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a. Critical Care Protocol. x x
b. Practice Policies. x
c. Evidence-Based Research. x
d. Practice Alerts. x
ANS: D x
The American Association of Critical-Care Nurses (AACN) has promulgated several evidence-
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based practice summaries in the form of ―Practice Alerts.‖ Evidence-
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based nursing practice considers the best research evidence on the care topic along with clinical
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expertise of the nurse and patient preferences. Critical care protocol and practice policiesare est
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ablished by individual institutions.x x x
PTS: 1 DIF: Cognitive Level: Remembering
xxx x x
REF: p. 3 OBJ: Nursing Process Step: N/A x x x x x x x
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe and x x x x x x x x x
Effective Care Environment x x
7. What type of therapy is an option to conventional treatment?
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a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: A x
The term alternative denotes that a specific therapy is an option or alternative to what isconsider
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ed conventional treatment of a condition or state. The term complementary wasproposed to desc
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ribe therapies that can be used to complement or support conventional treatments. Holistic ca
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re focuses on human integrity and stresses that the body, mind, and spirit are interdependent a
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nd inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c
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ondition, and physiologic and psychosocial status.
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PTS: 1 DIF: Cognitive Level: Remembering
xxx x x
REF: p. 4 OBJ: Nursing Process Step: N/A x x x x x x x
TOP: Critical Care Nursing PracticeMSC: NCLEX: Safe and x x x x x x x x x
Effective Care Environment x x
8. Prayer, guided imagery, and massage are all examples of what type of treatment?
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a. Alternative therapy x
b. Holistic care x
c. Complementary care x
d. Individualized care x
ANS: C x
The term complementary was proposed to describe therapies that can be used to complement or sup
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port conventional treatments. Spirituality, prayer, guided imagery, massage, and animal-
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assisted therapy are all examples of complementary care. The term alternative denotes that a specifi
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c therapy is an option or alternative to what is considered conventional treatment of a condition or
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state. Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inter
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dependent and inseparable. Individualized care recognizes the uniqueness of each patient’s prefere
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nces, condition, and physiologic andpsychosocial status.
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PTS: 1 xxx DIF: Cognitive Level: Understanding x x REF: p. 4 x x