Test Bank for Critical Care
Nursing: Diagnosis And
Management 10th Edition, (2025)
By Linda D. Urden & 3 More with
correct answers and explanations
The nurse hesitates to report a critical laboratory value to a physician for
fear of receiving an angry, inappropriate response. By waiting for the next
shift, the nurse does not promote which of the following Healthy Work
Environment Initiatives?
A. Meaningful recognition
B. Authentic leadership
C. Skilled communication
D. Appropriate staffing
C. Skilled communication
Failing to report the value is a violation of true communication. Staffing is not
the problem unless the reason was "too busy" to report. This is not a
recognition issue. Although authentic leadership would support the nurse,
the main issue is communication.
Which care management tools can be modified by the nurse to individualize
patient care? (Select all that apply, one, some, or all.)
,A. Algorithms
B. Practice alerts
C. Protocols
D. Order sets
E. Nursing standards
A, B, D
Algorithms are decision trees that help the nurse decide on
appropriate interventions for patients based on needs and
responses. Practice alerts and order sets are evidence-based
and research-oriented. Protocols are directive and rigid, and
providers are not supposed to vary from them. Nursing
standards are set by professional organizations.
The nurse wants to join a professional, multidisciplinary critical care
association. Which organization would be the best choice?
A. ANA (American Nurses Association)
B. SCCM (Society for Critical Care Medicine)
C. AACN (American Association of Critical Care Nurses)
D. AORN (Association of Operating Room Nurses)
B. SCCM (Society for Critical Care Medicine
The Society for Critical Care Medicine (SCCM) is a multidisciplinary
organization of physicians, nurses, pharmacists, and respiratory therapists
who work with critically ill patients. The American Nurses Association (ANA)
is a political nursing organization for all nurses, the American Association of
Critical Care Nurses (AACN) is a specialty organization for critical care
,nurses, and the Association of Operating Room Nurses (AORN) is a specialty
organization for perioperative care nurses.
The nurse is educating the patient on guided imagery. Which statement
indicates the patient requires more education?
A. "This technique will help me reduce my pain."
B. "This technique will help me eliminate my infection."
C. "This technique will help alleviate my anxiety."
D. "This technique will help decrease my stress."
B. "This technique will help me eliminate my infection."
Guided imagery can help reduce stress, anxiety, and pain levels, but it
cannot eliminate an infection.
A critical care nurse is planning an interdisciplinary team conference
regarding placement for a long-term ventilator patient. Team members
include representatives from nursing, respiratory therapy, case
management, physical therapy, dietary, and pharmacy. Which QSEN
competencies are reflected by this team? (Select all that apply, one, some,
or all.)
A. Evidence-Based Practice
B. Quality Improvement
C. Informatics
, D. Patient-Centered Care
E. Teamwork and Collaboration
A, D, E
Teamwork and collaboration, patient-centered care, and evidence-based
practice are represented. The team is designed to make the best decision for
the patient based on the evidence using collaboration. There is no
description of a quality improvement project, and an informatics project is
not represented.
A nurse has been having difficulty sleeping since the death of a patient who
had a stressful family situation involving a DNR (do not resuscitate) order.
She is arguing with her husband and coworker and is complaining about
working conditions. The nurse's symptoms could be signs of what problem?
A. Moral confusion
B. Immoral distress
C. Change fatigue
D. Moral distress
D. Moral distress
This scenario depicts moral distress. Although change fatigue could also
cause some of the symptoms, that is not the case described here. Immoral
distress and moral confusion are not applicable in this situation.
The family of a patient who is receiving mechanical ventilation for respiratory
distress associated with an inoperable brain tumor asks that the patient be
extubated to "allow natural death" to occur. This is an example of what
situation?
Nursing: Diagnosis And
Management 10th Edition, (2025)
By Linda D. Urden & 3 More with
correct answers and explanations
The nurse hesitates to report a critical laboratory value to a physician for
fear of receiving an angry, inappropriate response. By waiting for the next
shift, the nurse does not promote which of the following Healthy Work
Environment Initiatives?
A. Meaningful recognition
B. Authentic leadership
C. Skilled communication
D. Appropriate staffing
C. Skilled communication
Failing to report the value is a violation of true communication. Staffing is not
the problem unless the reason was "too busy" to report. This is not a
recognition issue. Although authentic leadership would support the nurse,
the main issue is communication.
Which care management tools can be modified by the nurse to individualize
patient care? (Select all that apply, one, some, or all.)
,A. Algorithms
B. Practice alerts
C. Protocols
D. Order sets
E. Nursing standards
A, B, D
Algorithms are decision trees that help the nurse decide on
appropriate interventions for patients based on needs and
responses. Practice alerts and order sets are evidence-based
and research-oriented. Protocols are directive and rigid, and
providers are not supposed to vary from them. Nursing
standards are set by professional organizations.
The nurse wants to join a professional, multidisciplinary critical care
association. Which organization would be the best choice?
A. ANA (American Nurses Association)
B. SCCM (Society for Critical Care Medicine)
C. AACN (American Association of Critical Care Nurses)
D. AORN (Association of Operating Room Nurses)
B. SCCM (Society for Critical Care Medicine
The Society for Critical Care Medicine (SCCM) is a multidisciplinary
organization of physicians, nurses, pharmacists, and respiratory therapists
who work with critically ill patients. The American Nurses Association (ANA)
is a political nursing organization for all nurses, the American Association of
Critical Care Nurses (AACN) is a specialty organization for critical care
,nurses, and the Association of Operating Room Nurses (AORN) is a specialty
organization for perioperative care nurses.
The nurse is educating the patient on guided imagery. Which statement
indicates the patient requires more education?
A. "This technique will help me reduce my pain."
B. "This technique will help me eliminate my infection."
C. "This technique will help alleviate my anxiety."
D. "This technique will help decrease my stress."
B. "This technique will help me eliminate my infection."
Guided imagery can help reduce stress, anxiety, and pain levels, but it
cannot eliminate an infection.
A critical care nurse is planning an interdisciplinary team conference
regarding placement for a long-term ventilator patient. Team members
include representatives from nursing, respiratory therapy, case
management, physical therapy, dietary, and pharmacy. Which QSEN
competencies are reflected by this team? (Select all that apply, one, some,
or all.)
A. Evidence-Based Practice
B. Quality Improvement
C. Informatics
, D. Patient-Centered Care
E. Teamwork and Collaboration
A, D, E
Teamwork and collaboration, patient-centered care, and evidence-based
practice are represented. The team is designed to make the best decision for
the patient based on the evidence using collaboration. There is no
description of a quality improvement project, and an informatics project is
not represented.
A nurse has been having difficulty sleeping since the death of a patient who
had a stressful family situation involving a DNR (do not resuscitate) order.
She is arguing with her husband and coworker and is complaining about
working conditions. The nurse's symptoms could be signs of what problem?
A. Moral confusion
B. Immoral distress
C. Change fatigue
D. Moral distress
D. Moral distress
This scenario depicts moral distress. Although change fatigue could also
cause some of the symptoms, that is not the case described here. Immoral
distress and moral confusion are not applicable in this situation.
The family of a patient who is receiving mechanical ventilation for respiratory
distress associated with an inoperable brain tumor asks that the patient be
extubated to "allow natural death" to occur. This is an example of what
situation?
