TEST BANK FOR PRIORITIES CRITICAL CARE NURSING 9TH EDITION BY LINDA D. URDEN, KATHLEEN M. STACY, MARY E. LOUGH

TEST BANK FOR PRIORITIES CRITICAL CARE NURSING 9TH EDITION BY LINDA D. URDEN, KATHLEEN M. STACY, MARY E. LOUGH. 1. What is a health condition primarily resolved by nursing interventions or therapies called? a. Nursing diagnosis b. Nursing interventions c. Nursing outcomes d. Nursing process ANS: A An essential and distinguishing feature of any nursing diagnosis is that it describes a health condition. Nursing interventions constitute the treatment approach to an identified health alteration. Evaluation of attainment of the expected patient outcomes occurs formally at intervals designated in the outcome criteria. The nursing process is a systematic decisionmaking model that is cyclic, not linear. PTS: 1 DIF: Cognitive Level: Remembering REF: n/a OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 2. Designing therapeutic activities that move a patient from one state of health to another is an example of which of the following? a. Nursing diagnosis b. Nursing interventions c. Nursing outcomes d. Nursing process Nursing interventions constitute the treatment approach to an identified health alteration. An essential and distinguishing feature of any nursing diagnosis is that it describes a health condition. Evaluation of attainment of the expected patient outcomes occurs formally at intervals designated in the outcome criteria. The nursing process is a systematic decisionmaking model that is cyclic, not linear. PTS: 1 DIF: Cognitive Level: Remembering REF: n/a OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 3. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are assisting with monitoring and care of the patient from the closest major city. What is this type of practice termed? a. Tele-nursing b. Tele-ICU c. Tele-informatics d. Tele-hospital ANS: B Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas, remote rural geographic locations, and areas where there was a dearth of medical providers. Currently, there are tele-ICUs in areas where there are limited resources onsite. However, experts (critical care nurses, intensivists) are located in a central distant site. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5 OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 4. What is the systematic decision-making model used by nurses termed? a. Nursing diagnosis b. Nursing interventions c. Nursing evaluations d. Nursing process ANS: D The nursing process is a systematic decision-making model that is cyclic, not linear. An essential and distinguishing feature of any nursing diagnosis is that it describes a health condition. Nursing interventions constitute the treatment approach to an identified health alteration. Evaluation of attainment of the expected patient outcomes occurs formally at intervals designated in the outcome criteria. PTS: 1 DIF: Cognitive Level: Understanding REF: n/a OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 5. Which core competency for interprofessional practice can be described as working with individuals of other professions to maintain a climate of mutual respect and shared values? a. Interprofessional teamwork and team-based care b. Values and ethics for interprofessional practice c. Interprofessional communication d. Roles and responsibilities for collaborative practice ANS: B Values and ethics for interprofessional practice mean working with individuals of other professions to maintain a climate of mutual respect and shared values. Roles and responsibilities for collaborative practice include using knowledge of one’s own role and the roles of other professions to appropriately assess and address the health care needs of the patients and populations served. Interprofessional communication includes communicating with patients, families, communities, and other health professionals in a responsive and responsible manner that supports a team approach to maintaining health and treatment of disease. Interprofessional teamwork and team-based care means applying relationship- building values and principles of team dynamics to perform effectively in different team roles to plan and deliver patient population- centered care that is safe, timely, efficient, effective, and equitable. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5 OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 6. What is the stepwise decision-making flowchart for a specific care process named? a. Algorithm b. Practice guideline c. Protocol d. Order set ANS: A An algorithm is a stepwise decision-making flowchart for a specific care process or processes. A practice guideline is usually created by an expert panel and developed by a professional organization. Protocols are more directive and rigid than guidelines, and providers are not supposed to vary from a protocol. An order set consists of preprinted provider orders that are used to expedite the order process after a standard has been validated through analytic review of practice and research. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 6 OBJ: Nursing Process Step: Intervention TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 7. A practitioner and nurse are performing a dressing change on an unresponsive patient in room 14. The practitioner asks the nurse for an update on the patient in room 13. Which action should the nurse take next? a. Give the update to the practitioner. b. Refuse to give the update because of Health Insurance Portability and Accountability Act (HIPAA) requirements. c. Give the update because the is patient’s unconscious. d. Refuse to give the update because of Occupational Safety and Health Administration (OSHA) requirements. ANS: B Most specific to critical care clinicians is the privacy and confidentiality related to protection of health care data. This has implications when interacting with family members and others and the often very close work environments, tight working spaces, and emergency situations. A patient’s unconscious state is not a reason for another patient’s care to be discussed in his or her presence. Research shows hearing is the last sense to deteriorate. Occupational Safety and Health Administration (OSHA) has to do with safety in the workplace, not privacy and confidentiality. PTS: 1 = DIF: Cognitive Level: Applying REF: p. 8 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment MULTIPLE RESPONSE 1. What considerations are taken into account in evidence-based nursing practice? (Select all that apply.) a. Clinical expertise of the nurse b. Availability of staff and facility equipment c. Research evidence on the topic d. Patient knowledge of the disease e. Patient preference regarding care ANS: A, C, E Evidence-based nursing practice considers the best research evidence on the care topic along with clinical expertise of the nurse and patient preferences. For instance, when determining the frequency of vital sign measurement, the nurse would use available research and nursing judgment (stability, complexity, predictability, vulnerability, and resilience of the patient). Availability of staff and facility equipment and the patient’s knowledge of the disease do not factor into evidence-based nursing practices. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3 OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 2. The concept of diversity encompasses what thoughts and actions? (Select all that apply.) a. Sensitivity to ethnic differences b. Openness to different lifestyles c. Openness to different values d. Reticence to different beliefs e. Lack of concern regarding different opinions ANS: A, B, C Diversity includes not only ethnic sensitivity but also sensitivity to openness to difference lifestyles, opinions, values, and beliefs. Reticence and lack of concern are not part of the concept of diversity. PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 4 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 4. According to Kupperschmidt, what factors are needed to become a skilled communicator? (Select all that apply.) a. Becoming candid b. Becoming reflective c. Setting goals d. Surveying the team e. Becoming aware of self-deception