Critical Care Nursing 8th Edition Urden Test Bank | Complete All Chapters

Critical Care Nursing 8th Edition Urden Test Bank | Complete All Chapters. 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 13. 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 14. 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 Critical Care Nursing 8th Edition Urden Test Bank NU RS IN GT B.CO M 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 15. Which nursing intervention continues to be one of the most error-prone for critical care nurses? a. Inappropriate care b. Intimidating and disruptive clinician behavior c. Injury to patients by falls d. Medication administration ANS: D Medication administration continues to be one of the most error-prone nursing interventions for critical care nurses. Intimidating and disruptive clinician behaviors can lead to errors and preventable adverse patient outcomes. Patient safety has been described as an ethical imperative and one that is inherent in health care professionals’ actions and interpersonal processes; examples include inappropriate care and injury to patients by falls. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7 OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 16. 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 Critical Care Nursing 8th Edition Urden Test Bank NU RS IN GT B.CO M 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 3. According to American Association of Critical-Care Nurses, what are the responsibilities of a critical care nurse? (Select all that apply.) a. Respecting the values, beliefs, and rights of the patient b. Intervening when the best interest of the patient is in question c. Helping the patient obtain necessary care d. Making decisions for the patient and patient’s family e. Monitoring and safeguarding the quality of care the patient receives f. Acting as a gatekeeper for the patient, the patient’s family, and other health care professionals ANS: A, B, C, E Critical Care Nursing 8th Edition Urden Test Bank NU RS IN GT B.CO M American Association of Critical-Care Nurses (AACN) critical care nurse role responsibilities include respecting the values, beliefs, and rights of the patient; intervening when the best interest of the patient is in question; helping the patient obtain necessary care; and monitoring and safeguarding the quality of care the patient receives. The nurse is not to make decisions for the patient or the patient’s family but should support their decisions. The nurse should act as a liaison, not a gatekeeper, for the patient and the patient’s family and other health care professionals. PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 2|Box 1-1 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 ANS: A, B, E Kupperschmidt and colleagues posed a five-factor model for becoming a skilled communicator: becoming aware of self-deception, becoming authentic, becoming candid, becoming mindful, and becoming reflective, all of which lead to being a skilled communicator. The HWE model was offered by Blake, who suggested five steps: rallying the team, surveying the team, establishing work groups, setting goals and developing action steps, and celebrating successes along the way. PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 9 OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment Critical Care Nursing 8th Edition Urden Test Bank Powered by TCPDF () NU RS IN GT B.CO M Chapter 02: Ethical Issues Urden: Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. What is the difference between ethics and morals? a. Ethics is more concerned with the “why” of behavior. b. Ethics provides a framework for evaluation of the behavior. c. Ethics is broader in scope than morals. d. Ethics concentrates on the right or wrong behavior based on religion and culture values. ANS: A Ethics are concerned with the basis of the action rather than whether the action is right or wrong, good or bad. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 12 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 2. A patient’s wife has been informed by the practitioner that her spouse has permanent quadriplegia. The wife states that she does not want anyone to tell the patient about his injury. The patient asks the nurse about what has happened. The nurse has conflicting emotions about how to handle the situation. What is the nurse experiencing? a. Autonomy b. Moral distress c. Moral doubt d. Moral courage ANS: B The nurse has been placed in a situation initially causing moral distress and is struggling with determining the ethically appropriate action to take. Moral courage is the freedom to advocate for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is not part of the American Association of Critical-Care Nurses (AACN) framework. The 4A’s to Rise Above Moral Distress. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 12 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 3. By what action can critical care nurses can best enhance the principle of autonomy? a. Presenting only the information to prevent relapse in a patient b. Assisting with only tasks that cannot be done by the patient c. Providing the patient with all of the information and facts d. Guiding the patient toward the best choices for care ANS: C Patients and families must have all the information about a certain situation to make an autonomous decision that is best for them. PTS: 1 DIF: Cognitive Level: Applying REF: pp. 15-16 Critical Care Nursing 8th Edition Urden Test Bank This study source was downloaded by from CourseH on :32:54 GMT -05:00 NU RS IN GT B.CO M OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 4. Which ethical principle is most important when soliciting informed consent from a patient? a. Nonmaleficence b. Fidelity c. Beneficence d. Veracity ANS: D Veracity is important when soliciting informed consent because the patient needs to be aware of all potential risks of and benefits to be derived from specific treatments or their alternatives. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 15 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 5. The principle of respect for persons incorporates what additional concepts? a. Confidentiality and privacy b. Truth and reflection c. Autonomy and justice d. Beneficence and nonmaleficence ANS: A Confidentiality of patient information and privacy in patient interactions must be protected and honored by health care providers out of respect for persons. Confidentiality is a right involving the sharing of patient information with only those involved in the patient’s care. Privacy includes confidentiality but goes further to include the right to privacy of person and personal space, such as ensuring that a patient is adequately covered during a procedure. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 16 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 6. Which action best reflects the concept of beneficence within the critical care setting? a. Advocating for equitable health care b. Promoting for safe patient care c. Ensuring equal access for those with the same condition or diagnosis d. Confirming technologic advances are available to all in a given community ANS: B Advocating for patient safety is an example of beneficence. The other actions are examples of justice. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 15|Box 2-2 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 7. Which statement best describes the concept of paternalism? a. Encouraging the patient to ambulate after surgery b. Demanding the patient get out of bed to sit in a chair Critical Care Nursing 8th Edition Urden Test Bank This study source was downloaded by from CourseH on :32:54 GMT -05:00 NU RS IN GT B.CO M c. Following the patient’s advance directive despite family objections d. Administering antibiotics for a viral infection ANS: B Encouraging the patient to ambulate after surgery is an example of beneficence. Demanding the patient get out of bed to sit in a chair is an example of paternalism. Following the patient’s advance directive despite family objections is an example of autonomy. Administering antibiotics for a viral infection is an example of physiologic futility. PTS: 1 DIF: Cognitive Level: Applying REF: p. 18 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 8. Which statement regarding the Code of Ethics for Nursing is accurate? a. The Code of Ethics for Nurses is usurped by state or federal laws. b. It allows the nurse to focus on the good of society rather than the uniqueness of the patient. c. The Code of Ethics for Nurses was recently adopted by the American Nurses Association. d. It provides society with a set of expectations of the nursing profession. ANS: D The Code of Ethics for Nursing provides a framework for the nurse to follow in ethical decision making and provides society with a set of expectations of the profession. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 19 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 9. Ethical decisions are best made by performing which action? a. Following the guidelines of a framework or model b. Having the patient discuss alternatives with the practitioner or nurse c. Prioritizing the greatest good for the greatest number of persons d. Studying by the Ethics Committee after all diagnostic data are reviewed ANS: A To facilitate the ethical decision-making process, a model or framework must be used so that all involved will consistently and clearly examine the multiple ethical issues that arise in critical care. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 20 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 10. What is the first step of the ethical decision-making process? a. Consulting with an authority b. Identifying the health problem c. Delineating the ethical problem from other types of problems d. Identifying the patient as the primary decision maker ANS: B Critical Care Nursing 8th Edition Urden Test Bank This study source was downloaded by from CourseH on :32:54 GMT -05:00 NU RS IN GT B.CO M Step one involves identifying the major aspects of the patient’s medical and health problems. Consulting an authority is not always necessary in the process. Delineating the ethical problem from other types of problems may not be necessary. Identification of the patient as primary decision maker is not part of the process. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 20 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 11. Truth-telling is an example of what ethical principle?