Test Bank for Critical Care Nursing: A Holistic Approach, 12th Edition by Morton and Thurman is an invaluable resource for nursing instructors who aim to enhance the learning experience for students specializing in critical care. This comprehensive guide offers a robust compilation of questions tha...
Critical Care Nursing: A Holistic Approach 12th
Edition by Morton and Thurman
,CH 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence
1. A professional nurse is the only one in the ICU who has not achieved certification in
critical care nursing. She often will ask her fellow nurses what to do in caring for a
client because she doubts the accuracy of her knowledge and her intuition. She loves
her work but wishes she could do it with a greater level of competence. What is the
most important effect that obtaining certification would likely have on the nurses
practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellent
interpersonal skills and highly positive references. One, however, has certification in
critical care nursing. Which of the following is the most compelling and accurate reason
for the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward clients.
D) The certified nurse will work more collaboratively with other nurses.
3. A professional nurse is caring for an elderly man recently admitted to the ICU following
a stroke. Sheassesses his cognitive function using a new cognitive assessment test she
learned about ina recent article in a nursing journal. She then brings a cup of water and a
straw to the client because she observes that his lips are dry. Later, she has the client sit
in a wheelchair and takes him to have some blood tests performed. He objects at first,
saying that he can walk on his own, but the nurse explains that it is hospital policy to use
the wheelchair. That evening, she recognizes signs of an imminent stroke in the client
and immediately pages the medical doctor. Which action taken by the nurse is the best
example of evidence-based practice?
A) Giving the client a cup of water
B) Transferring the client in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the medical doctor
, 4. A professional nurse is on a committee that is trying to reduce the occurrence of hospital-
acquired infections in the ICU. Her role is to conduct research to find which
interventions have been shown to be most effective in reducing these infections. She
consults many different sources and finds conflicting information. Which of the following
sources should she consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5. A professional nurse who has been recently hired to manage the nursing staff of the ICU
is concernedat the lack of evidence-based practice she sees among the staff. Which of
the following would be the best step for her to take to promote incorporating evidence
into clinical practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research
on it.
6. A medical doctor visits a client in the ICU while the nurse is out. The client complains
thatthe pain medication is not effective and that he would like to receive an increased
dose. The medical doctor has the nurse paged and consults with him in the hallway
regarding the clients request for stronger pain medication. The nurse explains that client
was startedon a morphine drip only 20 minutes ago and that the drug has not had time to
take effect yet. The medical doctor agrees and tells the client to give it just a bit more
time. Which component of a healthy work environment is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
7. A professional nurse in the ICU is responding to a client who has just gone into
cardiac arrest. A moment later, the nurse is notified that another client has just gone
into anaphylacticshock due to a drug allergy. She is conflicted as to what to do, as
she is the only nurseavailable at the moment to tend to both clients. Which
component of a healthy work environment is lacking in this scenario?
A) Effective decision making
, B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An ICU nurse has provided excellent care for a 6-year-old girl who had been admitted to
the ICU for a head injury. The nurse was attentive not only to the needs of the client but
also went out of her way to care for the needs of the girls family. According to research,
which of the following forms of recognition would the nurse value the most?
A) A card from the girls family
B) A plaque from the ICU medical doctors naming her as Nurse of the Year
C) A letter of commendation from the hospitals administration
D) A bouquet of flowers from her supervisor
9. A client in the ICU has recently been diagnosed with diabetes mellitus. Before being
discharged, this client will require detailed instructions on how to manage her diet, how
to self-inject insulin, and how to handle future diabetic emergencies. Which nurse
competency is most needed in this situation?
A) Clinical judgment
B) Advocacy and moral agency
C) Caring practices
D) Facilitation of learning
10. An elderly client is admitted to the ICU with stage IV lung cancer, diabetes mellitus, and
congestive heart failure. The health care team assembled to care for her is large and
diverse, including an oncologist, a pulmonologist, an endocrinologist, a cardiologist, and
others. The client is not expected to survive more than a few weeks, and her husband is
overwhelmed with stress and grief. Which nurse competency or competencies are most
needed in this situation? Select all that apply.
A) Clinical judgment
B) Caring practices
C) Collaboration
D) Response to diversity
11. An Ethiopian man with AIDS has recently been admitted to the ICU with a case of
pneumonia. The man is new to the U.S. and has no health insurance. He would likely be
eligible for the states Medicaid coverage, but does not understand how to access this
coverage. Which competency or competencies are most needed in this situation? Select
all that apply.
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