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TEST BANK FOR INTRODUCTION TO CRITICAL CARE NURSING 9TH EDITION BY SOLE
TEST BANK FOR INTRODUCTION TO CRITICAL CARE NURSING 9TH EDITION BY SOLE
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1TEST BANK FOR INTRODUCTION TO CRITICAL CARE
NURSING 9TH EDITION BY SOLE
, 2
CH 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing practice?
a. American Association of Critical-Care Caregivers
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
CORRECT CHOICE:- A
Elaboration :->>>The American Association of Critical-Care Caregivers is the specialty organization that
supports and represents critical care caregivers. The American Heart Association supports cardiovascular
initiatives. The American Nurses Association supports all caregivers. The Society of Critical Care Medicine
represents the multiprofessional critical care team under the direction of an intensivist.
DIF: Cognitive Level: Knowledge REF: p. 4
OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice.
TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A caregiver has been working as a staff caregiver in the surgical intensive care unit for 2 years and is
interested incertification. Which credential would be most applicable for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
CORRECT CHOICE:- C
Elaboration :->>>The CCRN certification is appropriate for caregivers in bedside practice who care for
critically ill clients. The ACNPC certification is for acute care caregiver practitioners. The CCNS
certification is for critical care clinical caregiver specialists. The PCCN certification is for staff caregivers
working in progressive care, intermediate care, or step-down unit settings.
DIF: Cognitive Level: Application REF: p. 5
OBJ: Explain certification options for critical care caregivers. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
, 3
3. The main purpose of certification is to:
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing.
CORRECT CHOICE:- D
Elaboration :->>>Certification assists in validating knowledge of the field, promotes excellence in the
profession, and helps caregivers to maintain their knowledge of critical care nursing. Certification helps to
assure the consumer that the caregiver has a minimum level of knowledge; however, it does not ensure that
care will be mistake-free.
Certification does not prepare one for graduate school; however, achieving certification demonstrates
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified
caregivers; however, that is not the purpose of certification.
DIF: Cognitive Level: Analysis REF: pp. 4-5
OBJ: Explain certification options for critical care caregivers. TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
4. The synergy model of practice focuses on:
a. allowing unrestricted visiting for the client 24 hours each day.
b. holistic and alternative therapies.
c. needs of clients and their families, which drives nursing competency.
d. clients needs for energy and support.
CORRECT CHOICE:- C
Elaboration :->>>The synergy model of practice states that the needs of clients and families influence and
drive competencies of caregivers. Nursing practice based on the synergy model would involve tailored visiting
to meet the clients andfamilys needs and application of alternative therapies if desired by the client, but that is
not the primary focus of the model.
DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your critically ill client tells you that they have not spoken with the physician in over 24
hours and they have some questions that they want clarified. During morning rounds, you convey this concern
to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the conference room.
Which competency of critical care nursing does this represent?
, 4
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with clients, families, and team members
d. Facilitation of learning for clients, families, and team members
CORRECT CHOICE:- C
Elaboration :->>>Although one might consider that all of these competencies are being addressed,
communication andcollaboration with the family and physician best exemplify the competency of
collaboration.
DIF: Cognitive Level: Analysis REF: p. 9
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Client Safety Goals
d. Nursing process
CORRECT CHOICE:- D
Elaboration :->>>The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
process as applied tocritically ill clients: collect data, determine diagnoses, identify expected outcomes,
develop a plan of care, implement interventions, and evaluate care. AACN promotes a healthy work
environment, but this is not included in the Standards. The Joint Commission has established National Client
Safety Goals, but these are not the AACN Standards.
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
OBJ: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
7. The charge caregiver is responsible for making the client assignments on the critical care unit. She assigns
the experienced, certified caregiver to care for the acutely ill client with sepsis who also requires continuous
renalreplacement therapy and mechanical ventilation. She assigns the caregiver with less than 1 year of
experience to two clients who are more stable. This assignment reflects implementation of the:
a. crew resource management model
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