Exam (elaborations)

Test Bank for Critical Care Nursing: A Holistic Approach 12th Edition by Morton and Thurman (STUVIA)

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Course
Critical care nursing

Institution
Critical Care Nursing

Book
Critical Care Nursing

Test Bank for Critical Care Nursing: A Holistic Approach 12th Edition by Morton and Thurman (STUVIA) Sample Questions: CH 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration Evidence 1. A nursing practitioner is the only one in the ICU who has not achieved certification ...

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critical care nursing a holistic approach 12th ed
test bank for critical care nursing

Institution Critical care nursing
Course Critical care nursing

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Critical Care Nursing: A Holistic Approach 12th
Edition by Morton and Thurman (STUVIA)

,CH 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence

1. A nursing practitioner 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 becauseshe 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 importanteffect 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 nursing practitioner will have more knowledge and expertise.
B) The certified nursing practitioner will behave more ethically.
C) The certified nursing practitioner will be more caring toward clients.
D) The certified nursing practitioner will work more collaboratively with other nurses.
3. A nursing practitioner 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 nursing practitioner 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 nursing practitioner 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 nursing practitioner 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 differentsources 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 nursing practitioner 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 nursing practitioner 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 nursing practitioner paged and
consults with him in the hallway regarding the clients request for stronger pain
medication. The nursing practitioner 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 nursing practitioner in the ICU is responding to a client who has just gone into
cardiac arrest. A moment later, the nursing practitioner 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 nursing practitioner available at the moment to tend to
both clients. Which component of a healthy workenvironment is lacking in this
scenario?
A) Effective decision making

, B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An ICU nursing practitioner has provided excellent care for a 6-year-old girl who had
been admitted tothe ICU for a head injury. The nursing practitioner was attentive not
only to the needs of the client butalso 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 nursing practitioner value the most?
A) A card from the girls family
B) A plaque from the ICU medical doctors naming her as Nursing practitioner 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 nursing
practitioner 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 nursing practitioner 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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