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TEST BANK FOR INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION BY SOLE
TEST BANK FOR INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION BY SOLE
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Test Bank - Introduction to Critical Care Nursing 7e (Soleoo oo oo oo oo oo oo oo oo 1
2016)
Table of Contents o o o o
1
Chapter 01: Overview of Critical Care Nursing
oo oo oo oo oo oo 2
Chapter 02: Patient and Family Response to the Critical Care
oo oo oo oo oo oo oo oo oo 14
Experience Chapter 03: Ethical and Legal Issues in Critical Care
oo oo oo oo oo oo oo oo oo oo 30
Nursing
oo 42
Chapter 04: Palliative and End-of-Life
oo oo oo oo 56
Care Chapter 05: Comfort and
oo oo oo o o o o 69
Sedation Chapter 06: Nutritional
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Therapy
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Chapter 07: Dysrhythmia Interpretation and Management
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Chapter 08: Hemodynamic Monitoring
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Chapter 09: Ventilatory Assistance
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Chapter 10: Rapid Response Teams and Code Management
oo oo oo oo oo oo oo 189
Chapter 11: Organ Donation
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Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
oo oo oo oo oo oo oo oo 225
Chapter 13: Cardiovascular Alterations
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Chapter 14: Nervous System
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Alterations Chapter 15: Acute
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Respiratory Failure Chapter 16: Acute
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Kidney Injury Chapter 17:
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Gastrointestinal Alterations
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Chapter 17: Hematological and Immune Disorders
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Chapter 19: Endocrine Alterations
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Chapter 20: Trauma and Surgical Management
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Chapter 21: Burns
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,Test Bank - Introduction to Critical Care Nursing 7e (Sole
oo oo oo oo oo oo oo oo oo 2
2016)
Chapter 01: Overview of Critical Care Nursing oo oo oo oo oo oo
MULTIPLE CHOICE oo
1. Which of the following professional organizations best supports critical care nursing practice?
oo oo oo oo oo oo oo oo oo oo oo
a. American Association of Critical-Care Nurses oo oo oo oo
b. American Heart Association oo oo
c. American Nurses Association oo oo
d. Society of Critical Care oo oo oo
oo Medicine ANS: A oo oo
The American Association of Critical-Care Nurses is the specialty organization that supports and
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represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
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American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
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multiprofessional critical care team under the direction of an intensivist.
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DIF: Cognitive Level: Knowledge REF: p. 4
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OBJ: Discuss the purposes and functions of the professional organizations that support critical care
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practice. TOP: Nursing Process Step: N/A
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MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
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certification. Which credential would be most applicable for her to seek?
oo oo oo oo oo oo oo oo oo oo oo
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C oo
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients.
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care
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clinical nurse specialists. The PCCN certification is for staff nurses working in progressive care,
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intermediate care, or step-down unit settings.
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DIF: Cognitive Level: Application REF: p. 5
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OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
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oo MSC: NCLEX: Safe and Effective Care Environment
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,Test Bank - Introduction to Critical Care Nursing 7e (Sole
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2016)
3. The main purpose of certification is to:
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a. assure the consumer that you will not make a mistake.
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b. prepare for graduate school. oo oo oo
c. promote magnet status for your facility. oo oo oo oo oo
d. validate knowledge of critical care nursing. oo oo oo oo oo
ANS: D oo
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
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helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the
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consumer that the nurse has a minimum level of knowledge; however, it does not ensure that care will
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
be mistake-free.
oo oo
Certification does not prepare one for graduate school; however, achieving certification demonstrates
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motivation for achievement and professionalism. Magnet facilities are rated on the number of certified
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nurses; however, that is not the purpose of certification.
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DIF: Cognitive Level: Analysis REF: pp. 4-5
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OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
oo oo oo oo oo oo oo oo oo oo oo oo
oo MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo
4. The synergy model of practice focuses on:
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a. allowing unrestricted visiting for the patient 24 hours each day.
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b. holistic and alternative therapies. oo oo oo
c. needs of patients and their families, which drives nursing competency.
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d. patients needs for energy and support. oo oo oo oo oo
ANS: C oo
The synergy model of practice states that the needs of patients and families influence and drive
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competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to
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meet the patients and familys needs and application of alternative therapies if desired by the patient, but
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that is not the primary focus of the model.
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DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3
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OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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5. The family of your critically ill patient tells you that they have not spoken with the physician in
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over 24 hours and they have some questions that they want clarified. During morning rounds, you convey
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this concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in
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the conference room. Which competency of critical care nursing does this represent?
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, Test Bank - Introduction to Critical Care Nursing 7e (Sole
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2016)
a. Advocacy and moral agency in solving ethical issues oo oo oo oo oo oo oo
b. Clinical judgment and clinical reasoning skills
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c. Collaboration with patients, families, and team members oo oo oo oo oo oo
d. Facilitation of learning for patients, families, and team oo oo oo oo oo oo oo
oo members ANS: C oo oo
Although one might consider that all of these competencies are being addressed, communication and
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collaboration with the family and physician best exemplify the competency of collaboration.
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DIF: Cognitive Level: Analysis REF: p. 9
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OBJ: Describe standards of professional practice for critical care nursing.
oo oo oo oo oo oo oo oo oo
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
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critical care nursing practice?
oo oo oo oo
a. Evidence-based practice oo
b. Healthy work environment oo oo
c. National Patient Safety Goals oo oo oo
d. Nursing process oo
oo ANS: D oo
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
to critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of
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care, implement interventions, and evaluate care. AACN promotes a healthy work environment, but this
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is not included in the Standards. The Joint Commission has established National Patient Safety Goals, but
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
these are not the AACN Standards.
oo oo oo oo oo oo
DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
oo oo oo oo oo oo oo oo oo
OBJ: Describe standards of professional practice for critical care nursing.
oo oo oo oo oo oo oo oo oo
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo oo oo oo oo oo
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns
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the experienced, certified nurse to care for the acutely ill patient with sepsis who also requires
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continuous renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1
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year of experience to two patients who are more stable. This assignment reflects implementation of the:
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a. crew resource management model
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