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Critical Care Nursing 7th Edition by Urden Test Bank

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  • June 18, 2021
  • 424
  • 2020/2021
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Chapter 01: Critical Care Nursing Practice


MULTIPLE CHOICE

1. During World War II, _____ were developed to care for critically injured patients.
a. intensive care units c. shock wards
b. triage wards d. postoperative wards
ANS: C
During World War II, shock wards were established to care for critically injured patients.
Triage wards establish the order in which a patient is seen or treated upon arrival to a hospital.
Postoperative wards were developed in 1900 and later evolved into intensive care units.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 1
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

2. _____ have a broad depth of knowledge and expertise in their specialty area and manage
complex clinical and system issues.
a. SCCMs c. CNSs
b. APNs d. AACNs
ANS: B
APNs have a broad depth of knowledge and expertise in their specialty area and manage
complex clinical and systems issues. CNSs serve in specialty roles that use their clinical,
teaching, research, leadership, and consultative abilities. SCCM stands for the Society of
Critical Care Medicine. AACN is the American Association of Critical-Care Nurses.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

3. _____ are instrumental in ensuring care that is evidence based and that safety programs are in
place.
a. CNSs c. SCCMs
b. APNs d. AACNs
ANS: A
CNSs serve in specialty roles that use their clinical, teaching, research, leadership, and
consultative abilities. They are instrumental in ensuring that care is evidence based and that
safety programs are in place. APNs have a broad depth of knowledge and expertise in their
specialty area and manage complex clinical and systems issues. SCCM stands for the Society
of Critical Care Medicine. AACN is the American Association of Critical-Care Nurses.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

4. The _____ administers many critical care certifications exams for registered nurses.
a. CNS c. SCCM
b. APN d. AACN

, ANS: D
AACN is the American Association of Critical-Care Nurses. CNSs serve in specialty roles that
use their clinical, teaching, research, leadership, and consultative abilities. They are
instrumental in ensuring that care is evidence based and that safety programs are in place.
APNs have a broad depth of knowledge and expertise in their specialty area and manage
complex clinical and systems issues. SCCM stands for the Society of Critical Care Medicine.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are
interdependent and inseparable. This statement describes which methodology of care?
a. Holistic care c. Cultural care
b. Individualized care d. Interdisciplinary care
ANS: A
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status. Cultural diversity in
health care is not a new topic, but it is gaining emphasis and importance as the world becomes
more accessible to all as the result of increasing technologies and interfaces with places and
peoples. Interdisciplinary care is care among a variety of health care professionals with the
patient’s health as the common goal.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 4
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

6. The AACN has developed short directives that can be used as quick references for clinical use
that are known as
a. Critical Care Protocol. c. Evidence-Based Research.
b. Practice Policies. d. Practice Alerts.
ANS: D
The AACN has promulgated several evidence-based practice summaries in the form of
“Practice Alerts.” Evidence-based nursing practice considers the best research evidence on the
care topic along with clinical expertise of the nurse, and patient preferences. Critical care
protocol and practice policies are established by individual institutions.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 4
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

7. A specific therapy or care that is an option to what is considered conventional treatment of a
condition is known as
a. alternative therapy. c. complementary care.
b. holistic care. d. individualized care.
ANS: A

, Alternative denotes that a specific therapy is an option or alternative to what is considered
conventional treatment of a condition or state. The term complementary was proposed to
describe therapies that can be used to complement or support conventional treatments.
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

8. Prayer, guided imagery, and massage are all examples of
a. alternative therapy. c. complementary care.
b. holistic care. d. individualized care.
ANS: C
The term complementary was proposed to describe therapies that can be used to complement
or support conventional treatments. Spirituality, prayer, guided imagery, massage, and animal-
assisted therapy are all examples of complementary care. Alternative denotes that a specific
therapy is an option or alternative to what is considered conventional treatment of a condition
or state. Holistic care focuses on human integrity and stresses that the body, mind, and spirit
are interdependent and inseparable. Individualized care recognizes the uniqueness of each
patient’s preferences, condition, and physiologic and psychosocial status.

PTS: 1 DIF: Cognitive Level: Understanding REF: p. 7
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

9. The systematic decision-making model used by nurses is known as
a. a nursing diagnosis. c. nursing evaluations.
b. nursing interventions. d. the nursing process.
ANS: D
The nursing process is a systematic decision-making model that is cyclic, not linear. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria.

PTS: 1 DIF: Cognitive Level: Understanding REF: p. 8
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

10. The description of a health condition primary resolved by nursing interventions or therapies is
known as
a. a nursing diagnosis. c. nursing outcomes.
b. nursing interventions. d. the nursing process.
ANS: A

, An essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 8
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

11. Designing therapeutic activities that move a patient from one state of health to another is an
example of
a. a nursing diagnosis. c. nursing outcomes.
b. nursing interventions. d. the nursing process.
ANS: B
Nursing interventions constitute the treatment approach to an identified health alteration. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.

PTS: 1 DIF: Cognitive Level: Remembering REF: p. 8
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

12. A patient was admitted to a rural ICU in Montana. Critical care nurses are assisting with
monitoring and care of the patient from the closest major city. This is an example of
a. telemedicine. c. tele-informatics.
b. tele-ICU. d. tele-hospital.
ANS: B
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. 9
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment

13. Working with individuals of other professions to maintain a climate of mutual respect and
shared values best describes the concept of
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

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