TEST BANK Critical Care Nursing: Diagnosis and Management 9th Edition by Linda D. Urden.
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Critical Care Nursing Diagnosis and
Management
9th Edition
by
Linda D. Urden, Kathleen M. Stacy
,Chapter01:CriticalCareNursingPractice Urden:
Critical Care Nursing, 9th
MULTIPLE
CHOICE
1. DuringWorldWarII,whattypeofwardsweredevelopedtocareforcritically injured
patients?
a. Intensivecare
b. Triage
c. Shock
d. Postoperative
ANS:C
DuringWorld War II, shock wards were established to care for criticallyinjured patients.
Triage wards establish the order in which a patient is seen or treated upon arrival to a
hospital.Postoperativewardsweredevelopedin1900andlaterevolvedintointensivecare units.
PTS:1 DIF: Cognitive Level: Remembering REF:p. 1
OBJ:Nursing Process Step: N/A TOP:CriticalCareNursingPractice
MSC:NCLEX: Safe and Effective Care Environment
2. Whattypeofpractitionerhasabroaddepthofspecialtyknowledgeandexpertiseand
manages complex clinical and system issues?
a. Registerednurses
b. Advancedpracticenurses
c. Clinicalnurseleaders
d. Intensivists
ANS:B
Advancedpracticenurses(APNs)haveabroad depthofknowledgeandexpertiseintheir
specialty area and manage complex clinical and systems issues. Intensivists are medical
practitioners who manage the critical ill patient. Registered nurses (RNs) are generally
direct care providers. Clinical nurse leaders (CNLs) generally do not manage system
issues.
PTS:1 DIF: Cognitive Level: Remembering REF:p. 2
OBJ:Nursing Process Step: N/A TOP:CriticalCareNursingPractice
MSC:NCLEX: Safe and Effective Care Environment
3. Whattypeofpractitionerisinstrumentalinensuringcarethatisevidencebasedand that
safety programs are in place?
a. Clinical nurse
specialistb.Advanced
practice nurse c.
Registerednurses
d.Nurse practitioners
ANS:A
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
research,leadership,andconsultativeabilities.Theyareinstrumentalinensuringthatcare
isevidencebasedandthatsafetyprogramsareinplace.Advancedpracticenurses(APNs) have
a broad depth of knowledge and expertise in their specialty area and manage complex
clinicalandsystemsissues.Registerednursesaregenerallydirectcareproviders.Nurse
practitioners (NPs) manage direct clinical care of groups of patients.
PTS:1 DIF: Cognitive Level: Remembering REF:p. 2
OBJ:Nursing Process Step: N/A TOP:CriticalCareNursingPractice
MSC:NCLEX: Safe and Effective Care Environment
4. Whichprofessionalorganizationadministerscriticalcarecertificationexamsfor
registered nurses?
a. StateBoardofRegistered Nurses
b. NationalAssociationofClinicalNurseSpecialist
c. SocietyofCriticalCare Medicine
d. AmericanAssociationofCritical-CareNurses
ANS:D
AmericanAssociation of Critical-Care Nurses (AACN) administers certification exams
forregisterednurses.TheStateBoardofRegisteredNurses(SBON)doesnotadminister
certification exams. National Association of Clinical Nurse Specialists (NACNS) does
not administer certification exams. Societyof Critical Care Medicine (SCCM) does not
administer nursing certification exams for registered nurses.
PTS:1 DIF: Cognitive Level: Remembering REF:p. 3
OBJ:Nursing Process Step: N/A TOP:CriticalCareNursingPractice
MSC:NCLEX: Safe and Effective Care Environment
5. Emphasisisonhumanintegrityandstressesthetheorythatthebody,mind,andspirit are
interdependent and inseparable. This statement describes which methodology of
care?
a. Holisticcare
b. Individualized care
c. Culturalcare
d. Interdisciplinarycare
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’spreferences,condition,andphysiologicandpsychosocialstatus.Culturaldiversity in
health care is not a new topic, but it is gaining emphasis and importance as the world
becomesmoreaccessibletoallastheresultofincreasingtechnologiesandinterfaces 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:CriticalCareNursingPractice
MSC:NCLEX: Safe and Effective Care Environment
, 6. TheAmericanAssociationofCritical-CareNurses(AACN)hasdevelopedshort
directives that can beused as quick references for clinical usethat areknown as
a. CriticalCareProtocol.
b. PracticePolicies.
c. Evidence-BasedResearch.
d. PracticeAlerts.
ANS:D
TheAmerican Association of Critical-Care Nurses (AACN) has promulgated several
evidence-based practice summaries in the form of ―PracticeAlerts.‖ Evidence-based
nursingpracticeconsidersthebestresearch evidenceonthecaretopicalongwithclinical
expertise of the nurseand patient preferences. Critical care protocol and practice policies
are established by individual institutions.
PTS:1 DIF: Cognitive Level: Remembering REF:p. 3
OBJ:Nursing Process Step: N/A TOP:CriticalCareNursingPractice
MSC:NCLEX: Safe and Effective Care Environment
7. Whattypeoftherapyis anoptiontoconventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS:A
Thetermalternativedenotesthataspecifictherapyisan optionoralternativetowhatis
consideredconventional treatmentofaconditionorstate.Theterm complementarywas
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. 4
OBJ:Nursing Process Step: N/A TOP:CriticalCareNursingPractice
MSC:NCLEX: Safe and Effective Care Environment
8. Prayer,guidedimagery,andmassageareallexamplesofwhattypeoftreatment?
a. Alternativetherapy
b. Holisticcare
c. Complementarycare
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. The term
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 integrityand
stresses that the body, mind, and spirit are interdependent and inseparable. Individualized
carerecognizestheuniquenessofeachpatient’spreferences,condition,andphysiologicand
psychosocial status.
PTS:1 DIF: CognitiveLevel:Understanding REF:p. 4
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