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, “Chapter “01: “Critical “C “are “Nursing
“Practice “Urden: “Critical “Care “Nursing,
“9th “Edition


MULTIPLE “CHOICE

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

PTS: ― 1 DIF: Cognitive ―Level: ―Remembering REF: ― p. ―2
―OBJ: ― Nursing ―Process ―Step: ―N/A TOP: ― Critical ―Care ―Nursing
―Practice ―MSC: ― NCLEX: ―Safe ―and ―Effective ―Care ―Environment

2. What ―type ―of ―practitioner ―has ―a ―broad ―depth ―of ―specialty ―knowledge ―and ―expertise ―and ―m
―and ―system ―issues?
a. Registered ―nurses
b. Advanced ―practice ―nurses
c. Clinical ―nurse ―leaders
d. Intensivists
ANS: ― B
Advanced ―practice ―nurses ―(APNs) ―have ―a ―broad ―depth ―of ―knowledge ―and ―expertise ―in ―thei
―manage ―complex ―clinical ―and ―systems ―issues. ―Intensivists ―are ―medical ―practitioners ―who ―m
―patient. ―Registered ―nurses ―(RNs) ―are ―generally ―direct ―care ―providers. ―Clinical ―nurse ―leaders
―not ―manage ―system ―issues.

PTS: ― 1 DIF: Cognitive ―Level: ―Remembering REF: ― p. ―5
―OBJ: ― Nursing ―Process ―Step: ―N/A TOP: ― Critical ―Care ―Nursing
―Practice ―MSC: ― NCLEX: ―Safe ―and ―Effective ―Care ―Environment

3. What ―type ―of ―practitioner ―is ―instrumental ―in ―ensuring ―care ―that ―is ―evidence ―based ―and ―tha
―place?
a. Clinical ―nurse ―specialist
b. Advanced ―practice ―nurse
c. Registered ―nurses
d. Nurse ―practitioners
ANS: ― A
Clinical ―nurse ―specialists ―(CNSs) ―serve ―in ―specialty ―roles ―that ―use ―their ―clinical, ―teaching, ―
― consultative ―abilities. ―They ―are ―instrumental ―in ―ensuring ―that ―care ―is ―evidence ―based ―and ―
―in ―place. ―Advanced ―practice ―nurses ―(APNs) ―have ―a ―broad ―depth ―of ―knowledge ―and ―exper
―area ―and ―manage ―complex ―clinical ―and ―systems ―issues. ―Registered ―nurses ―are ―generally ―di
―Nurse ―practitioners ―(NPs) ―manage ―direct ―clinical ―care ―of ― groups ―of ―patients.

PTS: ― 1 DIF: Cognitive ―Level: ―Remembering REF: ― p. ―6
―OBJ: ― Nursing ―Process ―Step: ―N/A TOP: ― Critical ―Care ―Nursing
―Practice ―MSC: ― NCLEX: ―Safe ―and ―Effective ―Care ―Environment

4. Which ―professional ―organization ―administers ―critical ―care ―certification ―exams ―for ―registered ―
a. State ―Board ―of ―Registered ―Nurses

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

PTS: ― 1 DIF: Cognitive ―Level: ―Remembering REF: ― p. ―12
―OBJ: ― Nursing ―Process ―Step: ―N/A TOP: ― Critical ―Care ―Nursing
―Practice ―MSC: ― NCLEX: ―Safe ―and ―Effective ―Care ―Environment

6. The ―American ―Association ―of ―Critical-Care ―Nurses ―(AACN) ―has ―developed ―short ―directives ―
―quick ―references ―for ―clinical ―use ―that ―are ―known ―as
a. Critical ―Care ―Protocol.
b. Practice ―Policies.
c. Evidence-Based ―Research.
d. Practice ―Alerts.
ANS: ― D
The ―American ―Association ―of ―Critical-Care ―Nurses ―(AACN) ―has ―promulgated ―several ―eviden
―summaries ―in ―the ―form ―of ――Practice ―Alerts.‖ ―Evidence-based ―nursing ―practice ―considers ―the
―on ―the ―care ―topic ―along ―with ―clinical ―expertise ―of ―the ―nurse ―and ―patient ―preferences. ―Cri
―practice ―policies ―are ―established ―by ― individual ―institutions.

PTS: ― 1 DIF: Cognitive ―Level: ―Remembering REF: ― p. ―9
―OBJ: ― Nursing ―Process ―Step: ―N/A TOP: ― Critical ―Care ―Nursing
―Practice ―MSC: ― NCLEX: ―Safe ―and ―Effective ―Care ―Environment

7. What ―type ―of ―therapy ―is ―an ―option ―to ―conventional ―treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ANS: ― A
The ―term ―alternative “denotes ―that ―a ―specific ―therapy ―is ―an ―option ―or ―alternative ―to ―what ―
―conventional ―treatment ―of ―a ―condition ―or ―state. ―The ―term ―complementary “was ―proposed ―to
―can ―be ―used ―to ―complement ―or ―support ―conventional ―treatments. ―Holistic ―care ―focuses ―on
―stresses ―that ―the ―body, ―mind, ―and ―spirit ―are ―interdependent ―and ―inseparable. ―Individualized
―uniqueness ―of ―each ―patient’s ―preferences, ―condition, ―and ―physiologic ―and ―psychosocial ―statu

PTS: ― 1 DIF: Cognitive ―Level: ―Remembering REF: ― p. ―16
―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 ―what ―type ―of ―treatment?
a. Alternative ―therapy
b. Holistic ―care
c. Complementary ―care
d. Individualized ―care
ANS: ― C
The ―term ―complementary “was ―proposed ―to ―describe ―therapies ―that ―can ―be ―used ―to ―comple

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

PTS: ― 1 DIF: Cognitive ―Level: ―Understanding REF: ― n/a
―OBJ: ― Nursing ―Process ―Step: ―General TOP: ― Critical ―Care ―Nursing
―Practice ―MSC: ― NCLEX: ―Safe ―and ―Effective ―Care ―Environment

10. What ―is ―a ―health ―condition ―primarily ―resolved ―by ―nursing ―interventions ―or ―therapies ―called?
a. Nursing ―diagnosis
b. Nursing ―interventions
c. Nursing ―outcomes
d. Nursing ―process
ANS: ― A
An ―essential ―and ―distinguishing ―feature ―of ―any ―nursing ―diagnosis ―is ―that ―it ―describes ―a ―he
―interventions ―constitute ―the ―treatment ―approach ―to ―an ―identified ―health ―alteration. ―Evaluatio
―expected ―patient ―outcomes ―occurs ―formally ―at ―intervals ―designated ―in ―the ―outcome ―criteria.
―a ―systematic ―decision-making ―model ―that ―is ―cyclic, ―not ―linear.

PTS: ― 1 DIF: Cognitive ―Level: ―Remembering REF: ― n/a
―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 ―
―of ―the ―following?
a. Nursing ―diagnosis
b. Nursing ―interventions
c. Nursing ―outcomes
d. Nursing ―process
ANS: ― B
Nursing ―interventions ―constitute ―the ―treatment ―approach ―to ―an ―identified ―health ―alteration. ―A
―distinguishing ―feature ―of ―any ―nursing ―diagnosis ―is ―that ―it ―describes ―a ―health ―condition. ―Ev
―the ―expected ―patient ―outcomes ―occurs ―formally ―at ―intervals ―designated ―in ―the ―outcome ―cri
―process ―is ―a ―systematic ―decision-making ―model ―that ―is ―cyclic, ―not ―linear.

PTS: ― 1 DIF: Cognitive ―Level: ―Remembering REF: ― n/a
―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 ―critical ―care ―unit ―in ―Montana. ―Critical ―care ―nurses ―are
―monitoring ―and ―care ―of ―the ―patient ―from ―the ―closest ―major ―city. ―What ―is ―this ―type ―of ―p
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: ― B
Tele-ICU ―is ―a ―form ―of ―telemedicine. ―Telemedicine ―was ―initially ―used ―in ―outpatient ―areas, ―r
―locations, ―and ―areas ―where ―there ―was ―a ―dearth ―of ―medical ―providers. ―Currently, ―there ―are
―where ―there ―are ―limited ―resources ―onsite. ―However, ―experts ―(critical ―care ―nurses, ―intensivis

―central ―distant ―site.

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