TEST BANK FOR PRIORITIES IN CRITICAL CARE NURSING
9TH EDITION BY URDEN/ALL CHAPTERS 1-27
, CH 01: Caring for the Critically Ill Client Urden:
Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. What type of nursing attendant has a broad depth of specialty knowledge and expertise and
manages complex clinical and system issues?
a. Registered professional nurses
b. Advanced practice professional nurses
c. Clinical medical caretaker leaders
d. Intensivists
ACCURATE CHOICE:-B
Hypothesis :->>> Advanced practice nurses (APNs) have a broad depth of knowledge and
expertise in their specialty area and manage complex clinical and systems issues. Intensivists
are medical nursing attendants who manage the critical ill client. Registered professional
nurses (RNs) are generally direct care providers. Clinical nurse leaders (CNLs) generally do
not manage system issues.
PTS: 1 DIFFICULT: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP:- Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. What type of nursing attendant is instrumental in ensuring care that is evidence based and that
safety programs are in place?
a. Clinical medical caretaker specialist
b. Advanced practice professional nurse
c. Registered professional nurses
d. Medical caretaker nursing attendants
ACCURATE CHOICE:-A
Hypothesis:->>>Clinical nurse specialists (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. Advanced practice
professional nurses (APNs) have a broad depth of knowledge and expertise in their specialty
area and manage complex clinical and systems issues. Registered professional nurses are
generally direct care providers. Nursing attendants (NPs) manage direct clinical care of
groups of clients.
PTS: 1 DIFFICULT: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP:- Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Which professional organization administers critical care certification exams for registered
professional nurses?
a. State Board of Registered Professional nurses
b. National Association of Clinical Medical caretaker Specialist
c. Society of Critical Care Medicine
, d. American Association of Critical-Care Professional nurses
CORRECT CHOICE:-D
Hypothesis:->>>American Association of Critical-Care nurses (AACN) administers
certification exams for registered professional nurses. The State Board of Registered nurses
(SBON) does not administer certification exams. National Association of Clinical Medical
caretaker Specialists (NACNS) does not administer certification exams. Society of Critical
Care Medicine (SCCM) does not administer nursing certification exams for registered
professional nurses.
PTS: 1 DIFFICULT: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP:- Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The American Association of Critical-Care Professional nurses (AACN) has developed
short directives that can be used as quick references for clinical use that are known as:
a. critical care protocol.
b. practice policies.
c. evidence-based research.
d. practice alerts.
ACCURATE CHOICE:-D
Hypothesis:->>>The American Association of Critical-Care Professional nurses (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 medical caretaker and client preferences. Critical care protocol
and practice policies are established by individual institutions.
TOP:- Caring for the Critically Ill Client
MSC: NCLEX: Safe and Effective Care
Environment: Coordinated Care
5. What type of therapy is an option to conventional treatment?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
ACCURATE CHOICE:-A
Hypothesis:->>>The term 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 client’s preferences, condition, and physiologic and psychosocial
status.
PTS: 1 DIFFICULT: Cognitive Level: Remembering OBJ: Nursing
Process Step: Implementation
TOP:- Caring for the Critically Ill Client
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. Guided imagery and massage are both examples of what type of treatment?
, a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
ACCURATE CHOICE:-C
Hypothesis:->>>The term complementary was proposed to describe therapies that can be
used to complement or support conventional treatments. 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 integrity and stresses that the
body, mind, and spirit are interdependent and inseparable. Individualized care recognizes the
uniqueness of each client’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIFFICULT: Cognitive Level: Understanding OBJ: Nursing
Process Step: Implementation
TOP:- Caring for the Critically Ill Client
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A client was admitted to a rural critical care unit in Montana. Critical care professional
nurses are assisting with monitoring and care of the client from the closest major city.
What is this type of practice termed?
a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-health center
ACCURATE CHOICE:-B
Hypothesis:->>>Tele-ICU is a form of telemedicine. Telemedicine was initially used in
outclient 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 on- site. However, experts (critical care professional nurses, intensivists) are
located in a central distant
site.
TOP:- Caring for the Critically Ill Client
MSC: NCLEX: Physiological Integrity:
Reduction of Risk Potential
8. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ACCURATE CHOICE:-B
Hypothesis:->>>Values and ethics for interprofessional practice mean working with
individuals of other professions to maintain a climate of mutual respect and shared values.
Roles and responsibilities for collaborative practice include using knowledge of one’s own
role and the roles of other professions to appropriately assess and address the health care
needs of the clients and populations served.
Interprofessional communication includes communicating with clients, families,
communities, and other health professionals in a responsive and responsible manner that
supports a team approach to maintaining health and treatment of disease. Interprofessional
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