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Test Bank for Introduction to Critical Care Nursing 8th Edition by Mary Lou Sole
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Test Bank for Introduction to Critical Care Nursing 8th Edition by Mary Lou Sole
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Test Bank for Introduction to Critical Care Nursing 8th Editionby Mary Lou Sole
,2
Chapter 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
CORRECT CHOICE A
RATIONALE: The American Association of Critical-Care Nurses is the specialty organization that supports and
represents critical care nurses. The American Heart Association supports cardiovascular initiatives. The
American Nurses Association supports all nurses. The Society of Critical Care Medicine represents the
multiprofessional critical care team under the direction of an intensivist.
DIF: COG LVL: Knowledge REF: p. 4
OBJECTIVE: Discuss the purposes and functions of the professional organizations that support critical care
practice.TOP: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
certification. Which credential would be most applicable for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
CORRECT CHOICE C
RATIONALE: The CCRN certification is appropriate for nurses in bedside practice who care for critically
ill clients. The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical
care clinical nurse specialists. The PCCN certification is for staff nurses working in progressive care,
intermediate care, or step-down unit settings.
DIF: COG LVL: Application REF: p. 5
OBJECTIVE: Explain certification options for critical care nurses. TOP: Nursing Process Step:
N/AMSC: NCLEX: Safe and Effective Care Environment
,3
3. The main purpose of certification is to:
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing.
CORRECT CHOICE D
RATIONALE: Certification assists in validating knowledge of the field, promotes excellence in the
profession, and helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure
the consumer that thenurse has a minimum level of knowledge; however, it does not ensure that care will be
mistake-free.
Certification does not prepare one for graduate school; however, achieving certification demonstrates
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nurses;
however, that is not the purpose of certification.
DIF: COG LVL: Analysis REF: pp. 4-5
OBJECTIVE: Explain certification options for critical care nurses. TOP: Nursing Process Step:
N/AMSC: NCLEX: Safe and Effective Care Environment
4. The synergy model of practice focuses on:
a. allowing unrestricted visiting for the client 24 hours each day.
b. holistic and alternative therapies.
c. needs of clients and their families, which drives nursing competency.
d. clients needs for energy and support.
CORRECT CHOICE C
RATIONALE: The synergy model of practice states that the needs of clients and families influence and drive
competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet
the clients andfamilys needs and application of alternative therapies if desired by the client, but that is not the
primary focus of the model.
DIF: COG LVL: Application REF: p. 5 | Fig. 1-3
OBJECTIVE: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your critically ill client tells you that they have not spoken with the physician in over 24
hours and they have some questions that they want clarified. During morning rounds, you convey this concern
to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the conference room.
Which competency of critical care nursing does this represent?
Page 3 of 392
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a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with clients, families, and team members
d. Facilitation of learning for clients, families, and team members
CORRECT CHOICE C
RATIONALE: Although one might consider that all of these competencies are being addressed,
communication andcollaboration with the family and physician best exemplify the competency of
collaboration.
DIF: COG LVL: Analysis REF: p. 9
OBJECTIVE: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical
care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Client Safety Goals
d. Nursing process
CORRECT CHOICE D
RATIONALE: The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
process as applied tocritically ill clients: collect data, determine diagnoses, identify expected outcomes,
develop a plan of care, implement interventions, and evaluate care. AACN promotes a healthy work
environment, but this is notincluded in the Standards. The Joint Commission has established National Client
Safety Goals, but these are not the AACN Standards.
DIF: COG LVL: Analysis REF: p. 5 | Box 1-2
OBJECTIVE: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
7. The charge nurse is responsible for making the client assignments on the critical care unit. She assigns the
experienced, certified nurse to care for the acutely ill client with sepsis who also requires continuous renal
replacement therapy and mechanical ventilation. She assigns the nurse with less than 1 year of experience to
two clients who are more stable. This assignment reflects implementation of the:
a. crew resource management model
Page 4 of 392
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