MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
certification. Which credential would be most applicable for her to seek?
oo oo oo oo oo oo oo oo oo oo oo
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS: C oo
The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients.
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
The ACNPC certification is for acute care nurse practitioners. The CCNS certification is for critical care
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
clinical nurse specialists. The PCCN certification is for staff nurses working in progressive care,
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
intermediate care, or step-down unit settings.
oo oo oo oo oo oo
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
oo oo oo oo oo oo oo oo oo oo oo oo
oo MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo
,Test Bank - Introduction to Critical Care Nursing 7e (Sole
oo oo oo oo oo oo oo oo oo 3
2016)
3. The main purpose of certification is to:
oo oo oo oo oo oo
a. assure the consumer that you will not make a mistake.
oo oo oo oo oo oo oo oo oo
b. prepare for graduate school. oo oo oo
c. promote magnet status for your facility. oo oo oo oo oo
d. validate knowledge of critical care nursing. oo oo oo oo oo
ANS: D oo
Certification assists in validating knowledge of the field, promotes excellence in the profession, and
oo oo oo oo oo oo oo oo oo oo oo oo oo
helps nurses to maintain their knowledge of critical care nursing. Certification helps to assure the
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
consumer that the nurse has a minimum level of knowledge; however, it does not ensure that care will
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
be mistake-free.
oo oo
Certification does not prepare one for graduate school; however, achieving certification demonstrates
oo oo oo oo oo oo oo oo oo oo oo
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
nurses; however, that is not the purpose of certification.
oo oo oo oo oo oo oo oo oo
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A
oo oo oo oo oo oo oo oo oo oo oo oo
oo MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo
4. The synergy model of practice focuses on:
oo oo oo oo oo oo
a. allowing unrestricted visiting for the patient 24 hours each day.
oo oo oo oo oo oo oo oo oo
b. holistic and alternative therapies. oo oo oo
c. needs of patients and their families, which drives nursing competency.
oo oo oo oo oo oo oo oo oo
d. patients needs for energy and support. oo oo oo oo oo
ANS: C oo
The synergy model of practice states that the needs of patients and families influence and drive
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
competencies of nurses. Nursing practice based on the synergy model would involve tailored visiting to
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
meet the patients and familys needs and application of alternative therapies if desired by the patient, but
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
that is not the primary focus of the model.
oo oo oo oo oo oo oo oo oo
OBJ: Describe standards of professional practice for critical care nursing.
oo oo oo oo oo oo oo oo oo
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo oo oo oo oo oo
5. The family of your critically ill patient tells you that they have not spoken with the physician in
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
over 24 hours and they have some questions that they want clarified. During morning rounds, you convey
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
this concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in
oo oo o o oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
the conference room. Which competency of critical care nursing does this represent?
oo oo oo oo oo oo oo oo oo oo oo oo
, Test Bank - Introduction to Critical Care Nursing 7e (Sole
oo oo oo oo oo oo oo oo oo 4
2016)
a. Advocacy and moral agency in solving ethical issues oo oo oo oo oo oo oo
b. Clinical judgment and clinical reasoning skills
oo oo oo oo oo
c. Collaboration with patients, families, and team members oo oo oo oo oo oo
d. Facilitation of learning for patients, families, and team oo oo oo oo oo oo oo
oo members ANS: C oo oo
Although one might consider that all of these competencies are being addressed, communication and
oo oo oo oo oo oo oo oo oo oo oo oo oo
collaboration with the family and physician best exemplify the competency of collaboration.
oo oo oo oo oo oo oo oo oo oo oo oo
OBJ: Describe standards of professional practice for critical care nursing.
oo oo oo oo oo oo oo oo oo
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo oo oo oo oo oo
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
critical care nursing practice?
oo oo oo oo
a. Evidence-based practice oo
b. Healthy work environment oo oo
c. National Patient Safety Goals oo oo oo
d. Nursing process oo
oo ANS: D oo
The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
to critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
care, implement interventions, and evaluate care. AACN promotes a healthy work environment, but this
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
is not included in the Standards. The Joint Commission has established National Patient Safety Goals, but
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
these are not the AACN Standards.
oo oo oo oo oo oo
OBJ: Describe standards of professional practice for critical care nursing.
oo oo oo oo oo oo oo oo oo
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
oo oo oo oo oo oo oo oo oo oo oo
7. The charge nurse is responsible for making the patient assignments on the critical care unit. She assigns
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
the experienced, certified nurse to care for the acutely ill patient with sepsis who also requires
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
continuous renal replacement therapy and mechanical ventilation. She assigns the nurse with less than 1
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
year of experience to two patients who are more stable. This assignment reflects implementation of the:
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
a. crew resource management model
oo oo oo
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