Test Bank Priorities in Critical Care Nursing 8th edition Urden Stacy LoughContents
Chapter 01: Caring for the Critically Ill Patient ................................................................................................................................................. 1 Chapter 02: Ethi...
1. What type of practitioner has a broad depth of specialty knowledge and expertise and manages complex
clinical 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 their 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:
1|Page
, Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. What type of practitioner is instrumental in ensuring care that is evidence based and that safety programs
are in 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, research,
leadership, and consultative abilities. They are instrumental in ensuring that care is evidence based and
that safety programs are in place. Advanced practice nurses (APNs) have a broad depth of knowledge and
expertise in their specialty area and manage complex clinical and systems issues. Registered nurses are
generally direct care providers. Nurse practitioners (NPs) manage direct clinical care of groups of
patients.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
3. Which professional organization administers critical care certification exams for registered nurses?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialist
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
ANS:D
American Association of Critical-Care Nurses (AACN) administers certification exams for registered
nurses. The State Board of Registered Nurses (SBON) does not administer certification exams. National
Association of Clinical Nurse Specialists (NACNS) does not administer certification exams. Society of
Critical Care Medicine (SCCM) does not administer nursing certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The American Association of Critical-Care 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.
ANS: D
The American Association of Critical-Care 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 nurse and patient preferences.
Critical care protocol and practice policies are established by individual institutions.
, 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
ANS: A
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 patient’s preferences, condition, and physiologic and psychosocial
status.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
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
ANS: C
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 patient’s preferences, condition, and physiologic and psychosocial status.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are assisting with
monitoring and care of the patient from the closest major city. What is this type of practice termed?
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, 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 nurses,
intensivists) are located in a central distant
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity:
3|Page
, 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
ANS: B
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 patients and populations served.
Interprofessional communication includes communicating with patients, 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 teamwork and team-based care means
applying relationship-building values and principles of team dynamics to perform effectively in different
team roles to plan and deliver patient population-centered care that is safe, timely, efficient, effective, and
equitable.
PTS: 1 DIF: Cognitive Level:
Remembering OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
9. Which nursing intervention continues to be one of the most error-prone for critical care nurses?
a. Inappropriate care
b. Intimidating and disruptive clinician behavior
c. Injury to patients by falls
d. Medication administration
ANS: D
Medication administration continues to be one of the most error-prone nursing interventions for critical
care nurses. Intimidating and disruptive clinician behaviors can lead to errors and preventable adverse
patient outcomes. Patient safety has been described as an ethical imperative and one that is inherent in
health care professionals’ actions and interpersonal processes; examples include inappropriate care and
injury to patients by falls.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
10. A practitioner and nurse are performing a dressing change on an unresponsive patient in room 14.
The practitioner asks the nurse for an update on the patient in room 13. Which action should the
nurse take next?
a. Give the update to the practitioner.
b. Refuse to give the update because
of Health Insurance Portability
and Accountability Act (HIPAA)
requirements.
c. Give the update because the patient is unconscious.
d. Refuse to give the update because
of Occupational Safety and Health
Administration (OSHA)
requirements.
ANS: B
Most specific to critical care clinicians is the privacy and confidentiality related to protection of health
care data. This has implications when interacting with family members and others and the often very
close work environments, tight working spaces, and emergency situations. A patient’s unconscious state is
4|Page
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Dreamer001. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
