1. what is critical care nursing: dealing with human responses to life threatening
problems both physiological and psychological
2. what is the focus of the critical care nurse: bot the patients and families
responses to illness and involves prevention as well
3. where did critical care units begin: polio units, recovery rooms, and coronary
care units
4. what was the basis for keeping critical care units: patient outcomes
improved
5. what is the largest specialty organization in the world: AACN
6. what is the mission of the AACN: assist acute and critical care nurses to
attain knowledge and influence to deliver excellent care
7. what are the values of the AACN: an ethic of care that focuses on
accountability, advocacy, integrity, collaboration, leadership, stewardship,
lifelong learning, quality, innovation, and committment
8. what is the vision of the AACN: create a health care system driven by
patients and families where acute and crticial care nurses make their optimum
continuum of care
9. what are the journals of the AACN: critical care nurse american journal of
critical care
AACN advanced critical care
10. what is the society of critical care medicine: multiprofessional scientific
and educational organization/membership includes physicians, nursing staff
and other cc workers
11. journals by the society of critical care medicine: critical care medicine
new horizons: the science and practice of acute medicine pediatric critical care
medicine
12. vision of the SCCM: health care system in which all crticially ill and injured
persons recieve care
13. the charge nurse assigns patients based on their acuity and level of
experience of the CC nurses on duty, this is an example of
implementation of:
A. SBAR
B. healthy work environment
C. national patient safety goals
D. Synergy model: D. synergy model
, . Critical Care Test 1
14. what is the purpose of a critical care certification: validate knowledge of
critical care nursing promote professional excellence help maintain up to
date knowledge
15. synergy model: needs of patients and families drive practice
16 standards of practice for CC nurse: evaluate quality of nursing practice
evaluate own practice acquire knowledge and maintain competency
contribute to professional development of peers act ethically
use skilled communication
use clinical inquiry and integrate research findings consider
factors related to safety, effectiveness, and cost provide
leadership in clinical setting
17. CC nurse characteristics: technical competence
relationship building with pt and families
ability to multitask and set priorities
18. during SBAR, the nurse states, "since we have just initiated a potassium
replacement protocol, the patient will need a potassium level drawn at
1300." this depicts: A. situation
B. background
C. assessment
D. recommendation: D. recommendation
19. barriers to effective handoff communication: physical setting
social setting language
communication medium
20. goal of collaboration: create a culture of safety where everyone
works together, in which all members have the opportunity to ensure safe
and effective care 21. which of the following is a component of healthy
work environment?
A. collaboration
B. use of many agency nurses
C. crew-resource training
D. evidence-based practice: A. collaboration
22. patients and families often have little advanced preparation for
the environment, which causes...: stress and anxiety
23. issues r/t the CC environment: sensory overload/deprivation noise
24. what are the causes of sensory overload in the ICU: light noise
loss of privacy
, Critical Care Test 1
lack of nonclinical physical contact
emotional and physical pain
25. how do noise effect the CC team: leads to increased stress,
emotional exhaustion, burnout, increased fatigue, difficult communication,
and distractions
26. high noise levels are associated with:: sleep disruption decreased
O2 sat increased BP
delayed wound healing
27. sensory deprivation in CC is connected to...: increased
perceptual disturbances (i.e. hallucinations)
28. treatment for sensory deprivation: visitors + their interaction
photos soothing music adequate lighting
29. which device or activity is associated with the highest noise
level A. call bell
B. pneumatic tube arrival
C. telephone ringing
D. television: B. pneumatic tube arrival
30. how can we modify the environment of CC, to reduce noise: acoustical
tiles/design soothing music
private areas for communication with staff and with family members
close doors during conversations
staff should avoid excessive/loud talking, responding to phones quickly, readily
assessing alarms
31. how can we modify the CC environment with lighting: natural lighting
night-day synchronization
32. how can we modify the CC environment to promote health and safety
(privacy and comfort): easy access to pts and monitors from all sides of bed
accessible to sinks and waste disposal
noise abatement adequate
ventilation natural lighting
33. which is associated with high levels of noise in the CC unit?
A. alcohol withdrawal syndrome
B. hypotension
C. normal O2 sat
D. sleep disruptions: D. sleep disruptions
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