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Nr 341 Exam 1 With Complete Solutions
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Nr 341 Exam 1 With Complete SolutionsWhich 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 - Answer a
The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing competency.
d. needs of the patients to have energy and support. -c Answer
The family of your critically ill patient informs you that they have not spoken with the
physician in over 24 hours and they have some questions that they want clarified. You
relate this concern during morning rounds to the attending intensivist and make an
arrangement for her to meet with the family at 4:00 PM in the conference room. Which
competency of critical care nursing is represented?
a. Moral agent and advocacy to resolve ethical problems
b. Clinical judgment and clinical reasoning
c. Collaboration with patients, families, and team members
d. Facilitate Learning for patients, families, and team members -Answer c
The charge nurse on this critical care unit makes the patient assignments. She assigns
the experienced, certified nurse to care for the acutely ill patient with sepsis who is
receiving continuous renal replacement therapy and mechanical ventilation. She assigns
the nurse with less than 1 year of experience to two patients who are more stable. This
,assignment reflects implementation of the: a. crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses QSEN model
d. synergy model of practice - Answer d
Relatives of a critically ill, 90-year-old patient bring a copy of the patient's living will to the
hospital. The document states the patient's preference concerning healthcare. You
discuss the content of the living will with the physician of the patient. Which of the
following AACN Baccalaureate Standards of Professional Performance is being applied?
a. Obtains and maintains current knowledge in practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in practice - Answer b
As part of nursing management of a critically ill patient, orders are written to maintain the
head of the bed elevated at 30 degrees, awaken the patient from sedation each morning
to assess readiness to wean from mechanical ventilation, and provide oral care protocols
every 4 hours. These interventions are implemented in a bundled type approach in order
to reduce the risk of ventilator associated pneumonia. This group of evidence-based
interventions is often referred to as a:
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative. - Answer a
For which of the following is the synergy model of practice primarily used?
a. All nurses must be certified in order to have the synergy model implemented.
b. Family members must be included in daily interdisciplinary rounds.
c. Nurses and physicians must work collaboratively and synergistically to influence care.
d. Unique needs of patients and their families drive nursing competencies. - Answer d
, Which of the following is a National Patient Safety Goal? (Select all that apply.)
a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection. - Answer a,c,d
Which of the following nursing activities demonstrates application of the AACN
Standards of Professional Performance? (Select all that apply.)
a. Attending a meeting of the local chapter of the American Association of Critical-Care
Nurses where there is a continuing education program regarding sepsis b. Collaborating
with a coworker from pastoral services to provide spiritual needs for the patient and
family c. Serving on the unit's nurse practice council d. Posting an article from Critical
Care Nurse regarding management of venous thromboembolism for colleagues to read
e. Utilizing evidence-based practices to prevent ventilatorassociated pneumonia -
Answers a,b,c,d,e
Which of the following scenarios facilitate effective handoff communication at change of
shift? (Select all that apply.)
a. The nephrology consultant physician is making rounds and asks you to update her on
the status of the patient and assist in placing a central line for hemodialysis.
b. There is a high noise level because twice as many staff members are present and
everyone is giving report in the nurse's station.
c. The unit has chosen to implement a standardized checklist/tool for change-of-shift
reports and patient transfers.
d. You and the oncoming nurse do a standardized report at the patient's bedside and
review key assessment findings. - Answer c,d
Which of the following are strategies important to addressing issues related to the aging
workforce? (Select all that apply.)
a. Allowing nurses to work flexible shift durations
b. Encouraging older nurses to transfer to an outpatient setting that is less stressful
c. Hiring nurse technicians that are available to assist with patient care, such as turning
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