NSG 102H Overview of Critical Care Nursing

 Sole: Introduction to Critical Care Nursing, 5th Edition Chapter 01: Overview of Critical Care Nursing

Test Bank MULTIPLE CHOICE

● Which of the following professional organizations 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

ANS: A

The American Association of Critical-Care Nurses is the specialty organization that supports and represents critical care nurses.

Incorrect:

B: The American Heart Association supports cardiovascular initiatives. C: The American Nurses Association supports all nurses.

D: The Society of Critical Care Medicine represents the multiprofessional team. DIF: Cognitive Level: Knowledge REF: Page 3

OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice. TOP: Nursing Process Step: N/A

MSC: NCLEX: Safe, Effective Care Environment

 ● You have been working as a staff nurse in the surgical intensive care unit for 2 years and are interested in certification. Which credential would be most applicable for you?

a.ACNPCc.CCRN
b.CCNSd.PCCN

● The main purpose of certification is to:

a.assure the consumer that you will not make a mistake.
b.prepare for graduate school.
c.receive a raise for passing the examination.
d.validate knowledge of critical care nursing.

4. The synergy model of certified 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.patients’ needs for energy and support.

DIF: Cognitive Level: Application REF: Page 5

 OBJ: Discuss the purposes and functions of the professional organizations that support critical care practice. TOP: Nursing Process Step: N/A

MSC: NCLEX: Safe, Effective Care Environment

● The first critical care units were (choose all that apply):

a.burn units.c.recovery rooms.
b.coronary care units.d.neonatal intensive care units.

TOP: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment

● The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical care nursing practice?

a.Evidence-based practicec.National Patient Safety Goals
b.Healthy work environmentd.Nursing process

● The vision of the American Association of Critical-Care Nurses is a health care system driven by:

a.a healthy work environment.
b.care from a multiprofessional team under the direction of a critical care physician.
c.needs of critically ill patients and families.
d.respectful, healing, and humane environments.

 ● The most important outcome of effective communication is to:

a.demonstrate caring practices to family members.
b.ensure that patient teaching is done.
c.meet the diversity needs of patients.
d.reduce patient errors.

● The family members of a critically ill 90-year-old patient bring in a copy of the

patient’s living will to the hospital, which identifies the patient’s wishes regarding health care. You discuss the contents of the living will with the patient’s

physician. This is an example of implementation of which of the AACN Standards for Acute and Critical Care Nursing Practice?

a.Acquires and maintains current knowledge of practice
b.Acts ethically on the behalf of the patient and family
c.Reflects knowledge of professional practice standards
d.Uses clinical inquiry in practice

● Which of the following assists the critical care nurse in ensuring that care is appropriate and based on research?

a.Clinical practice guidelines
b.Computerized physician order entry
c.Consulting with advanced practice nurses
d.Implementing Joint Commission National Patient Safety Goals

 ● Which of the following is NOT an example of a National Patient Safety Goal?

a.Encourage patients and family members to be actively involved in care
b.Eliminate use of patient restraints
c.Reconcile medications across the continuum of care
d.Reduce risks associated with patient falls

● Comparing patient’s current (home) medications with those ordered during hospitalization and communicating a complete list of medications to the next provider when patients are transferred within an organization or to another setting are strategies related to:

a.improving accuracy of patient identification.
b.preventing errors related to look-alike and sound-alike medications.
c.reconciliation of medications across the continuum of care.
d.reducing harms associated with administration of anticoagulants.

MULTIPLE RESPONSE

● Which of the following is (are) official journal(s) of the American Association of Critical-Care Nurses (choose all that apply)?

a.American Journal of Critical Care
b.Critical Care Clinics of North America
c.Critical Care Nurse
d.Critical Care Nursing Quarterly

● Which of the following nursing activities are examples of implementation of the AACN Standards for Acute and Critical Care Nursing Practice (choose all that apply)?

a.Attending a meeting of the local chapter of the American Association of Critical-Care Nurses in which a continuing education program on sepsis is being taught
b.Collaborating with a pastoral services colleague to assist in meeting spiritual needs of the patient and family
c.Posting an article from Critical Care Nurse on management of venous thromboembolism for your colleagues to read
d.Using evidence-based strategies to prevent ventilator-associated pneumonia

ANS: A, B, C, D

A: Attending a program to learn about sepsis—Acquires and maintains current knowledge and competency in patient care.

B: Collaborating with pastoral services—Collaborates with the health care team to provide care in a healing, humane, and caring environment.

C: Posting information for others—Contributes to the professional development of peers and other health care providers.

D: Evidence-based practices—Uses clinical inquiry in practice. DIF: Cognitive Level: Analysis REF: Page 6 | Box-1-4

OBJ: Identify current trends and issues in critical care nursing. TOP: Nursing Process Step: N/A

MSC: NCLEX: Safe, Effective Care Environment