Test Bank for Priorities in Critical Care Nursing 9th Edition Urden
Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
- The chief nurse executive is organizing a team to address an organizational increase in
- Registered nurse
- Advanced practice nurse
- Clinical nurse leader
- Intensivist
catheter-associated urinary tract infections. What type of practitioner would be appropriate choice to lead this system-wide team?
ANS: B
An advanced practice nurse (APN) manages complex clinical and systems issues and would be an appropriate choice to lead the team. An intensivist is a medical practitioner who manages critical ill patients. A registered nurse (RN) is generally a direct care provider. A clinical nurse leader (CNL) generally does not manage system issues. An intensivist may be asked to consult with the team and the RN and CNL may be asked to join the team but none of them would be the most appropriate to lead the team.
PTS: 1 DIF: Cognitive Level: Applying OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential
- An employee health practitioner i
- Clinical nurse specialist
- Nurse anesthetist
- Registered nurse
- Nurse practitioner
T s B co E n X ce A rn M e .d C ab O o M ut the increase in work-related injuries and is organizing a team to address safe patient handling. What type of practitioner would be the most appropriate choice to lead this team?
ANS: A
A clinical nurse specialist (CNS) would be the most appropriate choice to lead this team.CNSs make good team leaders as they can use their clinical, teaching, research, consultative and leadership abilities to address the problem. Nurse anesthetists administer anesthesia and would not be the most appropriate choice to lead the team. Registered nurses are generally direct care providers and would be appropriate to include on the team but not the most appropriate choice to lead the team. Nurse practitioners (NPs) manage direct clinical care of groups of patients and would not be the most appropriate choice to lead the team.
PTS: 1 DIF: Cognitive Level: Evaluating OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiologic Integrity: Reduction of Risk Potential 1 / 4
- A registered nurse working in the intensive care unit has decided to become certified as a
- State Board of Registered Nurses
- National Association of Clinical Nurse Specialist
- Society of Critical Care Medicine
- American Association of Critical-Care Nurses Certification Corporation
critical care nurse. Which professional organization should the nurse contact for more information about the certification exam?
ANS: D
The American Association of Critical-Care Nurses (AACN) Certification Corporation develops and administers many critical care specialty certification examinations for registered nurses and advanced practice 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 certification exams for registered nurses.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
- The American Association of Critical-Care Nurses (AACN) has developed short directives
- Critical care protocols
- Practice policies
- Evidence-based research directives
- Practice alerts
that can be used as quick references for clinical use. What are these documents called?
ANS: D
The American Association of Critical-Care Nurses (AACN) has promulgated several evidence-based practice summaries in the form of “practice alerts.” Critical care protocols and practice policies are established by individual organizations. Evidence-based research directives are a generic name for several different types of documents.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step: Planning TOP: Caring for the Critically Ill Patient MSC: NCLEX: Safe and Effective Care Environment: Management of Care
- A patient has been diagnosed with cancer and has decided to stop chemotherapy as it is not
- Alternative
- Holistic
- Complementary
- Individualized
working. The patient asks the health care practitioner if there are any other therapies available. The practitioner recommends the patient seek what type of therapy?
ANS: A 2 / 4
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: Applying OBJ: Nursing Process Step: Implementation
TOP: Caring for the Critically Ill Patient
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
- A patient with cancer receiving chemotherapy has incorporated guided imagery and
- Alternative therapy
- Holistic care
- Complementary care
- Individualized care
massage into their treatment plan. These therapies are examples of what type of treatment?
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 stat T us B .
EXAM.COM
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
- A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
- Tele-nursing
- Tele-ICU
- Tele-informatics
- Tele-hospital
assisting with monitoring and care of the patient from the closest major city. What is this type of practice termed?
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 site.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: N/A
TOP: Caring for the Critically Ill Patient 3 / 4
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
- Which core competency for interprofessional practice can be described as working with
- Interprofessional teamwork and team-based care
- Values and ethics for interprofessional practice
- Interprofessional communication
- Roles and responsibilities for collaborative practice
individuals of other professions to maintain a climate of mutual respect and shared values?
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: Management of Care
- The leadership team of the intensiT
- Inappropriate care
- Intimidating and disruptive clinician behavior
- Injury to patients by falls
- Medication errors
vB e cE aX reA uM n.itC isO rM eviewing the quality issues that have occurred over the last six months. Which situation continues to be one of the most problem-prone for critical care nurses?
ANS: D
Medication errors continue to be one of the most problem-prone nursing interventions for critical care nurses. Intimidating and disruptive clinician behaviors, inappropriate care, and injury to patients by falls are also problems that can occur however, medication errors continue to be the most prevalent.
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
- A nurse is performing an assessment on a patient being admitted to the hospital. The nurse
- Sex assigned at birth
- Gender identity
- / 4
asks the patient about their inner sense of being male, female, or something else. What information is the nurse trying to elicit from the patient?