(Test Bank) Critical Care Nursing

Urden, 8

Nursing

Test Bank

8th Edition

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Test Bank for Critical Care Nursing, The downloadable file consists of 457 pages, and the total size of the file is 4.22 MB. Purchase now only for highly discounted price.

Author(s): Urden

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Critical Care Nursing 8th Edition Urden Test Bank Critical Care Nursing 8th Edition Urden Test Bank Chapter 01: Critical Care Nursing Practice Urden: Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. During World War II, what type of wards were developed to care for critically injured patients? a. Intensive care b. Triage c. Shock d. Postoperative ANS: C During World War II, shock wards were established to care for critically injured patients. Triage wards establish the order in which a patient is seen or treated upon arrival to a hospital. Postoperative wards were developed in 1900 and later evolved into intensive care units. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 1 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 2. 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: Remembering REF: p. 2 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 3. 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 Critical Care Nursing 8th Edition Urden Test Bank 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 pr actice 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 group s of patients. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 4. 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 Criti cal Care Medicine (SCCM) does not administer nursing certification exams for registered nurses. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and EffecNtivUeRCSarIe ENnGviTroBnm.eCntOM 5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are interdependent and inseparable. This statement describes which methodology of care? a. Holistic care b. Individualized care c. Cultural care d. Interdisciplinary care ANS: A 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. Cultural diversity in health care is not a new topic, but it is gaining emphasis and importance as the world becomes more accessible to all as the result of increasing technologies and interfaces with places and peoples. Interdisci plinary care is care among a variety of health care professionals with the patient’s health as the common goal. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 4 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 6. 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 Critical Care Nursing 8th Edition Urden Test Bank MSC: NCLEX: Safe and Effective Care Environment U S N T O 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. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 7. 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. H olistic care focuses on human integrity and stresses that the body, mind, and spirit are interdependent andNinseRparIableG. InBdi.viCduaMlized care recognizes the uniqueness of each patient’s preferences, condition, and physiologic and psychosocial status. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 4 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 8. Prayer, guided imagery, and massage are all 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. Spirituality, prayer, 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 co nsidered 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 REF: p. 4 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice Critical Care Nursing 8th Edition Urden Test Bank MSC: NCLEX: Safe and Effective Care Environment U S N T O 9. What is the systematic decision -making model used by nurses termed? a. Nursing diagnosis b. Nursing interventions c. Nursing evaluations d. Nursing process ANS: D The nursing process is a systematic decision -making model that is cyclic, not linear. An essential and distinguishing feature of any nursing diagnosis is that it describes a health condition. Nursing interventions constitute the treatment approach to an identified health alteration. Evaluation of attainment of the expected patient outcomes occurs formally at intervals designated in the outcome criteria. PTS: 1 DIF: Cognitive Level: Understanding REF: n/a OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 10. What is a health condition primarily resolved by nursing interventions or therapies called? a. Nursing diagnosis b. Nursing interventions c. Nursing outcomes d. Nursing process ANS: A An essential and distinguishing feature of any nursing diagnosis is that it describes a health condition. Nursing interventions constitute the treatment approach to an identified health alteration. Evaluation of attaiNnmeRnt oIf thGe exBp.ecCtedMpatient outcomes occurs formally at intervals designated in the outcome criteria. The nursing process is a systematic decision -making model that is cyclic, not linear. PTS: 1 DIF: Cognitive Level: Remembering REF: n/a OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 11. Designing therapeutic activities that move a patient from one state of health to another is an example of which of the following? a. Nursing diagnosis b. Nursing interventions c. Nursing outcomes d. Nursing process ANS: B Nursing interventions constitute the treatment approach to an identified health alteration. An essential and distinguishing feature of any nursing diagnosis is that it describes a health condition. Evaluation of attainment of the expected patient outcomes occurs formally at intervals designated in the outcome criteria. The nursing process is a sy stematic decision -making model that is cyclic, not linear. PTS: 1 DIF: Cognitive Level: Remembering REF: n/a OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice Critical Care Nursing 8th Edition Urden Test Bank U S N T O 12. 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 ar e limited resources onsite. However, experts (critical care nurses, intensivists) are located in a central distant site. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5 OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 13. 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 interproNfesRsionIal pGractBic.e CmeaMn 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 effectiv ely 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 REF: p. 5|Box 1-5 OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 14. What is the stepwise decision -making flowchart for a specific care process named? a. Algorithm b. Practice guideline c. Protocol d. Order set ANS: A Critical Care Nursing 8th Edition Urden Test Bank An algorithm is a stepwise decision -making flowchart for a specific care process or processes. A practice guideline is usually created by an expert panel and developed by a professional organization. Protocols are more directive and rigid than guidelines, and providers are not supposed to vary from a protocol. An order set consists of preprinted provider orders that are used to expedite the order process after a standard has been validated through analytic review of practice and research. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 6 OBJ: Nursing Process Step: Intervention TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 15. 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: Remembering REF: p. 7 OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and EffecNtivUeRCSarIe ENnGviTroBnm.eCntOM 16. 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 is patient’s 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 ve ry close work environments, tight working spaces, and emergency situations. A patient’s unconscious state is not a reason for another patient’s care to be discussed in his or her presence. Research shows hearing is the last sense to deteriorate. Occupational Safety and Health Administration (OSHA) has to do with safety in the workplace, not privacy and confidentiality. PTS: 1 DIF: Cognitive Level: Applying REF: p. 8 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment Critical Care Nursing 8th Edition Urden Test Bank U S N T O MULTIPLE RESPONSE 1. What considerations are taken into account in evidence -based nursing practice? (Select all that apply. ) a. Clinical expertise of the nurse b. Availability of staff and facility equipment c. Research evidence on the topic d. Patient knowledge of the disease e. Patient preference regarding care ANS: A, C, E Evidence -based nursing practice considers the best research evidence on the care topic along with clinical expertise of the nurse and patient preferences. For instance, when determining the frequency of vital sign measurement, the nurse would use available research and nursing judgment (stability, complexity, predictability, vulne rability, and resilience of the patient). Availability of staff and facility equipment and the patient’s knowledge of the disease do not factor into evidence -based nursing practices. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3 OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 2. The concept of diversity encompasses what thoughts and actions? ( Select all that apply. ) a. Sensitivity to ethnic differences b. Openness to different lifestyles c. Openness to different valNuesR I G B.C M d. Reticence to different beliefs e. Lack of concern regarding different opinions ANS: A, B, C Diversity includes not only ethnic sensitivity but also sensitivity to openness to difference lifestyles, opinions, values, and beliefs. Reticence and lack of concern are not part of the concept of diversity. PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 4 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 3. According to American Association of Critical -Care Nurses, what are the responsibilities of a critical care nurse? ( Select all that apply. ) a. Respecting the values, beliefs, and rights of the patient b. Intervening when the best interest of the patient is in question c. Helping the patient obtain necessary care d. Making decisions for the patient and patient’s family e. Monitoring and safeguarding the quality of care the patient receives f. Acting as a gatekeeper for the patient, the patient’s family, and other health care professionals ANS: A, B, C, E Critical Care Nursing 8th Edition Urden Test Bank American Association of Critical -Care Nurses (AACN) critical care nurse role responsibilities include respecting the values, beliefs, and rights of the patient; intervening when the best interest of the patient is in question; helping the patient obtain necessary care; and monitoring and safeguarding the quality of care the patient receives. The nurse is not to make decisions for the patient or the patient’s family but should support their decisions. The nurse should act as a liaison, not a gatekeeper, for the patient and the patient’s family and other health care professionals. PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 2|Box 1-1 OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment 4. According to Kupperschmidt, what factors are needed to become a skilled communicator? (Select all that apply. ) a. Becoming candid b. Becoming reflective c. Setting goals d. Surveying the team e. Becoming aware of self-deception ANS: A, B, E Kupperschmidt and colleagues posed a five -factor model for becoming a skilled communicator: becoming a ware of self -deception, becoming authentic, becoming candid, becoming mindful, and becoming reflective, all of which lead to being a skilled communicator. The HWE model was offered by Blake, who suggested five steps: rallying the team, surveying the team, establishing work groups, setting goals and developing action steps, and celebrating successes aloNng tRhe wIayG. B.C M U S N T O PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 9 OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: Safe and Effective Care Environment Critical Care Nursing 8th Edition Urden Test Bank Chapter 02: Ethical Issues Urden: Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. What is the difference between ethics and morals? a. Ethics is more concerned with the “why” of behavior. b. Ethics provides a framework for evaluation of the behavior. c. Ethics is broader in scope than morals. d. Ethics concentrates on the right or wrong behavior based on religion and culture values. ANS: A Ethics are concerned with the basis of the action rather than whether the action is right or wrong, good or bad. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 12 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 2. A patient’s wife has been informed by the practitioner that her spouse has permanent quadriplegia. The wife states that she does not want anyone to tell the patient about his injury. The patient asks the nurse about what has happened. The nurse has conflicting emotions about how to handle the situation. What is the nurse experiencing? a. Autonomy b. Moral distress c. Moral doubt d. Moral courage ANS: B NURSINGTB.COM The nurse has been placed in a situation initially causing moral distress and is struggling with determining the ethically appropriate action to take. Moral courage is the freedom to advocate for oneself, patien ts, and peers. Autonomy is an ethical principle. Moral doubt is not part of the American Association of Critical -Care Nurses (AACN) framework. The 4A’s to Rise Above Moral Distress . PTS: 1 DIF: Cognitive Level: Understanding REF: p. 12 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 3. By what action can critical care nurses can best enhance the principle of autonomy? a. Presenting only the information to prevent relapse in a patient b. Assisting with only tasks that cannot be done by the patient c. Providing the patient with all of the information and facts d. Guiding the patient toward the best choices for care ANS: C Patients and families must have all the information about a certain situation to make an autonomous decision that is best for them. PTS: 1 DIF: Cognitive Level: Applying REF: pp. 15-16 Critical Care Nursing 8th Edition Urden Test Bank U S N T O OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 4. Which ethical principle is most importan t when soliciting informed consent from a patient? a. Nonmaleficence b. Fidelity c. Beneficence d. Veracity ANS: D Veracity is important when soliciting informed consent because the patient needs to be aware of all potential risks of and benefits to be derived from specific treatments or their alternatives. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 15 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 5. The principle of respect for persons incorporates what additional concepts? a. Confidentiality and privacy b. Truth and reflection c. Autonomy and justice d. Beneficence and nonmaleficence ANS: A Confidentiality of patient information and privacy in patient interact ions must be protected and honored by health care providers out of respect for persons. Confidentiality is a right involving the sharing of patieNnt iRnforImaGtionBw.itCh onMly those involved in the patient’s care. Privacy includes confidentiality but goes further to include the right to privacy of person and personal space, such as ensuring that a patient is adequately covered during a procedure. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 16 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 6. Which action best reflects the concept of beneficence within the critical care setting? a. Advocating for equitable health care b. Promoting for safe patient care c. Ensuring equal access for those with the same condition or diagnosis d. Confirming technologic advances are available to all in a given community ANS: B Advocating for patient safety is an example of beneficence. The other actions are examples of justice. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 15|Box 2-2 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 7. Which statement best describes the concept of paternalism? a. Encouraging the patient to ambulate after surgery b. Demanding the patient get out of bed to sit in a chair Critical Care Nursing 8th Edition Urden Test Bank c. Following the patient’s advance directive despite family objections d. Administering antibiotics for a viral infection ANS: B Encouraging the patient to ambulate after surgery is an example of beneficence. Demanding the patient get out of bed to sit in a chair is an example of paternalism. Following the patient’s advance directive despite family objections is an example of autonomy. Administering antibiotics for a viral infection is an example of physiologic futility. PTS: 1 DIF: Cognitive Level: Applying REF: p. 18 OBJ: Nursing Process Step: General TOP : Ethics MSC: NCLEX: Safe and Effective Care Environment 8. Which statement regarding the Code of Ethics for Nursing is accurate? a. The Code of Ethics for Nurses is usurped by state or federal laws. b. It allows the nurse to focus on the good of society rather than the uniqueness of the patient. c. The Code of Ethics for Nurses was recently adopted by the American Nurses Association. d. It provides society with a set of expectations of the nursing profession. ANS: D The Code of Ethics for Nursing provides a framework for the nurse to follow in ethical decision making and provides society with a set of expectations of the profession. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 19 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and EffecNtiveRCarIe EnGviroBnm.eCnt M U S N T O 9. Ethical decisions are best made by performing which action? a. Following the guidelines of a framework or model b. Having the patient discuss alternatives with the practitioner or nurse c. Prioritizing the greatest good for the greatest number of persons d. Studying by the Ethics Committee after all diagnostic data are reviewed ANS: A To facilitate the ethical decision -making process, a model or framework must be used so that all involved will consistently and clearly examine the multiple ethical issues that arise in critical care. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 20 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 10. What is the first step of the ethical decision -making process? a. Consulting with an authority b. Identifying the health problem c. Delineating the ethical problem from other types of problems d. Identifying the patient as the primary decision maker ANS: B Critical Care Nursing 8th Edition Urden Test Bank Step one involves identifying the major aspects of the patient’s medical and health problems. Consulting an authority is not always necessary in the process. Delineating the ethical problem from other types of problems may not be necessar y. Identification of the patient as primary decision maker is not part of the process. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 20 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 11. Truth -telling is an example of what ethical principle? a. Justice b. Beneficence c. Autonomy d. Nonmaleficence ANS: C Truth telling is an example of autonomy. PTS: 1 DIF: Cognitive Level: Understanding REF: p. 15|Box 2-2 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Psychosocial Integrity 12. A practitioner is suggesting treatments to a patient that are contrary to the patient’s preferences. What is this practice called? a. Invaluable deficiency b. Physiologic uselessness c. Ethical futility d. Situational insufficiency NURSINGTB.COM ANS: C Ethical futility is treatment that will not serve the underlying interests, values, and preferences of the patient such as when a practitioner’s idea of benefit is contrary to the values and preferences of the patient. PTS: 1 DIF: Cognitive Level : Remembering REF: p. 18 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 13. Institutional ethics committees (IECs) review ethical cases that are problematic for the practitioner. What is the major function of an IEC? a. Consultation with purely binding recommendations b. Support and education to health care providers c. Conflict resolution for moral dilemmas d. Recommendations that are binding in all cases ANS: B The Institutional Ethics Committee (IEC) can function in a variety of ways, serving as consultants, providing education, and helping resolve ethical conflicts or dilemmas for health care providers. Recommendations from the formal IEC may or may not be bind ing and are relative to the situation at hand. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 22 Critical Care Nursing 8th Edition Urden Test Bank OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 14. Developing an organizational policy that supports unobstructed access to the ethics committee by health care team members is one example of a proactive approach to dealing with what issue? a. Moral distress b. Surrogate decision -makers c. Paternalism d. Patient advocacy ANS: A Every organization must develop policies that support unobstructed access to resources such as the ethics committees to mitigate the harmful effects of moral distress in the pursuit of creating a healthy work environment. PTS: 1 DIF: Cognitive Level: Remembering REF: pp. 12-13|Box 2-1 OBJ: Nursing Process Step: Assessment TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 15. A patient’s wife has been informed by the practitioner that her spouse has permanent quadriplegia. The wife states that she does not want anyone to tell the patient about his injury. The patient asks the nurse about what has happened. Based on which ethical principles does the nurse answer the patient’s questions? a. Veracity b. Justice c. Autonomy d. Nonmaleficence ANS: C NURSINGTB.COM Autonomy is a freedom of choice or a self-determination that is a basic human right. It can be experienced in all human life events. PTS: 1 DIF: Cognitive Level: Remembering REF: pp. 15-16 OBJ: Nursing Process Step: Assessment TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 16. The nurse is using the SFNO approach to case analysis to facilitate ethical decision making. What justification criteria may be used to help explain the reasons for selection of one option over a nother? a. Effectiveness b. Usefulness c. Legal ramifications d. Economics ANS: A Justification criteria may be helpful in explaining the reasons for selecting one or two options as superior. These include necessity, effectiveness, proportionality, least infringement, and proper process. Usefulness, legal ramifications, and economics are not part of the criteria. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 21|Box 2-8 OBJ: Nursing Process Step: Assessment TOP: Ethics Critical Care Nursing 8th Edition Urden Test Bank U S N T O MSC: NCLEX: Safe and Effective Care Environment 17. The nurse is using the SFNO approach to case analysis to facilitate ethical decision making. Which question is important to ask when considering stakeholders? a. Are there reasons to give priority to one stakeholder over another? b. Will the stakeholders abide by the decision? c. Will the stakeholders want to be present during the ethics consultation? d. Do the stakeholders understand how to use the SFNO model? ANS: A In the SFNO model, questions about stakeholders include: • Who has a stake in the decision being made? Why? • Who will be significantly affected by the decision made? Why? Please be specific. • Are there reasons to give priority to one stakeholder over another? The other questions are not relevant to this process. PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 21|Box 2-8 OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Which of the following is/are criteria for defining an ethical dilemma? ( Select all that apply. ) a. An awareness of different options b. An issue in which only one viable option exists c. The choice of one optio nNcomRproImisGes tBhe.oCptioMn not chosen d. An issue that has different options ANS: A, C, D The criteria for identifying an ethical dilemma are threefold: (1) an awareness of the different options, (2) an issue that has different options, and (3) the choice of one option over another compromises the option not chosen. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 21|Box 2-8 OBJ: Nursing Process Step: Assessment TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment 2. Which situations are early signs of an ethical dilemma? (Select all that apply. ) a. Disagreements among health care team members b. Failure to discuss end-of-life issues with patient c. Aggressive pain management d. Belief that treatment is harmful e. Following the patient’s advance directive despite family objections f. Providing hope to the patient’s family ANS: A, B, D Disagreements among health care team members, failure to discuss end -of-life issues with patient, and belief that treatment is harmful are early signs or indicators of an ethical dilemma. PTS: 1 DIF: Cognitive Level: Applying REF: p. 19|Box 2-5 Critical Care Nursing 8th Edition Urden Test Bank OBJ: Nursing Process Step: General TOP: Ethics MSC: NCLEX: Safe and Effective Care Environment NURSINGTB.COM