(Test Bank) Introduction To Critical Care Nursing

Sole, 7

Nursing

Test Bank

7th Edition

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Test Bank for Introduction To Critical Care Nursing, The downloadable file consists of 413 pages, and the total size of the file is 2.87 MB. Purchase now only for highly discounted price.

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Studocu is not sponsored or endorsed by any college or university Stuvia 1112010 test bank for introduction to critical care nursing 7th edition by sole Psychiatric/Mental Health Nursing (Nevada State College) Studocu is not sponsored or endorsed by any college or university Stuvia 1112010 test bank for introduction to critical care nursing 7th edition by sole Psychiatric/Mental Health Nursing (Nevada State College) Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 TEST BANK - INTRODUCTION TO CRITICAL CARE NURSING 7E (SOLE 2022) Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: briana1827 | briana1827@gmail.com Distribution of this document is illegal ST BANK FOR INTRODUCTION TO ITICAL CARE NURSING 7TH EDITION BY SO Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 1 Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Introduction to Critical Care Nursing 7e (Sole 2016 ) 1 Downloaded by: briana1827 | briana1827@gmail.com Distribution of this document is illegalTableof Contents Table of Contents 1 Chapter 01: Overview of Critical Care Nursing 2 Chapter 02: Patient and Family Response to the Critical 1C4areExperi Chapter 03: Ethicaland Legal Issues in Critical Care Nursing 30 Chapter 04: Palliative and End-of-Life Care 42 Chapter 05: Comfort and Sedation 56 Chapter 06: Nutritional Therapy 69 Chapter 07: Dysrhythmia Interpretation and Management 83 Chapter 08: Hemodynamic Monitoring 117 Chapter 09: Ventilatory Assistance 137 Chapter 10: Rapid Response Teams and Code Management 156 Chapter 11: Organ Donation 171 Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction 18S9yndrom e Chapter 13: Cardiovascular Alterations 207 Chapter 14: Nervous System Alterations 225 Chapter 15: Acute Respiratory Failure 243 Chapter 16: Acute Kidney Injury 260 Chapter 17: Gastrointestinal Alterations 285 Chapter 17: Hematological and Immune Disorders 312 Chapter 19: Endocrine Alterations 341 Chapter 20: Trauma and Surgical Management 361 Chapter 21: Burns 377 Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 Chapter 01: Overview of Critical Care Nursing MULTIPLE CHOICE 1. Which of the following professional organizations best support s critical care a. American Association of Critical-Care Nurses b. American c. American d. Society of ANS: AHeart Association Nurses Association Critical Care Medicine The American Association of Critical-Care critical care nurses. The American Heart Associa Association supports all nurses. The Societ care team under the direction of anNurses is the tion supports of Critical Care intensivist.specialty organization cardiovascular initiatives. Medicine represents DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: TOP:Discuss the purposes Nursing Process Step: N/Aand functions of the professional organizations that MSC: NCLEX: Safe and Effective Care Environment 2. A nurse has been working as a staff nurse in the surgical intensiv certification. Which credential would be most applicabl e for her to seek? a. ACNPC b. CCNS c. CCRN d. PCCN OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care EnvironmentANS: C The CCRN certification is appropriate for nurses in bedside practice who care for ACNPC certification is for acute care nurse practitioners. The CCN S certification nurse specialists. The PCCN certification is for staff nurses work ing in progres step-down unit settings. DIF: Cognitive Level: Application REF: p. 5 Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 3. The main purpose of certification is to: a. assure the consumer that you will not make a mistake. b. prepare for graduate school. c. promote magnet status for your facility. d. validate knowledge of ANS: Dcritical care nursing. Certification assists in validating knowledge of the field, promotes excellence nurses to maintain their knowledge of critical care nursing. Certification helps to nurse has a minimum level of knowledge; however, it does not en sure Certification does not prepare one for graduate school; howev er, achieving certific DIF: Cognitive Level: Analysis REF: pp. 4-5 OBJ: Explain certification options for critical care nurses. TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment 4. The synergy model of practice focuses on: t, OBJ: Describe standards of professional practice for critical care nursing. TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment 5. The family of your critically ill patient tells you that t hey have not hours and they have some questions that they want clarified. Durin g morning to the attending intensivist and arrange for her to meet with the family Which competency of critical care nursing does this represe nt?motivation for achievement and professionalism.Magnet facilities are rated on the however, that is not the purpose of certification. 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. ANS: C The synergy model of practice states that the needs of patients and families influence of nurses. Nursing practice based on the synergy model would involve tailored visiting to meet familys needs and of the model.application of alternative therapies if desired by the patien DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3 Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 a. Advocacy and moral agency in solving ethical issues b. Clinical judgment and clinical reasoning skills c. Collaboration with patients, families, and team members d. Facilitation of learningfor patients, families, and team me mbers ANS: C Although one might consider that all of these competencies are being address collaboration with the family and physician best exemplif y the competency of DIF: Cognitive Level: Analysis REF: p. 9 OBJ: Describe standards of professional practice for critical care nursing. TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment 6. The AACN Standards for Acute and Critical Care Nursing Practice use what framew care nursing practice? a. Evidence-based practice b. Healthy work environment c. National Patient Safety Goals d. Nursing process ANS: D The AACN Standards for Acute and Critical Care Nur sing Practice delineate the nursing critically ill patients: collect data, de termine diagnoses, identify expected outcom implement interventions, and evaluate care. AACN promotes a healthy work environ included in the Standards. The Joint Commission has estab lished National not the AACN Standards. DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2 OBJ: Describe standards of professional practice for critical care nursing. TOP: Nursing Process Step: N/A MSC: NC LEX: Safe and Effective Care Environment 7. The charge nurse is responsible for making the patient assign ments on the experienced, certified nurse to care for the acutely ill patient with sepsis who replacement therapy and mechanical ventilation. She assigns the nurse with less than two patients who are more stable. This assignment reflects implementation of the: a. crew resource management model Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 b. National Patient Safety Goals c. Quality and Safety Education for Nurses (QSEN)model d. synergy model of practice ANS: D This assignment demonstrates nursing care to meet the needs of t he patient. The nurse competencies are matched to the patient characteristics. Crew resource manage team training, National Patient Safety Goals are specified by The Joint Comm i do not incorporate the synergy model. The Quality and Safety Education for Nurses education to undergraduate and graduate nursing studentsto lea rn quality and safety DIF: Cognitive Level: Analysis REF: p. 5 | Fig. 1-3 OBJ: Describe standards of professional practice for critical care nursing. TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment 8. The vision of the American Association of Critical-Care Nurses is a a. a healthy work environment. multiprofessional team under the direction of a criti critically ill patients and families. d. respectful, healing, and humane environments. ANS: C The AACN vision is a healthcare system driven by the needs of critically care nurses make their optimum contributions. AACN promotes i nitiatives to support environment as well as respectful and healing environments, but that is not SCCM promotes care from a multiprofessional team under the directi on of DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: Discuss the purposes and functions of the professional organ izations that TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment 9. 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 diversit needs of patients.b. care from a c. the needs of Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 d. reduce patient errors. ANS: D Many errors are directly attributed to faulty communication. Effective communication has essential strategy to reduce patient errors and resolve issues related to patient care deliver may demonstrate caring practices, be used for patient/family teaching, and address the main outcome of effective communic ation is patient safety. DIF: Cognitive Level: Knowledge REF: pp. 8-9 OBJ: Describe quality TOP: Nursing Process Step: 10. You are caring thorough patient assessment, you call the intensivistcritical care nursing. Effective Care Environmentand safety initiatives related to N/A MSC: NCLEX: Safe and for a critically ill patient Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 whose urine output has been with the following report. Mrs. P., your 65-year-old patient in CCU 10. Her urine output for the past arrived from surgery to repair an aortic aneurysm 4 ho urs ago and remains on past 2 hours, her heart rate has increased from 80 to 100 beats per decreased from 128/82 to 100/70 mm Hg. She is being given an infusion of Her right atrial p ressure through the subclavian central line is low at 3 BUN and creatinine levels have been stable and in normal range . Her abdominal indication of bleeding. My assessment suggests that Mrs. P. is hypo vo a fluid challenge. Using the SBAR model patients history and vital signs is: a. Situation b. Background c. Assessment d. Recommendation ANS: B The history and vital signs are part of the background. Informati on regarding situation. Information regarding possiblehypovolemia is part of the nurses assessm fluids is the recommendation. DIF: Cognitive Level: Analysis REF: pp. 8-9 OBJ: Describe quality and safety initiatives related to crit ical care nursing. TOP: Nursing Process Step: Assessment MSC: NCLEX: Safe and Effective Care Environ 11. The family members of a critically ill, 90-year-old patient bring in hospital, which identifies the patients wishes regarding health care. You discuss content the patients physician. This is an example of implementation of which of Performance? a. Acquires and maintains current knowledge of practiceincreasing her fluids or giving her information the nurse gives about the Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 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 findingsin prac tice ANS: B Discussing end-of-life issues is an example of a nurse acting ethica lly example does not relate to acquiring knowledge, promoting pa tient safety, or DIF: Cognitive Level: Analysis REF: p. 5 | OBJ: Describe standards of care and performance TOP: Nursing Process Step: Implementation MSC: NCLEX: Safe and Effective 12. Which of the following assists research? a. Clinical practice guidelines b. Computerized physician order entry c. Consulting with advanced practice nurses d. Implementing Joint Commission National Patient Safety Goals ANS: A Clinical practice guidelines are being implemented to ensure that care is appropriate Some physician order entry pathways, but not all, are based on rese arch versed in evidence-based practices. The Nationa evidence-based practices. DIF: Cognitive Level: Analysis REF: p. 7 OBJ: Describe standards of professional practice for critical care nursing. TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment 13. Comparing the patients current (home) medications with those ordered during hospitalization communicating a complete list organization or to another setting a. improve accuracy of patient identification. b. prevent errors related to look-alike and sound-alike medic ations.Box 1-2 for critical care nursing. Care Environment the critical care nurse in ensuring that practice nurses, but not all, are well recommendations to reduce errors using of medications to the next provider when are strategies to: Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 c. reconcile medications across the continuum of care. d. reduce harms associated with administration of antico agulants. ANS: C These are steps recommended in the National Patient Safety Goa ls to reconcile continuum of care. Improving accuracy of patient identificati on is another Nationa Preventing errors related to look-alike and sound-alike medicat ions is done to medication reconciliation. Reducing harms associated w ith administration of anticoagulants Patient Safety Goal. Comprehension REF: p. 6 | Box 1-3 a. bundle of care. b. clinical practice guideline. c. patient safety goal. d. quality improvement initiative. part of patient safety goals. DIF: Cognitive Level: Analysis REF: p. 6 OBJ: Describe quality and safety initiatives related to crit ical care nursing. TOP: Nursing Process Step: Implementation MSC: NCLEX: Safe and Effective Care Environment 15. You work in an intermediate care often considered to be an autocratic turnover. You have asked to be involved in developing new guide lines patient population. prevention taskdo not yet have example of: a. a barrier to handoff communication.DIF: Cognitive Level: OBJ: Describe quality and TOP: Nursing Process Step: N/Asafety initiatives MSC: NCLEX:related Safeto andcritical care Effectivenursing. Care Environment 14. As part of nursing management of a critically ill patient, orders are elevated at 30 degrees,awaken the patient from sedation each morning to mechanical ventilation, and implement oral care protocols ev ery 4 hours. These group to reduce the risk of ventilator-associated pneumonia. Th is group of evidenc often called a: ANS: AA group of evidence-based interventions done as a whole to improve outcom is an example of the ventilator bundle. Oftentimes these bun dles are derived and are monitored for compliance as part of quality improveme nt initiatives. unit that has experienced high nursing leader by staff members and her The nurse manager tells you that you force. This situation and setting is an Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 b. a work c. ineffective d. nursing practice that is not evidence-based. collaboration, and effective decision making. It also has authentic leadership. communication, which is communication that occurs to transition patient care f rom one another. Neither does it relate to ineffective decision making. As a nurse, you based practice, but your influence in the unit is limited by the unhealt DIF: Cognitive Level: Analysis REF: p. 7 OBJ: Describe standards of professional practice for critical care nursing. TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment 16. Which of the following statements describes the core concep t of the a. All nurses must be certified in order to have the synergy model impl b. Family members must be included in daily interdisciplinary rounds. c. Nurses and physicians must work collaboratively and synergist ically to influence d. Unique needs of patients and their families influence nursing competencies. ANS: D The synergy model of practice is care based on the unique needs and characteristics members. Although critical care certification is based on the synergy model, the address certification. Inclusion of family m embers into the daily rounds is an synergy model. With the focus on patients and family members with nurse interaction, not address physician collaboration. DIF: Cognitive Level: Application REF: p. 5 | Fig. 1-3 OBJ: Describe standards of professional practice for critical care nursing. TOP: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 17. A nurse who plans care based on the patients gender, ethnicity, spirituality, a. be a moral advocate. b. facilitate learning.environment that is unhealthy. decision making. ANS: B These are examples of an unhealthy work environment. A healthy work environ Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903 c. respond to diversity. d. use clinical judgment. ANS: C Response to diversity considers all of these aspects when planni ng and resolve ethical and clinical concerns. Consideration of these f actors does not necessarily Clinical judgment uses other factors as well. DIF: Cognitive Level: Comprehension REF: p. 3 | Box 1-1 OBJ: Describe standards of professional practice for critical care nursing. TOP: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity MULTIPLE RESPONSE 1. Which of the following is a National Patient Safety Goa l?(Select all 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. ANS: A, C, D All except for eliminating use of restraints are current National Patient Safety regarding Patient Safetyuse Goal.of restraints and are attempting to reduce the use of DIF: Cognitive Level: Analysis REF: p. 6 | Box 1-3 OBJ: Describe quality and safety initiatives related to crit ical care nursing. TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment 2. Which of the following is (are) official journal(s) of the American (Select 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 Downloaded by Victor Muia (vmuia463@gmail.com) lOMoARcPSD|22689903