Chapter 01: Caring for the Critically Ill Patient

Chapter 01: Caring for the Critically Ill Patient

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

 

1. Which of the following best describes the difference between the roles of the clinical nurse specialist (CNS) and the acute care nurse practitioner (ACNP)?

a.	The CNS has prescriptive authority and works with individual patients.
b.	The ACNP has prescriptive authority and works with groups of patients.
c.	The CNS works only as a consultant.
d.	The ACNP works only with families.

 

ANS:   B

ACNPs manage clinical care of a group of patients and have various levels of prescriptive authority, depending on the state and practice area in which they work. They also provide care consistency; interact with families; plan for patient discharge; and provide teaching to patients, families, and other members of the heath care team.

 

DIF:    Cognitive Level: Comprehension       REF:    1

OBJ:    Nursing Process: Implementation       TOP:    Advanced Practice

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

2. The framework for critical care nurses is based on what authoritative standards?

a.	The Joint Commission’s National Patient Safety Goals
b.	American Association of Critical-Care Nurses (AACN) Standards of Care
c.	American Hospital Association algorithms
d.	Centers for Disease Control and Prevention Emergency Preparedness Guidelines

 

ANS:   B

The AACN has established nursing standards to provide a framework for critical care nurses. The standards are authoritative statements that describe the level of care and performance by which the quality of nursing care can be judged. Standards serve as descriptions of expected nursing roles and responsibilities.

 

DIF:    Cognitive Level: Knowledge REF:    1

OBJ:    Nursing Process: Implementation       TOP:    Standards of Care

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

3. The rationale for using evidence-based practice is to:

a.	produce consistent, positive outcomes.
b.	justify the actions of providers.
c.	convince insurance companies to pay.
d.	provide legal protection for providers.

 

ANS:   A

By basing practice on scientific findings, with their ability to explain and predict, nurses are able to provide research-based interventions with consistent, positive outcomes.

 

DIF:    Cognitive Level: Comprehension       REF:    2

OBJ:    Nursing Process: Implementation       TOP:    Evidence-based Practice

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

4. Practice Alerts promoted by the AACN are:

a.	descriptive warnings of hazardous practices.
b.	quick references for practice areas.
c.	notices of violations of the Nursing Practice Act.
d.	simulated situations for practicing difficult techniques.

 

ANS:   B

The AACN has promulgated several practice summaries in the form of Practice Alerts. These alerts are short directives that can be used as a quick reference for practice areas (e.g., oral care, noninvasive blood pressure monitoring, ST-segment monitoring). They are succinct and supported by evidence and address both nursing and multidisciplinary activities. Each alert includes the clinical information, followed by references that support the practice.

 

DIF:    Cognitive Level: Comprehension       REF:    2

OBJ:    Nursing Process: Implementation       TOP:    Evidence-based Practice

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care