CHAPTER 1

Question 1

VALUE OF CERTIFICATION

Answer 1

• to patient and family - caring for them have demonstrated experience and knowledge (licensure)
  exam)
• to employers - nurse is committed to the discipline
• to nurses - with sense of professional pride achievement, and confidence

Question 2

ORGANIZATIONS

Answer 2

• AAC (American Association of Critical Care Nurses)
• ANCC (American Nurses Credentiality Center)
• AANN (American Association of Nurse Practitioners)
• BCEN (Board of Certification for Emergency Nursing)

Question 3

STANDARDS OF CARE FOR ACUTE AND CRITICAL CARE NURSING
A, D, O, P, I, E

Answer 3

Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation

Question 4

STANDARD OF PROFESSIONAL PRACTICE

Answer 4

• Quality of care
• Individual practice evaluation - evaluates practices of staff
• Education - bachelor’s degree
• Collegiality - colleague or relationship
• Ethics
• Collaboration - with different departments
• Research - up-to-date
• Resource utilizations - respiratory therapist

Question 5

CRITICAL CARE NURSING ROLES

Answer 5

• Staff nurse
• Nurse- Educator
• Nurse- Manager
• Case Manager
• Case Nurse Specialist
• Nurse Practitioner
• Nurse Researcher

Question 6

no specialization; bedside nurses

Answer 6

Staff nurse

Question 7

health teachings

Answer 7

Nurse-Educator

Question 8

delegate, supervise, evaluate

Answer 8

Nurse- manager

Question 9

work with the multi-disciplinary health care team to measure the effectiveness of case management plan and to monitor outcomes

Answer 9

Case manager

Question 10

advanced degree or expertise and is considered to be an expert in specialized are of practice

Answer 10

Case nurse specialist

Question 11

advance education and graduate of NP program acute care (hospital) primary care (clinic, hospice care) - they will diagnose or give prescription

Answer 11

Nurse practitioner

Question 12

with advance or doctoral degree investigates nursing problems to improve nursing care to refine and expand

Answer 12

Nurse researcher

Question 13

8 Critical Care Competencies

Answer 13

1. Advocacy
2. Clinical judgement
3. Caring practice
4. Collaboration
5. Cultural diversity
6. Education
7. Clinical inquiry
8. Systems thinking

Question 14

working on others behalf or refer

Answer 14

Advocacy

Question 15

decision making and critical thinking

Answer 15

Clinical judgement

Question 16

activities that created compassionate, supportive, and therapeutic

Answer 16

Caring practice

Question 17

intradisciplinary (within unit)
and interdisciplinary (outside unit)

Answer 17

Collaboration

Question 18

Sensitivity to recognize differences

Answer 18

Cultural diversity

Question 19

create practices changes through
research utilization and experiential learning

Answer 19

Clinical inquiry

Question 20

allow the nurse to manage whatever environmental and system resources exist for the patient and family and staff

Answer 20

Systems thinking

Question 21

Critical care multidisciplinary team

Answer 21

1. Patient-care technician
2. Physical therapist
3. Occupational therapist
4. Speech pathologist
5. Wound, ostomy, and continence nurse (CNS)
6. Dietician
7. Pastoral caregiver
8. Social services worker

Question 22

• involves equipment
• provide direct and indirect health care to patients by ensuring the cleanliness of their rooms, assisting with medical treatments and basic daily needs, monitoring their health, and performing basic nursing procedures.

Answer 22

Patient- care technician

Question 23

important part of preventive care, rehabilitation, and treatment for patients with chronic conditions, illnesses, or injuries

Answer 23

Physical therapist

Question 24

evaluate and treat people who have injuries, illnesses, or disabilities. They help clients meet goals to develop, recover, improve, and maintain skills needed for daily living and working.

Answer 24

Occupational therapist

Question 25

to prevent, assess, diagnose, and treat speech, language, social communication, cognitive communication, and swallowing disorders in children and adults.

Answer 25

Speech pathologist

Question 26

provide highly-skilled acute and rehabilitative care to people with complex wounds, fecal or urinary ostomies, and incontinence.

Answer 26

Wound, ostomy, and continence nurse (CNS)

Question 27

qualified to translate scientific information about nutrition and food into practical dietary advice

Answer 27

Dietician

Question 28

refers to emotional, social and spiritual support

Answer 28

Pastoral caregiver

Question 29

practice-based profession that promotes social change, development, cohesion and the empowerment of people and communities

Answer 29

Social services worker

Question 30

EFFECTIVE CRITICAL CARE TEAM COMMUNICATION (SBAR COMMUNITY TOOL)

Answer 30

1. S- Situation - Introduce yourself, pt. details, location and purpose of call 2. B- Background - Admission details, history, meds allergies, labs, current treatments 3. A- Assessment - Subjective and objective 4. R- Recommendation - Recommended response

Question 31

COMMUNITY IDENTIFIES NEEDS OF FAMILY MEMBERS IN CRISIS

Answer 31

- Need to feel satisfied with the care given - Need for caregivers who show an interest in how the family is doing - Need to receive information about the pt. at least once a day, and assurance that someone will call the family with any changes - Need for honest Information about the patient's condition, including information about the patient's progress - Need to have understandable explanation of why things are being done - Need to see the pt. frequently and be near the pt. - Meet physical and emotional needs

Question 32

NURSING INTERVENTIONS FOR FAMILY IN CRISIS

Answer 32

1. Hope and confidence in the family's ability to deal with situation 2. Try to perceive feelings that the crisis evolves in the family 3. Demonstrate concern about the pt. and family as well as the willingness to help 4. Speak openly to patient and family about the critical illness. How? - Discuss all issues - Avoid generalization - Be honest - Avoid false reassurance - Ensure family receive information 5. Involve family in decision-making 6. Advocate for the adjustments of visiting hours - Palliative - DNR - Coma 7. Locate the space near the unit where the family can be alone and have privacy 8. Recognize patient and family's spirituality and may suggest assistance of pastoral caregiver or spiritual adviser if there is a need

Question 33

Ethico-legal of critical care

Answer 33

1. Autonomy 2. Beneficence 3. Non-maleficence 4. Veracity 5. Fidelity 6. Justice 7. Negligence

Question 34

It is the concept that each person has the right to make independent choices and decisions. It is reflected in guidelines and laws regarding patient rights and self determination.

Answer 34

Autonomy

Question 35

It is the duty of any health care provider to actively do good for patients.

Answer 35

Beneficence

Question 36

upholds measures to avoid causing harm, minimize har, and correct harmful situations for patients in any form

Answer 36

Non-maleficence

Question 37

being completely truthful with clients, families, and coworkers.

Answer 37

Veracity

Question 38

implies the quality or state of being loyal or faithful and exhibiting faithfulness to commitments, beliefs, or causes.

Answer 38

Fidelity

Question 39

there is an equitable distribution of social benefits and burdens in society.

Answer 39

Justice

Question 40

failing to act as a reasonably prudent person would under the circumstances

Answer 40

Negligence

Question 41

must be voluntary by a competent adult and understood condition and possible treatment

Answer 41

Inform consent

Question 42

Use of restrain (Physical)

Answer 42

- Least restrictive or safest environment - Should only be use in clinically situation - Pt. must always evaluate - Must be documented in medical record - Pt. should be monitored - Pt. and SO should receive education