Chapter 1

Question 1

isn’t just confined to
the ICU. It’s the holistic care an
interprofessional team gives tailored for
patients in varied settings.

Answer 1

Critical care nursing

Question 2

The Interprofessional Team Members (10)

Answer 2

• Direct care provider nurses
• Clinical nurse specialists
• Adult and gerontology acute care nurse
practitioners
• Nurse managers and administrators
• Physician intensivists
• Specialty physicians
• Respiratory therapists
• Pharmacists, dieticians
• Therapists, social workers
• Ethicists, clergy

Question 3

Core Principles of Critical Care Nursing (7)

Answer 3

• Manage Human Responses
• Skills & Abilities
• Patient & Family Advocacy
• Healthy Work Environment
• Financial Contribution & Stewardship
• Self-care & Coworker Care
• Safety and Quality

Question 4

Objective of Core Principles of Critical Care Nursing

Answer 4

Restore, support, promote,
rehabilitate, or palliate patients,
ensuring physiological and
psychosocial stability across all age
groups.

Question 5

Core Principles of Critical Care Nursing
- Tackle both
actual or potentially life-threatening
problems.

Answer 5

Manage Human Responses

Question 6

Core Principles of Critical Care Nursing
- Synthesize and prioritize critical
information swiftly.

Answer 6

Skills & Abilities

Question 7

Core Principles of Critical Care Nursing
- Implement evidence-based,
patient-centric decisions through
strong clinical judgment and inquiry.

Answer 7

Skills & Abilities

Question 8

Core Principles of Critical Care Nursing
- Adapt and respond confidently to
swiftly changing patient scenarios.

Answer 8

Skills & Abilities

Question 9

Core Principles of Critical Care Nursing
- Cater to the specific needs of
patients/families undergoing
unexpected illnesses/injuries.

Answer 9

Patient & Family Advocacy

Question 10

Core Principles of Critical Care Nursing
- Uphold patients’/families’ choices in
quality-of-life and end-of life
decisions.

Answer 10

Patient & Family Advocacy

Question 11

Core Principles of Critical Care Nursing
- Ensure a work atmosphere that’s
safe, respectful, healing, and
nurturing for nurses, peers,
patients, families, and the whole
team.

Answer 11

Healthy Work Environment

Question 12

Core Principles of Critical Care Nursing
- Showcase nursing’s fiscal input
through proper resource use,
innovation, and efficiency, ensuring
top-notch safety and quality results.

Answer 12

Financial Contribution & Stewardship

Question 13

Core Principles of Critical Care Nursing
- Emphasize nursing’s role in the
fiscal sustainability of facilities
through effective resource
management.

Answer 13

Financial Contribution & Stewardship

Question 14

Core Principles of Critical Care Nursing
- Advocate for the mental and
physical well-being of oneself and
colleagues, fostering resilience.

Answer 14

Self-care & Coworker Care

Question 15

Core Principles of Critical Care Nursing
- Prioritize the provision of safe,
compassionate, and high-quality
patient care.

Answer 15

Safety and Quality

Question 16

Value of Certification in Critical Care Nursing (2)

Answer 16

• Value to the patient and family
• Value to employers and nurses

Question 17

Value of Certification in Critical Care Nursing Purpose and Importance (5)

Answer 17

• Demonstrates a nurse’s knowledge
and commitment to patient safety.
▪ Reflects adherence to national
standards.
▪ Promotes ongoing excellence in
critical care nursing.
▪ Ensures nurses have current
knowledge vital for critical care
practice.
▪ Validates a nurse’s expertise to
patients, families, employers, and
the nurse themselves.

Question 18

Value of Certification in Critical Care Nursing
- Validation of experience and
knowledge.

Answer 18

Value to the patient and family

Question 19

Value of Certification in Critical Care Nursing
- Make decisions with greater
confidence.

Answer 19

Value to the patient and family

Question 20

Value of Certification in Critical Care Nursing
- Demonstrates commitment to
continual learning.

Answer 20

Value to the patient and family

Question 21

Value of Certification in Critical Care Nursing
- Knowledge and expertise to
promote optimal patient outcomes.

Answer 21

Value to employers and nurses

Question 22

Value of Certification in Critical Care Nursing

• Commitment to quality
▪ Workplace empowerment

Answer 22

Value to employers and nurses

Question 23

Value of Certification in Critical Care Nursing
- Enhanced communication and
coordination of care

Answer 23

Value to employers and nurses

Question 24

Value of Certification in Critical Care Nursing
- Remain employed in an area where
they can apply the knowledge.

Answer 24

Value to employers and nurses

Question 25

Value of Certification in Critical Care Nursing - Sense of professional pride and achievement

Answer 25

Value to employers and nurses

Question 26

Integrating the best scientific knowledge with clinical expertise for optimal care.

Answer 26

EBP

Question 27

Central for enhancing patient outcomes in dynamic health environments.

Answer 27

EBP

Question 28

EBP was Recognized by the _, the _, and _ as vital for healthcare quality improvement.

Answer 28

• National Academy of Medicine • American Nurses Credentialing Center • The Joint Commission

Question 29

aims to generate new knowledge.

Answer 29

Research

Question 30

utilizes existing knowledge to guide patient care for the best outcomes

Answer 30

EBP

Question 31

Levels of Evidence (5)

Answer 31

• Experimental studies • Quasi-experimental studies • Nonexperimental studies • Clinical practice guidelines • Literature reviews

Question 32

Levels of Evidence - randomized controlled trials, systematic reviews of randomized controlled trials (with or without meta-analysis)

Answer 32

Experimental studies

Question 33

Levels of Evidence - systematic reviews of randomized controlled trials and quasi￾experimental studies

Answer 33

Quasi-experimental studies

Question 34

Levels of Evidence - systematic reviews, quasi-experimental and nonexperimental studies, nonexperimental studies with or without meta-analysis

Answer 34

Nonexperimental studies

Question 35

Levels of Evidence - consensus panel reports

Answer 35

Clinical practice guidelines

Question 36

Levels of Evidence - quality improvement studies, program and financial evaluations, case reports, opinions of experts based on experiential evidence

Answer 36

Literature reviews

Question 37

Barriers to EBP Implementation (2)

Answer 37

• Average 17-year gap between research findings and clinical practice integration • Organizational culture affects nurse autonomy and adaptability.

Question 38

Barriers to EBP Implementation - Hurdles (4)

Answer 38

• Knowledge gap of the research process. ▪ Attitude towards EBP. ▪ Limited resources, training, motivation, and staffing. ▪ Time mismanagement, costs, lack of teamwork, and organizational support.

Question 39

Facilitators for EBP Implementation (4)

Answer 39

• Leadership and champions. • Efficient strategies, protocols, and resources. • Services, resources, and time allocation. • Need for nurses to locate, evaluate, and translate evidence into practice.

Question 40

Strategies to Promote Implementation of EBP (8)

Answer 40

• Protocols • Clinical pathways • Algorithms • Educational interventions • Increasing awareness of available resources • Education and mentoring • Databases • Professional nursing organization's research-based practice recommendations

Question 41

Demand for more nurses necessitates workplace changes.

Answer 41

Healthy Work Environments (HWE)

Question 42

Healthy Work Environments (HWE) - HWEs lead to _ patient outcomes.

Answer 42

positive

Question 43

Nurses are attracted to facilities with optimal work conditions.

Answer 43

Healthy Work Environments (HWE)

Question 44

Healthy Work Environments (HWE) - Unhealthy environments cause _ (5)

Answer 44

healthcare errors, ineffective care, wasted resources, increased costs, and moral distress.

Question 45

Healthy Work Environments (HWE) -AACN sees HWEs as the solution to the nursing _

Answer 45

shortage

Question 46

Healthy Work Environments (HWE) - Harmful healthcare environments exist nationwide, leading to _ (3)

Answer 46

errors, poor care, and provider dissatisfaction.

Question 47

Healthy Work Environments (HWE) - HWE initiative focuses on employee and patient safety and lists _

Answer 47

six essential standards.

Question 48

Six Standards of Healthy Work Environments

Answer 48

• Skilled communication • True collaboration • Effective decision-making • Appropriate staffing • Meaningful recognition • Authentic leadership

Question 49

Future Challenges in Critical Care Nursing - Deliver evidence-based care that is culturally _ and _.

Answer 49

congruent relevant

Question 50

Future Challenges in Critical Care Nursing - _ and _ diverse professionals.

Answer 50

Recruit retain

Question 51

Future Challenges in Critical Care Nursing - Expand the _ of experienced critical care nurses.

Answer 51

skill set

Question 52

Future Challenges in Critical Care Nursing - Identify, manage, and treat _ (3)

Answer 52

unknown threats, natural disasters, and manmade crises

Question 53

Future Challenges in Critical Care Nursing - Address _ (4) needs of patients and families.

Answer 53

psychosocial, spiritual, ethical, and advocacy

Question 54

Future Challenges in Critical Care Nursing - Foster _, navigate _ and _ and facilitate patient and family learning.

Answer 54

collaboration complex delivery reimbursement systems