Page 468 - Critical Care Nursing Demystified

Correct Answers

and Rationales

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1. D. Although the nurse could use others to help, such as respiratory therapy (collabo-
ration), use systems thinking to provide additional resources in the critical care unit/
home. The role of the nurse here is facilitator of learning as he or she is teaching.
2. C. Nursing organizations protect the public by ensuring that safe standards of practice
are adhered to by their members. Pay per performance and staffing levels are generally
thought of as institutionally driven, and the State Boards of Nursing deal with mini-
mally competent nurses if they commit professional standard infractions.
3. A. Outcome identification can only be done after assessing the patient and significant
other’s educational needs. Implementation is done after identification of outcomes
and includes steps to reach those outcomes. Evaluation is done of the outcomes after
interventions have been implemented.
4. B. Sentinel events are unplanned events that occur that can result in potential harm
to the patient. Advocacy involves acting on the behalf of a patient. Synergy means
increasing energy and maintaining competencies to help protect the nurse from sen-
tinel events.
5. D. A critical care intensivist is a physician specifically trained in the needs of critical care
patients.
6. A. HIPAA is the Health Insurance Portability and Accountability Act and provides
patient confidentiality. HRSA is the Health Resources Administration, IHI is the Institute
for Health Care Improvement, and IOM is the Institute of Medicine.

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