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CCRN practice question: Professional Caring and Ethical Practice

Professional Caring and Ethical PracticeDifficulty 2/5

A nurse recognises deterioration that the primary team has not acted on after two escalations. Which Synergy Model characteristic best describes using the rapid response team and chain of command?

  1. AFacilitation of learning, because the team is being taught to recognise deterioration
  2. BSystems thinking, because the nurse uses the wider system for the patient
  3. CResponse to diversity, because different team members hold different views
  4. DClinical inquiry, because the nurse is questioning the accuracy of the assessment
Show answer and rationale

Correct: B. Systems thinking is the ability to recognise and use the resources of the system — rapid response, chain of command, ethics or palliative care — on the patient's behalf. It is the characteristic being exercised when escalation is needed.

  • A — Facilitation of learning concerns education of patients, families and staff.
  • C — Response to diversity concerns cultural and individual differences in care.
  • D — Clinical inquiry concerns evidence and practice change rather than escalation.

Concept being tested

20% of the exam, built on the AACN Synergy Model. Advocacy and moral agency, caring practices, clinical inquiry, collaboration, facilitation of learning, response to diversity and systems thinking — tested as judgement in real ICU situations rather than as definitions. — 20% of the exam. Study guide for Professional Caring and Ethical Practice.

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Primary references

  1. CCRN Exam Handbook — Direct Care (July 2026) — AACN Certification Corporation · primary · retrieved 2026-09-22, verified 2026-09-22
  2. AACN Synergy Model for Patient Care (in the CCRN Exam Handbook) — AACN Certification Corporation · primary · retrieved 2026-09-22, verified 2026-09-22
Last reviewed: 2026-10-07Reviewed by: Marcus Vance, MSN, RN, CCRN-CSC, Critical care nursing curriculum & clinical item reviewHow we verify facts