LeMone & Burke's Medical-Surgical Nursing, 7e (Bauldoff/Gubrud/Carno)
Chapter 1 Medical-Surgical Nursing in the 21st Century
1) A patient is instructed on the role of diet, exercise, and medication to control type 2 diabetes
mellitus. Which core competency for healthcare professionals is the nurse implementing?
1. Quality improvement
2. Evidence-based practice
3. Patient-centered care
4. Teamwork and collaboration
Answer: 3
Explanation: 1. Identifying safety hazards and measuring quality is an example of the core
competency quality improvement.
2. Using best research when providing patient care is an example of the core competency
evidence-based practice.
3. Patient teaching is an example of the competency patient-centered care.
4. The core competency teamwork and collaboration involves collaboration between disciplines
to provide continuous and reliable care.
Page Ref: 5
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of
patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient
teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and
health literacy considerations to foster patient engagement in their care | NLN Competencies:
Relationship-Centered Care; Practice-Know-How; Communicate information effectively; listen
openly and cooperatively | Nursing/Integrated Concepts: Nursing Process:
Implementation/Teaching/Learning
Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient-
centered care, interprofessional teams, evidence-based practice, quality improvement, safety,
and health information technology.
MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare
professionals in nursing practice.
Page 1
,2) The nurse is planning to utilize the core competency use informatics when providing patient
care. Which action should the nurse perform when using this core competency?
1. Change the sharps container in a patient's room.
2. Document the effectiveness of pain medication for a patient.
3. Discuss the effectiveness of bedside physical therapy with the therapist.
4. Search through a database of articles to find current research on wound care.
Answer: 4
Explanation: 1. Changing the sharps container is an example of quality improvement.
2. Documenting the effectiveness of pain medication for a patient is an example of patient-
centered care.
3. Discussing the effectiveness of bedside physical therapy with the therapist is an example of
teamwork and collaboration.
4. Searching through a database of articles to find current research on wound care is an
example of use informatics.
Page Ref: 5
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: VI.B.2. Apply technology and information management tools
to support safe processes of care | AACN Essentials Competencies: IV.1. Demonstrate skills in
using patient care technologies, information systems, and communication devices that support
safe nursing practice | NLN Competencies: Knowledge and Science: Practice-Know-How:
Retrieve research findings and other sources of information | Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient-
centered care, interprofessional teams, evidence-based practice, quality improvement, safety,
and health information technology.
MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare
professionals in nursing practice.
Page 2
,3) The nurse plans to implement evidence-based practice when providing patient care. Which
activity should the nurse perform? Select all that apply.
1. Participate in education and research activities when possible.
2. Integrate research findings with clinical care to maximize patient outcomes.
3. Serve on the committee to create critical pathways for patient care.
4. Reinforce hand hygiene techniques with unlicensed assistive personnel.
5. Contact Environmental Services to report a malfunctioning infusion pump.
Answer: 1, 2
Explanation: 1. Participating in education and research activities when possible is an example
of implementing evidence-based practice in the provision of patient care.
2. Integrating research findings with clinical care to maximize patient outcomes is an example
of implementing evidence-based practice in the provision of patient care.
3. Serving on the committee to create critical pathways for patient care is an example of
teamwork and collaboration.
4. Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of
quality improvement.
5. Contacting Environmental Services to report a malfunctioning infusion pump is an example of
quality improvement.
Page Ref: 5
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: III.B.6. Participate in structuring the work environment to
facilitate integration of new evidence into standards of practice | AACN Essentials
Competencies: III.2. Demonstrate an understanding of the basic elements of the research
process and models for applying evidence to clinical practice | NLN Competencies: Knowledge
and Science; Knowledge: What is evidence-based practice (EBP)? Informatics? |
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient-
centered care, interprofessional teams, evidence-based practice, quality improvement, safety,
and health information technology.
MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare
professionals in nursing practice.
Page 3
, 4) The nurse is planning to meet with several community members during a health fair. Which
nursing activity exemplifies the core competency patient-centered care?
1. Provide smoking cessation classes and literature.
2. Increase the hours for the healthcare providers to see patients.
3. Attend a continuing education program on clean water initiatives.
4. Evaluate the effectiveness of weight reduction strategies.
Answer: 1
Explanation: 1. Providing smoking cessation classes and literature is an example of an activity
to provide patient-centered care.
2. Increasing the hours for the healthcare providers to see patients is an activity to support the
competency teamwork and collaboration.
3. Attending a continuing education program on clean water initiatives is an activity to support
the competency evidence-based practice.
4. Evaluating the effectiveness of weight reduction strategies is an activity to support the
competency quality improvement.
Page Ref: 5
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and
respect for the diversity of human experience | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture, spirituality,
patient preferences, and health literacy considerations to foster patient engagement in their
care | NLN Competencies: Context and Environment; Knowledge; Environmental health; health
promotion/disease prevention (e.g., transmission of disease, disease patterns, epidemiological
principles); chronic disease management; healthcare systems; transcultural approaches to
health; family dynamics | Nursing/Integrated Concepts: Nursing Process:
Planning/Teaching/Learning
Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient-
centered care, interprofessional teams, evidence-based practice, quality improvement, safety,
and health information technology.
MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare
professionals in nursing practice.
Page 4
Chapter 1 Medical-Surgical Nursing in the 21st Century
1) A patient is instructed on the role of diet, exercise, and medication to control type 2 diabetes
mellitus. Which core competency for healthcare professionals is the nurse implementing?
1. Quality improvement
2. Evidence-based practice
3. Patient-centered care
4. Teamwork and collaboration
Answer: 3
Explanation: 1. Identifying safety hazards and measuring quality is an example of the core
competency quality improvement.
2. Using best research when providing patient care is an example of the core competency
evidence-based practice.
3. Patient teaching is an example of the competency patient-centered care.
4. The core competency teamwork and collaboration involves collaboration between disciplines
to provide continuous and reliable care.
Page Ref: 5
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of
patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient
teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and
health literacy considerations to foster patient engagement in their care | NLN Competencies:
Relationship-Centered Care; Practice-Know-How; Communicate information effectively; listen
openly and cooperatively | Nursing/Integrated Concepts: Nursing Process:
Implementation/Teaching/Learning
Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient-
centered care, interprofessional teams, evidence-based practice, quality improvement, safety,
and health information technology.
MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare
professionals in nursing practice.
Page 1
,2) The nurse is planning to utilize the core competency use informatics when providing patient
care. Which action should the nurse perform when using this core competency?
1. Change the sharps container in a patient's room.
2. Document the effectiveness of pain medication for a patient.
3. Discuss the effectiveness of bedside physical therapy with the therapist.
4. Search through a database of articles to find current research on wound care.
Answer: 4
Explanation: 1. Changing the sharps container is an example of quality improvement.
2. Documenting the effectiveness of pain medication for a patient is an example of patient-
centered care.
3. Discussing the effectiveness of bedside physical therapy with the therapist is an example of
teamwork and collaboration.
4. Searching through a database of articles to find current research on wound care is an
example of use informatics.
Page Ref: 5
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: VI.B.2. Apply technology and information management tools
to support safe processes of care | AACN Essentials Competencies: IV.1. Demonstrate skills in
using patient care technologies, information systems, and communication devices that support
safe nursing practice | NLN Competencies: Knowledge and Science: Practice-Know-How:
Retrieve research findings and other sources of information | Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient-
centered care, interprofessional teams, evidence-based practice, quality improvement, safety,
and health information technology.
MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare
professionals in nursing practice.
Page 2
,3) The nurse plans to implement evidence-based practice when providing patient care. Which
activity should the nurse perform? Select all that apply.
1. Participate in education and research activities when possible.
2. Integrate research findings with clinical care to maximize patient outcomes.
3. Serve on the committee to create critical pathways for patient care.
4. Reinforce hand hygiene techniques with unlicensed assistive personnel.
5. Contact Environmental Services to report a malfunctioning infusion pump.
Answer: 1, 2
Explanation: 1. Participating in education and research activities when possible is an example
of implementing evidence-based practice in the provision of patient care.
2. Integrating research findings with clinical care to maximize patient outcomes is an example
of implementing evidence-based practice in the provision of patient care.
3. Serving on the committee to create critical pathways for patient care is an example of
teamwork and collaboration.
4. Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of
quality improvement.
5. Contacting Environmental Services to report a malfunctioning infusion pump is an example of
quality improvement.
Page Ref: 5
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: III.B.6. Participate in structuring the work environment to
facilitate integration of new evidence into standards of practice | AACN Essentials
Competencies: III.2. Demonstrate an understanding of the basic elements of the research
process and models for applying evidence to clinical practice | NLN Competencies: Knowledge
and Science; Knowledge: What is evidence-based practice (EBP)? Informatics? |
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient-
centered care, interprofessional teams, evidence-based practice, quality improvement, safety,
and health information technology.
MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare
professionals in nursing practice.
Page 3
, 4) The nurse is planning to meet with several community members during a health fair. Which
nursing activity exemplifies the core competency patient-centered care?
1. Provide smoking cessation classes and literature.
2. Increase the hours for the healthcare providers to see patients.
3. Attend a continuing education program on clean water initiatives.
4. Evaluate the effectiveness of weight reduction strategies.
Answer: 1
Explanation: 1. Providing smoking cessation classes and literature is an example of an activity
to provide patient-centered care.
2. Increasing the hours for the healthcare providers to see patients is an activity to support the
competency teamwork and collaboration.
3. Attending a continuing education program on clean water initiatives is an activity to support
the competency evidence-based practice.
4. Evaluating the effectiveness of weight reduction strategies is an activity to support the
competency quality improvement.
Page Ref: 5
Cognitive Level: Applying
Client Need & Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and
respect for the diversity of human experience | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture, spirituality,
patient preferences, and health literacy considerations to foster patient engagement in their
care | NLN Competencies: Context and Environment; Knowledge; Environmental health; health
promotion/disease prevention (e.g., transmission of disease, disease patterns, epidemiological
principles); chronic disease management; healthcare systems; transcultural approaches to
health; family dynamics | Nursing/Integrated Concepts: Nursing Process:
Planning/Teaching/Learning
Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient-
centered care, interprofessional teams, evidence-based practice, quality improvement, safety,
and health information technology.
MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare
professionals in nursing practice.
Page 4
