LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care
by Paula Gubrud, Margaret Carno, Gerene Bauldoff
7th Edition
FULL TEST BANK!!!
,Chapter 1
Question 1
Type: MCSA
The nurse is instructing a patient 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
Correct Answer: 3
Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency quality
improvement.
Rationale 2: Using best research when providing patient care is an example of the core competency evidence-
based practice.
Rationale 3: The nurse instructing the patient is an example of the competency patient-centered care.
Rationale 4: The core competency teamwork and collaboration involves collaboration between disciplines to
provide continuous and reliable care.
Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that all
healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is
an example of the competency patient-centered care. Identifying safety hazards and measuring quality are
examples of the core competency quality improvement. Using best research when providing patient care is an
example of the core competency evidence-based practice. Collaboration between disciplines to provide
continuous and reliable care is an example of the core competency teamwork and collaboration.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care
AACN Essential 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: Learn cooperatively, facilitate the learning of others
Nursing/Integrated Concepts: Nursing Process: Implementation
,Learning Outcome: 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: 10.5.4. Utilize the nursing process in care of client.
Page Number: 4
Question 2
Type: MCSA
The nurse is planning to utilize the core competency use informatics when providing patient care. Which action
iltung’ana le nkishu sidai naa Stuvia shop ai. Naa enkop ai sidai
should the nurse perform when using this core competency?
te nkishu, te nkera, naa te nkiguran le sukulu. Aashu naa
enkarna enasidai pee oltung’ani oshi enoto oltau le
1. Change the sharps container
nkiteng’enare. Naa a patient’s
in enashe room.
pee aashu ninye iltauja sidain pee
iltung’ana oshi eitu enoto emanyata. Naa enkiteng’enare
2. Documentnemeishori naataof
the effectiveness inkishu sidain, nemeishori
pain medication enaipang’a te
for a patient.
sukulu. Iltung’ana oshi eton eishori inkishu te nkiguran le
exams,
3. Discuss the assignments,
effectiveness naaphysical
of bedside revision. Naa with
therapy sidaithe
pee oltung’ani
therapist.
eata enkanyit, eata emanyata, naa eata enkipirta te nkiguran le
sukulu.
4. Search through Entoki naa
a database sidai pee
of articles oltung’ani
to find enoto olng’ejuk,
current research on woundeitucare.
enoto esiai sidai te nkop. Stuvia shop ai naa sidai pee
iltung’ana
Correct Answer: 4 enoto enkanyit, emanyata, naa enkiteng’enare sidai.
Rationale 1:Kamba
Changing the sharps container is an example of quality improvement.
Rationale 2:Nduka yakwa ya
Documenting the Stuvia ni vandu
effectiveness va w’o
of pain vaw’o voothe
medication va is an example of patient-centered
for a patient
care. kusyoka masomo. Apa ni tukwata ma notes, revision papers,
assignments na maelezo ma masomo maingi. Vinthu ivi
Rationale 3:vyeethwa
Discussingnesa nundu ya kwasya
the effectiveness andu
of bedside ma sukulu,
physical therapycollege natherapist is an example of
with the
teamwork anduniversity kwiveta masomo mao. Kila kimwe kimeandikwa nesa
collaboration.
na kwa w’o w’o kana undu wa kumanya kwa mbaitu. Twi na
Rationale 4:maelezo
Searchingma matuku
through ma exams,
a database undu to
of articles wafind
kusoma
currentnesa na on wound care is an example of use
research
kwiw’a masomo kwa mbai. Nduka ino ni ya kuthanga kana
informatics.
kuungamya asomi makwata m
Global Rationale: Examples of the nurse using the core competency use informatics include the use of
technology to communicate, manage knowledge, reduce errors, and support decision making. The activity of
searching through a database of articles to find current research on wound care is an example of use informatics.
Changing the sharps container in a patient’s room is an example of quality improvement. Documenting the
effectiveness of pain medication for a patient is an example of patient-centered care. Discussing the effectiveness
of bedside physical therapy with the therapist is an example of teamwork and collaboration.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
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: Electronic databases; literature retrieval; evaluating data for
validity and reliability; evidence and best practices for nursing
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
interprofessional teams, evidence-based practice, quality improvement, safety, and health information
dzi tekulungiselela tivivinyo letisita bafundzi kutsi bacondze
technology.
kahle tifundvo
MNL Learning tabo.4.3.3.
Outcome: Umgomo wetfu
Examine the kusita bafundzi
treatments kutsi
used for pressure ulcers.
bafundze
Page Number: 4 ngekushesha, bakhumbule kalula, futsi baphumelele
etivivinyweni tabo. Emadokhumenti etfu ahlelwe kahle,
Questionabhalwe
3 ngendlela lecacile, futsi aklanyelwe kutsi asite
bafundzi bemazinga lehlukene. Nobe ulungiselela sivivinyo,
Type: MCMA
ufuna kufinyeta sifundvo, noma udzinga lusito ekufundzeni,
sitinsita
The nurse tetfu
plans to tingakusita.
implement Sihlala sibuyekeza
evidence-based umtapo
practice when wetfupatient care. Which activities should the
providing
ngemadokhumenti lamasha nelusito. Siyabonga
nurse perform?
ngokuvakashela isitolo setfu – sifisa kutsi sitinsita tetfu tikusize
Standarduphumelele ekufundzeni
Text: Select kwakho.
all that apply.
•••• Xhosa
1. Participate in education and research activities when possible.
Wamkelekile kwivenkile yethu yeStuvia apho abafundi
2. Integrate research findings with clinical care to maximize patient outcomes.
banokufumana izixhobo zokufunda ezicacileyo
nezithembekileyo. Apha uza kufumana amanqaku afingqiweyo,
3. Serveizishwankathelo
on the committeezezifundo,
to create critical
kunye pathways for patient
nezikhokelo care.
zokulungiselela
iimviwo ezenzelwe ukukunceda uqonde izifundo zakho
ngokukhawuleza.
4. Reinforce Injongo yethu
hand hygiene techniques with kukwenza ukufunda
unlicensed assistive kube lula,
personnel.
kukuncede ukhumbule ulwazi olubalulekileyo, kwaye
uphumelele
5. Contact kwiimviwo
Environmental zakho.
Services Amaxwebhu
to report ethu ahlelwe
a malfunctioning infusion pump.
kakuhle, abhalwe ngendlela elula, kwaye alungele abafundi
Correctbamanqanaba
Answer: 1, 2 ahlukeneyo. Nokuba ulungiselela uvavanyo,
ufuna ukuphinda isifundo, okanye ufuna izixhobo eziza
kukunceda
Rationale ufundeinngcono,
1: Participating educationuyaandkuzifumana apha.when
research activities Sihlala
possible is an example of implementing
songezapractice
evidence-based imathiriyeli
in theemitsha
provisionukuze sikuncede
of patient care. uhlale ulungile
kwizifundo zakho. Enkosi ngoku
Rationale 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.
Rationale 3: Serving on the committee to create critical pathways for patient care is an example of teamwork and
collaboration.
Rationale 4: Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality
improvement.
Rationale 5: Contacting Environmental Services to report a malfunctioning infusion pump is an example of
quality improvement.
Global Rationale: Participating in education and research activities when possible is an example of implementing