Test Bank
for
Medical-Surgical Nursing:
Clinical Reasoning in Patient Care
6th Edition by LeMone/Burke/Bauldoff/Gubrud ,
Covering all Chapters | Rationales
,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
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.
Correct Answer: 4
Rationale 1: Changing the sharps container is an example of quality improvement.
Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-centered
care.
Rationale 3: Discussing the effectiveness of bedside physical therapy with the therapist is an example of
teamwork and collaboration.
Rationale 4: Searching through a database of articles to find current research on wound care is an example of use
informatics.
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
technology.
MNL Learning Outcome: 4.3.3. Examine the treatments used for pressure ulcers.
Page Number: 4
Question 3
Type: MCMA
The nurse plans to implement evidence-based practice when providing patient care. Which activities should the
nurse perform?
Standard Text: 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.
Correct Answer: 1, 2
Rationale 1: Participating in education and research activities when possible is an example of implementing
evidence-based practice in the provision of patient care.
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
evidence-based practice in the provision of patient care. Integrating research findings with clinical care to
maximize patient outcomes is an example of implementing evidence-based practice in the provision of patient
for
Medical-Surgical Nursing:
Clinical Reasoning in Patient Care
6th Edition by LeMone/Burke/Bauldoff/Gubrud ,
Covering all Chapters | Rationales
,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
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.
Correct Answer: 4
Rationale 1: Changing the sharps container is an example of quality improvement.
Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-centered
care.
Rationale 3: Discussing the effectiveness of bedside physical therapy with the therapist is an example of
teamwork and collaboration.
Rationale 4: Searching through a database of articles to find current research on wound care is an example of use
informatics.
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
technology.
MNL Learning Outcome: 4.3.3. Examine the treatments used for pressure ulcers.
Page Number: 4
Question 3
Type: MCMA
The nurse plans to implement evidence-based practice when providing patient care. Which activities should the
nurse perform?
Standard Text: 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.
Correct Answer: 1, 2
Rationale 1: Participating in education and research activities when possible is an example of implementing
evidence-based practice in the provision of patient care.
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
evidence-based practice in the provision of patient care. Integrating research findings with clinical care to
maximize patient outcomes is an example of implementing evidence-based practice in the provision of patient
