This comprehensive test bank for Medical-Surgical Nursing: Clinical Reasoning 6th Edition is an essential academic resource designed to help nursing students strengthen their understanding of adult health nursing and clinical reasoning skills. The materia

TesBank For Medical-
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Surgical Nursing, Cli nical
Reasoning 6th Edition By
LeMone Burke

,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
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core competency for healthcare professionals is the nurse implementing?
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1. Quality improvement J




2. Evidence-basedpractice J




3. Patient-centeredcare J




4. Teamwork and collaboration J J




Correct Answer: 3 J J




Rationale 1: Identifying safety hazards and measuring quality is an example ofthe core competency quality improvement.
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Rationale 2: Using best research when providing patient care is an example ofthe core competency evidence- based
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practice.

Rationale 3: The nurse instructing the patient is an example of the competency patient-centered care.
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Rationale 4: The core competency teamwork and collaboration involves collaboration between disciplines to provide
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continuous and reliable care. J J J




Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that all
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healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is an
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example of the competency patient-centered care. Identifying safety hazards and measuring quality are examples of
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the core competency quality improvement. Using best research when providing patient care is an example of the core
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competency evidence-based practice. Collaboration between disciplines to provide continuous and reliable care is an
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example of the core competency teamwork and collaboration.
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Cognitive Level: Applying J J




Client Need: Safe and Effective Care Environment
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Client Need Sub: Management of Care
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QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions ofpatient centered care
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AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age,
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culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care
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NLN Competencies: Relationship Centered Care: Learn cooperatively, facilitate the learning ofothers
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Nursing/Integrated Concepts: Nursing Process: Implementation J J J J J




LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank J J J J J J J




Copyright 2015 by Pearson Education, Inc.
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,Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
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interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology. J J J J J J J J J J J




MNL Learning Outcome: 10.5.4. Utilize the nursing process in care of client.
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Page Number: 4 J J




Question 2 J J




Type:MCSA J




The nurse is planning to utilize the core competency use informatics when providing patient care. Which action should
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the nurse perform when using this core competency?
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1. Change the sharps container in a patient’s room. J J J J J J J




2. Document the effectiveness of pain medication for a patient. J J J J J J J J




3. Discuss the effectiveness of bedside physical therapy with the therapist.
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4. Search through a database of articles to find current research on wound care.
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Correct Answer: 4 J J




Rationale 1: Changing the sharps container is an example of quality improvement.
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Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-centered care.
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Rationale 3: Discussing the effectiveness of bedside physical therapy with the therapist is an example of
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teamwork and collaboration. J J




Rationale 4: Searching through a database of articles to find current research on wound care is an example of use informatics.
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Global Rationale: Examples of the nurse using the core competency use informatics include the use of technology to
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communicate, manage knowledge, reduce errors, and support decision making. The activity of searching through a J J J J J J J J J J J J J J J




database of articles to find current research on wound care is an example of use informatics. Changing the sharps
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container in a patient’s room is an example of quality improvement. Documenting the effectiveness ofpain medication
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for a patient is an example of patient-centered care. Discussing the effectiveness of bedside physical therapy with the
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therapist is an example of teamwork and collaboration.
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Cognitive Level: Applying J J




Client Need: Safe and Effective Care Environment
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Client Need Sub: Management of Care
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QSEN Competencies: VI.B.2. Apply technologyand information management tools to support safe processes of care
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AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies, information systems,
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and communication devices that support safe nursing practice
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LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank J J J J J J J




Copyright 2015 by Pearson Education, Inc. J J J J J

, NLN Competencies: Knowledge and Science: Electronic databases; literature retrieval; evaluating data for validity
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and reliability; evidence and best practices for nursing
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Nursing/Integrated Concepts: Nursing Process: Planning J J J J




Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
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interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.
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MNL Learning Outcome: 4.3.3. Examine the treatments used for pressure ulcers.
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Page Number: 4
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Question 3 J J




Type:MCMA J




The nurse plans to implement evidence-based practice when providing patient care. Which activities should the nurse
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perform?

Standard Text: Select all that apply. J J J J J




1. Participate in education and research activities when possible. J J J J J J J




2. Integrate research findings with clinical care to maximize patient outcomes.
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3. Serve on the committee to create critical pathways for patient care.
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4. Reinforce hand hygiene techniques with unlicensed assistive personnel.
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5. Contact Environmental Services to report a malfunctioning infusion pump.
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Correct Answer: 1, 2 J J J




Rationale 1: Participating in education and research activities when possible is an example of implementing
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evidence-based practice in the provision of patient care. J J J J J J J




Rationale 2: Integrating research findings with clinical care to maximize patient outcomes is an example of implementing
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evidence-based practice in the provision of patient care. J J J J J J J




Rationale 3: Serving on the committee to create critical pathways for patient care is an example of teamwork and
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collaboration.

Rationale 4: Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality improvement.
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Rationale 5: Contacting Environmental Services to report a malfunctioning infusion pump is an example of
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quality improvement. J




Global Rationale: Participating in education and research activities when possible is an example of implementing
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evidence-based practice in the provision of patient care. Integrating research findings with clinical care to maximize
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patient outcomes is an example of implementing evidence-based practice in the provision of patient
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LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank J J J J J J J




Copyright 2015 by Pearson Education, Inc.
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