# Leadership and Management Competence in
Nursing Practice — Beauvais, 1st Edition
## RN to BSN Test Bank | Quality and Safety in
Healthcare
## Part 1 of 5 — QSEN Competencies: Patient-
Centered Care, Teamwork & Collaboration
(Questions 1–40)
---
### QSEN Competency: Patient-Centered Care — Questions 1–20
**Q1.** Patient-centered care is best defined as:
A. Providing care based on the nurse's clinical judgment alone
B. Recognizing the patient or designee as the source of control and full partner in providing
compassionate and coordinated care
C. Following physician orders without patient input
D. Standardizing care for all patients regardless of preference
**Correct Answer: B**
**Rationale:** Patient-centered care recognizes the patient or designee as the source of control
and full partner in providing compassionate and coordinated care based on respect for the patient's
preferences, values, and needs. Providing care based on nurse judgment alone, ignoring patient
input, and standardizing care without regard to preference are contrary to patient-centered care
[citation:17].
---
,**Q2.** A nurse is admitting a patient to the hospital. Which action best demonstrates patient-
centered care?
A. Assigning the patient a room without discussion
B. Asking the patient about their preferences, values, and cultural practices
C. Informing the patient of the plan without involving them
D. Assuming the patient wants standard care
**Correct Answer: B**
**Rationale:** Asking about preferences, values, and cultural practices demonstrates respect
for the patient as a full partner in care. Assigning rooms without discussion, informing without
involving, and assuming standard care preferences are inconsistent with patient-centered care.
---
**Q3.** Which is an example of compassionate care?
A. Noticing a patient's vulnerability and acting in a way that is meaningful to them
B. Ignoring a patient's emotional state
C. Focusing only on physical tasks
D. Avoiding conversation with patients
**Correct Answer: A**
**Rationale:** Compassionate care involves noticing another person's vulnerability,
experiencing an emotional reaction, and acting in a meaningful way. Ignoring emotional state,
focusing only on tasks, and avoiding conversation are contrary to compassionate care [citation:10].
---
,**Q4.** A nurse is caring for a patient who refuses a recommended treatment. Which action
demonstrates respect for patient autonomy?
A. Proceeding with the treatment as ordered
B. Documenting the refusal and informing the physician
C. Asking the family to convince the patient
D. Ignoring the refusal
**Correct Answer: B**
**Rationale:** Respecting autonomy requires documenting the patient's refusal and informing
the physician, who can discuss alternatives. Proceeding against the patient's wishes, asking family to
convince, and ignoring the refusal violate autonomy.
---
**Q5.** Which is a barrier to patient-centered care?
A. Effective communication
B. Cultural competence
C. Bias and stereotyping
D. Shared decision-making
**Correct Answer: C**
**Rationale:** Bias and stereotyping are barriers to patient-centered care. Effective
communication, cultural competence, and shared decision-making are facilitators.
---
**Q6.** A nurse is developing a care plan. Which action best incorporates patient preferences?
, A. Writing the plan without patient input
B. Engaging the patient and family in plan development
C. Following only institutional protocols
D. Prioritizing staff convenience
**Correct Answer: B**
**Rationale:** Engaging the patient and family in plan development incorporates patient
preferences and values. Writing without input, following only protocols, and prioritizing staff
convenience are inconsistent with patient-centered care.
---
**Q7.** Which is an example of patient-centered communication?
A. Using medical jargon to explain a diagnosis
B. Using plain language and confirming understanding
C. Speaking only to the family
D. Avoiding discussion of the patient's concerns
**Correct Answer: B**
**Rationale:** Plain language and confirming understanding are components of patient-
centered communication. Medical jargon, speaking only to family, and avoiding concerns are not
patient-centered.
---
**Q8.** A nurse is caring for a patient from a different cultural background. Which action
demonstrates cultural competence?
Nursing Practice — Beauvais, 1st Edition
## RN to BSN Test Bank | Quality and Safety in
Healthcare
## Part 1 of 5 — QSEN Competencies: Patient-
Centered Care, Teamwork & Collaboration
(Questions 1–40)
---
### QSEN Competency: Patient-Centered Care — Questions 1–20
**Q1.** Patient-centered care is best defined as:
A. Providing care based on the nurse's clinical judgment alone
B. Recognizing the patient or designee as the source of control and full partner in providing
compassionate and coordinated care
C. Following physician orders without patient input
D. Standardizing care for all patients regardless of preference
**Correct Answer: B**
**Rationale:** Patient-centered care recognizes the patient or designee as the source of control
and full partner in providing compassionate and coordinated care based on respect for the patient's
preferences, values, and needs. Providing care based on nurse judgment alone, ignoring patient
input, and standardizing care without regard to preference are contrary to patient-centered care
[citation:17].
---
,**Q2.** A nurse is admitting a patient to the hospital. Which action best demonstrates patient-
centered care?
A. Assigning the patient a room without discussion
B. Asking the patient about their preferences, values, and cultural practices
C. Informing the patient of the plan without involving them
D. Assuming the patient wants standard care
**Correct Answer: B**
**Rationale:** Asking about preferences, values, and cultural practices demonstrates respect
for the patient as a full partner in care. Assigning rooms without discussion, informing without
involving, and assuming standard care preferences are inconsistent with patient-centered care.
---
**Q3.** Which is an example of compassionate care?
A. Noticing a patient's vulnerability and acting in a way that is meaningful to them
B. Ignoring a patient's emotional state
C. Focusing only on physical tasks
D. Avoiding conversation with patients
**Correct Answer: A**
**Rationale:** Compassionate care involves noticing another person's vulnerability,
experiencing an emotional reaction, and acting in a meaningful way. Ignoring emotional state,
focusing only on tasks, and avoiding conversation are contrary to compassionate care [citation:10].
---
,**Q4.** A nurse is caring for a patient who refuses a recommended treatment. Which action
demonstrates respect for patient autonomy?
A. Proceeding with the treatment as ordered
B. Documenting the refusal and informing the physician
C. Asking the family to convince the patient
D. Ignoring the refusal
**Correct Answer: B**
**Rationale:** Respecting autonomy requires documenting the patient's refusal and informing
the physician, who can discuss alternatives. Proceeding against the patient's wishes, asking family to
convince, and ignoring the refusal violate autonomy.
---
**Q5.** Which is a barrier to patient-centered care?
A. Effective communication
B. Cultural competence
C. Bias and stereotyping
D. Shared decision-making
**Correct Answer: C**
**Rationale:** Bias and stereotyping are barriers to patient-centered care. Effective
communication, cultural competence, and shared decision-making are facilitators.
---
**Q6.** A nurse is developing a care plan. Which action best incorporates patient preferences?
, A. Writing the plan without patient input
B. Engaging the patient and family in plan development
C. Following only institutional protocols
D. Prioritizing staff convenience
**Correct Answer: B**
**Rationale:** Engaging the patient and family in plan development incorporates patient
preferences and values. Writing without input, following only protocols, and prioritizing staff
convenience are inconsistent with patient-centered care.
---
**Q7.** Which is an example of patient-centered communication?
A. Using medical jargon to explain a diagnosis
B. Using plain language and confirming understanding
C. Speaking only to the family
D. Avoiding discussion of the patient's concerns
**Correct Answer: B**
**Rationale:** Plain language and confirming understanding are components of patient-
centered communication. Medical jargon, speaking only to family, and avoiding concerns are not
patient-centered.
---
**Q8.** A nurse is caring for a patient from a different cultural background. Which action
demonstrates cultural competence?
