LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
r r r r r r
,Chapter 1 r
Questionr 1rT
ype:rMCSA
Thernurserisr instructingrarpatientronrtherrolerofrdiet,rexercise,randrmedicationrtorcontrolrtyper2rdiabetesr mellitus.rWhichrcor
ercompetencyrforrhealthcarerprofessionalsr isrthernurserimplementing?
Qualityrimprovement
Evidence-basedrpractice
Patient-centeredrcare
Teamworkrandrcollaboration
Correctr Answer:r3
Rationaler1:rIdentifyingrsafetyrhazardsrandrmeasuringrqualityrisranrexamplerofrthercorercompetencyrqualityrimp
rovement.
Rationaler2:rUsingrbestrresearchrwhenrprovidingrpatientrcarerisranrexamplerofrthercorercompetencyrevidence-
rbasedrpractice.
Rationaler3:rThernurserinstructingr therpatientr isranrexamplerofrthercompetencyr patient-centeredrcare.
Rationaler4:rThercorercompetencyrteamworkrandrcollaborationrinvolvesrcollaborationrbetweenrdisciplinesrtorpro
vidercontinuousrandr reliablercare.
Globalr Rationale:rInr 2003,r therNationalrAcademyr ofrSciencesrproposedr arsetrofrfivercorercompetenciesrthatrallrhealth
carerprofessionalsrshouldrpossessrtormeetrtherneedsrofrther21strcentury.rThernurserinstructingrtherpatientrisranrexampler
ofrthercompetencyrpatient-
centeredrcare.rIdentifyingrsafetyrhazardsrandrmeasuringrqualityrarerexamplesrofrthercorercompetencyrqualityrimprov
ement.rUsingrbestrresearchrwhenrprovidingrpatientrcarerisranrexamplerofrthercorercompetencyrevidence-
basedrpractice.rCollaborationrbetweenrdisciplinesrtorprovidercontinuousrandrreliabler carerisranrexamplerofrthercorerco
mpetencyrteamworkrandrcollaboration.
Cognitiver Level:r Applying
Clientr Need:r SaferandrEffectiverCarer EnvironmentrC
lientr NeedrSub:r Managementr ofrCare
QSENrCompetencies:r I.A.1.r Integrater understandingrofrmultiplerdimensionsrofrpatientrcenteredr care
AACNrEssentialrCompetencies:rIX.7.rProviderappropriaterpatientrteachingrthatrreflectsrdevelopmentalrstage,rage
,rculture,rspirituality,rpatientrpreferences,randrhealthrliteracyrconsiderationsrtorfosterrpatientrengagementrinrtheirrca
re
NLNrCompetencies:rRelationshiprCenteredrCare:rLearnrcooperatively,rfacilitatertherlearningrofrothersrNu
rsing/Integratedr Concepts:r Nursingr Process:r Implementation
,Learningr Outcome:r 1.r Describerthercorercompetenciesr forrhealthcarer professionals:rpatient-
centeredr care,rinterprofessionalrteams,revidence-
basedrpractice,rqualityr improvement,rsafety,randrhealthrinformationr technology.rMNLrLearningrOutcome:r 10.5.4.r Utiliz
er thernursingrprocessrinr carer ofrclient.
PagerNumber:r 4
Questionr 2rT
ype:rMCSA
Thernurserisrplanningrtorutilizerthercorercompetencyruserinformaticsrwhenrprovidingrpatientrcare.rWhichractionrsho
uldrthernurserperformr whenrusingrthisrcorercompetency?
Changerthersharpsrcontainerrinrarpatient’srroom.
Documentrthereffectivenessrofrpainrmedicationrforrarpatient.
Discussrthereffectivenessrofrbedsiderphysicalrtherapyrwithrthertherapist.
Searchrthroughrardatabaserofrarticlesrtorfindrcurrentrresearchronrwoundrcare.
Correctr Answer:r4
Rationaler1:rChangingrthersharpsrcontainerrisr anrexampler ofrqualityrimprovement.
Rationaler2:rDocumentingrthereffectivenessrofrpainrmedicationrforrarpatientrisranrexamplerofrpatient-
centeredrcare.
Rationaler3:rDiscussingrthereffectivenessrofrbedsiderphysicalrtherapyrwithrthertherapistr isranrexamplerof
teamworkrandrcollaboration.
Rationaler4:rSearchingrthroughrardatabaserofrarticlesrtorfindrcurrentrresearchronrwoundrcarerisranrexamplerofruserinfor
matics.
GlobalrRationale:rExamplesrofrthernurserusingrthercorercompetencyruserinformaticsrincludertheruserofrtechnologyrtor
communicate,rmanagerknowledge,rreducererrors,randrsupportrdecisionrmaking.rTheractivityrofrsearchingrthroughrard
atabaserofrarticlesrtorfindrcurrentrresearchronrwoundrcarerisranrexamplerofruserinformatics.rChangingrthersharpsrcontain
errinrarpatient’srroomrisranrexamplerofrqualityrimprovement.rDocumentingrthereffectivenessrofrpainrmedicationrforrarpatie
ntrisranrexamplerofrpatient-
centeredrcare.rDiscussingrthereffectivenessrofrbedsiderphysicalrtherapyrwithr thertherapistrisranrexamplerofrteamworkra
ndrcollaboration.
Cognitiver Level:r Applying
Clientr Need:rSaferandrEffectiverCarer EnvironmentrC
lientr Needr Sub:r Managementr ofr Care
QSENrCompetencies:rVI.B.2.r Applyrtechnologyr andrinformationrmanagementrtoolsrtor supportrsaferprocessesrofrcar
e
AACNrEssentialsrCompetencies:rIV.1.rDemonstraterskillsrinrusingrpatientrcarertechnologies,rinformationrsyste
ms,randr communicationrdevicesrthatrsupportrsafernursingrpractice
, NLNrCompetencies:rKnowledgerandrScience:rElectronicrdatabases;rliteraturerretrieval;revaluatingrdatarforrval
idityrandrreliability;revidencerandrbestrpracticesrforrnursing
Nursing/IntegratedrConcepts:rNursingrProcess:rPlanning
Learningr Outcome:r 1.r Describerthercorercompetenciesr forrhealthcarer professionals:rpatient-
centeredr care,rinterprofessionalrteams,revidence-
basedrpractice,rqualityrimprovement,rsafety,randrhealthrinformationrtechnology.
MNLr Learningr Outcome:r 4.3.3.r Examinerther treatmentsr usedr forrpressurerulcers.rPa
gerNumber:r 4
Questionr 3rTy
pe:rMCMA
Thernurserplansrtorimplementrevidence-
basedrpracticerwhenrprovidingrpatientrcare.rWhichractivitiesrshouldrthernurserperform?
StandardrText:r Selectrallrthatrapply.
Participaterinreducationrandrresearchractivitiesrwhenrpossible.
Integraterresearchrfindingsrwithrclinicalrcarertormaximizerpatientroutcomes.
Serveronrthercommitteertorcreatercriticalrpathwaysrforrpatientrcare.
Reinforcerhandrhygienertechniquesrwithrunlicensedrassistiverpersonnel.
Contactr Environmentalr Servicesr tor reportr ar malfunctioningr infusionr pump.
Correctr Answer:r1,r 2
Rationaler1:rParticipatingrinreducationrandr researchractivitiesrwhenrpossibler isranrexamplerofrimplementing
evidence-basedrpracticerinrtherprovisionrofrpatientrcare.
Rationaler2:rIntegratingrresearchrfindingsrwithrclinicalrcarertormaximizerpatientroutcomesrisranrexamplerofrimp
lementingrevidence-basedrpracticerinrtherprovisionrofrpatientrcare.
Rationaler3:rServingronrthercommitteertorcreatercriticalrpathwaysrforrpatientrcarerisranrexamplerofrteamworkrandrcolla
boration.
Rationaler4:rReinforcingrhandrhygienertechniquesrwithrunlicensedrassistiverpersonnelrisranrexamplerofrqualityrimp
rovement.
Rationaler5:rContactingrEnvironmentalrServicesrtor reportrarmalfunctioningr infusionrpumpr isranrexamplerof
qualityrimprovement.
Globalr Rationale:rParticipatingr inr educationrandrresearchractivitiesrwhenr possiblerisranrexamplerofr implementingrevi
dence-
basedrpracticerinrtherprovisionrofrpatientrcare.rIntegratingrresearchrfindingsrwithrclinicalrcarertormaximizerpatientrout
comesrisranrexamplerofrimplementingrevidence-basedrpracticerinrtherprovisionrofrpatient
r r r r r r
,Chapter 1 r
Questionr 1rT
ype:rMCSA
Thernurserisr instructingrarpatientronrtherrolerofrdiet,rexercise,randrmedicationrtorcontrolrtyper2rdiabetesr mellitus.rWhichrcor
ercompetencyrforrhealthcarerprofessionalsr isrthernurserimplementing?
Qualityrimprovement
Evidence-basedrpractice
Patient-centeredrcare
Teamworkrandrcollaboration
Correctr Answer:r3
Rationaler1:rIdentifyingrsafetyrhazardsrandrmeasuringrqualityrisranrexamplerofrthercorercompetencyrqualityrimp
rovement.
Rationaler2:rUsingrbestrresearchrwhenrprovidingrpatientrcarerisranrexamplerofrthercorercompetencyrevidence-
rbasedrpractice.
Rationaler3:rThernurserinstructingr therpatientr isranrexamplerofrthercompetencyr patient-centeredrcare.
Rationaler4:rThercorercompetencyrteamworkrandrcollaborationrinvolvesrcollaborationrbetweenrdisciplinesrtorpro
vidercontinuousrandr reliablercare.
Globalr Rationale:rInr 2003,r therNationalrAcademyr ofrSciencesrproposedr arsetrofrfivercorercompetenciesrthatrallrhealth
carerprofessionalsrshouldrpossessrtormeetrtherneedsrofrther21strcentury.rThernurserinstructingrtherpatientrisranrexampler
ofrthercompetencyrpatient-
centeredrcare.rIdentifyingrsafetyrhazardsrandrmeasuringrqualityrarerexamplesrofrthercorercompetencyrqualityrimprov
ement.rUsingrbestrresearchrwhenrprovidingrpatientrcarerisranrexamplerofrthercorercompetencyrevidence-
basedrpractice.rCollaborationrbetweenrdisciplinesrtorprovidercontinuousrandrreliabler carerisranrexamplerofrthercorerco
mpetencyrteamworkrandrcollaboration.
Cognitiver Level:r Applying
Clientr Need:r SaferandrEffectiverCarer EnvironmentrC
lientr NeedrSub:r Managementr ofrCare
QSENrCompetencies:r I.A.1.r Integrater understandingrofrmultiplerdimensionsrofrpatientrcenteredr care
AACNrEssentialrCompetencies:rIX.7.rProviderappropriaterpatientrteachingrthatrreflectsrdevelopmentalrstage,rage
,rculture,rspirituality,rpatientrpreferences,randrhealthrliteracyrconsiderationsrtorfosterrpatientrengagementrinrtheirrca
re
NLNrCompetencies:rRelationshiprCenteredrCare:rLearnrcooperatively,rfacilitatertherlearningrofrothersrNu
rsing/Integratedr Concepts:r Nursingr Process:r Implementation
,Learningr Outcome:r 1.r Describerthercorercompetenciesr forrhealthcarer professionals:rpatient-
centeredr care,rinterprofessionalrteams,revidence-
basedrpractice,rqualityr improvement,rsafety,randrhealthrinformationr technology.rMNLrLearningrOutcome:r 10.5.4.r Utiliz
er thernursingrprocessrinr carer ofrclient.
PagerNumber:r 4
Questionr 2rT
ype:rMCSA
Thernurserisrplanningrtorutilizerthercorercompetencyruserinformaticsrwhenrprovidingrpatientrcare.rWhichractionrsho
uldrthernurserperformr whenrusingrthisrcorercompetency?
Changerthersharpsrcontainerrinrarpatient’srroom.
Documentrthereffectivenessrofrpainrmedicationrforrarpatient.
Discussrthereffectivenessrofrbedsiderphysicalrtherapyrwithrthertherapist.
Searchrthroughrardatabaserofrarticlesrtorfindrcurrentrresearchronrwoundrcare.
Correctr Answer:r4
Rationaler1:rChangingrthersharpsrcontainerrisr anrexampler ofrqualityrimprovement.
Rationaler2:rDocumentingrthereffectivenessrofrpainrmedicationrforrarpatientrisranrexamplerofrpatient-
centeredrcare.
Rationaler3:rDiscussingrthereffectivenessrofrbedsiderphysicalrtherapyrwithrthertherapistr isranrexamplerof
teamworkrandrcollaboration.
Rationaler4:rSearchingrthroughrardatabaserofrarticlesrtorfindrcurrentrresearchronrwoundrcarerisranrexamplerofruserinfor
matics.
GlobalrRationale:rExamplesrofrthernurserusingrthercorercompetencyruserinformaticsrincludertheruserofrtechnologyrtor
communicate,rmanagerknowledge,rreducererrors,randrsupportrdecisionrmaking.rTheractivityrofrsearchingrthroughrard
atabaserofrarticlesrtorfindrcurrentrresearchronrwoundrcarerisranrexamplerofruserinformatics.rChangingrthersharpsrcontain
errinrarpatient’srroomrisranrexamplerofrqualityrimprovement.rDocumentingrthereffectivenessrofrpainrmedicationrforrarpatie
ntrisranrexamplerofrpatient-
centeredrcare.rDiscussingrthereffectivenessrofrbedsiderphysicalrtherapyrwithr thertherapistrisranrexamplerofrteamworkra
ndrcollaboration.
Cognitiver Level:r Applying
Clientr Need:rSaferandrEffectiverCarer EnvironmentrC
lientr Needr Sub:r Managementr ofr Care
QSENrCompetencies:rVI.B.2.r Applyrtechnologyr andrinformationrmanagementrtoolsrtor supportrsaferprocessesrofrcar
e
AACNrEssentialsrCompetencies:rIV.1.rDemonstraterskillsrinrusingrpatientrcarertechnologies,rinformationrsyste
ms,randr communicationrdevicesrthatrsupportrsafernursingrpractice
, NLNrCompetencies:rKnowledgerandrScience:rElectronicrdatabases;rliteraturerretrieval;revaluatingrdatarforrval
idityrandrreliability;revidencerandrbestrpracticesrforrnursing
Nursing/IntegratedrConcepts:rNursingrProcess:rPlanning
Learningr Outcome:r 1.r Describerthercorercompetenciesr forrhealthcarer professionals:rpatient-
centeredr care,rinterprofessionalrteams,revidence-
basedrpractice,rqualityrimprovement,rsafety,randrhealthrinformationrtechnology.
MNLr Learningr Outcome:r 4.3.3.r Examinerther treatmentsr usedr forrpressurerulcers.rPa
gerNumber:r 4
Questionr 3rTy
pe:rMCMA
Thernurserplansrtorimplementrevidence-
basedrpracticerwhenrprovidingrpatientrcare.rWhichractivitiesrshouldrthernurserperform?
StandardrText:r Selectrallrthatrapply.
Participaterinreducationrandrresearchractivitiesrwhenrpossible.
Integraterresearchrfindingsrwithrclinicalrcarertormaximizerpatientroutcomes.
Serveronrthercommitteertorcreatercriticalrpathwaysrforrpatientrcare.
Reinforcerhandrhygienertechniquesrwithrunlicensedrassistiverpersonnel.
Contactr Environmentalr Servicesr tor reportr ar malfunctioningr infusionr pump.
Correctr Answer:r1,r 2
Rationaler1:rParticipatingrinreducationrandr researchractivitiesrwhenrpossibler isranrexamplerofrimplementing
evidence-basedrpracticerinrtherprovisionrofrpatientrcare.
Rationaler2:rIntegratingrresearchrfindingsrwithrclinicalrcarertormaximizerpatientroutcomesrisranrexamplerofrimp
lementingrevidence-basedrpracticerinrtherprovisionrofrpatientrcare.
Rationaler3:rServingronrthercommitteertorcreatercriticalrpathwaysrforrpatientrcarerisranrexamplerofrteamworkrandrcolla
boration.
Rationaler4:rReinforcingrhandrhygienertechniquesrwithrunlicensedrassistiverpersonnelrisranrexamplerofrqualityrimp
rovement.
Rationaler5:rContactingrEnvironmentalrServicesrtor reportrarmalfunctioningr infusionrpumpr isranrexamplerof
qualityrimprovement.
Globalr Rationale:rParticipatingr inr educationrandrresearchractivitiesrwhenr possiblerisranrexamplerofr implementingrevi
dence-
basedrpracticerinrtherprovisionrofrpatientrcare.rIntegratingrresearchrfindingsrwithrclinicalrcarertormaximizerpatientrout
comesrisranrexamplerofrimplementingrevidence-basedrpracticerinrtherprovisionrofrpatient
