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CHAPTER 1 CORE COMPETENCIES FOR SAFE AND QUALITY NURSING CARE EXAM QUESTIONS WITH CORRECT ANSWERS

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CHAPTER 1 CORE COMPETENCIES FOR SAFE AND QUALITY NURSING CARE EXAM QUESTIONS WITH CORRECT ANSWERS

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NURSING COMPETENCY
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NURSING COMPETENCY









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Institution
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Written in
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CHAPTER 1 CORE COMPETENCIES
FOR SAFE AND QUALITY NURSING
CARE EXAM QUESTIONS WITH
CORRECT ANSWERS
Although HCPs have an obligation to provide safe and quality care, nurses have been
directly linked to ensuring patient safety and quality care outcomes. The national QSEN
initiative was organized with the purpose of.. - Answer-adapting the IOM competencies
for nursing specifically to serve as guides for curricular development in formal nursing
education, transitions to practice, and continuing education programs.

In addition, the competencies provide a framework for regulatory bodies that set
standards for licensure, certification, and accreditation of nursing education programs.

What are the QSEN competencies [adapted the five competencies outline in Health
Professions Education: A Bridge to Quality]? - Answer-1. provide patient centered care
2. work in interdisciplinary teams
3. employ evidence based practice
4. apply quality improvement
5. use informatics

and added a 6th competency, SAFETY!

"PIEQIS" - Answer-patient centered care
interdisciplinary teams
EBP
quality improvement
safety

"PIEQIS"/pie crust

The overall goal for the QSEN project is to.. - Answer-prepare future nurses with the
knowledge, skills, and attitudes necessary to continuously improve the quality and
safety of the health-care systems within which they work.

The IOM defines patient-centered care as.. - Answer-identify, respect, and care about
patients rather than differences, values, preferences, and expressed needs; relieve pain
and suffering; coordinate continuous care; listen to, clearly inform, communicate with,
and educate patients; share decision making and management; and continuously
advocate disease prevention, wellness, and promotion of health lifestyles, including a
focus on population health.

, The skills r/t the patient centered care competency identified by the IOM include.. -
Answer--Share power and responsibility with patients and caregivers.
-Communicate with patients in a shared and fully open manner.
-Take into account patients' individuality, emotional needs, values, and life issues.
-Implement strategies for reaching those who do not present for care on their own,
including care strategies that support the broader community.
-Enhance prevention and health promotion.

patient centered care - Answer-recognition of the patient or designee as the source of
control and full partner in providing compassionate and coordinated care based on
respect for patients' preference, values, and needs.

The fundamental elements of patient-centered care includes.. - Answer-advocacy,
empowerment, self-management, cultural competence, health literacy, and an optimal
healing environment.

Advocacy definition - Answer-representing and/or speaking for patients when they
cannot speak for themselves.

Nurses have an ethical obligation to advocate for patients. The ANA Code of Ethics
asserts, "the nurse promotes, advocates for, and strives to protect the health, safety,
and rights of the patient."

Empowerment definition - Answer-providing patients with access to information,
support, resources, and opportunities that allow them to optimize their health and take
part in decision making.

As patient of patient-centered care, nurses are called to empower patients and their
families to engage in self-care, decision making, and developing a plan of care.

Empowerment is defined as, "patients' perceptions of access to information, support
resources, and opportunities to learn and grow that enable them to optimize their health
and gain a sense of meaningfulness, self-determination, competency, and impact on
their lives".

Self-management definition - Answer-increasing the skills and confidence of patients in
managing their health problems.

The major aim of self-management is to ensure that the sharing of knowledge b/w
clinicians and patients and their families is maximized, that the patient is recognized as
the source of control, and that the tools and system supports that make self-
management tenable is available".

What is a major barrier to patient-centered care? - Answer-the ability to read,
understand, and act on healthcare information or HEALTH LITERACY.

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