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