,
,
,
, 3 Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
4 Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
PTS: 1 CON: Safety
3. ANS: 2
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Identify and describe fundamental elements for each core competency for nursing.
Chapter page reference: 9
Heading: Health Literacy
Integrated Process: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 While cultural competence can influence a patient’s desire to participate in care, it is
more likely that this patient does not understand the basic tenets of diabetes
management.
2 The inability of patients and their families to read, understand, and/or act on health-care
information can lead to problems with accessing care, managing illness, and processing
information.
3 The patient in this scenario is unable to participate in self-management because he does
not understand the basic tenets of diabetes management.
4 There is no indication that the optimal healing environment is not present in this
scenario. The patient is lacking health literacy to understand his disease.
PTS: 1 CON: Health Promotion
4. ANS: 4
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Identify and describe fundamental elements for each core competency for nursing.
Chapter page reference: 12
Heading: Care Coordination
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1 Time management is an important component of teamwork and collaboration but is not
essential to the implementation of this competency.
2 The assessment of the group dynamics is also an important component of teamwork
and collaboration, but it is not essential to its implementation. Group dynamics may
make it more difficult, but it will not prevent its implementation.
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, 3 Conflict resolution is an element of teamwork and collaboration, but it will not prevent
the implementation of this competency.
4 Care coordination related to teamwork and collaboration indicates that the nurse is the
health-care professional to coordinate the delivery of care to patients. This is seen as a
priority for health-care quality improvement.
PTS: 1 CON: Leadership and Management
5. ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Discuss the importance of effective nursing leadership and management in
providing safe and quality patient-centered care.
Chapter page reference: 22
Heading: Safety Culture
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1 Fairness is not an element of the culture of safety.
2 Preoccupation with success may delay a culture of safety as nurses may feel that
reporting errors will delay success.
3 Transparency is critical in a safety culture. Staff must feel comfortable in reporting
errors, near misses, and potential for errors.
4 Interprofessional collaboration assists a culture of safety by working with others to
develop solutions to common errors or to prevent errors from occurring. Discouraging
this would not be a part of a culture of safety.
PTS: 1 CON: Leadership and Management
6. ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Describe the impact of the Institute of Medicine (IOM) reports on the quality of
health care in the United States.
Chapter page reference: 3
Heading: Institute of Medicine Reports
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 The three domains of quality were a result of the first IOM report, To Err Is Human:
Building a Safer Health System.
2 The 10 rules for the redesign of health-care delivery were the result of the 2001 IOM
report, Crossing the Quality Chasm: A New Health System for the 21st Century.
3 The 2003 IOM report that set forth five competencies for safety and quality resulted in
the five competencies of QSEN.
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, 4 The six aims were a part of the 2001 IOM report, Crossing the Quality Chasm: A New
Health System for the 21st Century.
PTS: 1 CON: Health Care System
7. ANS: 1
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Describe the impact of the Institute of Medicine (IOM) reports on the quality of
health care in the United States.
Chapter page reference: 3
Heading: Institute of Medicine Reports
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 “Patient-centered” is a part of both the six aims of the 2001 IOM report and the five
competencies of health-care education in the 2003 IOM report.
2 “Teamwork and collaboration” is found only in the competencies of the 2003 IOM
report.
3 “Informatics” is found only in the competencies of the 2003 IOM report.
4 “Evidence-based” is found only in the competencies of the 2003 IOM report.
PTS: 1 CON: Health Care System
8. ANS: 4
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Describe the impact of the Institute of Medicine (IOM) reports on the quality of
health care in the United States.
Chapter page reference: 3
Heading: Institute of Medicine Reports
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 Reduction of wait time is one of the six aims of the IOM 2001 report, but it does not
describe the full intention of the report.
2 Health care based on scientific knowledge is one of the six aims of the IOM 2001
report, but it does not describe the full intention of the report.
3 Avoidance of waste is one of the six aims of the IOM 2001 report, but it does not
describe the full intention of the report.
4 Narrowing the quality gap in health care was the intention of the IOM 2001 report,
which sought to restructure the health-care system.
PTS: 1 CON: Health Care System
9. ANS: 2
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Compare and contrast the IOM competencies and the Quality and Safety
Education for Nurses (QSEN) core competencies.
Chapter page reference: 7
Heading: Quality and Safety Education for Nurses Core Competencies
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 Informatics was a competency found in the 2003 IOM report.
2 Safety was a competency added by QSEN in addition to the five IOM competencies.
3 Teamwork and Collaboration was a competency found in the 2003 IOM report.
4 Evidence-Based Practice was a competency found in the 2003 IOM report.
PTS: 1 CON: Health Care System
10. ANS: 2
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Compare and contrast the IOM competencies and the Quality and Safety
Education for Nurses (QSEN) core competencies.
Chapter page reference: 7
Heading: Quality and Safety Education for Nurses Core Competencies
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 Avoiding long wait times for patient care was not part of the five QSEN competencies.
2 The IOM competency skill related to patient-centered care called for the nurse to share
power and responsibility with the patient and his or her caregiver.
3 Providing equitable care to all patients is one of the six aims of the 2001 IOM report
and not one of the 2003 competencies.
4 Showing respect to all patients regardless of personal characteristics was one of the six
aims of the 2001 IOM report and not one of the 2003 competencies.
PTS: 1 CON: Health Care System
MULTIPLE RESPONSE
11. ANS: 1, 2, 5
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Define the IOM competencies, outline the IOM’s six aims for health care, and
analyze the IOM’s rules for health care in the 21st century.
Chapter page reference: 7
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, Heading: Patient-Centered Care
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1. Sharing power and responsibility with patients and caregivers is a skill required in
patient-centered care.
2. Taking into account patient individuality, emotional needs, values, and life issues is a skill
required in patient-centered care.
3. Ensuring that timely and appropriate information reaches those who need it at the
appropriate time is a skill required of teamwork and collaboration.
4. Formulating clear clinical questions is a skill required of evidence-based practice.
5. Enhancing prevention and health promotion is a skill required of patient-centered care.
PTS: 1 CON: Health Care System
12. ANS: 1, 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Identify and describe fundamental elements for each core competency.
Chapter page reference: 17
Heading: Quality Improvement
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1. Care process is a fundamental element of quality improvement.
2. Advocacy is a fundamental element of patient-centered care.
3. Outcomes of care is a fundamental element of quality improvement.
4. Communication is a fundamental element of teamwork and collaboration.
5. Documentation is a fundamental element of informatics.
PTS: 1 CON: Health Care System
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, Chapter 2: Health-Care Environment and Policy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse in the newborn nursery is educating new parents about the scheduling of immunizations. Where
should the nurse refer parents of limited income to obtain these immunizations at a free or reduced cost?
1. Return to the newborn nursery
2. Contact the county health department
3. Request reduced fees at a private pediatrician’s office
4. Defer immunizations until funds are available
2. The nurse is discussing available health care with an individual who will turn 65 years of age in
approximately 6 months. This individual is very concerned about the availability of benefits for prescription
medication. What part of Medicare will the nurse discuss specifically with this patient in reference to
prescription benefits?
1. Part A
2. Part B
3. Part C
4. Part D
3. The nurse is discussing with a patient the types of services available at the local health department and knows
that most health-care agencies in the public section receive the majority of their funding from what source?
1. Private insurance
2. Private charities
3. Taxpayer dollars
4. Private pay
4. The nurse is aware that the majority of individuals in the United States with private insurance obtain this
insurance in what manner?
1. Employment
2. Government subsidy
3. Prior military service
4. Universal health care
5. The nurse in the emergency department (ED) knows that many people come to the ED for seemingly minor
problems and knows it is the result of what issues related to health-care access?
1. There are not enough health-care providers to see all the patients who need care.
2. Wait time is faster in the ED than in a private office.
3. Private practice clinics do not have to accept patients who are unable to pay.
4. Patients believe the care is better in EDs.
6. The nurse manager of an ED that cares for many patients, many who are repeatedly seen for minor problems,
is concerned over the negative mood of many of the nurses. What information could the nurse manager give
to the staff that would improve the nurses’ perceptions of these patients?
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
,
,
, 3 Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
4 Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
PTS: 1 CON: Safety
3. ANS: 2
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Identify and describe fundamental elements for each core competency for nursing.
Chapter page reference: 9
Heading: Health Literacy
Integrated Process: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 While cultural competence can influence a patient’s desire to participate in care, it is
more likely that this patient does not understand the basic tenets of diabetes
management.
2 The inability of patients and their families to read, understand, and/or act on health-care
information can lead to problems with accessing care, managing illness, and processing
information.
3 The patient in this scenario is unable to participate in self-management because he does
not understand the basic tenets of diabetes management.
4 There is no indication that the optimal healing environment is not present in this
scenario. The patient is lacking health literacy to understand his disease.
PTS: 1 CON: Health Promotion
4. ANS: 4
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Identify and describe fundamental elements for each core competency for nursing.
Chapter page reference: 12
Heading: Care Coordination
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1 Time management is an important component of teamwork and collaboration but is not
essential to the implementation of this competency.
2 The assessment of the group dynamics is also an important component of teamwork
and collaboration, but it is not essential to its implementation. Group dynamics may
make it more difficult, but it will not prevent its implementation.
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, 3 Conflict resolution is an element of teamwork and collaboration, but it will not prevent
the implementation of this competency.
4 Care coordination related to teamwork and collaboration indicates that the nurse is the
health-care professional to coordinate the delivery of care to patients. This is seen as a
priority for health-care quality improvement.
PTS: 1 CON: Leadership and Management
5. ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Discuss the importance of effective nursing leadership and management in
providing safe and quality patient-centered care.
Chapter page reference: 22
Heading: Safety Culture
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1 Fairness is not an element of the culture of safety.
2 Preoccupation with success may delay a culture of safety as nurses may feel that
reporting errors will delay success.
3 Transparency is critical in a safety culture. Staff must feel comfortable in reporting
errors, near misses, and potential for errors.
4 Interprofessional collaboration assists a culture of safety by working with others to
develop solutions to common errors or to prevent errors from occurring. Discouraging
this would not be a part of a culture of safety.
PTS: 1 CON: Leadership and Management
6. ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Describe the impact of the Institute of Medicine (IOM) reports on the quality of
health care in the United States.
Chapter page reference: 3
Heading: Institute of Medicine Reports
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 The three domains of quality were a result of the first IOM report, To Err Is Human:
Building a Safer Health System.
2 The 10 rules for the redesign of health-care delivery were the result of the 2001 IOM
report, Crossing the Quality Chasm: A New Health System for the 21st Century.
3 The 2003 IOM report that set forth five competencies for safety and quality resulted in
the five competencies of QSEN.
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, 4 The six aims were a part of the 2001 IOM report, Crossing the Quality Chasm: A New
Health System for the 21st Century.
PTS: 1 CON: Health Care System
7. ANS: 1
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Describe the impact of the Institute of Medicine (IOM) reports on the quality of
health care in the United States.
Chapter page reference: 3
Heading: Institute of Medicine Reports
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 “Patient-centered” is a part of both the six aims of the 2001 IOM report and the five
competencies of health-care education in the 2003 IOM report.
2 “Teamwork and collaboration” is found only in the competencies of the 2003 IOM
report.
3 “Informatics” is found only in the competencies of the 2003 IOM report.
4 “Evidence-based” is found only in the competencies of the 2003 IOM report.
PTS: 1 CON: Health Care System
8. ANS: 4
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Describe the impact of the Institute of Medicine (IOM) reports on the quality of
health care in the United States.
Chapter page reference: 3
Heading: Institute of Medicine Reports
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 Reduction of wait time is one of the six aims of the IOM 2001 report, but it does not
describe the full intention of the report.
2 Health care based on scientific knowledge is one of the six aims of the IOM 2001
report, but it does not describe the full intention of the report.
3 Avoidance of waste is one of the six aims of the IOM 2001 report, but it does not
describe the full intention of the report.
4 Narrowing the quality gap in health care was the intention of the IOM 2001 report,
which sought to restructure the health-care system.
PTS: 1 CON: Health Care System
9. ANS: 2
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Compare and contrast the IOM competencies and the Quality and Safety
Education for Nurses (QSEN) core competencies.
Chapter page reference: 7
Heading: Quality and Safety Education for Nurses Core Competencies
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 Informatics was a competency found in the 2003 IOM report.
2 Safety was a competency added by QSEN in addition to the five IOM competencies.
3 Teamwork and Collaboration was a competency found in the 2003 IOM report.
4 Evidence-Based Practice was a competency found in the 2003 IOM report.
PTS: 1 CON: Health Care System
10. ANS: 2
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Compare and contrast the IOM competencies and the Quality and Safety
Education for Nurses (QSEN) core competencies.
Chapter page reference: 7
Heading: Quality and Safety Education for Nurses Core Competencies
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1 Avoiding long wait times for patient care was not part of the five QSEN competencies.
2 The IOM competency skill related to patient-centered care called for the nurse to share
power and responsibility with the patient and his or her caregiver.
3 Providing equitable care to all patients is one of the six aims of the 2001 IOM report
and not one of the 2003 competencies.
4 Showing respect to all patients regardless of personal characteristics was one of the six
aims of the 2001 IOM report and not one of the 2003 competencies.
PTS: 1 CON: Health Care System
MULTIPLE RESPONSE
11. ANS: 1, 2, 5
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Define the IOM competencies, outline the IOM’s six aims for health care, and
analyze the IOM’s rules for health care in the 21st century.
Chapter page reference: 7
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, Heading: Patient-Centered Care
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1. Sharing power and responsibility with patients and caregivers is a skill required in
patient-centered care.
2. Taking into account patient individuality, emotional needs, values, and life issues is a skill
required in patient-centered care.
3. Ensuring that timely and appropriate information reaches those who need it at the
appropriate time is a skill required of teamwork and collaboration.
4. Formulating clear clinical questions is a skill required of evidence-based practice.
5. Enhancing prevention and health promotion is a skill required of patient-centered care.
PTS: 1 CON: Health Care System
12. ANS: 1, 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Identify and describe fundamental elements for each core competency.
Chapter page reference: 17
Heading: Quality Improvement
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Care System
Difficulty: Moderate
Feedback
1. Care process is a fundamental element of quality improvement.
2. Advocacy is a fundamental element of patient-centered care.
3. Outcomes of care is a fundamental element of quality improvement.
4. Communication is a fundamental element of teamwork and collaboration.
5. Documentation is a fundamental element of informatics.
PTS: 1 CON: Health Care System
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
, Chapter 2: Health-Care Environment and Policy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse in the newborn nursery is educating new parents about the scheduling of immunizations. Where
should the nurse refer parents of limited income to obtain these immunizations at a free or reduced cost?
1. Return to the newborn nursery
2. Contact the county health department
3. Request reduced fees at a private pediatrician’s office
4. Defer immunizations until funds are available
2. The nurse is discussing available health care with an individual who will turn 65 years of age in
approximately 6 months. This individual is very concerned about the availability of benefits for prescription
medication. What part of Medicare will the nurse discuss specifically with this patient in reference to
prescription benefits?
1. Part A
2. Part B
3. Part C
4. Part D
3. The nurse is discussing with a patient the types of services available at the local health department and knows
that most health-care agencies in the public section receive the majority of their funding from what source?
1. Private insurance
2. Private charities
3. Taxpayer dollars
4. Private pay
4. The nurse is aware that the majority of individuals in the United States with private insurance obtain this
insurance in what manner?
1. Employment
2. Government subsidy
3. Prior military service
4. Universal health care
5. The nurse in the emergency department (ED) knows that many people come to the ED for seemingly minor
problems and knows it is the result of what issues related to health-care access?
1. There are not enough health-care providers to see all the patients who need care.
2. Wait time is faster in the ED than in a private office.
3. Private practice clinics do not have to accept patients who are unable to pay.
4. Patients believe the care is better in EDs.
6. The nurse manager of an ED that cares for many patients, many who are repeatedly seen for minor problems,
is concerned over the negative mood of many of the nurses. What information could the nurse manager give
to the staff that would improve the nurses’ perceptions of these patients?
Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition Murray
