LeMone and Burke's Medical-Surgical Nursing:
Clinical Reasoning in Patient Care
Author: Gerene Bauldoff
7th edition
,CHAPTER 1
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
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.