Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
TEST BANK
Timby's Fundamental Nursing Skills and Concepts
Loretta A. Donnelly-Moreno
12th Edition
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Table of Contents
Chapter 1 Nursing Foundations
Chapter 2: Nursing Process
Chapter 3 Laws and Ethics
Chapter 4 Health and Illness
Chapter 5 Homeostasis, Adaptation, and Stress
Chapter 6 Culture and Ethnicity
Chapter 7 The Nurse–Client Relationship
Chapter 8 Client Teaching
Chapter 9 Recording and Reporting
Chapter 10 Asepsis
Chapter 11 Admission, Discharge, Transfer, and Referrals
Chapter 12 Vital Signs
Chapter 13 Physical Assessment
Chapter 14 Special Examinations and Tests
Chapter 15 Nutrition
Chapter 16 Fluid and Chemical Balance
Chapter 17 Hygiene
Chapter 18 Comfort, Rest, and Sleep
Chapter 19 Safety
Chapter 20 Pain Management
Chapter 21 Oxygenation
Chapter 22 Infection Control
Chapter 23 Body Mechanics, Positioning, and Moving
Chapter 24 Fitness and Therapeutic Exercise
Chapter 25 Mechanical Immobilization
Chapter 26 Ambulatory Aids
Chapter 27 Perioperative Care
Chapter 28 Wound Care
Chapter 29 Gastrointestinal Intubation
Chapter 30 Urinary Elimination
Chapter 31 Bowel Elimination
Chapter 32 Oral Medications
Chapter 33 Topical and Inhalant Medications
Chapter 34 Parenteral Medications
Chapter 35 Intravenous Medications
Chapter 36 Airway Management
Chapter 37 Resuscitation
Chapter 38 End-of-Life Care
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Chapter 1 Nursing Foundations
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The medical-surgical nurse identifies a clinical practice issue and
wants to determine if there is sufficient evidence to support a change in practice.
Which type of study provides the strongest evidence to support a practice change?
• Randomized control study
• Quasi-experimental study
• Case-control study
• Cohort study
2. The medical-surgical unit recently implemented a patient-centered
care model. Which action implemented by the nurse supports this model?
• Evaluating care
• Assessing needs
• Diagnosing problems
• Providing compassion
3. Which action should the nurse implement when providing patient care in order
to support The Joint
Commission’s (TJC) National Patient Safety Goals (NPSG)?
• Silencing a cardiorespiratory monitor
• Identifying each patient using one source
• Determining patient safety issues upon admission
• Decreasing the amount of pain medication administered
4. Which interprofessional role does the nurse often assume
when providing patient care in an acute care setting?
• Social worker
• Client advocate
• Care coordinator
• Massage therapist
5. The medical-surgical nurse wants to determine if a policy change is needed for
an identified clinical problem.
Which is the first action the nurse should implement?
• Developing a question
• Disseminating the findings
• Conducting a review of the literature
• Evaluating outcomes of practice change
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
6. The nurse is evaluating the level of evidence found during a recent
review of the literature. Which evidence carries the lowest level of support for a
practice change?
• Level IV
• Level V
• Level VI
• Level VII
7. The nurse is reviewing evidence from a quasi-experimental
research study. Which level of evidence should the nurse identify for this research
study?
• Level I
• Level II
• Level III
• Level IV
8. Which level of evidence should the nurse identify when reviewing
evidence from a single descriptive research study?
• Level IV
• Level V
• Level VI
• Level VII
9. Which statement should the nurse make when communicating the “S” in the
SBAR approach for effective
communication?
• “The patient presented to the emergency department at 0200 with lower left abdominal
pain.”
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
• “The patient has no significant issues in the medical history.”
• “The patient was given a prescribed opioid analgesic at 0300.”
10. The staff nurse is communicating with the change nurse about the
change of status of the patient. The nurse would begin her communication with
which statement if correctly using the SBAR format?
• “The patient’s heartrate is 110.”
• “I think this patient needs to be transferred to the critical care unit.”
• “The patient is a 68-year-old male patient admitted last night.”
• “The patient is complaining of chest pain.”
11. Which nursing action exemplifies the Quality and Safety Education
for Nursing (QSEN) competency of safety?
• Advocating for a patient who is experiencing pain
• Considering the patient’s culture when planning care
• Evaluating patient learning style prior to implementing discharge instructions
• Assessing the right drug prior to administering a prescribed patient medication
12. Which type of nursing is the root of all other nursing practice areas?
• Pediatric nursing
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
• Geriatric nursing
• Medical-surgical nursing
• Mental health-psychiatric nursing
13. Which did the Nursing Executive Center of The Advisory Board identify
as an academic-practice gap for new graduate nurses?
• Patient advocacy
• Patient education
• Disease pathophysiology
• Therapeutic communication
14. Which statement regarding the use of the nursing process in clinical practice is
accurate?
• “The nursing process is closely related to clinical decision-making.”
• “The nursing process is used by all members of the interprofessional team to plan care.”
• “The nursing process has 4 basic steps: assessment, planning, implementation,
evaluation.”
• “The nursing process is being replaced by the implementation of evidence-based
practice.”
15. Which is the basis of nursing care practices and protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to care provided
in the hospital setting?
• Space in hospital rooms
• Medications received to treat pain
• Time spent with the health-care team
• Poor quality food received from dietary
17. The nurse manager is preparing a medical-surgical unit for The Joint
Commission (TJC) visit With the nurse manager presenting staff education focusing
on TJC benchmarks, which of the following topics would be most appropriate?
• Implementation of evidence-based practice
• Implementation of patient-centered care
• Implementation of medical asepsis practices
• Implementation of interprofessional care
18. Which aspect of patient-centered care should the nurse manager evaluate
prior to The Joint Commission site visit for accreditation?
• Visitation rights
• Education level of staff
• Fall prevention protocol
• Infection control practices
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
19. The medical-surgical nurse is providing patient care. Which circumstance would
necessitate the nurse
verifying the patient’s identification using at least two sources?
• Prior to delivering a meal tray
• Prior to passive range of motion
• Prior to medication administration
• Prior to documenting in the medical record
20. The nurse is providing care to several patients on a medical-surgical
unit. Which situation would necessitate the nurse to use SBAR during the hand-off
process?
• Wound care
• Discharge to home
• Transfer to radiology
• Medication education
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
21. The staff nurse is teaching a group of student nurses the situations that necessitate
hand-off communication.
Which student responses indicate the need for further education related to this
procedure? Select all that apply.
• “A hand-off is required prior to administering a medication.”
• “A hand-off is required during change of shift.”
• “A hand-off is required for a patient is transferred to the surgical suite.”
• “A hand-off is required whenever the nurse receives a new patient assignment.”
• “A hand-off is required prior to family visitation.”
22. Which actions by the nurse enhance patient safety during medication
administration? Select all that apply.
• Answering the call bell while transporting medications for a different patient
• Identifying the patient using two sources prior to administering the medication
• Holding a medication if the patient’s diagnosis does not support its use
• Administering the medication two hours after the scheduled time
• Having another nurse verify the prescribed dose of insulin the patient is to receive
23. The medical-surgical nurse assumes care for a patient who is
receiving continuous cardiopulmonary monitoring. Which actions by the
nurse enhance safety for this patient? Select all that apply.
• Silencing the alarm during family visitation
• Assessing the alarm parameters at the start of the shift
• Responding to the alarm in a timely fashion
• Decreasing the alarm volume to enhance restful sleep
• Adjusting alarm parameters based on specified practitioner prescription
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
24. The nurse is planning an interprofessional care conference for a patient
who is approaching discharge from the hospital. Which members of the
interprofessional team should the nurse invite to attend? Select all that apply.
• Physician
• Pharmacist
• Unit secretary
• Social worker
• Home care aide
25. The nurse manager wants to designate a member of the nursing team as
the care coordinator for a patient who will require significant care during the
hospitalization. Which skills should this nurse possess in order to assume this role?
Select all that apply.
• Effective clinical reasoning
• Effective communication skills
• Effective infection control procedures
• Effective documentation
• Effective intravenous skills
Answer Section
MULTIPLE CHOICE
• ANS: 1
Chapter number and title: 1, Foundations for Medical Surgical Practice
Chapter learning objective: Discussing the incorporation of evidence-based practices
into medical-surgical nursing
Chapter page reference:
003-004 Heading:
Evidence-Based
Nursing Care
Integrated Processes: Nursing Process: Planning
Client Need: Safe and Effective Care Environment/
Management of Care Cognitive level: Comprehension
[Understanding]
Concept:
Evidence-Based
Practice Difficulty:
Easy
Feedback
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Systematic reviews of randomized control
studies (Level I) are the highest level of
evidence because they include data from
selected studies that randomly assigned
participants to control and experimental
1
groups. The lower the numerical rating of the
level of evidence indicates the highest level of
evidence; therefore, this type of study
provides the strongest evidence to support a
practice change.
Quasi-experimental studies are considered
Level III; therefore, this study does not
2
provide the strongest evidence to support a
practice change.
Case-control studies are considered Level IV;
therefore, this study does not provide the
3
strongest evidence to support a practice
change.
Cohort studies are considered Level IV;
therefore, this study does not provide the
4 strongest evidence to support a practice
change.
PTS: 1 CON: Evidence-Based Practice
• ANS: 4
Chapter number and title: 1, Foundations of Medical-Surgical Practice
Chapter learning objective: Explaining the importance of patient-centered care in the
management of medical- surgical patients
Chapter page reference: 004-005
Heading: Patient-Centered Care in the
Medical-Surgical Setting Integrated
Processes: Caring
Client Need:
Psychosocial Integrity
Cognitive level:
Application [Applying]
Concept: Nursing Roles
Difficulty: Moderate
Feedback
Evaluation is a step in the nursing process;
1 however, this is not an action that supports the
patient-centered care model.
Assessment is a step in the nursing process;
2 however, this is not an action that supports the
patient-centered care model.
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Diagnosis is a step in the nursing process;
3 however, this is not an action that supports the
patient-centered care model.
Compassion is a competency closely
associated with patient-centered care;
4 therefore,
this action supports the patient-centered
model of care.
PTS: 1 CON: Nursing Roles
• ANS: 3
Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice
Chapter learning objective: Discussing implications to medical-surgical nurses
of Quality and Safety Education for Nurses (QSEN) competencies
Chapter page reference:
005-006 Heading:
Patient Safety
Outcomes
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment/
Management of Care Cognitive level: Application
[Applying]
Conce
pt:
Safety
Diffic
ulty:
Mode
rate
Feedback
Safely using alarms is a NPSG identified by
1 TJC. Silencing a cardiorespiratory monitor is
not nursing action that supports this NPSG.
Patient identification using two separate
resources is a NPSG identified by TJC.
2
Identifying a patient using only one source
does not support this NPSG.
Identification of patient safety risks is a NPSG
identified by the TJC. Determining patient
3
safety issues upon admission supports this
NPSG.
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Safe use of medication is a NPSG identified
by the TJC. Decreasing the amount of pain
4
medication administered does not support this
NPSG.
PTS: 1 CON: Safety
• ANS: 3
Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice
Chapter learning objective: Describing the role and competencies of
medical-surgical nursing Chapter page reference: 006-007
Heading: Interprofessional Collaboration
and Communication Integrated Processes:
Nursing Process: Implementation
Client Need: Safe and Effective Care Environment/
Management of Care Cognitive level: Comprehension
[Understanding]
Concept:
Nursing
Roles
Difficult
y: Easy
Feedback
The nurse does not often assume the
1 interprofessional role of social worker when
providing patient care in an acute care setting.
The nurse does not often assume the
interprofessional role of client advocate role
2
when
providing patient care in an acute care setting.
The nurse often assumes the interprofessional
3 role of care coordinator when providing
patient care in an acute care setting.
The nurse does not often assume the
interprofessional role of massage therapist
4
when
providing patient care in an acute care setting.
PTS: 1 CON: Nursing Roles
• ANS: 1
Chapter number and title: 1, Foundations of Medical-Surgical Practice
Chapter learning objective: Discussing the incorporation of evidence-based practices
into medical-surgical nursing
Chapter page reference: 003
Heading: Box 1.3 Steps of Evidence-
TEST BANK
Timby's Fundamental Nursing Skills and Concepts
Loretta A. Donnelly-Moreno
12th Edition
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Table of Contents
Chapter 1 Nursing Foundations
Chapter 2: Nursing Process
Chapter 3 Laws and Ethics
Chapter 4 Health and Illness
Chapter 5 Homeostasis, Adaptation, and Stress
Chapter 6 Culture and Ethnicity
Chapter 7 The Nurse–Client Relationship
Chapter 8 Client Teaching
Chapter 9 Recording and Reporting
Chapter 10 Asepsis
Chapter 11 Admission, Discharge, Transfer, and Referrals
Chapter 12 Vital Signs
Chapter 13 Physical Assessment
Chapter 14 Special Examinations and Tests
Chapter 15 Nutrition
Chapter 16 Fluid and Chemical Balance
Chapter 17 Hygiene
Chapter 18 Comfort, Rest, and Sleep
Chapter 19 Safety
Chapter 20 Pain Management
Chapter 21 Oxygenation
Chapter 22 Infection Control
Chapter 23 Body Mechanics, Positioning, and Moving
Chapter 24 Fitness and Therapeutic Exercise
Chapter 25 Mechanical Immobilization
Chapter 26 Ambulatory Aids
Chapter 27 Perioperative Care
Chapter 28 Wound Care
Chapter 29 Gastrointestinal Intubation
Chapter 30 Urinary Elimination
Chapter 31 Bowel Elimination
Chapter 32 Oral Medications
Chapter 33 Topical and Inhalant Medications
Chapter 34 Parenteral Medications
Chapter 35 Intravenous Medications
Chapter 36 Airway Management
Chapter 37 Resuscitation
Chapter 38 End-of-Life Care
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Chapter 1 Nursing Foundations
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The medical-surgical nurse identifies a clinical practice issue and
wants to determine if there is sufficient evidence to support a change in practice.
Which type of study provides the strongest evidence to support a practice change?
• Randomized control study
• Quasi-experimental study
• Case-control study
• Cohort study
2. The medical-surgical unit recently implemented a patient-centered
care model. Which action implemented by the nurse supports this model?
• Evaluating care
• Assessing needs
• Diagnosing problems
• Providing compassion
3. Which action should the nurse implement when providing patient care in order
to support The Joint
Commission’s (TJC) National Patient Safety Goals (NPSG)?
• Silencing a cardiorespiratory monitor
• Identifying each patient using one source
• Determining patient safety issues upon admission
• Decreasing the amount of pain medication administered
4. Which interprofessional role does the nurse often assume
when providing patient care in an acute care setting?
• Social worker
• Client advocate
• Care coordinator
• Massage therapist
5. The medical-surgical nurse wants to determine if a policy change is needed for
an identified clinical problem.
Which is the first action the nurse should implement?
• Developing a question
• Disseminating the findings
• Conducting a review of the literature
• Evaluating outcomes of practice change
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
6. The nurse is evaluating the level of evidence found during a recent
review of the literature. Which evidence carries the lowest level of support for a
practice change?
• Level IV
• Level V
• Level VI
• Level VII
7. The nurse is reviewing evidence from a quasi-experimental
research study. Which level of evidence should the nurse identify for this research
study?
• Level I
• Level II
• Level III
• Level IV
8. Which level of evidence should the nurse identify when reviewing
evidence from a single descriptive research study?
• Level IV
• Level V
• Level VI
• Level VII
9. Which statement should the nurse make when communicating the “S” in the
SBAR approach for effective
communication?
• “The patient presented to the emergency department at 0200 with lower left abdominal
pain.”
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
• “The patient has no significant issues in the medical history.”
• “The patient was given a prescribed opioid analgesic at 0300.”
10. The staff nurse is communicating with the change nurse about the
change of status of the patient. The nurse would begin her communication with
which statement if correctly using the SBAR format?
• “The patient’s heartrate is 110.”
• “I think this patient needs to be transferred to the critical care unit.”
• “The patient is a 68-year-old male patient admitted last night.”
• “The patient is complaining of chest pain.”
11. Which nursing action exemplifies the Quality and Safety Education
for Nursing (QSEN) competency of safety?
• Advocating for a patient who is experiencing pain
• Considering the patient’s culture when planning care
• Evaluating patient learning style prior to implementing discharge instructions
• Assessing the right drug prior to administering a prescribed patient medication
12. Which type of nursing is the root of all other nursing practice areas?
• Pediatric nursing
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
• Geriatric nursing
• Medical-surgical nursing
• Mental health-psychiatric nursing
13. Which did the Nursing Executive Center of The Advisory Board identify
as an academic-practice gap for new graduate nurses?
• Patient advocacy
• Patient education
• Disease pathophysiology
• Therapeutic communication
14. Which statement regarding the use of the nursing process in clinical practice is
accurate?
• “The nursing process is closely related to clinical decision-making.”
• “The nursing process is used by all members of the interprofessional team to plan care.”
• “The nursing process has 4 basic steps: assessment, planning, implementation,
evaluation.”
• “The nursing process is being replaced by the implementation of evidence-based
practice.”
15. Which is the basis of nursing care practices and protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to care provided
in the hospital setting?
• Space in hospital rooms
• Medications received to treat pain
• Time spent with the health-care team
• Poor quality food received from dietary
17. The nurse manager is preparing a medical-surgical unit for The Joint
Commission (TJC) visit With the nurse manager presenting staff education focusing
on TJC benchmarks, which of the following topics would be most appropriate?
• Implementation of evidence-based practice
• Implementation of patient-centered care
• Implementation of medical asepsis practices
• Implementation of interprofessional care
18. Which aspect of patient-centered care should the nurse manager evaluate
prior to The Joint Commission site visit for accreditation?
• Visitation rights
• Education level of staff
• Fall prevention protocol
• Infection control practices
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
19. The medical-surgical nurse is providing patient care. Which circumstance would
necessitate the nurse
verifying the patient’s identification using at least two sources?
• Prior to delivering a meal tray
• Prior to passive range of motion
• Prior to medication administration
• Prior to documenting in the medical record
20. The nurse is providing care to several patients on a medical-surgical
unit. Which situation would necessitate the nurse to use SBAR during the hand-off
process?
• Wound care
• Discharge to home
• Transfer to radiology
• Medication education
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
21. The staff nurse is teaching a group of student nurses the situations that necessitate
hand-off communication.
Which student responses indicate the need for further education related to this
procedure? Select all that apply.
• “A hand-off is required prior to administering a medication.”
• “A hand-off is required during change of shift.”
• “A hand-off is required for a patient is transferred to the surgical suite.”
• “A hand-off is required whenever the nurse receives a new patient assignment.”
• “A hand-off is required prior to family visitation.”
22. Which actions by the nurse enhance patient safety during medication
administration? Select all that apply.
• Answering the call bell while transporting medications for a different patient
• Identifying the patient using two sources prior to administering the medication
• Holding a medication if the patient’s diagnosis does not support its use
• Administering the medication two hours after the scheduled time
• Having another nurse verify the prescribed dose of insulin the patient is to receive
23. The medical-surgical nurse assumes care for a patient who is
receiving continuous cardiopulmonary monitoring. Which actions by the
nurse enhance safety for this patient? Select all that apply.
• Silencing the alarm during family visitation
• Assessing the alarm parameters at the start of the shift
• Responding to the alarm in a timely fashion
• Decreasing the alarm volume to enhance restful sleep
• Adjusting alarm parameters based on specified practitioner prescription
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
24. The nurse is planning an interprofessional care conference for a patient
who is approaching discharge from the hospital. Which members of the
interprofessional team should the nurse invite to attend? Select all that apply.
• Physician
• Pharmacist
• Unit secretary
• Social worker
• Home care aide
25. The nurse manager wants to designate a member of the nursing team as
the care coordinator for a patient who will require significant care during the
hospitalization. Which skills should this nurse possess in order to assume this role?
Select all that apply.
• Effective clinical reasoning
• Effective communication skills
• Effective infection control procedures
• Effective documentation
• Effective intravenous skills
Answer Section
MULTIPLE CHOICE
• ANS: 1
Chapter number and title: 1, Foundations for Medical Surgical Practice
Chapter learning objective: Discussing the incorporation of evidence-based practices
into medical-surgical nursing
Chapter page reference:
003-004 Heading:
Evidence-Based
Nursing Care
Integrated Processes: Nursing Process: Planning
Client Need: Safe and Effective Care Environment/
Management of Care Cognitive level: Comprehension
[Understanding]
Concept:
Evidence-Based
Practice Difficulty:
Easy
Feedback
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Systematic reviews of randomized control
studies (Level I) are the highest level of
evidence because they include data from
selected studies that randomly assigned
participants to control and experimental
1
groups. The lower the numerical rating of the
level of evidence indicates the highest level of
evidence; therefore, this type of study
provides the strongest evidence to support a
practice change.
Quasi-experimental studies are considered
Level III; therefore, this study does not
2
provide the strongest evidence to support a
practice change.
Case-control studies are considered Level IV;
therefore, this study does not provide the
3
strongest evidence to support a practice
change.
Cohort studies are considered Level IV;
therefore, this study does not provide the
4 strongest evidence to support a practice
change.
PTS: 1 CON: Evidence-Based Practice
• ANS: 4
Chapter number and title: 1, Foundations of Medical-Surgical Practice
Chapter learning objective: Explaining the importance of patient-centered care in the
management of medical- surgical patients
Chapter page reference: 004-005
Heading: Patient-Centered Care in the
Medical-Surgical Setting Integrated
Processes: Caring
Client Need:
Psychosocial Integrity
Cognitive level:
Application [Applying]
Concept: Nursing Roles
Difficulty: Moderate
Feedback
Evaluation is a step in the nursing process;
1 however, this is not an action that supports the
patient-centered care model.
Assessment is a step in the nursing process;
2 however, this is not an action that supports the
patient-centered care model.
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Diagnosis is a step in the nursing process;
3 however, this is not an action that supports the
patient-centered care model.
Compassion is a competency closely
associated with patient-centered care;
4 therefore,
this action supports the patient-centered
model of care.
PTS: 1 CON: Nursing Roles
• ANS: 3
Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice
Chapter learning objective: Discussing implications to medical-surgical nurses
of Quality and Safety Education for Nurses (QSEN) competencies
Chapter page reference:
005-006 Heading:
Patient Safety
Outcomes
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment/
Management of Care Cognitive level: Application
[Applying]
Conce
pt:
Safety
Diffic
ulty:
Mode
rate
Feedback
Safely using alarms is a NPSG identified by
1 TJC. Silencing a cardiorespiratory monitor is
not nursing action that supports this NPSG.
Patient identification using two separate
resources is a NPSG identified by TJC.
2
Identifying a patient using only one source
does not support this NPSG.
Identification of patient safety risks is a NPSG
identified by the TJC. Determining patient
3
safety issues upon admission supports this
NPSG.
, Test Bank - Timby's Fundamental Nursing Skills and Concepts 12th Edition (Donnelly-Moreno, 2021)
Safe use of medication is a NPSG identified
by the TJC. Decreasing the amount of pain
4
medication administered does not support this
NPSG.
PTS: 1 CON: Safety
• ANS: 3
Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice
Chapter learning objective: Describing the role and competencies of
medical-surgical nursing Chapter page reference: 006-007
Heading: Interprofessional Collaboration
and Communication Integrated Processes:
Nursing Process: Implementation
Client Need: Safe and Effective Care Environment/
Management of Care Cognitive level: Comprehension
[Understanding]
Concept:
Nursing
Roles
Difficult
y: Easy
Feedback
The nurse does not often assume the
1 interprofessional role of social worker when
providing patient care in an acute care setting.
The nurse does not often assume the
interprofessional role of client advocate role
2
when
providing patient care in an acute care setting.
The nurse often assumes the interprofessional
3 role of care coordinator when providing
patient care in an acute care setting.
The nurse does not often assume the
interprofessional role of massage therapist
4
when
providing patient care in an acute care setting.
PTS: 1 CON: Nursing Roles
• ANS: 1
Chapter number and title: 1, Foundations of Medical-Surgical Practice
Chapter learning objective: Discussing the incorporation of evidence-based practices
into medical-surgical nursing
Chapter page reference: 003
Heading: Box 1.3 Steps of Evidence-
