Chapter 1: Core Competencies for Safe and Quality Nursing Care
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse admits a patient to the nursing unit for treatment of pneumonia. Prior to completing the nursing
care plan, the nurse discusses the planned nursing interventions and requests the patient’s input into the plan.
This patient-nurse interaction represents utilization of which Quality and Safety Education for Nurses
(QSEN) competency?
1. Apply quality improvement
2. Use informatics
3. Provide patient-centered care
4. Employ evidence-based practice
____ 2. According to the Institute of Medicine, which health profession has been directly linked to patient safety?
1. Nurses
2. Physicians
3. Social workers
4. Physical therapists
____ 3. The nurse is caring for a patient who is currently hospitalized for the third time with diabetic ketoacidosis.
The nurse notes the patient does not eat any food from the hospital tray and will only eat food from fast food
restaurants that is brought in by family members. The nurse is aware that this patient’s diet may be directly
related to what major barrier to patient-centered care?
1. Cultural competence
2. Health literacy
3. Self-management
4. Optimal healing environment
____ 4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a busy surgical
unit. Which element of the QSEN competency of teamwork and collaboration is essential to ensure
implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
____ 5. What quality would the nurse manager strive to achieve in ensuring a culture of safety on the maternal-child
unit?
1. Fairness
2. Preoccupation with success
3. Transparency
4. Discouragement of interprofessional collaboration
____ 6. The 2003 Institute of Medicine (IOM) report, Health Professions Education: A Bridge to Quality, led to what
initiative?
Copyright © 2017 F. A. Davis Company
, 1. The three domains of quality
2. The 10 rules for the redesign of health-care delivery
3. The five quality and safety competencies
4. The six aims for health-care improvement
____ 7. The nurse is aware that which one of the six aims of the IOM report, Crossing the Quality Chasm: A New
Health System for the 21st Century, is also one of the health-care education competencies found in the 2003
IOM report, Health Professions Education: A Bridge to Quality?
1. Patient-centered
2. Teamwork and collaboration
3. Informatics
4. Evidence-based
____ 8. What was the intention of the six aims found in the 2001 IOM report, Crossing the Quality Chasm: A New
Health System for the 21st Century?
1. Reduction of the time patients have to wait to receive quality health care
2. Provision of health care that was based on the most recent scientific knowledge
3. Avoidance of waste of health-care dollars
4. Narrowing of the quality gap in health care
____ 9. What competency did the QSEN project add to the competencies set forth by the IOM 2003 report, Health
Professions Education: A Bridge to Quality?
1. Informatics
2. Safety
3. Teamwork and Collaboration
4. Evidence-Based Practice
____ 10. The nurse is aware that the 2003 Institute of Medicine report that led to the QSEN competencies, had what
impact on the nurse-patient relationship?
1. Nurses must avoid having the patient wait for care to be provided.
2. Nurses must share power with the patient.
3. Nurses must provide equitable care to all patients.
4. Nurses must provide respectful care to all patients.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 11. The nurse educator is aware that which of the following are the skills identified by the IOM for the
competency of Patient-Centered Care? Select all that apply.
1. Share power and responsibility with patients and caregivers.
2. Take into account patients’ individuality, emotional needs, values, and life issues.
3. Ensure that accurate and timely information reaches those who need it at the appropriate
time.
4. Formulate clear clinical questions.
Copyright © 2017 F. A. Davis Company
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse admits a patient to the nursing unit for treatment of pneumonia. Prior to completing the nursing
care plan, the nurse discusses the planned nursing interventions and requests the patient’s input into the plan.
This patient-nurse interaction represents utilization of which Quality and Safety Education for Nurses
(QSEN) competency?
1. Apply quality improvement
2. Use informatics
3. Provide patient-centered care
4. Employ evidence-based practice
____ 2. According to the Institute of Medicine, which health profession has been directly linked to patient safety?
1. Nurses
2. Physicians
3. Social workers
4. Physical therapists
____ 3. The nurse is caring for a patient who is currently hospitalized for the third time with diabetic ketoacidosis.
The nurse notes the patient does not eat any food from the hospital tray and will only eat food from fast food
restaurants that is brought in by family members. The nurse is aware that this patient’s diet may be directly
related to what major barrier to patient-centered care?
1. Cultural competence
2. Health literacy
3. Self-management
4. Optimal healing environment
____ 4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a busy surgical
unit. Which element of the QSEN competency of teamwork and collaboration is essential to ensure
implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
____ 5. What quality would the nurse manager strive to achieve in ensuring a culture of safety on the maternal-child
unit?
1. Fairness
2. Preoccupation with success
3. Transparency
4. Discouragement of interprofessional collaboration
____ 6. The 2003 Institute of Medicine (IOM) report, Health Professions Education: A Bridge to Quality, led to what
initiative?
Copyright © 2017 F. A. Davis Company
, 1. The three domains of quality
2. The 10 rules for the redesign of health-care delivery
3. The five quality and safety competencies
4. The six aims for health-care improvement
____ 7. The nurse is aware that which one of the six aims of the IOM report, Crossing the Quality Chasm: A New
Health System for the 21st Century, is also one of the health-care education competencies found in the 2003
IOM report, Health Professions Education: A Bridge to Quality?
1. Patient-centered
2. Teamwork and collaboration
3. Informatics
4. Evidence-based
____ 8. What was the intention of the six aims found in the 2001 IOM report, Crossing the Quality Chasm: A New
Health System for the 21st Century?
1. Reduction of the time patients have to wait to receive quality health care
2. Provision of health care that was based on the most recent scientific knowledge
3. Avoidance of waste of health-care dollars
4. Narrowing of the quality gap in health care
____ 9. What competency did the QSEN project add to the competencies set forth by the IOM 2003 report, Health
Professions Education: A Bridge to Quality?
1. Informatics
2. Safety
3. Teamwork and Collaboration
4. Evidence-Based Practice
____ 10. The nurse is aware that the 2003 Institute of Medicine report that led to the QSEN competencies, had what
impact on the nurse-patient relationship?
1. Nurses must avoid having the patient wait for care to be provided.
2. Nurses must share power with the patient.
3. Nurses must provide equitable care to all patients.
4. Nurses must provide respectful care to all patients.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 11. The nurse educator is aware that which of the following are the skills identified by the IOM for the
competency of Patient-Centered Care? Select all that apply.
1. Share power and responsibility with patients and caregivers.
2. Take into account patients’ individuality, emotional needs, values, and life issues.
3. Ensure that accurate and timely information reaches those who need it at the appropriate
time.
4. Formulate clear clinical questions.
Copyright © 2017 F. A. Davis Company
