Test Bank for Understanding Medical-Surgical Nursing 6th Edition Linda S. Williams Paula D. Hopper

LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank 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 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 NLN Competencies: Knowledge and Science: Electronic databases; literature retrieval; evaluating data for validity and reliability; evidence and best practices for nursing Nursing/Integrated Concepts: Nursing Process: Planning 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: 4.3.3. Examine the treatments used for pressure ulcers. Page Number: 4 Question 3 Type: MCMA The nurse plans to implement evidence-based practice when providing patient care. Which activities should the nurse perform? Standard Text: Select all that apply. 1. Participate in education and research activities when possible. 2. Integrate research findings with clinical care to maximize patient outcomes. 3. Serve on the committee to create critical pathways for patient care. 4. Reinforce hand hygiene techniques with unlicensed assistive personnel. 5. Contact Environmental Services to report a malfunctioning infusion pump. Correct Answer: 1, 2 Rationale 1: Participating in education and research activities when possible is an example of implementing evidence-based practice in the provision of patient care. Rationale 2: Integrating research findings with clinical care to maximize patient outcomes is an example of implementing evidence-based practice in the provision of patient care. Rationale 3: Serving on the committee to create critical pathways for patient care is an example of teamwork and collaboration. Rationale 4: Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality improvement. Rationale 5: Contacting Environmental Services to report a malfunctioning infusion pump is an example of quality improvement. Global Rationale: Participating in education and research activities when possible is an example of implementing evidence-based practice in the provision of patient care. Integrating research findings with clinical care to maximize patient outcomes is an example of implementing evidence-based practice in the provision of patient