©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
QSEN Exam Questions With Correct
Answers
Major barrier to making progress in safety and quality - answer✔failure to appreciate work
complexity
complex work environments - answer✔time pressure, high stakes, inadequate info, ill defined
goals, poor procedures, dynamic conditions, people working in teams, stress
recognition primed decision process - answer✔cues expectancies goals actions + situation
adjust actions to fit
more experience deal with situations with more confidence
environments prone to - answer✔distraction
slips - answer✔break in routine when attention is diverted
capture- more frequently used routine takes over
description- right action on wrong object
associative activation- go to phone when doorbell rings
loss of activation- forget what you are doing when you rise to get up
mistakes - answer✔rule based- wrong rule chosen
knowledge based- lack of knowledge or misinterpretation of problem (pattern matching,
confirmation bias, overconfidence, deminimus)
factors that divert attention - answer✔physiologic- sleep, drugs, illness, etc
psychological- anxiety, emotion
environmental
characteristic of complex adaptive systems - answer✔embeddedness, distributed control,
nonlinear, adaptable elements, emergence, diversity, order/disorder, self organization
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
coordinating knowledge mindset goals - answer✔goals, conflict, obstacles, hazards, data,
behavior
adapt, anticipate, accommodate, react, cope
3 aspects of rn work in context - answer✔factors that make actual care delivery complex
cognitive factors leading to care delivery decisions
strategies used to manage complexity in care delivery
work complexity patterns - answer✔interruptions, missing supplies, waiting on systems,
inconsistency in communication, lack of time, early learning curve for new process and lack of
fit with other work
knowledge patterns - answer✔knowing patient information, typical patient profiles, unit
routine and workflow
care management strategy patterns - answer✔stacking
anticipating
proactive monitoring
strategic delegation
memory aids
workarounds
challenges to cognitive work of nursing - answer✔frequent cognitive shifts, interruption,
cognitive load prone to disrupting attention
5 major categories of nursing obstacles - answer✔med, order, supplies, staffing, equipment,
average nurse time at one task is 3.1 sec and nurses interrupted mid-task 8 times per shift
missed nursing care - answer✔ambulation, turn, feedings, education, discharge planning,
emotional support, hygeine, i/o documentation, surveillance
reasons for missed care - answer✔too few staff, time, poor use of existing staff resources, its
not my job syndrome, ineffective delegation, habit, denial
2|Page
11/16/2024 10:16 AM
QSEN Exam Questions With Correct
Answers
Major barrier to making progress in safety and quality - answer✔failure to appreciate work
complexity
complex work environments - answer✔time pressure, high stakes, inadequate info, ill defined
goals, poor procedures, dynamic conditions, people working in teams, stress
recognition primed decision process - answer✔cues expectancies goals actions + situation
adjust actions to fit
more experience deal with situations with more confidence
environments prone to - answer✔distraction
slips - answer✔break in routine when attention is diverted
capture- more frequently used routine takes over
description- right action on wrong object
associative activation- go to phone when doorbell rings
loss of activation- forget what you are doing when you rise to get up
mistakes - answer✔rule based- wrong rule chosen
knowledge based- lack of knowledge or misinterpretation of problem (pattern matching,
confirmation bias, overconfidence, deminimus)
factors that divert attention - answer✔physiologic- sleep, drugs, illness, etc
psychological- anxiety, emotion
environmental
characteristic of complex adaptive systems - answer✔embeddedness, distributed control,
nonlinear, adaptable elements, emergence, diversity, order/disorder, self organization
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
coordinating knowledge mindset goals - answer✔goals, conflict, obstacles, hazards, data,
behavior
adapt, anticipate, accommodate, react, cope
3 aspects of rn work in context - answer✔factors that make actual care delivery complex
cognitive factors leading to care delivery decisions
strategies used to manage complexity in care delivery
work complexity patterns - answer✔interruptions, missing supplies, waiting on systems,
inconsistency in communication, lack of time, early learning curve for new process and lack of
fit with other work
knowledge patterns - answer✔knowing patient information, typical patient profiles, unit
routine and workflow
care management strategy patterns - answer✔stacking
anticipating
proactive monitoring
strategic delegation
memory aids
workarounds
challenges to cognitive work of nursing - answer✔frequent cognitive shifts, interruption,
cognitive load prone to disrupting attention
5 major categories of nursing obstacles - answer✔med, order, supplies, staffing, equipment,
average nurse time at one task is 3.1 sec and nurses interrupted mid-task 8 times per shift
missed nursing care - answer✔ambulation, turn, feedings, education, discharge planning,
emotional support, hygeine, i/o documentation, surveillance
reasons for missed care - answer✔too few staff, time, poor use of existing staff resources, its
not my job syndrome, ineffective delegation, habit, denial
2|Page
