Patient-centered care is about sharing the management of an illness between the patient and the
health care provider. What is an example of knowledge needed to develop the Institute of
Medicine (IOM)/Quality and Safety Education for Nurses (QSEN) initiative's Patient-Centered
Care competency?
Recognize your own attitudes about working with different ethnic, cultural, and social
backgrounds.
Describe how diverse backgrounds function as sources of patient, family, and community values.
Provide care with sensitivity and respect for the diversity of human experience.
Respect and encourage expression of the patient's values, preferences, and expressed needs for
care. correct answers Describe how diverse backgrounds function as sources of patient, family,
and community values
A nurse in the intensive care unit (ICU) is concerned that a patient's hydration levels aren't being
properly managed. According to the SBAR method of communication, which nursing
intervention is fulfills the "R" step?
The nurse records and reports the the patient's fluid and electrolyte levels and urinary output.
The nurse describes the patient's current condition and the patient's fluid intake and output during
the ICU stay.
The nurse notes which fluid and electrolyte levels are cause for concern, explaining that these are
outside of the patient's baseline.
The nurse states what the fluid and electrolyte values should be and suggests that the physician
order fluids to be given to the patient intravenously. correct answers The nurse states what the
fluid and electrolyte values should be and suggests that the physician order fluids to be given to
the patient intravenously.
A nursing team consists of a registered nurse (RN), a licensed practical nurse (LPN), and a
patient care assistant. Which patient does the RN assign to the LPN?
75-year-old with diabetes who requires a dressing change for a stasis ulcer
55-year-old with terminal cancer being transferred to a hospice home care
15-year-old with acute leukemia reporting pain in the legs and hands
45-year-old with a fracture of the right leg who asks to use the urinal correct answers 75-year-old
with diabetes who requires a dressing change for a stasis ulcer
,A patient says to the nurse, "I know that I am being discharged home today, but I don't know
how I will get to my doctor's appointments and get my medications." What is the nurse's best
response?
"A case manager will be assigned to you to help coordinate care."
"I am going to notify the social worker to assist you with resources."
"We are going to have to have a health care conference to help you sort this out."
"Your physician has been notified, and we will set up a meeting with you and your family."
correct answers "A case manager will be assigned to you to help coordinate care."
A health care organization requires the nursing staff to attend an inservice training session for the
prevention of catheter-associated urinary tract infections (CAUTIs). Which objective is the
health care organization addressing?
Promoting a culture of safety
Prevention of a sentinel event
Prevention of an adverse event
A National Patient Safety Goal (NPSG) correct answers A National Patient Safety Goal (NPSG)
Nurses plan, implement, and evaluate patient care together using an interdisciplinary plan of
action. What term best describes this activity?
Delegation
Supervision
Collaboration
Self-management correct answers Collaboration
One of the most important members of the interdisciplinary team is the case manager (CM).
Which statements about the CM are correct? Select all that apply.
The CM is also a part of the Rapid Response Team (RRT).
In acute care hospitals, the CM is always a registered nurse (RN).
The CM coordinates inpatient and community-based care before discharge.
The CM may coordinate with other CMs employed by third-party health care payers.
The CM may be called in to manage a critical case before a cardiac arrest. correct answers The
CM coordinates inpatient and community-based care before discharge.
The CM may coordinate with other CMs employed by third-party health care payers.
Research has shown that which factors generally cause patient harm and errors? Select all that
apply.
, Over-monitoring of patients
Unclear and inadequate communication
Errors in interpretation of provider prescriptions
Lack of mandatory reporting in the health care setting
Patient advocates who are not health care professionals correct answers Unclear and inadequate
communication
Errors in interpretation of provider prescriptions
Lack of mandatory reporting in the health care setting
Evidence shows that the SBAR process improves communication among members of the health
care team. What does the "A" in SBAR stand for?
Analysis
Application
Assessment
Administration correct answers Assessment
Evidence shows that the SBAR process improves communication among members of the health
care team. What does the "B" in SBAR stand fo
Basis
Benefit
Bedside
Background correct answers Background
What knowledge must a nurse gain to develop core competency in patient-centered care? Select
all that apply.
Explore ethical and legal implications of patient-centered care.
Respect patient preference for degree of active engagement in the care processes.
Recognize personally held values and beliefs about the management of pain and suffering.
Provide patient-centered care with sensitivity and respect for the diversity of human experiences.
Examine how the safety, quality, and cost-effectiveness of care can be improved through the
active involvement of the patients and families. correct answers Explore ethical and legal
implications of patient-centered care.
Examine how the safety, quality, and cost-effectiveness of care can be improved through the
active involvement of the patients and families.
A nurse manager tasks a special committee with revising a set of standardized patient forms.
This is an example of which process?
Delegation
Supervision