Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
CHAPTER 1: Core Competencies for Safe and Quality Nursing Care
1. Which of the following best describes the primary purpose of QSEN competencies
in nursing practice?
a. To provide legal guidelines for nurse licensure
b. To ensure nurses have advanced technical skills only
c. To prepare nurses with knowledge, skills, and attitudes to improve quality and safety
d. To standardize hospital administrative protocols
✅ ANSWER: C
FEEDBACK: QSEN (Quality and Safety Education for Nurses) competencies are
designed to equip nurses with the knowledge, skills, and attitudes (KSAs) necessary to
provide safe, patient-centered, evidence-based care and to participate in quality
improvement initiatives. They emphasize safety, teamwork, and continual learning.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 - Explain the role of QSEN competencies in
developing safe and quality nursing care.
KEYWORDS: QSEN, competencies, patient safety, quality improvement
2. What is the most effective communication strategy a nurse can use to ensure
clarity during patient handoffs?
a. Open-ended verbal report
b. Using SBAR (Situation, Background, Assessment, Recommendation)
c. Providing written notes only
d. Briefly summarizing care without structured format
✅ ANSWER: B
FEEDBACK: SBAR is a structured communication technique that standardizes the
transfer of critical patient information, reducing errors and promoting patient safety. It
helps ensure that essential information is communicated clearly and efficiently.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.2 - Describe structured communication tools that
enhance patient safety.
KEYWORDS: SBAR, communication, handoff, patient safety
3. How does evidence-based practice (EBP) enhance patient safety in nursing care?
a. By relying solely on traditional nursing routines
b. By integrating research evidence, clinical expertise, and patient preferences
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
c. By eliminating the need for clinical judgment
d. By increasing documentation requirements
✅ ANSWER: B
FEEDBACK: EBP combines current research evidence, clinical expertise, and patient
preferences to guide decision-making, ensuring interventions are safe, effective, and
patient-centered. This approach reduces errors and improves quality of care.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.3 - Explain the role of evidence-based practice in
enhancing patient safety and outcomes.
KEYWORDS: Evidence-based practice, patient safety, clinical judgment
4. Which statement best exemplifies teamwork in a high-reliability healthcare
environment?
a. Nurses working independently to complete tasks efficiently
b. Team members collaborating, sharing information, and coordinating care
c. Managers delegating tasks without feedback
d. Physicians directing care with minimal input from nursing staff
✅ ANSWER: B
FEEDBACK: Effective teamwork involves collaboration, mutual respect, and
coordinated actions among all healthcare team members to ensure safe and high-quality
patient care. High-reliability organizations rely on such cohesive teamwork.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.4 - Recognize the impact of effective teamwork on
patient safety.
KEYWORDS: Teamwork, collaboration, high-reliability organizations
5. What is the main objective of a safety culture in nursing practice?
a. To punish errors to prevent future mistakes
b. To promote open communication, reporting, and learning from errors
c. To focus exclusively on infection control
d. To reduce the need for staff education
✅ ANSWER: B
FEEDBACK: A safety culture emphasizes learning from mistakes rather than blaming
individuals. Encouraging reporting of near-misses and errors allows organizations to
implement systemic changes and improve patient safety.
DIFFICULTY: Medium
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
LEARNING OBJECTIVES: 1.5 - Identify characteristics of a safety culture and its
influence on nursing practice.
KEYWORDS: Safety culture, error reporting, patient safety
6. Which action by a nurse demonstrates adherence to quality improvement
principles?
a. Using anecdotal experience to make all patient care decisions
b. Participating in audits and performance evaluations to identify areas for improvement
c. Completing tasks as quickly as possible without reflection
d. Waiting for administrative instructions before acting
✅ ANSWER: B
FEEDBACK: Quality improvement involves ongoing assessment of care processes,
identifying gaps, and implementing evidence-based changes. Participation in audits and
performance evaluations supports continuous improvement in patient safety and care
quality.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.6 - Explain the role of quality improvement in safe
patient care.
KEYWORDS: Quality improvement, audits, performance evaluation
7. How can nurses ensure patient-centered care while adhering to QSEN
competencies?
a. By standardizing care without patient input
b. By integrating patient preferences, values, and needs into clinical decisions
c. By focusing only on clinical outcomes
d. By following protocols rigidly without exceptions
✅ ANSWER: B
FEEDBACK: Patient-centered care prioritizes patients’ preferences, values, and needs.
QSEN competencies emphasize incorporating these into care decisions while maintaining
safety and quality standards.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 - Apply QSEN principles to patient-centered nursing
practice.
KEYWORDS: Patient-centered care, QSEN, nursing practice
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
8. Which of the following best demonstrates a nurse’s commitment to safety
awareness?
a. Completing tasks as quickly as possible
b. Identifying potential hazards, reporting them, and implementing preventive measures
c. Following orders without question
d. Documenting care only at the end of the shift
✅ ANSWER: B
FEEDBACK: Safety awareness involves proactively recognizing and mitigating risks in
the healthcare environment to prevent harm and ensure high-quality care. Nurses play a
key role in identifying hazards.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.5 - Demonstrate safety awareness in nursing practice.
KEYWORDS: Safety awareness, hazard prevention, patient safety
9. What is the role of clinical reasoning in improving patient outcomes?
a. It allows nurses to memorize all procedures without critical thinking
b. It facilitates prioritization of care based on patient needs and evidence
c. It eliminates the need for teamwork
d. It focuses only on documentation accuracy
✅ ANSWER: B
FEEDBACK: Clinical reasoning is the cognitive process nurses use to analyze patient
data, identify problems, and make evidence-informed decisions. Effective reasoning
directly impacts patient safety and outcomes.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.6 - Apply clinical reasoning strategies to promote safe
and effective care.
KEYWORDS: Clinical reasoning, prioritization, patient outcomes
10. Which scenario best illustrates effective interprofessional collaboration?
a. The nurse makes all medication decisions independently
b. The nurse consults with pharmacists, physicians, and therapists to coordinate care
c. The nurse delegates tasks without discussion
d. The nurse completes documentation after the shift without team input
✅ ANSWER: B
FEEDBACK: Interprofessional collaboration ensures comprehensive care planning by
integrating perspectives from multiple disciplines, thereby reducing errors and improving
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
patient outcomes.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.4 - Describe strategies for promoting interprofessional
collaboration.
KEYWORDS: Collaboration, interdisciplinary, patient safety
11. How can nurses use performance metrics to enhance quality of care?
a. By comparing individual performance without context
b. By analyzing outcomes data to identify trends and areas needing improvement
c. By focusing solely on patient satisfaction scores
d. By avoiding measurement to reduce stress
✅ ANSWER: B
FEEDBACK: Performance metrics, such as infection rates or readmission rates, provide
objective data to identify gaps, inform quality improvement initiatives, and track the
effectiveness of interventions.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.6 - Explain how performance metrics inform quality
improvement initiatives.
KEYWORDS: Performance metrics, quality improvement, data analysis
12. Which action exemplifies the nurse’s role in promoting evidence-based practice?
a. Implementing outdated protocols without review
b. Integrating current research findings into clinical care decisions
c. Relying solely on peer advice
d. Following personal intuition instead of guidelines
✅ ANSWER: B
FEEDBACK: Evidence-based practice requires incorporating the latest research, clinical
expertise, and patient preferences into care to improve outcomes and safety.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.3 - Demonstrate use of evidence-based practice in
clinical decision-making.
KEYWORDS: Evidence-based practice, research, patient outcomes
13. What is the key benefit of simulation-based training in nursing education for
patient safety?
Edition by Murray.
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
CHAPTER 1: Core Competencies for Safe and Quality Nursing Care
1. Which of the following best describes the primary purpose of QSEN competencies
in nursing practice?
a. To provide legal guidelines for nurse licensure
b. To ensure nurses have advanced technical skills only
c. To prepare nurses with knowledge, skills, and attitudes to improve quality and safety
d. To standardize hospital administrative protocols
✅ ANSWER: C
FEEDBACK: QSEN (Quality and Safety Education for Nurses) competencies are
designed to equip nurses with the knowledge, skills, and attitudes (KSAs) necessary to
provide safe, patient-centered, evidence-based care and to participate in quality
improvement initiatives. They emphasize safety, teamwork, and continual learning.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 - Explain the role of QSEN competencies in
developing safe and quality nursing care.
KEYWORDS: QSEN, competencies, patient safety, quality improvement
2. What is the most effective communication strategy a nurse can use to ensure
clarity during patient handoffs?
a. Open-ended verbal report
b. Using SBAR (Situation, Background, Assessment, Recommendation)
c. Providing written notes only
d. Briefly summarizing care without structured format
✅ ANSWER: B
FEEDBACK: SBAR is a structured communication technique that standardizes the
transfer of critical patient information, reducing errors and promoting patient safety. It
helps ensure that essential information is communicated clearly and efficiently.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.2 - Describe structured communication tools that
enhance patient safety.
KEYWORDS: SBAR, communication, handoff, patient safety
3. How does evidence-based practice (EBP) enhance patient safety in nursing care?
a. By relying solely on traditional nursing routines
b. By integrating research evidence, clinical expertise, and patient preferences
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
c. By eliminating the need for clinical judgment
d. By increasing documentation requirements
✅ ANSWER: B
FEEDBACK: EBP combines current research evidence, clinical expertise, and patient
preferences to guide decision-making, ensuring interventions are safe, effective, and
patient-centered. This approach reduces errors and improves quality of care.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.3 - Explain the role of evidence-based practice in
enhancing patient safety and outcomes.
KEYWORDS: Evidence-based practice, patient safety, clinical judgment
4. Which statement best exemplifies teamwork in a high-reliability healthcare
environment?
a. Nurses working independently to complete tasks efficiently
b. Team members collaborating, sharing information, and coordinating care
c. Managers delegating tasks without feedback
d. Physicians directing care with minimal input from nursing staff
✅ ANSWER: B
FEEDBACK: Effective teamwork involves collaboration, mutual respect, and
coordinated actions among all healthcare team members to ensure safe and high-quality
patient care. High-reliability organizations rely on such cohesive teamwork.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.4 - Recognize the impact of effective teamwork on
patient safety.
KEYWORDS: Teamwork, collaboration, high-reliability organizations
5. What is the main objective of a safety culture in nursing practice?
a. To punish errors to prevent future mistakes
b. To promote open communication, reporting, and learning from errors
c. To focus exclusively on infection control
d. To reduce the need for staff education
✅ ANSWER: B
FEEDBACK: A safety culture emphasizes learning from mistakes rather than blaming
individuals. Encouraging reporting of near-misses and errors allows organizations to
implement systemic changes and improve patient safety.
DIFFICULTY: Medium
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
LEARNING OBJECTIVES: 1.5 - Identify characteristics of a safety culture and its
influence on nursing practice.
KEYWORDS: Safety culture, error reporting, patient safety
6. Which action by a nurse demonstrates adherence to quality improvement
principles?
a. Using anecdotal experience to make all patient care decisions
b. Participating in audits and performance evaluations to identify areas for improvement
c. Completing tasks as quickly as possible without reflection
d. Waiting for administrative instructions before acting
✅ ANSWER: B
FEEDBACK: Quality improvement involves ongoing assessment of care processes,
identifying gaps, and implementing evidence-based changes. Participation in audits and
performance evaluations supports continuous improvement in patient safety and care
quality.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.6 - Explain the role of quality improvement in safe
patient care.
KEYWORDS: Quality improvement, audits, performance evaluation
7. How can nurses ensure patient-centered care while adhering to QSEN
competencies?
a. By standardizing care without patient input
b. By integrating patient preferences, values, and needs into clinical decisions
c. By focusing only on clinical outcomes
d. By following protocols rigidly without exceptions
✅ ANSWER: B
FEEDBACK: Patient-centered care prioritizes patients’ preferences, values, and needs.
QSEN competencies emphasize incorporating these into care decisions while maintaining
safety and quality standards.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 - Apply QSEN principles to patient-centered nursing
practice.
KEYWORDS: Patient-centered care, QSEN, nursing practice
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
8. Which of the following best demonstrates a nurse’s commitment to safety
awareness?
a. Completing tasks as quickly as possible
b. Identifying potential hazards, reporting them, and implementing preventive measures
c. Following orders without question
d. Documenting care only at the end of the shift
✅ ANSWER: B
FEEDBACK: Safety awareness involves proactively recognizing and mitigating risks in
the healthcare environment to prevent harm and ensure high-quality care. Nurses play a
key role in identifying hazards.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.5 - Demonstrate safety awareness in nursing practice.
KEYWORDS: Safety awareness, hazard prevention, patient safety
9. What is the role of clinical reasoning in improving patient outcomes?
a. It allows nurses to memorize all procedures without critical thinking
b. It facilitates prioritization of care based on patient needs and evidence
c. It eliminates the need for teamwork
d. It focuses only on documentation accuracy
✅ ANSWER: B
FEEDBACK: Clinical reasoning is the cognitive process nurses use to analyze patient
data, identify problems, and make evidence-informed decisions. Effective reasoning
directly impacts patient safety and outcomes.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.6 - Apply clinical reasoning strategies to promote safe
and effective care.
KEYWORDS: Clinical reasoning, prioritization, patient outcomes
10. Which scenario best illustrates effective interprofessional collaboration?
a. The nurse makes all medication decisions independently
b. The nurse consults with pharmacists, physicians, and therapists to coordinate care
c. The nurse delegates tasks without discussion
d. The nurse completes documentation after the shift without team input
✅ ANSWER: B
FEEDBACK: Interprofessional collaboration ensures comprehensive care planning by
integrating perspectives from multiple disciplines, thereby reducing errors and improving
, Complete Testbank for Nursing Leadership and Management for Patient Safety and Quality Care, 2nd
Edition by Murray.
patient outcomes.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.4 - Describe strategies for promoting interprofessional
collaboration.
KEYWORDS: Collaboration, interdisciplinary, patient safety
11. How can nurses use performance metrics to enhance quality of care?
a. By comparing individual performance without context
b. By analyzing outcomes data to identify trends and areas needing improvement
c. By focusing solely on patient satisfaction scores
d. By avoiding measurement to reduce stress
✅ ANSWER: B
FEEDBACK: Performance metrics, such as infection rates or readmission rates, provide
objective data to identify gaps, inform quality improvement initiatives, and track the
effectiveness of interventions.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.6 - Explain how performance metrics inform quality
improvement initiatives.
KEYWORDS: Performance metrics, quality improvement, data analysis
12. Which action exemplifies the nurse’s role in promoting evidence-based practice?
a. Implementing outdated protocols without review
b. Integrating current research findings into clinical care decisions
c. Relying solely on peer advice
d. Following personal intuition instead of guidelines
✅ ANSWER: B
FEEDBACK: Evidence-based practice requires incorporating the latest research, clinical
expertise, and patient preferences into care to improve outcomes and safety.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.3 - Demonstrate use of evidence-based practice in
clinical decision-making.
KEYWORDS: Evidence-based practice, research, patient outcomes
13. What is the key benefit of simulation-based training in nursing education for
patient safety?
