6th Edition
,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 me litus.
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. Co laboration 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
LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Copyright 2015 by Pearson Education, Inc.
,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 qualit y 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,s1ands1communications1devicess1thats1supports1safes1nursings1practices1
LeMone/Burke/Bauldoff/Gubrud,s1Medical-
Surgicals1Nursings16ths1Editions1Tests1Banks1
Copyrights12015s1bys1Pearsons1Education,s1Inc.s1
, NLNs1Competencies:s1Knowledges1ands1Science:s1Electronics1databases;s1literatures1retrieval;s1evaluatings
1datas1fors1validitys 1 s 1 s 1 ands 1 s 1 s 1 reliability;s 1 s 1 s 1 evidences 1 s 1 ands 1 s 1 s 1 bests 1 s 1 s 1 practic
ess 1 s 1 s 1 fors 1 s 1 s 1 nursings 1 Nursing/Integrateds 1 s 1 s 1 s 1 s 1 s 1 s 1 s 1 Concepts:s 1 s 1 s 1 s
1 s 1 s 1 Nursings 1 s 1 s 1 s 1 s 1 s 1 s 1 Process:s 1 s 1 s 1 s 1 s 1 s 1 Plannings 1 Learnings1Outcome:s1
1.s1Describes1thes1cores1competenciess1fors1healthcares1professionals:s1patient-
centereds1care,s1interprofessionals1teams,s1evidence-
baseds1practice,s1qualitys1improvement,s1safety,s1ands1healths1informations1technology.s1
MNLs1Learnings1Outcome:s14.3.3.s1Examines1thes1treatmentss1useds1fors1pressures1
ulcers.s1Pages1Number:s 1 4s1
Questions13s1
Type:s1MCM
As1
Thes1nurses1planss1tos1implements1evidence-
baseds1practices1whens1providings1patients1care.s1Whichs1activitiess1shoulds1thes1nurses1perform?s1
Standards 1 s 1 s 1 s 1 s 1 s 1 Text:s 1 s 1 s 1 s 1 s 1 Selects 1 s 1 s 1 s 1 s
1 alls 1 s 1 s 1 s 1 s 1 thats 1 s 1 s 1 s 1 s 1 apply.s 1 1.s 1 Participates 1 s 1 ins 1
s 1 educations 1 s 1 ands 1 s 1 researchs 1 s 1 activitiess 1 s 1 whens 1 s 1 possible.s 1 2.s1
Integrates1researchs1findingss1withs1clinicals1cares1tos1maximizes1patients1outc
omes.s13.s1Serves1ons1thes1committees1tos1creates1criticals1pathwayss1fors1patie
nts1care.s1
4.s1Reinforces 1 hands 1 hygienes 1 techniquess 1 withs 1 unlicenseds 1 assistives 1 p
ersonnel.s 1 5.s1Contacts1Environmentals1Servicess1tos1reports1as1malfunctioning
s1infusions1pump.s1Corrects1Answer:s11,s12s1
Rationales11:s1Participatings1ins1educations1ands1 researchs1activitiess1whens1possibles1iss1ans1examples1ofs1implementing
evidence-baseds1practices1ins1thes1provisions1ofs1patients1care.s1
Rationales12:s1Integratings1researchs1findingss1withs1clinicals1cares1tos1maximizes1patients1outcomess1iss1ans1examples
1ofs1implementings1evidence-baseds1practices1ins1thes1provisions1ofs1patients1care.s1
Rationales13:s1Servings1ons1thes1committees1tos1creates1criticals1pathwayss1fors1patients1cares1iss1ans1examples1ofs1tea
mworks1ands1collaboration.s1
Rationales14:s1Reinforcings1hands1hygienes1techniquess1withs1unlicenseds1assistives1personnels1iss1ans1examples1ofs1q
ualitys1improvement.s1
LeMone/Burke/Bauldoff/Gubrud,s1Medical-
Surgicals1Nursings16ths1Editions1Tests1Banks1
Copyrights12015s1bys1Pearsons1Education,s1Inc.s1