TEST BANK
Nursing Leadership and Management for Patient Safety and
Quality Care
Elizabeth J. Murray
2nd Edition
,Table of Contents
Chapter 01 Core Competencies for Safe and Quality Nursing Care 1
Chapter 02 Health-Care Environment and Health Policy 11
Chapter 03 Theories and Principles of Nursing Leadership and Management 20
Chapter 04 Ethical Aspects of Nursing Practice 30
Chapter 05 Legal Aspects of Nursing Practice 39
Chapter 06 Critical Thinking, Decision Making, and Clinical Reasoning 48
Chapter 07 High-Reliability Health-Care Organizations 57
Chapter 08 Effective Communication 66
Chapter 09 Improving and Managing Safe and Quality Care 78
Chapter 10 Information Technology for Safe and Quality Patient Care 91
Chapter 11 Creating and Managing a Sustainable Workforce 99
Chapter 12 Creating and Sustaining a Healthy Work Environment 109
Chapter 13 Organizing Patient Care and Staffing for Patient Safety 117
Chapter 14 Delegating Effectively 125
Chapter 15 Leading Change and Managing Conflict 133
Chapter 16 Managing Finances 141
Chapter 17 Transitioning From Student to Professional Nurse and Beyond 149
,______________________________________________________________________________________________
Test Bank - Nursing Leadership and Management for Patient Safety and Quality Care, 2nd Edition (Murray, 2022)
Chapter 1: Core Competencies for Safe and Quality Nursing Care
MULTIPLE CHOICE
1. The nurse admits a patient to the nursing unit for treatment of pneumonia. Before completing
the nursing care plan, the nurse discusses the planned nursing interventions and requests the
patient’s input into the plan. This patient–nurse interaction represents utilization of which
Quality and Safety Education for Nurses (QSEN) competency?
1. Apply quality improvement
2. Use informatics
3. Provide patient-centered care
4. Employ evidence-based practice
ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
Chapter page reference: 7
Heading: Patient-Centered Care
Integrated Process: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1. While patient involvement in care is integral to all QSEN competencies, involving the
patient in the development of the plan of care is part of the competency that centers on
patient care, not quality improvement. Quality improvement is designed to identify
errors and hazards in care.
2. Informatics is designed to ensure that information technology supports the work of
health-care professionals.
3. Active involvement of patients and their families in the plan of care is considered a
precursor to safe, effective, and quality care.
4. Evidence-based practice ensures that the nurse utilizes research to drive all nursing
care.
CON: Patient-Centered Care
2. According to the Institute of Medicine, which health profession has been directly linked to
patient safety?
1. Nurses
2. Physicians
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Nursing Leadership and Management for Patient Safety and Quality Care, 2nd Edition (Murray, 2022)
3. Social workers
4. Physical therapists
ANS: 1
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Describe the impact of the Institute of Medicine (IOM) reports on the
quality of health care in the United States.
Chapter page reference: 7
Heading: Quality and Safety Education for Nurses Core Competencies
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Safety
Difficulty: Easy
Feedback
1. Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
2. Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
3. Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
4. Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
CON: Safety
3. The nurse is caring for a patient who is currently hospitalized for the third time with diabetic
ketoacidosis. The nurse notes that the patient does not eat any food from the hospital tray and
will only eat food from fast food restaurants that is brought in by family members. The nurse is
aware that this patient’s diet may be directly related to what major barrier to patient-centered
care?
1. Cultural competence
2. Health literacy
3. Self-management
4. Optimal healing environment
ANS: 2
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Nursing Leadership and Management for Patient Safety and Quality Care, 2nd Edition (Murray, 2022)
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
Chapter page reference: 9
Heading: Health Literacy
Integrated Process: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1. While cultural competence can influence a patient’s desire to participate in care, it is
more likely that this patient does not understand the basic tenets of diabetes
management.
2. The inability of patients and their families to read, understand, and/or act on health-care
information can lead to problems with accessing care, managing illness, and processing
information.
3. The patient in this scenario is unable to participate in self-management because he does
not understand the basic tenets of diabetes management.
4. There is no indication that the optimal healing environment is not present in this
scenario. The patient is lacking health literacy to understand his disease.
CON: Health Promotion
4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a
busy surgical unit. Which element of the QSEN competency of teamwork and collaboration is
essential to ensure implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
ANS: 4
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
Chapter page reference: 12
Heading: Care Coordination
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Nursing Leadership and Management for Patient Safety and Quality Care, 2nd Edition (Murray, 2022)
Feedback
1. Time management is an important component of teamwork and collaboration but is not
essential to the implementation of this competency.
2. The assessment of the group dynamics is also an important component of teamwork
and collaboration, but it is not essential to its implementation. Group dynamics may
make it more difficult, but it will not prevent its implementation.
3. Conflict resolution is an element of teamwork and collaboration, but it will not prevent
the implementation of this competency.
4. Care coordination related to teamwork and collaboration indicates that the nurse is the
health-care professional to coordinate the delivery of care to patients. This is seen as a
priority for health-care quality improvement.
CON: Leadership and Management
5. What quality would the nurse manager strive to achieve in ensuring a culture of safety on the
maternal-child unit?
1. Fairness
2. Preoccupation with success
3. Transparency
4. Discouragement of interprofessional collaboration
ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Discuss the importance of effective nursing leadership and
management in providing safe and quality patient-centered care.
Chapter page reference: 23
Heading: Safety Culture
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1. Fairness is not an element of the culture of safety.
2. Preoccupation with success may delay a culture of safety as nurses may feel that
reporting errors will delay success.
3. Transparency is critical in a safety culture. Staff must feel comfortable in reporting
errors, near misses, and potential for errors.
4. Interprofessional collaboration assists a culture of safety by working with others to
develop solutions to common errors or to prevent errors from occurring. Discouraging
this would not be a part of a culture of safety.
______________________________________________________________________________________________
4|Page
Nursing Leadership and Management for Patient Safety and
Quality Care
Elizabeth J. Murray
2nd Edition
,Table of Contents
Chapter 01 Core Competencies for Safe and Quality Nursing Care 1
Chapter 02 Health-Care Environment and Health Policy 11
Chapter 03 Theories and Principles of Nursing Leadership and Management 20
Chapter 04 Ethical Aspects of Nursing Practice 30
Chapter 05 Legal Aspects of Nursing Practice 39
Chapter 06 Critical Thinking, Decision Making, and Clinical Reasoning 48
Chapter 07 High-Reliability Health-Care Organizations 57
Chapter 08 Effective Communication 66
Chapter 09 Improving and Managing Safe and Quality Care 78
Chapter 10 Information Technology for Safe and Quality Patient Care 91
Chapter 11 Creating and Managing a Sustainable Workforce 99
Chapter 12 Creating and Sustaining a Healthy Work Environment 109
Chapter 13 Organizing Patient Care and Staffing for Patient Safety 117
Chapter 14 Delegating Effectively 125
Chapter 15 Leading Change and Managing Conflict 133
Chapter 16 Managing Finances 141
Chapter 17 Transitioning From Student to Professional Nurse and Beyond 149
,______________________________________________________________________________________________
Test Bank - Nursing Leadership and Management for Patient Safety and Quality Care, 2nd Edition (Murray, 2022)
Chapter 1: Core Competencies for Safe and Quality Nursing Care
MULTIPLE CHOICE
1. The nurse admits a patient to the nursing unit for treatment of pneumonia. Before completing
the nursing care plan, the nurse discusses the planned nursing interventions and requests the
patient’s input into the plan. This patient–nurse interaction represents utilization of which
Quality and Safety Education for Nurses (QSEN) competency?
1. Apply quality improvement
2. Use informatics
3. Provide patient-centered care
4. Employ evidence-based practice
ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
Chapter page reference: 7
Heading: Patient-Centered Care
Integrated Process: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1. While patient involvement in care is integral to all QSEN competencies, involving the
patient in the development of the plan of care is part of the competency that centers on
patient care, not quality improvement. Quality improvement is designed to identify
errors and hazards in care.
2. Informatics is designed to ensure that information technology supports the work of
health-care professionals.
3. Active involvement of patients and their families in the plan of care is considered a
precursor to safe, effective, and quality care.
4. Evidence-based practice ensures that the nurse utilizes research to drive all nursing
care.
CON: Patient-Centered Care
2. According to the Institute of Medicine, which health profession has been directly linked to
patient safety?
1. Nurses
2. Physicians
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Nursing Leadership and Management for Patient Safety and Quality Care, 2nd Edition (Murray, 2022)
3. Social workers
4. Physical therapists
ANS: 1
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Describe the impact of the Institute of Medicine (IOM) reports on the
quality of health care in the United States.
Chapter page reference: 7
Heading: Quality and Safety Education for Nurses Core Competencies
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Safety
Difficulty: Easy
Feedback
1. Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
2. Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
3. Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
4. Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
CON: Safety
3. The nurse is caring for a patient who is currently hospitalized for the third time with diabetic
ketoacidosis. The nurse notes that the patient does not eat any food from the hospital tray and
will only eat food from fast food restaurants that is brought in by family members. The nurse is
aware that this patient’s diet may be directly related to what major barrier to patient-centered
care?
1. Cultural competence
2. Health literacy
3. Self-management
4. Optimal healing environment
ANS: 2
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Nursing Leadership and Management for Patient Safety and Quality Care, 2nd Edition (Murray, 2022)
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
Chapter page reference: 9
Heading: Health Literacy
Integrated Process: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1. While cultural competence can influence a patient’s desire to participate in care, it is
more likely that this patient does not understand the basic tenets of diabetes
management.
2. The inability of patients and their families to read, understand, and/or act on health-care
information can lead to problems with accessing care, managing illness, and processing
information.
3. The patient in this scenario is unable to participate in self-management because he does
not understand the basic tenets of diabetes management.
4. There is no indication that the optimal healing environment is not present in this
scenario. The patient is lacking health literacy to understand his disease.
CON: Health Promotion
4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a
busy surgical unit. Which element of the QSEN competency of teamwork and collaboration is
essential to ensure implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
ANS: 4
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
Chapter page reference: 12
Heading: Care Coordination
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Nursing Leadership and Management for Patient Safety and Quality Care, 2nd Edition (Murray, 2022)
Feedback
1. Time management is an important component of teamwork and collaboration but is not
essential to the implementation of this competency.
2. The assessment of the group dynamics is also an important component of teamwork
and collaboration, but it is not essential to its implementation. Group dynamics may
make it more difficult, but it will not prevent its implementation.
3. Conflict resolution is an element of teamwork and collaboration, but it will not prevent
the implementation of this competency.
4. Care coordination related to teamwork and collaboration indicates that the nurse is the
health-care professional to coordinate the delivery of care to patients. This is seen as a
priority for health-care quality improvement.
CON: Leadership and Management
5. What quality would the nurse manager strive to achieve in ensuring a culture of safety on the
maternal-child unit?
1. Fairness
2. Preoccupation with success
3. Transparency
4. Discouragement of interprofessional collaboration
ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Discuss the importance of effective nursing leadership and
management in providing safe and quality patient-centered care.
Chapter page reference: 23
Heading: Safety Culture
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1. Fairness is not an element of the culture of safety.
2. Preoccupation with success may delay a culture of safety as nurses may feel that
reporting errors will delay success.
3. Transparency is critical in a safety culture. Staff must feel comfortable in reporting
errors, near misses, and potential for errors.
4. Interprofessional collaboration assists a culture of safety by working with others to
develop solutions to common errors or to prevent errors from occurring. Discouraging
this would not be a part of a culture of safety.
______________________________________________________________________________________________
4|Page
