KEY POINTS
-
-
Copyright © 2023 Elsevier Inc. All rights reserved.
, 7. Health care reform will bring changes in the emphasis of care.
REVIEW QUESTIONS
Which of these models is expected from health care reform?
1. You are preparing a presentation for your classmates regarding the 1. Moving from an acute illness to a health promotion, illness
clinical care coordination conference for a patient with terminal prevention model
cancer. As part of the preparation, you have your classmates read 2. Moving from an illness prevention to a health promotion model
the Nursing Code of Ethics for Professional Registered Nurses. Your 3. Moving from hospital-based to community-based care
instructor asks the class why this document is important. Which 4. Moving from an acute illness to a disease management model
statement best describes this code? 8. The nurse manager meets with the registered nursing staff about
1. Improves self–health care an increase in urinary tract infections in patients with a Foley
2. Protects the patient’s confidentiality catheter. The staff work together to review the literature on
3. Ensures identical care to all patients catheter-associated urinary tract infections (CAUTIs), identifies
4. Defines the principles of right and wrong to provide patient care at-risk patients, and establishes new catheter care practices. This
2. A nurse is caring for a patient with end-stage lung disease. The patient is an example of which QSEN competency?
wants to go home on oxygen and be comfortable. The family wants 1. Patient-centered care
the patient to have a new surgical procedure. The nurse explains the 2. Safety
risk and benefits of the operation to the family and discusses the 3. Teamwork and collaboration
patient’s wishes with them. The nurse is acting as the patient’s: 4. Quality improvement
1. Educator 9. A critical care nurse is using a new research-based intervention to
2. Advocate correctly position patients who are on ventilators to reduce pneu-
3. Caregiver monia caused by accumulated respiratory secretions. This is an
4. Communicator example of which QSEN competency?
3. The nurse spends time with a patient and family reviewing a dress- 1. Patient-centered care
ing change procedure for the patient’s wound. The patient’s spouse 2. Evidence-based practice
demonstrates how to change the dressing. The nurse is acting in 3. Teamwork and collaboration
which professional role? 4. Quality improvement
1. Educator 10. The nurses on an acute care medical floor notice an increase in
2. Advocate pressure injury formation in their patients. A nurse consultant de-
3. Caregiver cides to compare two types of treatment. The first is the procedure
4. Communicator currently used to assess for pressure injury risk. The second uses a
4. The examination for RN licensure is the same in every state in the new assessment instrument to identify at-risk patients. Given this
United States. This examination: information, the nurse consultant exemplifies which career?
1. Guarantees safe nursing care for all patients 1. Clinical nurse specialist
2. Ensures standard nursing care for all patients 2. Nurse administrator
3. Provides the minimal standard of knowledge for an RN in practice 3. Nurse educator
4. Guarantees standardized education across all prelicensure 4. Nurse researcher
programs 9. 2; 10. 4.
5. Contemporary nursing requires that the nurse have knowledge and Answers: 1. 4; 2. 2; 3. 1; 4. 3; 5. 1, 2, 3, 4; 6. 1b, 2d, 3c, 4a; 7. 1; 8. 4;
skills for a variety of professional roles and responsibilities. Which
of the following are examples of these roles and responsibilities?
Rationales for Review Questions can be found on the Evolve website.
(Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor
6. Match the advanced practice nurse specialty with the statement
about the role.
1. Clinical nurse specialist a. Provides independent care, in-
2. Nurse anesthetist cluding pregnancy and gyneco-
3. Nurse practitioner logical services
4. Nurse-midwife b. Expert clinician in a specialized
area of practice such as adult
diabetes care
c. Provides comprehensive care,
usually in a primary care setting,
directly managing the medical
care of patients who are healthy
or have chronic conditions
d. Plans and delivers anesthesia and
pain management to patients
across the life span
Copyright © 2023 Elsevier Inc. All rights reserved.
,CHAPTER 1 3. Answer: 1. The nurse is demonstrating the role of educator. An edu-
cator explains concepts and facts about health, describes the reason
QSEN: Building Competency in Patient-Centered Care for routine care activities, demonstrates procedures such as home-
Answer: Reflect about what you read in the brief scenario, your ex- care activities, reinforces learning or patient behavior, and evaluates
periences, and what you have seen in your life as you answer this the patient’s progress in learning through return demonstration.
question. In this situation, it is important to focus on patient-cen- 4. Answer: 3. RN candidates must pass the NCLEX-RN® to attain li-
tered care and advocate for both Kitty and her parents to achieve censure. Regardless of educational preparation, the examination for
future goals of care. RN licensure is exactly the same in every state in the United States.
Some questions might include: 5. Answer: 1, 2, 3, 4. Each of these roles or skills includes activities
1. What goals of care and quality of life do Kitty’s parents want for her? for the professional nurse. Each of these is used in direct care or is
2. Do they prefer home care for the near future? part of the professionalism that guides nursing practice.
3. Do they see residential care for Kitty in the future? 6. Answer: 1b, 2d, 3c, 4a. The role statements describe the activities
4. Are there community resources that will allow Kitty to interact with performed and the role of the advanced practice nurse specialty.
other children? Nurse-midwives care for women who are pregnant or have women’s
5. What resources do the parents need? For example, community health needs. Clinical nurse specialists typically see hospitalized
resources, support groups, respite care. patients with a specific type of illness or health problem. Nurse
6. As Kitty gets older how much input do the parents want in the day- practitioners usually practice in a primary care setting and care for
to-day care, Kitty’s educational and social programs, and Kitty’s patients who are healthy or have minor acute or stable chronic
emotional issues? conditions. Certified nurse anesthetists care for patients during the
By asking some of these questions, you begin to advocate for Kitty’s surgical experience and administer anesthesia during surgery.
parents by encouraging them to think about their philosophy and 7. Answer: 1. Health care reform also affects how health care is de-
goals of care for Kitty and determine who will be involved in her care. livered. There is greater emphasis on health promotion, disease
prevention, and management of illness.
Answers and Rationales for Review Questions 8. Answer: 4. This is an example of the competency of quality im-
1. Answer: 4. When giving care, it is essential to provide a specified ser- provement. The nurses collect, analyze, and use data to monitor
vice according to standards of practice and to follow a code of ethics. the outcomes of care processes and use improvement methods to
The code of ethics is the philosophical ideals of right and wrong that design and test changes to continuously improve the quality and
define the principles you will use to provide care to your patients. It safety of health care systems
serves as a guide for carrying out nursing responsibilities to provide 9. Answer: 2. The use of a research intervention to improve patient
high-quality nursing care and the ethical obligations of the profession. care brings the evidence-based practice gained from the research
2. Answer: 2. An advocate protects patients’ human and legal right to to the bedside.
make choices about their care. An advocate may also provide ad- 10. Answer: 4. Nurse researchers investigate problems to improve
ditional information to help a patient decide whether or not to nursing care and to further define and expand the scope of nursing
accept a treatment or find an interpreter to help family members practice. They often work in an academic setting, hospital, or inde-
communicate their concerns. pendent professional or community service agency.
Copyright © 2023 Elsevier Inc. All rights reserved.
e1
, Chapter 2
KEY POINTS
-
-
-
-
-
-
-
Copyright © 2023 Elsevier Inc. All rights reserved.
-
-
Copyright © 2023 Elsevier Inc. All rights reserved.
, 7. Health care reform will bring changes in the emphasis of care.
REVIEW QUESTIONS
Which of these models is expected from health care reform?
1. You are preparing a presentation for your classmates regarding the 1. Moving from an acute illness to a health promotion, illness
clinical care coordination conference for a patient with terminal prevention model
cancer. As part of the preparation, you have your classmates read 2. Moving from an illness prevention to a health promotion model
the Nursing Code of Ethics for Professional Registered Nurses. Your 3. Moving from hospital-based to community-based care
instructor asks the class why this document is important. Which 4. Moving from an acute illness to a disease management model
statement best describes this code? 8. The nurse manager meets with the registered nursing staff about
1. Improves self–health care an increase in urinary tract infections in patients with a Foley
2. Protects the patient’s confidentiality catheter. The staff work together to review the literature on
3. Ensures identical care to all patients catheter-associated urinary tract infections (CAUTIs), identifies
4. Defines the principles of right and wrong to provide patient care at-risk patients, and establishes new catheter care practices. This
2. A nurse is caring for a patient with end-stage lung disease. The patient is an example of which QSEN competency?
wants to go home on oxygen and be comfortable. The family wants 1. Patient-centered care
the patient to have a new surgical procedure. The nurse explains the 2. Safety
risk and benefits of the operation to the family and discusses the 3. Teamwork and collaboration
patient’s wishes with them. The nurse is acting as the patient’s: 4. Quality improvement
1. Educator 9. A critical care nurse is using a new research-based intervention to
2. Advocate correctly position patients who are on ventilators to reduce pneu-
3. Caregiver monia caused by accumulated respiratory secretions. This is an
4. Communicator example of which QSEN competency?
3. The nurse spends time with a patient and family reviewing a dress- 1. Patient-centered care
ing change procedure for the patient’s wound. The patient’s spouse 2. Evidence-based practice
demonstrates how to change the dressing. The nurse is acting in 3. Teamwork and collaboration
which professional role? 4. Quality improvement
1. Educator 10. The nurses on an acute care medical floor notice an increase in
2. Advocate pressure injury formation in their patients. A nurse consultant de-
3. Caregiver cides to compare two types of treatment. The first is the procedure
4. Communicator currently used to assess for pressure injury risk. The second uses a
4. The examination for RN licensure is the same in every state in the new assessment instrument to identify at-risk patients. Given this
United States. This examination: information, the nurse consultant exemplifies which career?
1. Guarantees safe nursing care for all patients 1. Clinical nurse specialist
2. Ensures standard nursing care for all patients 2. Nurse administrator
3. Provides the minimal standard of knowledge for an RN in practice 3. Nurse educator
4. Guarantees standardized education across all prelicensure 4. Nurse researcher
programs 9. 2; 10. 4.
5. Contemporary nursing requires that the nurse have knowledge and Answers: 1. 4; 2. 2; 3. 1; 4. 3; 5. 1, 2, 3, 4; 6. 1b, 2d, 3c, 4a; 7. 1; 8. 4;
skills for a variety of professional roles and responsibilities. Which
of the following are examples of these roles and responsibilities?
Rationales for Review Questions can be found on the Evolve website.
(Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor
6. Match the advanced practice nurse specialty with the statement
about the role.
1. Clinical nurse specialist a. Provides independent care, in-
2. Nurse anesthetist cluding pregnancy and gyneco-
3. Nurse practitioner logical services
4. Nurse-midwife b. Expert clinician in a specialized
area of practice such as adult
diabetes care
c. Provides comprehensive care,
usually in a primary care setting,
directly managing the medical
care of patients who are healthy
or have chronic conditions
d. Plans and delivers anesthesia and
pain management to patients
across the life span
Copyright © 2023 Elsevier Inc. All rights reserved.
,CHAPTER 1 3. Answer: 1. The nurse is demonstrating the role of educator. An edu-
cator explains concepts and facts about health, describes the reason
QSEN: Building Competency in Patient-Centered Care for routine care activities, demonstrates procedures such as home-
Answer: Reflect about what you read in the brief scenario, your ex- care activities, reinforces learning or patient behavior, and evaluates
periences, and what you have seen in your life as you answer this the patient’s progress in learning through return demonstration.
question. In this situation, it is important to focus on patient-cen- 4. Answer: 3. RN candidates must pass the NCLEX-RN® to attain li-
tered care and advocate for both Kitty and her parents to achieve censure. Regardless of educational preparation, the examination for
future goals of care. RN licensure is exactly the same in every state in the United States.
Some questions might include: 5. Answer: 1, 2, 3, 4. Each of these roles or skills includes activities
1. What goals of care and quality of life do Kitty’s parents want for her? for the professional nurse. Each of these is used in direct care or is
2. Do they prefer home care for the near future? part of the professionalism that guides nursing practice.
3. Do they see residential care for Kitty in the future? 6. Answer: 1b, 2d, 3c, 4a. The role statements describe the activities
4. Are there community resources that will allow Kitty to interact with performed and the role of the advanced practice nurse specialty.
other children? Nurse-midwives care for women who are pregnant or have women’s
5. What resources do the parents need? For example, community health needs. Clinical nurse specialists typically see hospitalized
resources, support groups, respite care. patients with a specific type of illness or health problem. Nurse
6. As Kitty gets older how much input do the parents want in the day- practitioners usually practice in a primary care setting and care for
to-day care, Kitty’s educational and social programs, and Kitty’s patients who are healthy or have minor acute or stable chronic
emotional issues? conditions. Certified nurse anesthetists care for patients during the
By asking some of these questions, you begin to advocate for Kitty’s surgical experience and administer anesthesia during surgery.
parents by encouraging them to think about their philosophy and 7. Answer: 1. Health care reform also affects how health care is de-
goals of care for Kitty and determine who will be involved in her care. livered. There is greater emphasis on health promotion, disease
prevention, and management of illness.
Answers and Rationales for Review Questions 8. Answer: 4. This is an example of the competency of quality im-
1. Answer: 4. When giving care, it is essential to provide a specified ser- provement. The nurses collect, analyze, and use data to monitor
vice according to standards of practice and to follow a code of ethics. the outcomes of care processes and use improvement methods to
The code of ethics is the philosophical ideals of right and wrong that design and test changes to continuously improve the quality and
define the principles you will use to provide care to your patients. It safety of health care systems
serves as a guide for carrying out nursing responsibilities to provide 9. Answer: 2. The use of a research intervention to improve patient
high-quality nursing care and the ethical obligations of the profession. care brings the evidence-based practice gained from the research
2. Answer: 2. An advocate protects patients’ human and legal right to to the bedside.
make choices about their care. An advocate may also provide ad- 10. Answer: 4. Nurse researchers investigate problems to improve
ditional information to help a patient decide whether or not to nursing care and to further define and expand the scope of nursing
accept a treatment or find an interpreter to help family members practice. They often work in an academic setting, hospital, or inde-
communicate their concerns. pendent professional or community service agency.
Copyright © 2023 Elsevier Inc. All rights reserved.
e1
, Chapter 2
KEY POINTS
-
-
-
-
-
-
-
Copyright © 2023 Elsevier Inc. All rights reserved.
