Skills in Clinical Nursing, 9e (Berman/Snyder)
Chapter 1 Essential Skills
1) The nurse is caring for a client who developed an infection after admission to the hospital.
Which term should the nurse use when documenting this infection? nursing | Nursing/Integrated
1. Nosocomial infection
2. Bacterial infection
3. Health care-associated infection
4. Therapeutic infection
Answer: 1
Explanation: 1. A nosocomial infection is an infection that originates specifically in the hospital.
2. Not enough information is provided to determine whether the infection is bacterial in nature.
3. A health care-associated infection can originate in any health care setting.
4. There is no such thing as a therapeutic infection.
Page Ref: 7
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance
Standards: QSEN Competencies: V.B.1. Demonstrate effective use of technology and
standardized practices that support safety and quality | AACN Essential Competencies: II.5.
Participate in quality and client safety initiatives, recognizing that these are complex system
issues that involve individuals, families, groups, communities, populations, and other members
of the health care team | NLN Competencies: Knowledge and Science: Knowledge:
Relationships between knowledge/science and quality and safe client care | Nursing/Integrated
Concepts: Nursing Process: Assessment
Learning Outcome: 1. Define the key terms used in essential skills and equipment that protect
nurses and clients.
1
Copyright © 2021 Pearson Education, Inc.
,2) The nurse is caring for a group of clients. For which situation should the nurse use a Situation,
Background, Assessment, and Recommendation (SBAR) process? Select all that apply.
1. Discharging a client
2. Transferring a client to another unit
3. Contacting the primary care provider
4. Changing from day to evening shift
5. Informing family members of client status
Answer: 2, 3, 4
Explanation: 1. The SBAR is not used for discharging a client.
2. The SBAR is used to enhance the safety of the client in situations where nurses are
communicating with other members of the health care team, such as when transferring the client
to another unit.
3. The SBAR is used to enhance the safety of the client in situations where nurses are
communicating with other members of the health care team, such as when contacting the primary
care provider.
4. The SBAR is used to enhance the safety of the client in situations where nurses are
communicating with other members of the health care team, such as when conducting change-of-
shift report.
5. The SBAR is not used for notifying family members of the client's status.
Page Ref: 14
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment; Management of Care
Standards: QSEN Competencies: V.B.1. Demonstrate effective use of technology and
standardized practices that support safety and quality | AACN Essential Competencies: II.5.
Participate in quality and client safety initiatives, recognizing that these are complex system
issues that involve individuals, families, groups, communities, populations, and other members
of the health care team | NLN Competencies: Knowledge and Science: Knowledge:
Relationships between knowledge/science and quality and safe client care | Nursing/Integrated
Concepts: Nursing Process: Implementation
Learning Outcome: 1. Define the key terms used in essential skills and equipment that protect
nurses and clients.
2
Copyright © 2021 Pearson Education, Inc.
, 3) A client with HIV/AIDS is being treated for a Pneumocystis carinii infection. In order to
reduce the spread of infection, in which of the following areas should the nurse instruct this
client?
1. Engaging in self-care
2. Respiratory hygiene/cough etiquette
3. The use of sexual barriers
4. Standard precautions
Answer: 2
Explanation: 1. Teaching self-care might be indicated for this client, but it is not related to
reducing the spread of infection.
2. The client with a respiratory infection would benefit most from learning how to use respiratory
hygiene/cough etiquette in order to reduce the risk of spreading infection to others.
3. Although teaching the use of sexual barriers would reduce the risk of sexually transmitted
infections, it is not the priority need at this time.
4. Standard precautions are used by the health care provider and are not generally taught to
clients.
Page Ref: 5
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment; Safety and Infection Control
Standards: QSEN Competencies: V.B.2. Demonstrate effective use of strategies to reduce risk of
harm to self or others | 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:
Knowledge and Science: Knowledge: Relationships between knowledge/science and quality and
safe client care | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching and
Learning
Learning Outcome: 1. Define the key terms used in essential skills and equipment that protect
nurses and clients.
3
Copyright © 2021 Pearson Education, Inc.
Chapter 1 Essential Skills
1) The nurse is caring for a client who developed an infection after admission to the hospital.
Which term should the nurse use when documenting this infection? nursing | Nursing/Integrated
1. Nosocomial infection
2. Bacterial infection
3. Health care-associated infection
4. Therapeutic infection
Answer: 1
Explanation: 1. A nosocomial infection is an infection that originates specifically in the hospital.
2. Not enough information is provided to determine whether the infection is bacterial in nature.
3. A health care-associated infection can originate in any health care setting.
4. There is no such thing as a therapeutic infection.
Page Ref: 7
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance
Standards: QSEN Competencies: V.B.1. Demonstrate effective use of technology and
standardized practices that support safety and quality | AACN Essential Competencies: II.5.
Participate in quality and client safety initiatives, recognizing that these are complex system
issues that involve individuals, families, groups, communities, populations, and other members
of the health care team | NLN Competencies: Knowledge and Science: Knowledge:
Relationships between knowledge/science and quality and safe client care | Nursing/Integrated
Concepts: Nursing Process: Assessment
Learning Outcome: 1. Define the key terms used in essential skills and equipment that protect
nurses and clients.
1
Copyright © 2021 Pearson Education, Inc.
,2) The nurse is caring for a group of clients. For which situation should the nurse use a Situation,
Background, Assessment, and Recommendation (SBAR) process? Select all that apply.
1. Discharging a client
2. Transferring a client to another unit
3. Contacting the primary care provider
4. Changing from day to evening shift
5. Informing family members of client status
Answer: 2, 3, 4
Explanation: 1. The SBAR is not used for discharging a client.
2. The SBAR is used to enhance the safety of the client in situations where nurses are
communicating with other members of the health care team, such as when transferring the client
to another unit.
3. The SBAR is used to enhance the safety of the client in situations where nurses are
communicating with other members of the health care team, such as when contacting the primary
care provider.
4. The SBAR is used to enhance the safety of the client in situations where nurses are
communicating with other members of the health care team, such as when conducting change-of-
shift report.
5. The SBAR is not used for notifying family members of the client's status.
Page Ref: 14
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment; Management of Care
Standards: QSEN Competencies: V.B.1. Demonstrate effective use of technology and
standardized practices that support safety and quality | AACN Essential Competencies: II.5.
Participate in quality and client safety initiatives, recognizing that these are complex system
issues that involve individuals, families, groups, communities, populations, and other members
of the health care team | NLN Competencies: Knowledge and Science: Knowledge:
Relationships between knowledge/science and quality and safe client care | Nursing/Integrated
Concepts: Nursing Process: Implementation
Learning Outcome: 1. Define the key terms used in essential skills and equipment that protect
nurses and clients.
2
Copyright © 2021 Pearson Education, Inc.
, 3) A client with HIV/AIDS is being treated for a Pneumocystis carinii infection. In order to
reduce the spread of infection, in which of the following areas should the nurse instruct this
client?
1. Engaging in self-care
2. Respiratory hygiene/cough etiquette
3. The use of sexual barriers
4. Standard precautions
Answer: 2
Explanation: 1. Teaching self-care might be indicated for this client, but it is not related to
reducing the spread of infection.
2. The client with a respiratory infection would benefit most from learning how to use respiratory
hygiene/cough etiquette in order to reduce the risk of spreading infection to others.
3. Although teaching the use of sexual barriers would reduce the risk of sexually transmitted
infections, it is not the priority need at this time.
4. Standard precautions are used by the health care provider and are not generally taught to
clients.
Page Ref: 5
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment; Safety and Infection Control
Standards: QSEN Competencies: V.B.2. Demonstrate effective use of strategies to reduce risk of
harm to self or others | 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:
Knowledge and Science: Knowledge: Relationships between knowledge/science and quality and
safe client care | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching and
Learning
Learning Outcome: 1. Define the key terms used in essential skills and equipment that protect
nurses and clients.
3
Copyright © 2021 Pearson Education, Inc.
