ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
,ALL chapters Test Bank 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. What is the primary purpose of QSEN competencies in nursing education and
practice?
a. To establish state-level licensing requirements
b. To improve patient safety and quality of care through evidence-based competencies
c. To standardize nursing salaries
d. To eliminate the need for clinical experience
✅ ANSWER: B
FEEDBACK: QSEN (Quality and Safety Education for Nurses) competencies provide a
framework to ensure nurses are equipped with knowledge, skills, and attitudes to deliver
safe, high-quality care. These competencies emphasize patient-centered care, teamwork,
evidence-based practice, quality improvement, safety, and informatics.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 – Explain the purpose and application of QSEN
competencies in nursing practice.
KEYWORDS: QSEN, patient safety, quality improvement, evidence-based practice
2. How does effective teamwork among nurses contribute to patient safety?
a. By reducing communication errors and promoting coordinated care
b. By increasing individual workload
c. By allowing delegation of all responsibilities to one nurse
d. By eliminating the need for evidence-based practice
✅ ANSWER: A
FEEDBACK: Teamwork is a core competency that reduces errors, improves
communication, ensures coordinated care, and enhances overall patient outcomes.
Collaborative practice is linked to fewer adverse events and improved safety culture.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.2 – Demonstrate understanding of teamwork and
collaboration to improve patient safety.
KEYWORDS: teamwork, communication, patient safety, collaboration
3. Which nursing intervention best exemplifies evidence-based practice?
a. Following a care plan exactly as taught without considering new research
b. Administering a medication based on the latest clinical guidelines and patient-specific
factors
,ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
c. Performing interventions solely based on tradition
d. Ignoring patient preferences in treatment decisions
✅ ANSWER: B
FEEDBACK: Evidence-based practice integrates current best evidence, clinical
expertise, and patient preferences to optimize care. Administering medication per updated
guidelines demonstrates use of evidence to ensure safe, effective care.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.3 – Apply evidence-based practice principles to clinical
decision-making.
KEYWORDS: evidence-based practice, clinical guidelines, patient-centered care
4. What is the most important safety practice when performing patient care
procedures?
a. Following standardized protocols and double-checking critical steps
b. Completing tasks as quickly as possible
c. Relying solely on memory
d. Delegating all safety checks to assistants
✅ ANSWER: A
FEEDBACK: Adhering to protocols and verifying critical steps ensures patient safety by
reducing the risk of errors, adverse events, and harm. Standardized procedures are
essential in high-reliability healthcare organizations.
DIFFICULTY: Low
LEARNING OBJECTIVES: 1.4 – Identify core safety practices for minimizing patient
harm.
KEYWORDS: patient safety, protocols, high-reliability practices
5. How does effective communication among health-care team members improve
patient outcomes?
a. By reducing misunderstandings and improving care coordination
b. By allowing nurses to work independently
c. By limiting information shared with patients
d. By focusing solely on written documentation
✅ ANSWER: A
FEEDBACK: Effective communication, including structured methods like SBAR,
minimizes errors, ensures accurate information transfer, and enhances team collaboration,
directly impacting patient safety and outcomes.
,ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.5 – Explain the role of communication in safe and
quality nursing care.
KEYWORDS: communication, SBAR, patient outcomes, teamwork
6. Which quality improvement activity best demonstrates a nurse’s role in
maintaining high-quality care?
a. Conducting regular audits of medication administration errors and implementing
corrective actions
b. Ignoring error trends unless required by management
c. Allowing errors to go unreported to avoid penalties
d. Following only physician orders without question
✅ ANSWER: A
FEEDBACK: Nurses play a key role in quality improvement by identifying errors,
analyzing patterns, and applying corrective measures to prevent recurrence, thereby
improving safety and care quality.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.6 – Apply quality improvement processes in clinical
practice.
KEYWORDS: quality improvement, audits, patient safety, corrective action
7. What aspect of care is emphasized when using a patient-centered approach?
a. Focusing on administrative tasks rather than patient needs
b. Respecting patients’ preferences, values, and needs in care planning
c. Standardizing care for all patients regardless of context
d. Prioritizing efficiency over patient engagement
✅ ANSWER: B
FEEDBACK: Patient-centered care ensures interventions are tailored to individual
patient values, preferences, and cultural needs, fostering safety, satisfaction, and
improved health outcomes.
DIFFICULTY: Low
LEARNING OBJECTIVES: 1.7 – Describe patient-centered care principles in nursing
practice.
KEYWORDS: patient-centered care, individual needs, values, preferences
,ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
8. Which scenario best illustrates a nurse using critical thinking to prevent a
medication error?
a. Administering medication without checking the patient’s ID
b. Reviewing patient allergies, medication history, and current prescriptions before
administration
c. Following verbal orders without verification
d. Relying on another nurse’s judgment exclusively
✅ ANSWER: B
FEEDBACK: Critical thinking involves analyzing data, anticipating potential risks, and
making informed decisions to prevent harm. Verifying allergies and medication history
reduces the likelihood of errors.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.8 – Demonstrate critical thinking in clinical decision-
making.
KEYWORDS: critical thinking, medication safety, clinical reasoning
9. What is the key characteristic of a high-reliability healthcare organization
(HRO)?
a. Frequent staff turnover
b. Consistent attention to safety and error prevention at all levels
c. Focus solely on productivity rather than quality
d. Lack of standardized protocols
✅ ANSWER: B
FEEDBACK: HROs maintain consistent, high-quality care with minimal errors by
fostering a strong safety culture, standardized procedures, and proactive risk management
strategies.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.9 – Identify characteristics of high-reliability
organizations in healthcare.
KEYWORDS: high-reliability organization, safety culture, error prevention
10. How does health informatics contribute to safe nursing practice?
a. By replacing nurses with automated systems
b. By providing access to electronic health records and decision support to reduce errors
c. By limiting access to patient data
d. By increasing administrative workload only
, ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
✅ ANSWER: B
FEEDBACK: Informatics tools, such as EHRs and clinical decision support systems,
enhance accuracy, provide timely information, and assist nurses in preventing errors and
delivering high-quality care.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.10 – Explain the role of health informatics in patient
safety.
KEYWORDS: health informatics, EHR, clinical decision support, patient safety
11. What role does accountability play in safe nursing practice?
a. Ensuring nurses can blame others for errors
b. Taking responsibility for actions, decisions, and outcomes
c. Delegating all tasks to unlicensed personnel
d. Ignoring institutional policies
✅ ANSWER: B
FEEDBACK: Accountability is fundamental for ethical and safe nursing practice.
Nurses must accept responsibility for their clinical decisions and actions to prevent harm
and maintain professional integrity.
DIFFICULTY: Low
LEARNING OBJECTIVES: 1.11 – Describe the importance of accountability in
nursing practice.
KEYWORDS: accountability, professional responsibility, patient safety
12. Which of the following best describes the purpose of root cause analysis (RCA)
in healthcare?
a. To assign blame to an individual nurse
b. To identify underlying factors contributing to errors and prevent recurrence
c. To evaluate staff performance only
d. To reduce documentation requirements
✅ ANSWER: B
FEEDBACK: RCA is a systematic approach to identify system failures or contributing
factors in adverse events, helping organizations implement preventive strategies for safer
care.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.12 – Utilize quality improvement tools like RCA to
enhance patient safety.
KEYWORDS: root cause analysis, error prevention, quality improvement
Murray
,ALL chapters Test Bank 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. What is the primary purpose of QSEN competencies in nursing education and
practice?
a. To establish state-level licensing requirements
b. To improve patient safety and quality of care through evidence-based competencies
c. To standardize nursing salaries
d. To eliminate the need for clinical experience
✅ ANSWER: B
FEEDBACK: QSEN (Quality and Safety Education for Nurses) competencies provide a
framework to ensure nurses are equipped with knowledge, skills, and attitudes to deliver
safe, high-quality care. These competencies emphasize patient-centered care, teamwork,
evidence-based practice, quality improvement, safety, and informatics.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 – Explain the purpose and application of QSEN
competencies in nursing practice.
KEYWORDS: QSEN, patient safety, quality improvement, evidence-based practice
2. How does effective teamwork among nurses contribute to patient safety?
a. By reducing communication errors and promoting coordinated care
b. By increasing individual workload
c. By allowing delegation of all responsibilities to one nurse
d. By eliminating the need for evidence-based practice
✅ ANSWER: A
FEEDBACK: Teamwork is a core competency that reduces errors, improves
communication, ensures coordinated care, and enhances overall patient outcomes.
Collaborative practice is linked to fewer adverse events and improved safety culture.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.2 – Demonstrate understanding of teamwork and
collaboration to improve patient safety.
KEYWORDS: teamwork, communication, patient safety, collaboration
3. Which nursing intervention best exemplifies evidence-based practice?
a. Following a care plan exactly as taught without considering new research
b. Administering a medication based on the latest clinical guidelines and patient-specific
factors
,ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
c. Performing interventions solely based on tradition
d. Ignoring patient preferences in treatment decisions
✅ ANSWER: B
FEEDBACK: Evidence-based practice integrates current best evidence, clinical
expertise, and patient preferences to optimize care. Administering medication per updated
guidelines demonstrates use of evidence to ensure safe, effective care.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.3 – Apply evidence-based practice principles to clinical
decision-making.
KEYWORDS: evidence-based practice, clinical guidelines, patient-centered care
4. What is the most important safety practice when performing patient care
procedures?
a. Following standardized protocols and double-checking critical steps
b. Completing tasks as quickly as possible
c. Relying solely on memory
d. Delegating all safety checks to assistants
✅ ANSWER: A
FEEDBACK: Adhering to protocols and verifying critical steps ensures patient safety by
reducing the risk of errors, adverse events, and harm. Standardized procedures are
essential in high-reliability healthcare organizations.
DIFFICULTY: Low
LEARNING OBJECTIVES: 1.4 – Identify core safety practices for minimizing patient
harm.
KEYWORDS: patient safety, protocols, high-reliability practices
5. How does effective communication among health-care team members improve
patient outcomes?
a. By reducing misunderstandings and improving care coordination
b. By allowing nurses to work independently
c. By limiting information shared with patients
d. By focusing solely on written documentation
✅ ANSWER: A
FEEDBACK: Effective communication, including structured methods like SBAR,
minimizes errors, ensures accurate information transfer, and enhances team collaboration,
directly impacting patient safety and outcomes.
,ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.5 – Explain the role of communication in safe and
quality nursing care.
KEYWORDS: communication, SBAR, patient outcomes, teamwork
6. Which quality improvement activity best demonstrates a nurse’s role in
maintaining high-quality care?
a. Conducting regular audits of medication administration errors and implementing
corrective actions
b. Ignoring error trends unless required by management
c. Allowing errors to go unreported to avoid penalties
d. Following only physician orders without question
✅ ANSWER: A
FEEDBACK: Nurses play a key role in quality improvement by identifying errors,
analyzing patterns, and applying corrective measures to prevent recurrence, thereby
improving safety and care quality.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.6 – Apply quality improvement processes in clinical
practice.
KEYWORDS: quality improvement, audits, patient safety, corrective action
7. What aspect of care is emphasized when using a patient-centered approach?
a. Focusing on administrative tasks rather than patient needs
b. Respecting patients’ preferences, values, and needs in care planning
c. Standardizing care for all patients regardless of context
d. Prioritizing efficiency over patient engagement
✅ ANSWER: B
FEEDBACK: Patient-centered care ensures interventions are tailored to individual
patient values, preferences, and cultural needs, fostering safety, satisfaction, and
improved health outcomes.
DIFFICULTY: Low
LEARNING OBJECTIVES: 1.7 – Describe patient-centered care principles in nursing
practice.
KEYWORDS: patient-centered care, individual needs, values, preferences
,ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
8. Which scenario best illustrates a nurse using critical thinking to prevent a
medication error?
a. Administering medication without checking the patient’s ID
b. Reviewing patient allergies, medication history, and current prescriptions before
administration
c. Following verbal orders without verification
d. Relying on another nurse’s judgment exclusively
✅ ANSWER: B
FEEDBACK: Critical thinking involves analyzing data, anticipating potential risks, and
making informed decisions to prevent harm. Verifying allergies and medication history
reduces the likelihood of errors.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.8 – Demonstrate critical thinking in clinical decision-
making.
KEYWORDS: critical thinking, medication safety, clinical reasoning
9. What is the key characteristic of a high-reliability healthcare organization
(HRO)?
a. Frequent staff turnover
b. Consistent attention to safety and error prevention at all levels
c. Focus solely on productivity rather than quality
d. Lack of standardized protocols
✅ ANSWER: B
FEEDBACK: HROs maintain consistent, high-quality care with minimal errors by
fostering a strong safety culture, standardized procedures, and proactive risk management
strategies.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.9 – Identify characteristics of high-reliability
organizations in healthcare.
KEYWORDS: high-reliability organization, safety culture, error prevention
10. How does health informatics contribute to safe nursing practice?
a. By replacing nurses with automated systems
b. By providing access to electronic health records and decision support to reduce errors
c. By limiting access to patient data
d. By increasing administrative workload only
, ALL chapters Test Bank for Nursing Leadership and Management for Patient Safety and Quality Care 2nd Edition by
Murray
✅ ANSWER: B
FEEDBACK: Informatics tools, such as EHRs and clinical decision support systems,
enhance accuracy, provide timely information, and assist nurses in preventing errors and
delivering high-quality care.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.10 – Explain the role of health informatics in patient
safety.
KEYWORDS: health informatics, EHR, clinical decision support, patient safety
11. What role does accountability play in safe nursing practice?
a. Ensuring nurses can blame others for errors
b. Taking responsibility for actions, decisions, and outcomes
c. Delegating all tasks to unlicensed personnel
d. Ignoring institutional policies
✅ ANSWER: B
FEEDBACK: Accountability is fundamental for ethical and safe nursing practice.
Nurses must accept responsibility for their clinical decisions and actions to prevent harm
and maintain professional integrity.
DIFFICULTY: Low
LEARNING OBJECTIVES: 1.11 – Describe the importance of accountability in
nursing practice.
KEYWORDS: accountability, professional responsibility, patient safety
12. Which of the following best describes the purpose of root cause analysis (RCA)
in healthcare?
a. To assign blame to an individual nurse
b. To identify underlying factors contributing to errors and prevent recurrence
c. To evaluate staff performance only
d. To reduce documentation requirements
✅ ANSWER: B
FEEDBACK: RCA is a systematic approach to identify system failures or contributing
factors in adverse events, helping organizations implement preventive strategies for safer
care.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.12 – Utilize quality improvement tools like RCA to
enhance patient safety.
KEYWORDS: root cause analysis, error prevention, quality improvement
