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Surgical Nursing, Cli nical
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Reasoning 6th Edition By L
m m m m
eMone Burke
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,Chapter 1 m
Questionm1m
Type:mMCS
A
Themnursemisminstructingmampatientmonmthemrolemofmdiet,mexercise,mandmmedicationmtomcontrolmtypem2mdiabetesmmellitu
s.mWhichmcoremcompetencymformhealthcaremprofessionalsmismthemnursemimplementing?
1. Qualitymimprovement
2. Evidence-basedmpractice
3. Patient-centeredmcare
4. Teamworkmandmcollaboration
CorrectmAnswer:m3
Rationalem1:mIdentifyingmsafetymhazardsmandmmeasuringmqualitymismanmexamplemofmthemcoremcompetencym qualitymimprov
ment.
Rationalem2:mUsingmbestmresearchmwhenmprovidingmpatientmcaremismanmexamplemofmthemcoremcompetencym evidence-
basedmpractice.
m
Rationalem3:mThemnurseminstructingmthempatientmismanmexamplemofmthemcompetencympatient-centeredmcare.
Rationalem4:mThemcoremcompetencymteamworkmandmcollaborationminvolvesmcollaborationmbetweenmdisciplinesmtompr
ovidemcontinuousmandmreliablemcare.
GlobalmRationale:mInm2003,mthemNationalmAcademymofmSciencesmproposedmamsetmofmfivemcoremcompetenciesmthatma
llmhealthcaremprofessionalsmshouldmpossessmtommeetmthemneedsmofmthem21stmcentury.mThemnurseminstructingmthempatie
ntmismanmexamplemofmthemcompetencympatient-
centeredmcare.mIdentifyingmsafetymhazardsmandmmeasuringmqualitymaremexamplesmofmthemcoremcompetencymqualitymi
mprovement.mUsingmbestmresearchmwhenmprovidingmpatientmcaremismanmexamplemofmthemcoremcompetencymevidence-
basedmpractice.mCollaborationmbetweenmdisciplinesmtomprovidemcontinuousmandmreliablemcaremismanmexamplemofmthem
coremcompetencymteamworkmandmcollaboration.
CognitivemLevel:mApplying
ClientmNeed:mSafemandmEffectivemCaremEnvironment
ClientmNeedmSub:mManagementmofmCare
QSENmCompetencies:mI.A.1.mIntegratemunderstandingmofmmultiplemdimensionsmofmpatientmcenteredmcare
AACNmEssentialmCompetencies:mIX.7.mProvidemappropriatempatientmteachingmthatmreflectsmdevelopmentalmsta
ge,mage,mculture,mspirituality,mpatientmpreferences,mandmhealthmliteracymconsiderationsmtomfostermpatientmengagem
entminmtheirmcare
NLNmCompetencies:mRelationshipmCenteredmCare:mLearnmcooperatively,mfacilitatemthemlearningmofmothers
Nursing/IntegratedmConcepts:mNursingmProcess:mImplementationmLeMone/B
urke/Bauldoff/Gubrud,mMedical-
,SurgicalmNursingm6thmEditionmTestmBankmCopyrightm2015mbymPearsonmEducation,mInc
.
, LearningmOutcome:m1.mDescribemthemcoremcompetenciesmformhealthcaremprofessionals:mpatient-
centeredmcare,minterprofessionalmteams,mevidence-
basedmpractice,mqualitymimprovement,msafety,mandmhealthminformationmtechnology.mMNLmLearningmOutcome:m10.
5.4.mUtilizemthemnursingmprocessminmcaremofmclient.
PagemNumber:m4
Questionm2m
Type:mMCS
A
Themnursemismplanningmtomutilizemthemcoremcompetencymuseminformaticsmwhenmprovidingmpatientmcare.mWhichmactio
nmshouldmthemnursemperformmwhenmusingmthismcoremcompetency?
1. Changemthemsharpsmcontainerminmampatient’smroom.
2. Documentmthemeffectivenessmofmpainmmedicationmformampatient.
3. Discussmthemeffectivenessmofmbedsidemphysicalmtherapymwithmthemtherapist.
4. Searchmthroughmamdatabasemofmarticlesmtomfindmcurrentmresearchmonmwoundmcare.
CorrectmAnswer:m4
Rationalem1:mChangingmthemsharpsmcontainermismanmexamplemofmqualitymimprovement.
Rationalem2:mDocumentingmthemeffectivenessmofmpainmmedicationmformampatientmismanmexamplemofmpatient-
centeredmcare.
Rationalem3:mDiscussingmthemeffectivenessmofmbedsidemphysicalmtherapymwithmthemtherapistmismanmexamplemof
teamworkmandmcollaboration.
Rationalem4:mSearchingmthroughmamdatabasemofmarticlesmtomfindmcurrentmresearchmonmwoundmcaremismanmexamplemofm usemi
ormatics.
GlobalmRationale:mExamplesmofmthemnursemusingmthemcoremcompetencymuseminformaticsmincludemthemusemofmtechno
logymtomcommunicate,mmanagemknowledge,mreducemerrors,mandmsupportmdecisionmmaking.mThemactivitymofmsearchin
gmthroughmamdatabasemofmarticlesmtomfindmcurrentmresearchmonmwoundmcaremismanmexamplemofmuseminformatics.mChan
gingmthemsharpsmcontainerminmampatient’smroommismanmexamplemofmqualitymimprovement.mDocumentingmthemeffective
nessmofmpainmmedicationmformampatientmismanmexamplemofmpatient-
centeredmcare.mDiscussingmthemeffectivenessmofmbedsidemphysicalmtherapymwithmthemtherapistmismanmexamplemofmteam
workmandmcollaboration.
CognitivemLevel:mApplying
ClientmNeed:mSafemandmEffectivemCaremEnvironment
ClientmNeedmSub:mManagementmofmCare
QSENmCompetencies:mVI.B.2.mApplymtechnologymandminformationmmanagementmtoolsmtomsupportmsafemprocessesm
ofmcare
AACNmEssentialsmCompetencies:mIV.1.mDemonstratemskillsminmusingmpatientmcaremtechnologies,minformatio
nmsystems,mandmcommunicationmdevicesmthatmsupportmsafemnursingmpractice