A critical care nurse is using a computerized decision support system to correctly position her
ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics - ANS-D. Informatics
Using decision support systems is one example of using and gaining competency in informatics.
A male patient has been laid off from his construction job and has many unpaid bills. He is going
through a divorce from his marriage of 15 years and has been seeing his pastor to help him
through this difficult time. He does not have a primary health care provider because he has
never really been sick and his parents never took him to the physician when he was a child.
Which external variables influence the patient's health practices? (Select all that apply.)
A. Difficulty paying his bills
B. Seeing his pastor as a means of support
C. Family practice of not routinely seeing a health care provider
D. Stress from the divorce and the loss of a job - ANS-A. Difficulty paying his bills
C. Family practice of not routinely seeing a health care provider
D. Stress from the divorce and the loss of a job
External factors impacting health practices include family beliefs and economic impact. How
patients; families use health care services generally affects their health practices. Their
perceptions of the serious nature of diseases and their history of preventive care behaviors (or
lack of them) influence how patients will think about health. Economic variables may affect a
patient;s level of health by increasing the risk for disease and influencing how or at what point
the patient enters the health care system
A nurse is applying Henderson's theory as a basis for theory based-nursing practice. Which
other elements are important for theory-based nursing practice? (Select all that apply.)
A. Knowledge of nursing science
B. Knowledge of related sciences
C. Knowledge about current health care issues
D. Knowledge of standards of practice - ANS-A. Knowledge of nursing science
B. Knowledge of related sciences
,D. Knowledge of standards of practice
Regardless of which particular nursing theory is selected, the nurse must use knowledge from
nursing and related sciences, experience, and standards of practice when providing care.
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The
nurse explains the risk and benefits of the surgery to the family and discusses the patient's
wishes with the family. The nurse is acting as the patient's:
A. Educator
B. Advocate
C. Caregiver
D. Case manager - ANS-B. Advocate
An advocate protects the patient's human and legal right to make choices about his or her care.
An advocate may also provide additional information to help a patient decide whether or not to
accept a treatment or find an interpreter to help family members communicate their concerns.
A nurse is caring for an older-adult couple in a community-based assisted living facility. During
the family assessment he notes that the couple has many expired medications and multiple
medications for their respective chronic illnesses. They note that they go to two different health
care providers. The nurse begins to work with the couple to determine what they know about
their medications and helps them decide on one care provider rather than two. This is an
example of which Quality and Safety in the Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics - ANS-B. Safety
Helping the patients understand the consequences and complications of multiple medications
helps to build the competency in safety.
A nurse is going to teach a patient how to perform breast self-examination. Which behavioral
objective does the nurse set to best measure the patient's ability to perform the examination?
A. The patient will verbalize the steps involved in breast self-examination within 1 week.
B. The nurse will explain the importance of performing breast self-examination once a month.
C. The patient will perform breast self-examination correctly on herself before the end of the
teaching session.
, D. The nurse will demonstrate breast self-examination on a breast model provided by the
American Cancer Society. - ANS-C. The patient will perform breast self-examination correctly on
herself before the end of the teaching session.
Return demonstration provides an excellent source of feedback and reinforcement to evaluate
learning.
A nurse is planning a teaching session about healthy nutrition with a group of children who are
in first grade. The nurse determines that after the teaching session the children will be able to
name three examples of foods that are fruits. This is an example of:
A. A teaching plan.
B. A learning objective.
C. Reinforcement of content.
D. Enhancing the children's self-efficacy. - ANS-B. A learning objective.
A learning objective describes what the learner will do after the teaching session.
A nurse is teaching a 27-year-old gentleman how to adjust his insulin dosages based on his
blood sugar results. What type of learning is this?
A. Cognitive
B. Affective
C. Adaptation
D. Psychomotor - ANS-A. Cognitive
Cognitive learning requires thinking; learning how to adjust insulin requires analysis, synthesis,
and evaluation, which are all types of cognitive learning.
A nurse is teaching a group of young college-age women the importance of using sunscreen
when going out in the sun. What type of content is the nurse providing?
A. Simulation
B. Restoring health
C. Coping with impaired function
D. Health promotion and illness prevention - ANS-D. Health promotion and illness prevention
Health promotion and illness prevention are the focus when nurses provide information to help
patients improve their health and avoid illness.
A nurse needs to teach a young woman newly diagnosed with asthma how to manage her
disease. Which of the following topics does the nurse teach first?
A. How to use an inhaler during an asthma attack
B. The need to avoid people who smoke to prevent asthma attacks
C. Where to purchase a medical alert bracelet that says she has asthma
D. The importance of maintaining a healthy diet and exercising regularly - ANS-A. How to use
an inhaler during an asthma attack
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