LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Chapter 1
Test Bank for LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing
6th Edition Question 1
Type: MCSA
The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus.
Which core competency for healthcare professionals is the nurse implementing?
1. Quality improvement
2. Evidence-based practice
3. Patient-centered care
4. Teamwork and collaboration
Correct Answer: 3
Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency quality
improvement.
Rationale 2: Using best research when providing patient care is an example of the core competency evidence-
based practice.
Rationale 3: The nurse instructing the patient is an example of the competency patient-centered care.
Rationale 4: The core competency teamwork and collaboration involves collaboration between disciplines to
provide continuous and reliable care.
Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that all
healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is
an example of the competency patient-centered care. Identifying safety hazards and measuring quality are
examples of the core competency quality improvement. Using best research when providing patient care is an
example of the core competency evidence-based practice. Collaboration between disciplines to provide
continuous and reliable care is an example of the core competency teamwork and collaboration.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care
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: Relationship Centered Care: Learn cooperatively, facilitate the learning of others
Nursing/Integrated Concepts: Nursing Process: Implementation
LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Copyright 2015 by Pearson Education, Inc.
,Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care, NLN Competencies: Knowledge and Science: Electronic databases; literature retrieval; evaluating data for
interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology. validity and reliability; evidence and best practices for nursing
MNL Learning Outcome: 10.5.4. Utilize the nursing process in care of client. Nursing/Integrated Concepts: Nursing Process: Planning
Page Number: 4 Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
interprofessional teams, evidence-based practice, quality improvement, safety, and health information
Question 2 technology.
Type: MCSA MNL Learning Outcome: 4.3.3. Examine the treatments used for pressure ulcers.
Page Number: 4
The nurse is planning to utilize the core competency use informatics when providing patient care. Which action
Question 3
should the nurse perform when using this core competency?
Type: MCMA
1. Change the sharps container in a patient ’s room.
The nurse plans to implement evidence-based practice when providing patient care. Which activities should the
nurse perform?
2. Document the effectiveness of pain medication for a patient.
Standard Text: Select all that apply.
3. Discuss the effectiveness of bedside physical therapy with the therapist.
1. Participate in education and research activities when possible.
4. Search through a database of articles to find current research on wound care.
2. Integrate research findings with clinical care to maximize patient outcomes.
Correct Answer: 4
3. Serve on the committee to create critical pathways for patient care.
Rationale 1: Changing the sharps container is an example of quality improvement.
4. Reinforce hand hygiene techniques with unlicensed assistive personnel.
Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-centered
care.
5. Contact Environmental Services to report a malfunctioning infusion pump.
Rationale 3: Discussing the effectiveness of bedside physical therapy with the therapist is an example of
Correct Answer: 1, 2
teamwork and collaboration.
Rationale 1: Participating in education and research activities when possible is an example of implementing
Rationale 4: Searching through a database of articles to find current research on wound care is an example of use
evidence-based practice in the provision of patient care.
informatics.
Rationale 2: Integrating research findings with clinical care to maximize patient outcomes is an example of
Global Rationale: Examples of the nurse using the core competency use informatics include the use of
implementing evidence-based practice in the provision of patient care.
technology to communicate, manage knowledge, reduce errors, and support decision making. The activity of
searching through a database of articles to find current research on wound care is an example of use informatics.
Rationale 3: Serving on the committee to create critical pathways for patient care is an example of teamwork and
Changing the sharps container in a patient ’s room is an example of quality improvement. Documenting the
collaboration.
effectiveness of pain medication for a patient is an example of patient-centered care. Discussing the effectiveness
of bedside physical therapy with the therapist is an example of teamwork and collaboration.
Rationale 4: Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality
Cognitive Level: Applying improvement.
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care Rationale 5: Contacting Environmental Services to report a malfunctioning infusion pump is an example of
QSEN Competencies: VI.B.2. Apply technology and information management tools to support safe processes of quality improvement.
care
AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies, information Global Rationale: Participating in education and research activities when possible is an example of implementing
systems, and communication devices that support safe nursing practice evidence-based practice in the provision of patient care. Integrating research findings with clinical care to
maximize patient outcomes is an example of implementing evidence-based practice in the provision of patient
LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Copyright 2015 by Pearson Education, Inc. Copyright 2015 by Pearson Education, Inc.
,care. Serving on the committee to create critical pathways for patient care is an example of teamwork and Global Rationale: Activities to exemplify the core competency patient-centered care should be focused on
collaboration. Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality disease prevention, wellness, and promotion of healthy lifestyles. Providing smoking cessation classes and
improvement. Contacting Environmental Services to report a malfunctioning infusion pump is an example of literature is an example of patient-centered care. Increasing the hours for the physician to see patients is an
quality improvement. activity to support the competency teamwork and collaboration. Attending a continuing education program on
clean water initiatives is an activity to support the competency evidence-based practice. Evaluating the
Cognitive Level: Applying effectiveness of weight reduction strategies is an activity to support the competency quality improvement.
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care Cognitive Level: Applying
QSEN Competencies: III.B.6. Participate in structuring the work environment to facilitate integration of new Client Need: Safe and Effective Care Environment
evidence into standards of practice Client Need Sub: Management of Care
AACN Essentials Competencies: III.2. Demonstrate an understanding of the basic elements of the research QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and respect for the diversity of human
process and models for applying evidence to clinical practice experience
NLN Competencies: Knowledge and Science; Defining what is evidence-based practice AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding
Nursing/Integrated Concepts: Nursing Process: Planning of human growth and development, pathophysiology, pharmacology, medical management and nursing
Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care, management across the health-illness continuum, across lifespan, and in all healthcare settings
interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.
NLN Competencies: Context and Environment; Knowledge; health promotion/disease prevention
MNL Learning Outcome:
Nursing/Integrated Concepts: Nursing Process: Planning
Page Number: 4
Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
interprofessional teams, evidence-based practice, quality improvement, safety, and health information
Question 4
technology.
Type: MCSA
MNL Learning Outcome: 5.9.4. Utilize the nursing process in care of client.
The community health nurse is planning to meet with several community members during a health fair. Which Page Number: 4
nursing activity exemplifies the core competency patient-centered care?
Question 5
1. Provide smoking cessation classes and literature. Type: MCSA
2. Increase the hours for the physician to see patients. The nurse is instructing a patient on weight reduction and smoking cessation. Which code of nursing practice is
the nurse implementing?
3. Attend a continuing education program on clean water initiatives.
1. International Council of Nurses Code of Ethics for Nurses
4. Evaluate the effectiveness of weight reduction strategies.
2. American Nurses Association Standards of Professional Practice
Correct Answer: 1
3. American Nurses Association Code of Ethics for Nurses
Rationale 1: Providing smoking cessation classes and literature is an example of an activity to provide patient-
centered care. 4. State Board of Nursing Code
Rationale 2: Increasing the hours for the physician to see patients is an activity to support the competency Correct Answer: 1
teamwork and collaboration.
Rationale 1: The International Council of Nurses (ICN) Code of Ethics for Nurses specifies what nurses are
Rationale 3: Attending a continuing education program on clean water initiatives is an activity to support the accountable for in terms of people, practice, society, coworkers, and the profession. The philosophical basis for
competency evidence-based practice. this code is that nurses are responsible for promoting health, preventing illness, and alleviating suffering.
Instructing a patient on weight reduction and smoking cessation exemplifies the ICN Code of Ethics for Nurses.
Rationale 4: Evaluating the effectiveness of weight reduction strategies is an activity to support the competency
quality improvement.
LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Copyright 2015 by Pearson Education, Inc. Copyright 2015 by Pearson Education, Inc.
, Rationale 2: The American Nurses Association Standards of Professional Practice are standards, not a code, and Correct Answer: 1
focus on specific behaviors to address quality practice, practice evaluation, education, collegiality, collaboration,
ethics, research, resource utilization, and leadership. Rationale 1: The nurse who is practicing within the American Nurses Association Standards of Professional
Performance would integrate research findings into practice. The standards focus on ethics, education, evidence-
Rationale 3: The American Nurses Association Code of Ethics for Nurses has nine statements that address the based practice and research, quality nursing practice, communication, leadership, collaboration, professional
nurse’s professional relationships, commitment to patients, patient rights, nursing practice, competency, practice evaluation, resource utilization, and environmental health.
conditions of employment, and contributions to the science of nursing, collaboration, and nursing values.
Rationale 2: Implementing a patient’s plan of care is an example of adhering to the American Nurses Association
Rationale 4: The state boards of nursing do not publish codes for nursing. Standards of Practice.
Global Rationale: The International Council of Nurses (ICN) Code of Ethics for Nurses specifies what nurses are Rationale 3: Evaluating patient progress toward identified outcomes is an example of adhering to the American
accountable for in terms of people, practice, society, coworkers, and the profession. The philosophical basis for Nurses Association Standards of Practice.
this code is that nurses are responsible for promoting health, preventing illness, and alleviating suffering.
Instructing a patient on weight reduction and smoking cessation exemplifies the ICN Code of Ethics for Nurses. Rationale 4: Analyzing assessment data to determine issues is an example of adhering to the American Nurses
The American Nurses Association Standards of Professional Practice are standards, not a code, and focus on Association Standards of Practice.
specific behaviors to address quality practice, practice evaluation, education, collegiality, collaboration, ethics,
research, resource utilization, and leadership. The American Nurses Association Code of Ethics for Nurses has Global Rationale: The nurse who is practicing within the American Nurses Association Standards of
nine statements that address the nurse’s professional relationships, commitment to patients, patient rights, nursing Professional Performance would integrate research findings into practice. The standards focus ethics, education,
practice, competency, conditions of employment, and contributions to the science of nursing, collaboration, and evidence-based practice and research, quality nursing practice, communication, leadership, collaboration,
nursing values. The state boards of nursing do not publish codes for nursing. professional practice evaluation, resource utilization, and environmental health. The other activities would be
implemented when the nurse is adhering to the American Nurses Association Standards of Practice.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment Cognitive Level: Applying
Client Need Sub: Management of Care Client Need: Safe and Effective Care Environment
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care Client Need Sub: Management of Care
AACN Essentials Competencies: VII.4. Use behavioral change techniques to promote health and manage illness QSEN Competencies: III.B.6. Participate in structuring the work environment to facilitate integration of new
evidence into standards of practice
NLN Competencies: Context and Environment; Knowledge; health promotion/disease prevention
AACN Essentials Competencies: III.2. Demonstrate an understanding of the basic elements of the research
Nursing/Integrated Concepts: Nursing Process: Implementation process and models for applying evidence to clinical practice
Learning Outcome: 4. Explain the importance of nursing and interprofessional codes of ethics and standards of NLN Competencies: Knowledge and Science; Defining what is evidence-based practice
practice as guidelines for clinical nursing practice. Nursing/Integrated Concepts: Nursing Process: Implementation
MNL Learning Outcome: 5.9.4. Utilize the nursing process in care of client. Learning Outcome: 4. Explain the importance of nursing and interprofessional codes of ethics and standards of
Page Number: 9 practice as guidelines for clinical nursing practice.
MNL Learning Outcome:
Question 6 Page Number: 10
Type: MCSA
Question 7
The nurse is providing patient care within the American Nurses Association Standards of Professional Type: MCSA
Performance. Which activity is the nurse implementing?
The nurse prescribes strategies and alternatives to assist a patient achieve expected outcomes. Within which
1. Integrating research findings into practice American Nurses Association standard is the nurse practicing?
2. Implementing a patient’s plan of care 1. Planning
3. Evaluating patient progress toward identified outcomes 2. Assessment
3. Diagnosis
4. Analyzing assessment data to determine issues
LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Copyright 2015 by Pearson Education, Inc. Copyright 2015 by Pearson Education, Inc.
