5 5 5
Surgical Nursing, Cli nical
5 5 5 5 5
Reasoning 6th Edition By L
5 5 5 5
eMone Burke
5
,Chapter 1 5
Question515T
ype:5MCSA
The5nurse5is5instructing5a5patient5on5the5role5of5diet,5exercise,5and5medication5to5control5type525diabetes5mellitus.5Wh
ich5core5competency5for5healthcare5professionals5is5the5nurse5implementing?
1. Quality5improvement
2. Evidence-based5practice
3. Patient-centered5care
4. Teamwork5and5collaboration
Correct5Answer:53
Rationale51:5Identifying5safety5hazards5and5measuring5quality5is5an5example5of5the5core5competency5 quality5improvemen
.
Rationale52:5Using5best5research5when5providing5patient5care5is5an5example5of5the5core5competency5evidence-
5based5practice.
Rationale53:5The5nurse5instructing5the5patient5is5an5example5of5the5competency5patient-centered5care.
Rationale54:5The5core5competency5teamwork5and5collaboration5involves5collaboration5between5disciplines5to5provi
de5continuous5and5reliable5care.
Global5Rationale:5In52003,5the5National5Academy5of5Sciences5proposed5a5set5of5five5core5competencies5that5all5he
althcare5professionals5should5possess5to5meet5the5needs5of5the521st5century.5The5nurse5instructing5the5patient5is5an5ex
ample5of5the5competency5patient-
centered5care.5Identifying5safety5hazards5and5measuring5quality5are5examples5of5the5core5competency5quality5impr
ovement.5Using5best5research5when5providing5patient5care5is5an5example5of5the5core5competency5evidence-
based5practice.5Collaboration5between5disciplines5to5provide5continuous5and5reliable5care5is5an5example5of5the5core5
competency5teamwork5and5collaboration.
Cognitive5Level:5Applying
Client5Need:5Safe5and5Effective5Care5Environment
Client5Need5Sub:5Management5of5Care
QSEN5Competencies:5I.A.1.5Integrate5understanding5of5multiple5dimensions5of5patient5centered5care
AACN5Essential5Competencies:5IX.7.5Provide5appropriate5patient5teaching5that5reflects5developmental5stage,5a
ge,5culture,5spirituality,5patient5preferences,5and5health5literacy5considerations5to5foster5patient5engagement5in5th
eir5care
NLN5Competencies:5Relationship5Centered5Care:5Learn5cooperatively,5facilitate5the5learning5of5others
Nursing/Integrated5Concepts:5Nursing5Process:5Implementation5LeMone/Bur
ke/Bauldoff/Gubrud,5Medical-
Surgical5Nursing56th5Edition5Test5Bank5Copyright520155by5Pearson5Education,5Inc.
,Learning5Outcome:51.5Describe5the5core5competencies5for5healthcare5professionals:5patient-
centered5care,5interprofessional5teams,5evidence-
based5practice,5quality5improvement,5safety,5and5health5information5technology.5MNL5Learning5Outcome:510.5.4.5
Utilize5the5nursing5process5in5care5of5client.
Page5Number:54
Question525T
ype:5MCSA
The5nurse5is5planning5to5utilize5the5core5competency5use5informatics5when5providing5patient5care.5Which5action5sho
uld5the5nurse5perform5when5using5this5core5competency?
1. Change5the5sharps5container5in5a5patient’s5room.
2. Document5the5effectiveness5of5pain5medication5for5a5patient.
3. Discuss5the5effectiveness5of5bedside5physical5therapy5with5the5therapist.
4. Search5through5a5database5of5articles5to5find5current5research5on5wound5care.
Correct5Answer:54
Rationale51:5Changing5the5sharps5container5is5an5example5of5quality5improvement.
Rationale52:5Documenting5the5effectiveness5of5pain5medication5for5a5patient5is5an5example5of5patient-centered5care.
Rationale53:5Discussing5the5effectiveness5of5bedside5physical5therapy5with5the5therapist5is5an5example5of
teamwork5and5collaboration.
Rationale54:5Searching5through5a5database5of5articles5to5find5current5research5on5wound5care5is5an5example5of5 use5inform
tics.
Global5Rationale:5Examples5of5the5nurse5using5the5core5competency5use5informatics5include5the5use5of5technology
5to5communicate,5manage5knowledge,5reduce5errors,5and5support5decision5making.5The5activity5of5searching5throug
h5a5database5of5articles5to5find5current5research5on5wound5care5is5an5example5of5use5informatics.5Changing5the5sharp
s5container5in5a5patient’s5room5is5an5example5of5quality5improvement.5Documenting5the5effectiveness5of5pain5medic
ation5for5a5patient5is5an5example5of5patient-
centered5care.5Discussing5the5effectiveness5of5bedside5physical5therapy5with5the5therapist5is5an5example5of5teamwor
k5and5collaboration.
Cognitive5Level:5Applying
Client5Need:5Safe5and5Effective5Care5Environment
Client5Need5Sub:5Management5of5Care
QSEN5Competencies:5VI.B.2.5Apply5technology5and5information5management5tools5to5support5safe5processes5of5c
are
AACN5Essentials5Competencies:5IV.1.5Demonstrate5skills5in5using5patient5care5technologies,5information5sy
stems,5and5communication5devices5that5support5safe5nursing5practice
LeMone/Burke/Bauldoff/Gubrud,5Medical-
Surgical5Nursing56th5Edition5Test5Bank5Copyright520155by5Pearson5Education,5Inc.
, NLN5Competencies:5Knowledge5and5Science:5Electronic5databases;5literature5retrieval;5evaluating5data5for5v
alidity5and5reliability;5evidence5and5best5practices5for5nursing
Nursing/Integrated5Concepts:5Nursing5Process:5Planning
Learning5Outcome:51.5Describe5the5core5competencies5for5healthcare5professionals:5patient-
centered5care,5interprofessional5teams,5evidence-
based5practice,5quality5improvement,5safety,5and5health5information5technology.
MNL5Learning5Outcome:54.3.3.5Examine5the5treatments5used5for5pressure5ulcers.
Page5Number:5 4
Question535Ty
pe:5MCMA
The5nurse5plans5to5implement5evidence-
based5practice5when5providing5patient5care.5Which5activities5should5the5nurse5perform?
Standard5Text:5Select5all5that5apply.
1. Participate5in5education5and5research5activities5when5possible.
2. Integrate5research5findings5with5clinical5care5to5maximize5patient5outcomes.
3. Serve5on5the5committee5to5create5critical5pathways5for5patient5care.
4. Reinforce5hand5hygiene5techniques5with5unlicensed5assistive5personnel.
5. Contact5Environmental5Services5to5report5a5malfunctioning5infusion5pump.
Correct5Answer:51,52
Rationale51:5Participating5in5education5and5research5activities5when5possible5is5an5example5of5implementing
evidence-based5practice5in5the5provision5of5patient5care.
Rationale52:5Integrating5research5findings5with5clinical5care5to5maximize5patient5outcomes5is5an5example5of5i
mplementing5evidence-based5practice5in5the5provision5of5patient5care.
Rationale53:5Serving5on5the5committee5to5create5critical5pathways5for5patient5care5is5an5example5of5 teamwork5and5collab
ration.
Rationale54:5Reinforcing5hand5hygiene5techniques5with5unlicensed5assistive5personnel5is5an5example5of5 quality5improve
ent.
Rationale55:5Contacting5Environmental5Services5to5report5a5malfunctioning5infusion5pump5is5an5example5of
quality5improvement.
Global5Rationale:5Participating5in5education5and5research5activities5when5possible5is5an5example5of5implementing5e
vidence-
based5practice5in5the5provision5of5patient5care.5Integrating5research5findings5with5clinical5care5to5maximize5patient5o
utcomes5is5an5example5of5implementing5evidence-based5practice5in5the5provision5of5patient
LeMone/Burke/Bauldoff/Gubrud,5Medical-
Surgical5Nursing56th5Edition5Test5Bank5Copyright520155by5Pearson5Education,5Inc.