Nursing Leadership and Management for Patient Safety and Quality Care 1st Edition Test Bank by Elizabeth Murray
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Nursing Leadership and Management
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Nursing Leadership And Management
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Nursing Leadership and Management for Patient Safety and Quality Care 1st Edition Test Bank
Chapter 1: Core Competencies for Safe and Quality Nursing Care
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse admits a patient to the nursing unit for treatment of pneumonia.
Prior to completing the nursing care plan, the nurse discusses the planned
nursing interventions and requests the patient’s input into the plan. This
patient-nurse interaction represents utilization of which Quality and Safety Education for Nurses
(QSEN) competency?
1. Apply quality improvement
2. Use informatics
3. Provide patient-centered care
4. Employ evidence-based practice
____ 2. According to the Institute of Medicine, which health profession has been directly linked to patient
safety?
1. Nurses
2. Physicians
3. Social workers
4. Physical therapists
____ 3. The nurse is caring for a patient who is currently hospitalized for the third time with diabetic
ketoacidosis. The nurse notes the patient does not eat any food from the hospital tray and will only eat
food from fast food restaurants that is brought in by family members. The nurse is aware that this
patient’s diet may be directly related to what major barrier to patient-centered care?
1. Cultural competence
2. Health literacy
3. Self-management
4. Optimal healing environment
____ 4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a busy
surgical unit. Which element of the QSEN competency of teamwork and collaboration is essential to
ensure implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
____ 5. What quality would the nurse manager strive to achieve in ensuring a culture of safety on the
maternal-child unit?
, Nursing Leadership and Management for Patient Safety and Quality Care 1st Edition Test Bank
2. Preoccupation with success
3. Transparency
4. Discouragement of interprofessional collaboration
____ 6. The 2003 Institute of Medicine (IOM) report, Health Professions Education: A Bridge to Quality, led
to what initiative?
1. The three domains of quality
2. The 10 rules for the redesign of health-care delivery
3. The five quality and safety competencies
4. The six aims for health-care improvement
____ 7. The nurse is aware that which one of the six aims of the IOM report, Crossing the Quality Chasm: A
New Health System for the 21st Century, is also one of the health-care education competencies found
in the 2003 IOM report, Health Professions Education: A Bridge to Quality?
1. Patient-centered
2. Teamwork and collaboration
3. Informatics
4. Evidence-based
____ 8. What was the intention of the six aims found in the 2001 IOM report, Crossing the Quality Chasm: A
New Health System for the 21st Century?
1. Reduction of the time patients have to wait to receive quality health care
2. Provision of health care that was based on the most recent scientific knowledge
3. Avoidance of waste of health-care dollars
4. Narrowing of the quality gap in health care
____ 9. What competency did the QSEN project add to the competencies set forth by the IOM 2003 report,
Health Professions Education: A Bridge to Quality?
1. Informatics
2. Safety
3. Teamwork and Collaboration
4. Evidence-Based Practice
____ 10. The nurse is aware that the 2003 Institute of Medicine report that led to the QSEN competencies, had
what impact on the nurse-patient relationship?
1. Nurses must avoid having the patient wait for care to be provided.
2. Nurses must share power with the patient.
3. Nurses must provide equitable care to all patients.
4. Nurses must provide respectful care to all patients.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 11. The nurse educator is aware that which of the following are the skills identified by the IOM for the
competency of Patient-Centered Care? Select all that apply.
1. Share power and responsibility with patients and caregivers.
2. Take into account patients’ individuality, emotional needs, values, and life issues.
, Nursing Leadership and Management for Patient Safety and Quality Care 1st Edition Test Bank
3. Ensure that accurate and timely information reaches those who need it at the appropriate
time.
4. Formulate clear clinical questions.
5. Enhance prevention and health promotion.
____ 12. The nurse is aware that QSEN has indicated that which of the following are the fundamental elements
of the quality improvement competency? Select all that apply.
1. Care process
2. Advocacy
3. Outcomes of care
4. Communication
5. Documentation
, Chapter 1: Core Competencies for Safe and Quality Nursing Care
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Identify and describe fundamental elements for each core competency for
nursing.
Chapter page reference: 7
Heading: Patient-Centered Care
Integrated Process: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 While patient involvement in care is integral to all QSEN competencies, involving the
patient in the development of the plan of care is part of the competency that centers on
patient care, not quality improvement. Quality improvement is designed to identify
errors and hazards in care.
2 Informatics is designed to ensure that information technology supports the work of
health-care professionals.
3 Active involvement of patients and their families in the plan of care is considered a
precursor to safe, effective, and quality care.
4 Evidence-based practice ensures that the nurse utilizes research to drive all nursing
care.
PTS: 1 CON: Patient-Centered Care
2. ANS: 1
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning objective: Describe the impact of the Institute of Medicine (IOM) reports on the quality
of health care in the United States.
Chapter page reference: 7
Heading: Quality and Safety Education for Nurses Core Competencies
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Safety
Difficulty: Easy
Feedback
1 Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
2 Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
3 Although all health-care professionals have an obligation to provide safe and quality
care, nurses have been directly linked to ensuring patient safety and quality care
outcomes.
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