Question 1

Which is a result of the Institute of Medicine's (IOM's)report addressing quality and safety issues in health care?&#10;A) The Quality and Safety Education for Nurses (QSEN)initiative&#10;B) The American Nurses Association (ANA)Code of Nursing Ethics&#10;C) The National League for Nurses (NLN)Centers of Excellence in Nursing Education&#10;D) The American Association of Colleges of Nursing (AACN)Essentials in Nursing Practice&#10;

Accepted Answer

The IOM's report on quality and safety issues in health care led to the development of the Quality and Safety Education for Nurses (QSEN) initiative, which aims to improve patient outcomes through the integration of quality and safety competencies into nursing education. The other options (B, C, and D) are not directly related to the IOM report.

Question 2

Which term is used when implementing patient-centered care in the maternal-newborn and pediatric settings?&#10;A) Culturally sensitive care&#10;B) Evidence-based practice&#10;C) Family-centered care&#10;D) Age-appropriate care&#10;

Accepted Answer

Family-centered care is the most appropriate term when implementing patient-centered care in the maternal-newborn and pediatric settings since this approach involves considering the family unit as a whole and partnering with them in the decision-making process of the care plan. Culturally sensitive care and evidence-based practice are important aspects of patient-centered care, but do not necessarily focus on the involvement of the family. Age-appropriate care is important, however, it is not specific to patient-centered care or the maternal-newborn and pediatric settings.

Question 3

Which health-care provider is the last line of defense between a patient and a medication error?&#10;A) Nurse&#10;B) Surgeon&#10;C) Physician&#10;D) Pharmacist&#10;

Accepted Answer

Nurses are typically the last line of defense as they are responsible for administering medication to patients and are in a position to catch any errors before the medication is given.

Question 4

The nurse is asked to participate on a quality improvement (QI)committee related to hospital-acquired infections.Which initial action should the nurse take in preparation for the meeting?&#10;A) Review current data on the subject&#10;B) Conduct a review of the literature to determine best practices&#10;C) Edit unit policies related to infection control and prevention&#10;D) Plan an in-service to educate staff on the current issue&#10;

Accepted Answer

The nurse should review current data on hospital-acquired infections to be able to contribute effectively to the QI committee. This will enable the nurse to assess the problem's magnitude and determine where improvements are most necessary. Conducting a literature review, editing unit policies, or planning an in-service are also essential tasks, but the nurse needs current data to develop informed recommendations.

Question 5

The nurse is asked during a job interview to state a prerequisite skill in the QSEN competency related to informatics.Which response by the nurse reflects correct understanding?&#10;A) &#34;An advanced practice degree is considered a prerequisite skill in the QSEN competencies.&#34;&#10;B) &#34;Licensure as a practical nurse is a prerequisite skill in the QSEN competencies.&#34;&#10;C) &#34;Basic computer literacy is considered a prerequisite skill in the QSEN competencies.&#34;&#10;D) &#34;Licensure as a registered nurse is a prerequisite skill in the QSEN competencies.&#34;&#10;

Accepted Answer

One of the QSEN competencies is informatics, which includes basic computer literacy as a prerequisite skill. Advanced practice degrees and licensure as a practical or registered nurse are not prerequisite skills specifically related to informatics.

Question 6

The nurse is a member of an interprofessional team.Which observed behavior by another member of the team could adversely affect collaboration?&#10;A) A physician who reviews the nurse's documentation prior to prescribing a new medication&#10;B) A registered nurse who updates the physical therapist on a patient's progress with ambulation&#10;C) A licensed practical nurse who neglects to notify the charge nurse regarding abnormal vital signs&#10;D) An unlicensed assistive personnel who asks for assistance with a delegated task&#10;

Accepted Answer

Neglecting to notify the charge nurse regarding abnormal vital signs is a potential safety issue for the patient and could harm interprofessional collaboration if the issue is not addressed.

Question 7

The nurse makes a medication error during a busy shift on the unit.Which response by the nurse manager reflects &#34;just culture&#34;?&#10;A) Placing the nurse on administrative leave&#10;B) Recommending that the nurse's job be terminated&#10;C) Encouraging the nurse to complete an incident report&#10;D) Making a public announcement about the error during shift report&#10;

Accepted Answer

Encouraging the nurse to complete an incident report is a reflection of just culture because it allows for the identification of system-level problems, rather than simply blaming the individual nurse. This approach allows for a focus on improving the system and preventing similar errors in the future, rather than punishing the nurse for making a mistake. Placing the nurse on administrative leave or recommending termination would be punitive and not consistent with a just culture. Making a public announcement about the error during shift report could be perceived as shaming the nurse and not addressing the underlying issues that led to the error.

Question 8

The maternal-newborn nurse works with a registered nurse and a nurse's aide.Which type of team is this nurse a member of according to current data?&#10;A) Intraprofessional&#10;B) Interprofessional&#10;C) Multidisciplinary&#10;D) Allied health&#10;

Accepted Answer

The answer of The maternal-newborn nurse works with a registered...

Question 9

Which is a core concept in providing patient-centered care?&#10;A) Advocacy&#10;B) Safety&#10;C) Collaboration&#10;D) Teamwork&#10;

Accepted Answer

The answer of Which is a core concept in providing...

Question 10

Which should the nurse evaluate in himself/herself when implementing patient-centered care?&#10;A) Personal values&#10;B) Level of education&#10;C) Use of research&#10;D) Family dynamics&#10;

Accepted Answer

Personal values are important for the nurse to evaluate when implementing patient-centered care because they can impact the nurse's ability to provide care that is respectful and responsive to the patient's individual needs and preferences. By understanding and examining their own values, the nurse can better understand how they may influence their care provision and work to be more sensitive to the patient's values and beliefs. While education, research, and family dynamics can all be important factors in providing patient-centered care, they are not as directly related to the nurse's ability to understand and respect the patient's values and preferences.

Question 11

Which electronic health record (EHR)tool should the nurse use to include evidence-based interventions in the patient's plan of care?&#10;A) Alerts related to abnormal test results&#10;B) Clinical decision support tool&#10;C) Multiuser access in real time&#10;D) Storage of collected data&#10;

Accepted Answer

The answer of Which electronic health record (EHR)tool should the...

Question 12

Which nursing action reflects the simple rules of a 21st century health-care system?&#10;A) Controlling the delivery of patient care&#10;B) Including the patient in the delivery of care&#10;C) Basing patient care on the current visit only&#10;D) Basing patient interventions on clinical experience&#10;

Accepted Answer

The answer of Which nursing action reflects the simple rules...

Question 13

Which are core concepts related to the implementation of patient-centered nursing care? (Select all that apply.)&#10;A) Respect&#10;B) Dignity&#10;C) Advocacy&#10;D) Participation&#10;E) Collaboration&#10;

Accepted Answer

The answer of Which are core concepts related to the...

Question 14

Which nursing action enhances patient safety while making it harder to do the wrong thing?&#10;A) Creating independent checks&#10;B) Learning from defects&#10;C) Using evidence-based practice&#10;D) Standardizing work when possible&#10;

Accepted Answer

The answer of Which nursing action enhances patient safety while...

Question 15

Which patient characteristics should the nurse consider when planning patient-centered care? (Select all that apply.)&#10;A) Knowledge&#10;B) Values&#10;C) Experiences&#10;D) Diagnoses&#10;E) Surgeries&#10;

Accepted Answer

The answer of Which patient characteristics should the nurse consider...

Question 16

Which QSEN competencies should be evaluated during performances reviews? (Select all that apply.)&#10;A) Communication&#10;B) Infection control&#10;C) Patient-centered care&#10;D) Evidence-based practice&#10;E) Teamwork and collaboration&#10;

Accepted Answer

The answer of Which QSEN competencies should be evaluated during...

Question 17

Which are core concepts the nurse should exhibit in order to meet the QSEN competency of teamwork and collaboration? (Select all that apply.)&#10;A) Calculation&#10;B) Cooperation&#10;C) Coordination&#10;D) Classification&#10;E) Communication&#10;

Accepted Answer

The answer of Which are core concepts the nurse should...

Question 18

Which action should the nurse implement to remain up-to-date regarding best patient practices?&#10;A) Reviewing a skill in a textbook on the unit&#10;B) Completing annually required competencies&#10;C) Attending a conference offering continuing education credits&#10;D) Asking a seasoned nurse to act as a professional mentor&#10;

Accepted Answer

The answer of Which action should the nurse implement to...

Question 19

Which is the priority when providing nursing care?&#10;A) Implementing evidence-based practice&#10;B) Providing patient-centered care&#10;C) Implementing safe practice&#10;D) Providing advocacy&#10;

Accepted Answer

The answer of Which is the priority when providing nursing...

Question 20

Which is an essential skill for a nurse who is a member of a health-care team?&#10;A) Advocacy&#10;B) Assessment&#10;C) Spirituality&#10;D) Communication&#10;

Accepted Answer

The answer of Which is an essential skill for a...

Deck 41: Introduction to QSEN