,Table of Contents
Part 1 Medical-Surgical Nursing Practice
Unit I Dimensions of Medical-Surgical Nursing
Unit 2 Informatics and Evidence-based Practice in Nursing
Unit 3 Health and Illness Care of Adults
Part II Nutritional-Metabolic Patterns
Unit 4 Responses to Altered Integumentary Function
Unit 5 Responses to Altered Endocrine Function
Unit 6 Responses to Altered Gastrointestinal Function
Part III Elimination Patterns
Unit 7 Responses to Altered Urinary Elimination
Part IV Activity-Exercise Patterns
Unit 8 Responses to Altered Cardiovascular Function
Unit 9 Responses to Altered Respiratory Function
Unit 10 Responses to Altered Musculoskeletal Function
Part V Cognitive-Perceptual Patterns
Unit 11 Responses to Altered Neurologic Function
Unit 12 Responses to Altered Eye and Ear Function
Part VI Sexuality-Reproductive Patterns
Unit 13 Responses to Altered Sexual-Reproductive Function
LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Copyright 2015 by Pearson Education, Inc.
, LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Chapter 1
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
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
LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
Copyright 2015 by Pearson Education, Inc.
, 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.