Murray: Nursing Leadership and Management, 3e 1-1
Test Bank Chapter 1
Chapter 1: Core Competencies for Safe and Quality Nursing Care
MULTIPLE CHOICE
1. The nurse admits a patient to the nursing unit for treatment of pneumonia. Before 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 the use 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.
ANS:
2. According to the Institute of Medicine (IOM), which health profession has been directly
linked to patient safety?
1. Nurses
2. Physicians
3. Social workers
4. Physical therapists
ANS:
3. The nurse is caring for a patient who is currently hospitalized for the third time with diabetic
ketoacidosis. The nurse notes that 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
ANS:
4. A nurse’s willingness to learn through the process of open, self-aware, and egoless
interactions with diverse patients and individuals describes the IOM patient-centered care skill of
Copyright © 2026
,Murray: Nursing Leadership and Management, 3e 1-2
Test Bank Chapter 1
1. cultural competence.
2. diversity.
3. cultural humility.
4. disparity.
ANS:
5. What quality would the nurse manager strive to achieve in ensuring a culture of safety on the
maternal-child unit?
1. Fairness
2. Preoccupation with success
3. Transparency
4. Discouragement of interprofessional collaboration
ANS:
6. The 2003 IOM report Health Professions Education: A Bridge to Quality led to what
initiative?
1. Three domains of quality
2. Ten rules for the redesign of health-care delivery
3. Five quality and safety competencies
4. Six aims for health-care improvement
ANS:
7. The nurse is aware that which one of the six aims of the 2001 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. Provide patient-centered care.
2. Work in interdisciplinary teams.
3. Use informatics.
4. Employ evidence-based practice.
ANS:
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,Murray: Nursing Leadership and Management, 3e 1-3
Test Bank Chapter 1
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 wait to receive quality health care
2. Provision of health care based on the most recent scientific knowledge
3. Avoidance of waste of health-care dollars
4. Narrowing of the quality gap in health care
ANS:
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
ANS:
10. The nurse is aware that the 2003 IOM report that led to the QSEN competencies had what
impact on the nurse–patient relationship? Nurses must
1. avoid having the patient wait for care to be provided.
2. share power with the patient.
3. provide equitable care to all patients.
4. provide respectful care to all patients.
ANS:
MULTIPLE RESPONSE
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.
3. Ensure that accurate and timely information reaches those who need it at the appropriate time.
4. Formulate clear clinical questions.
Copyright © 2026
, Murray: Nursing Leadership and Management, 3e 1-4
Test Bank Chapter 1
5. Enhance prevention and health promotion.
ANS:
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
ANS:
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Test Bank Chapter 1
Chapter 1: Core Competencies for Safe and Quality Nursing Care
MULTIPLE CHOICE
1. The nurse admits a patient to the nursing unit for treatment of pneumonia. Before 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 the use 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.
ANS:
2. According to the Institute of Medicine (IOM), which health profession has been directly
linked to patient safety?
1. Nurses
2. Physicians
3. Social workers
4. Physical therapists
ANS:
3. The nurse is caring for a patient who is currently hospitalized for the third time with diabetic
ketoacidosis. The nurse notes that 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
ANS:
4. A nurse’s willingness to learn through the process of open, self-aware, and egoless
interactions with diverse patients and individuals describes the IOM patient-centered care skill of
Copyright © 2026
,Murray: Nursing Leadership and Management, 3e 1-2
Test Bank Chapter 1
1. cultural competence.
2. diversity.
3. cultural humility.
4. disparity.
ANS:
5. What quality would the nurse manager strive to achieve in ensuring a culture of safety on the
maternal-child unit?
1. Fairness
2. Preoccupation with success
3. Transparency
4. Discouragement of interprofessional collaboration
ANS:
6. The 2003 IOM report Health Professions Education: A Bridge to Quality led to what
initiative?
1. Three domains of quality
2. Ten rules for the redesign of health-care delivery
3. Five quality and safety competencies
4. Six aims for health-care improvement
ANS:
7. The nurse is aware that which one of the six aims of the 2001 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. Provide patient-centered care.
2. Work in interdisciplinary teams.
3. Use informatics.
4. Employ evidence-based practice.
ANS:
Copyright © 2026
,Murray: Nursing Leadership and Management, 3e 1-3
Test Bank Chapter 1
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 wait to receive quality health care
2. Provision of health care based on the most recent scientific knowledge
3. Avoidance of waste of health-care dollars
4. Narrowing of the quality gap in health care
ANS:
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
ANS:
10. The nurse is aware that the 2003 IOM report that led to the QSEN competencies had what
impact on the nurse–patient relationship? Nurses must
1. avoid having the patient wait for care to be provided.
2. share power with the patient.
3. provide equitable care to all patients.
4. provide respectful care to all patients.
ANS:
MULTIPLE RESPONSE
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.
3. Ensure that accurate and timely information reaches those who need it at the appropriate time.
4. Formulate clear clinical questions.
Copyright © 2026
, Murray: Nursing Leadership and Management, 3e 1-4
Test Bank Chapter 1
5. Enhance prevention and health promotion.
ANS:
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
ANS:
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