, TESTBANK FOR Nursing Concepts A Practical Approach Caputi
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
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,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 F. A. Davis Company
,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 F. A. Davis Company
,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 F. A. Davis Company
,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:
Copyright © 2026 F. A. Davis Company
,Murray: Nursing Leadership and Management, 3e 1-5
Test Bank Chapter 1
Chapter 1: Core Competencies for Safe and Quality Nursing Care—Answers and
Rationales
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: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
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. Although 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 uses research to drive all nursing care.
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
Copyright © 2026 F. A. Davis Company
,Murray: Nursing Leadership and Management, 3e 1-6
Test Bank Chapter 1
ANS: 1
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Describe the impact of the Institute of Medicine (IOM) reports on the
quality of health care in the United States.
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.
4. 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. 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: 2
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
Heading: Health Literacy
Integrated Process: Teaching/Learning
Client Need: Safe and Effective Care Environment: Management of Care
Copyright © 2026 F. A. Davis Company
,Murray: Nursing Leadership and Management, 3e 1-7
Test Bank Chapter 1
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1. Although cultural competence can influence a patient’s desire to participate in care, it is
more likely that this patient does not understand the basic tenets of diabetes
management.
2. The inability of patients and their families to read, understand, and/or act on health-care
information can lead to problems with accessing care, managing illness, and processing
information.
3. The patient in this scenario is unable to participate in self-management because they do
not understand the basic tenets of diabetes management.
4. There is no indication that the optimal healing environment is not present in this
scenario. The patient is lacking health literacy to understand their disease.
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
1. cultural competence.
2. diversity.
3. cultural humility.
4. disparity.
ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Define the IOM competencies.
Heading: Patient-Centered Care
Integrated Process: Culture and spirituality
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Moderate
Feedback
1. Cultural competence is an ability to work within a cultural context but does not include
a willingness to learn from patients.
2. Diversity is a term used to describe differences in groups, both patients and coworkers.
3. Cultural humility seeks to understand cultural, social, ethnic, and economic differences
through a lifelong process of self-reflection and self-critique.
4. Disparity is a term used for racial or ethnic differences in health-care quality.
Copyright © 2026 F. A. Davis Company
, Murray: Nursing Leadership and Management, 3e 1-8
Test Bank Chapter 1
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: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Discuss the importance of effective nursing leadership and
management in providing safe, effective, and quality person-/family-centered care.
Heading: Safety Culture
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1. Fairness is not an element of the culture of safety.
2. Preoccupation with success may delay a culture of safety because nurses may feel that
reporting errors will delay success.
3. Transparency is critical in a safety culture. Staff must feel comfortable reporting errors,
near misses, and potential for errors.
4. Interprofessional collaboration assists in a culture of safety because it involves working
with others to develop solutions to common errors or to prevent errors from occurring.
Discouraging this would not be a part of a culture of safety.
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: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Describe the impact of the Institute of Medicine (IOM) reports on the
quality of health care in the United States.
Heading: Institute of Medicine Reports
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Copyright © 2026 F. A. Davis Company
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
🛡️Our Guarantees
💰 Money-Back Guarantee: Not satisfied? We offer a full refund – no questions asked.
🔄 Wrong File? No Problem: Contact us and we will replace it immediately with the
correct version, free of charge.
⏰ 24/7 Support: We are always here – reach out anytime and expect a fast response.
Contact Email:
,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 F. A. Davis Company
,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 F. A. Davis Company
,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 F. A. Davis Company
,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:
Copyright © 2026 F. A. Davis Company
,Murray: Nursing Leadership and Management, 3e 1-5
Test Bank Chapter 1
Chapter 1: Core Competencies for Safe and Quality Nursing Care—Answers and
Rationales
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: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
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. Although 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 uses research to drive all nursing care.
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
Copyright © 2026 F. A. Davis Company
,Murray: Nursing Leadership and Management, 3e 1-6
Test Bank Chapter 1
ANS: 1
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Describe the impact of the Institute of Medicine (IOM) reports on the
quality of health care in the United States.
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.
4. 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. 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: 2
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Identify and describe fundamental elements for each core competency
for nursing.
Heading: Health Literacy
Integrated Process: Teaching/Learning
Client Need: Safe and Effective Care Environment: Management of Care
Copyright © 2026 F. A. Davis Company
,Murray: Nursing Leadership and Management, 3e 1-7
Test Bank Chapter 1
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1. Although cultural competence can influence a patient’s desire to participate in care, it is
more likely that this patient does not understand the basic tenets of diabetes
management.
2. The inability of patients and their families to read, understand, and/or act on health-care
information can lead to problems with accessing care, managing illness, and processing
information.
3. The patient in this scenario is unable to participate in self-management because they do
not understand the basic tenets of diabetes management.
4. There is no indication that the optimal healing environment is not present in this
scenario. The patient is lacking health literacy to understand their disease.
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
1. cultural competence.
2. diversity.
3. cultural humility.
4. disparity.
ANS: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Define the IOM competencies.
Heading: Patient-Centered Care
Integrated Process: Culture and spirituality
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Moderate
Feedback
1. Cultural competence is an ability to work within a cultural context but does not include
a willingness to learn from patients.
2. Diversity is a term used to describe differences in groups, both patients and coworkers.
3. Cultural humility seeks to understand cultural, social, ethnic, and economic differences
through a lifelong process of self-reflection and self-critique.
4. Disparity is a term used for racial or ethnic differences in health-care quality.
Copyright © 2026 F. A. Davis Company
, Murray: Nursing Leadership and Management, 3e 1-8
Test Bank Chapter 1
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: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Discuss the importance of effective nursing leadership and
management in providing safe, effective, and quality person-/family-centered care.
Heading: Safety Culture
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1. Fairness is not an element of the culture of safety.
2. Preoccupation with success may delay a culture of safety because nurses may feel that
reporting errors will delay success.
3. Transparency is critical in a safety culture. Staff must feel comfortable reporting errors,
near misses, and potential for errors.
4. Interprofessional collaboration assists in a culture of safety because it involves working
with others to develop solutions to common errors or to prevent errors from occurring.
Discouraging this would not be a part of a culture of safety.
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: 3
Chapter number and title: 1, Core Competencies for Safe and Quality Nursing Care
Chapter learning outcome: Describe the impact of the Institute of Medicine (IOM) reports on the
quality of health care in the United States.
Heading: Institute of Medicine Reports
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Copyright © 2026 F. A. Davis Company
