Medical-
Surgical
Nursing 15th
Edition Janice
L Hinkle TEST
BANK
,Chapter1
Question
1Type:MCS
A
The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes
mellitus.Whichcorecompetencyforhealthcareprofessionalsisthenurseimplementing?
Qualityimprovement
Evidence-based practice
Patient-centeredcare
Teamworkandcollaboration
CorrectAnswer:3
Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency
qualityimprovement.
Rationale 2: Using best research when providing patient care is an example of the core competency evidence-
basedpractice.
Rationale3:Thenurseinstructingthepatientis anexampleofthecompetencypatient-centeredcare.
Rationale4:Thecorecompetencyteamworkandcollaborationinvolvescollaborationbetween
disciplinestoprovidecontinuous andreliablecare.
Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that
allhealthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient
isan example of the competency patient-centered care. Identifying safety hazards and measuring quality
areexamples of the core competency quality improvement. Using best research when providing patient care is
anexample of the core competency evidence-based practice. Collaboration between disciplines to
providecontinuousandreliablecareis anexampleofthecorecompetencyteamworkandcollaboration.
CognitiveLevel:Applying
ClientNeed:Safeand EffectiveCareEnvironment
Client NeedSub:ManagementofCare
,QSENCompetencies:I.A.1.Integrateunderstandingofmultipledimensionsofpatientcenteredcare
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 intheircare
NLNCompetencies:Relationship CenteredCare:Learncooperatively,facilitatethelearningofothers
Nursing/IntegratedConcepts:NursingProcess:Implementation
, Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered
care,interprofessional teams, evidence-based practice, quality improvement, safety, and health information
technology.MNLLearningOutcome:10.5.4.Utilizethenursingprocessincareofclient.
PageNumber:4
Question
2Type:MCS
A
The nurse is planning to utilize the core competency use informatics when providing patient care. Which
actionshouldthenurseperformwhenusingthis corecompetency?
Changethesharpscontainerinapatient‘sroom.
Documenttheeffectiveness ofpainmedicationforapatient.
Discuss theeffectivenessofbedsidephysicaltherapywiththetherapist.
Searchthroughadatabaseofarticlestofindcurrentresearchonwoundcare.
CorrectAnswer:4
Rationale1:Changingthesharpscontainerisanexampleofqualityimprovement.
Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-
centeredcare.
Rationale3:Discussingtheeffectivenessofbedsidephysicaltherapywiththetherapistisanexampleof
teamworkandcollaboration.
Rationale 4: Searching through a database of articles to find current research on wound care is an example of
useinformatics.
Global Rationale: Examples of the nurse using the core competency use informatics include the use
oftechnology to communicate, manage knowledge, reduce errors, and support decision making. The activity
ofsearching through a database of articles to find current research on wound care is an example of use
informatics.Changing the sharps container in a patient‘s room is an example of quality improvement.
Documenting theeffectivenessofpain medication forapatientisanexampleofpatient-centered
care.Discussingtheeffectivenessofbedsidephysicaltherapywiththetherapistisanexampleofteamworkandcollaborati
on.
CognitiveLevel:Applying
ClientNeed:Safeand EffectiveCareEnvironment
Client NeedSub:ManagementofCare
QSEN Competencies: VI.B.2. Apply technology and information management tools to support safe processes
ofcare
AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies,
Surgical
Nursing 15th
Edition Janice
L Hinkle TEST
BANK
,Chapter1
Question
1Type:MCS
A
The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes
mellitus.Whichcorecompetencyforhealthcareprofessionalsisthenurseimplementing?
Qualityimprovement
Evidence-based practice
Patient-centeredcare
Teamworkandcollaboration
CorrectAnswer:3
Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency
qualityimprovement.
Rationale 2: Using best research when providing patient care is an example of the core competency evidence-
basedpractice.
Rationale3:Thenurseinstructingthepatientis anexampleofthecompetencypatient-centeredcare.
Rationale4:Thecorecompetencyteamworkandcollaborationinvolvescollaborationbetween
disciplinestoprovidecontinuous andreliablecare.
Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that
allhealthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient
isan example of the competency patient-centered care. Identifying safety hazards and measuring quality
areexamples of the core competency quality improvement. Using best research when providing patient care is
anexample of the core competency evidence-based practice. Collaboration between disciplines to
providecontinuousandreliablecareis anexampleofthecorecompetencyteamworkandcollaboration.
CognitiveLevel:Applying
ClientNeed:Safeand EffectiveCareEnvironment
Client NeedSub:ManagementofCare
,QSENCompetencies:I.A.1.Integrateunderstandingofmultipledimensionsofpatientcenteredcare
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 intheircare
NLNCompetencies:Relationship CenteredCare:Learncooperatively,facilitatethelearningofothers
Nursing/IntegratedConcepts:NursingProcess:Implementation
, Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered
care,interprofessional teams, evidence-based practice, quality improvement, safety, and health information
technology.MNLLearningOutcome:10.5.4.Utilizethenursingprocessincareofclient.
PageNumber:4
Question
2Type:MCS
A
The nurse is planning to utilize the core competency use informatics when providing patient care. Which
actionshouldthenurseperformwhenusingthis corecompetency?
Changethesharpscontainerinapatient‘sroom.
Documenttheeffectiveness ofpainmedicationforapatient.
Discuss theeffectivenessofbedsidephysicaltherapywiththetherapist.
Searchthroughadatabaseofarticlestofindcurrentresearchonwoundcare.
CorrectAnswer:4
Rationale1:Changingthesharpscontainerisanexampleofqualityimprovement.
Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-
centeredcare.
Rationale3:Discussingtheeffectivenessofbedsidephysicaltherapywiththetherapistisanexampleof
teamworkandcollaboration.
Rationale 4: Searching through a database of articles to find current research on wound care is an example of
useinformatics.
Global Rationale: Examples of the nurse using the core competency use informatics include the use
oftechnology to communicate, manage knowledge, reduce errors, and support decision making. The activity
ofsearching through a database of articles to find current research on wound care is an example of use
informatics.Changing the sharps container in a patient‘s room is an example of quality improvement.
Documenting theeffectivenessofpain medication forapatientisanexampleofpatient-centered
care.Discussingtheeffectivenessofbedsidephysicaltherapywiththetherapistisanexampleofteamworkandcollaborati
on.
CognitiveLevel:Applying
ClientNeed:Safeand EffectiveCareEnvironment
Client NeedSub:ManagementofCare
QSEN Competencies: VI.B.2. Apply technology and information management tools to support safe processes
ofcare
AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies,
