,
,
,
,
,
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
b. Dont make assumptions about their health needs.
10. A nurse is talking with a client who is moving to a new state and needs to find a new
doctor and hospital there. What advice by the nurse is best?
a. Ask the hospitals there about standard nurse-client ratios.
b. Choose the hospital that has the newest technology.
c. Find a hospital that is accredited by The Joint Commission.
d. Use a facility affiliated with a medical or nursing school.
ANS: C
Accreditation by The Joint Commission (TJC) or other accrediting body gives assurance that the
facility has a focus on safety. Nurse-client ratios differ by unit type and change over time. New
technology doesnt necessarily mean the hospital is safe. Affiliation with a health professions
school has several advantages, but safety is most important.
DIF: Understanding/Comprehension REF: 2 KEY: The Joint Commission (TJC)| accreditation
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
11. A newly graduated nurse in the hospital states that, since she is so new, she cannot
participate in quality improvement (QI) projects. What response by the precepting nurse isbest?
a. All staff nurses are required to participate in quality improvementhere.
b. Even being new, you can implement activities designed to improve care.
c. Its easy to identify what indicators should be used to measure quality.
d. You should ask to be assigned to the research and quality committee.
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
ANS: B
The preceptor should try to reassure the nurse that implementing QI measures is not out of line
for a newly licensednurse. Simply statingthatallnursesarerequired to participatedoesnothelpthe
nurseunderstand how that is possible and is dismissive. Identifying indicators of quality is not an
easy, quick process and would not be the best place to suggest a new nurse to start. Asking to be
assigned to the QI committee does not give the nurse information about how to implement QI in
daily practice.
DIF: Applying/ApplicationREF: 6 KEY: Quality improvement
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. A nurse is interested in making interdisciplinarywork ahigh priority. Which actions by
the nursebest demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
e. Shows the nursing care plans to other disciplines
ANS: A, B, C, D
Collaboratingwith theinterdisciplinary team involvesplanning, implementing,
andevaluatingclient care asa team with all other disciplines included. Simply showing other
caregivers the nursing care plan is not actively involving them or collaborating with them.
DIF: Applying/Application REF: 4
KEY: Collaboration| interdisciplinary team
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
2. A nurse manager wishes to ensure that the nurses on the unit are practicing at their
highest levels of competency. Whichareasshould themanager assess to determine if thenursing
staffdemonstratecompetency according to the Institute of Medicine (IOM) report Health
Professions Education: A Bridge to Quality? (Select all that apply.)
a. Collaborating with an interdisciplinary team
b. Implementing evidence-based care
c. Providing family-focused care
d. Routinely using informatics in practice
e. Using quality improvement in client care
ANS: A, B, D, E
The IOM reportlists five broad core competencies thatall health care providers should practice.
Theseinclude collaboratingwiththeinterdisciplinaryteam, implementingevidence-
basedpractice, providingclient-focused care, using informatics in client care, and using quality
improvement in client care.
DIF: Remembering/Knowledge REF: 3
KEY: Competencies| Institute of Medicine (IOM) MSC: Integrated Process: Nursing Process:
Assessment
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
3. The nurse utilizing evidence-based practice (EBP) considers which factors when planning
care? (Select all that apply.)
a. Cost-saving measures
b. Nurses expertise
c. Client preferences
d. Research findings
e. Values of the client
, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
2. A nurse manager wishes to ensure that the nurses on the unit are practicing at their
EBP consists of utilizing current evidence, the clients values and preferences, and the nurses
expertise when planning care. It does not include cost-saving measures.
DIF: Remembering/Knowledge REF: 6 KEY: Evidence-based practice (EBP)
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. A nursemanagerwants to improve hand-off communication among the staff. What actions
by themanager would best help achieve this goal? (Select all that apply.)
a. Attendhand-offrounds to coachandmentor.
b. Conduct audits of staff using a new template.
c. Create a template of topics to include in report.
d. Encourage staff to ask questions during hand-off.
e. Give raises based on compliance with reporting.
ANS: A, B, C, D
A good tool for standardizing hand-off reports and other critical communication is the SHARE
model. SHARE standsforstandardizecriticalinformation, hardwirewithin your system, allow
opportunities to askquestions, reinforce quality and measurement, and educate and coach.
Attending hand-off report gives the manager opportunities to educate and coach. Conducting
audits is part of reinforcing quality. Creating a template is hardwiring within the system.
Encouraging staff to ask questions and think critically about the information is allowing
opportunities to ask questions. The manager may need to tie raises into compliance if the staff is
resistive and other measures have failed, but this is not part of the SHARE model.
DIF: Applying/Application REF: 5 KEY: SHARE| hand-off communication
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Car
,
,
,
,
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
b. Dont make assumptions about their health needs.
10. A nurse is talking with a client who is moving to a new state and needs to find a new
doctor and hospital there. What advice by the nurse is best?
a. Ask the hospitals there about standard nurse-client ratios.
b. Choose the hospital that has the newest technology.
c. Find a hospital that is accredited by The Joint Commission.
d. Use a facility affiliated with a medical or nursing school.
ANS: C
Accreditation by The Joint Commission (TJC) or other accrediting body gives assurance that the
facility has a focus on safety. Nurse-client ratios differ by unit type and change over time. New
technology doesnt necessarily mean the hospital is safe. Affiliation with a health professions
school has several advantages, but safety is most important.
DIF: Understanding/Comprehension REF: 2 KEY: The Joint Commission (TJC)| accreditation
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
11. A newly graduated nurse in the hospital states that, since she is so new, she cannot
participate in quality improvement (QI) projects. What response by the precepting nurse isbest?
a. All staff nurses are required to participate in quality improvementhere.
b. Even being new, you can implement activities designed to improve care.
c. Its easy to identify what indicators should be used to measure quality.
d. You should ask to be assigned to the research and quality committee.
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
ANS: B
The preceptor should try to reassure the nurse that implementing QI measures is not out of line
for a newly licensednurse. Simply statingthatallnursesarerequired to participatedoesnothelpthe
nurseunderstand how that is possible and is dismissive. Identifying indicators of quality is not an
easy, quick process and would not be the best place to suggest a new nurse to start. Asking to be
assigned to the QI committee does not give the nurse information about how to implement QI in
daily practice.
DIF: Applying/ApplicationREF: 6 KEY: Quality improvement
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. A nurse is interested in making interdisciplinarywork ahigh priority. Which actions by
the nursebest demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
e. Shows the nursing care plans to other disciplines
ANS: A, B, C, D
Collaboratingwith theinterdisciplinary team involvesplanning, implementing,
andevaluatingclient care asa team with all other disciplines included. Simply showing other
caregivers the nursing care plan is not actively involving them or collaborating with them.
DIF: Applying/Application REF: 4
KEY: Collaboration| interdisciplinary team
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
2. A nurse manager wishes to ensure that the nurses on the unit are practicing at their
highest levels of competency. Whichareasshould themanager assess to determine if thenursing
staffdemonstratecompetency according to the Institute of Medicine (IOM) report Health
Professions Education: A Bridge to Quality? (Select all that apply.)
a. Collaborating with an interdisciplinary team
b. Implementing evidence-based care
c. Providing family-focused care
d. Routinely using informatics in practice
e. Using quality improvement in client care
ANS: A, B, D, E
The IOM reportlists five broad core competencies thatall health care providers should practice.
Theseinclude collaboratingwiththeinterdisciplinaryteam, implementingevidence-
basedpractice, providingclient-focused care, using informatics in client care, and using quality
improvement in client care.
DIF: Remembering/Knowledge REF: 3
KEY: Competencies| Institute of Medicine (IOM) MSC: Integrated Process: Nursing Process:
Assessment
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
3. The nurse utilizing evidence-based practice (EBP) considers which factors when planning
care? (Select all that apply.)
a. Cost-saving measures
b. Nurses expertise
c. Client preferences
d. Research findings
e. Values of the client
, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
2. A nurse manager wishes to ensure that the nurses on the unit are practicing at their
EBP consists of utilizing current evidence, the clients values and preferences, and the nurses
expertise when planning care. It does not include cost-saving measures.
DIF: Remembering/Knowledge REF: 6 KEY: Evidence-based practice (EBP)
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. A nursemanagerwants to improve hand-off communication among the staff. What actions
by themanager would best help achieve this goal? (Select all that apply.)
a. Attendhand-offrounds to coachandmentor.
b. Conduct audits of staff using a new template.
c. Create a template of topics to include in report.
d. Encourage staff to ask questions during hand-off.
e. Give raises based on compliance with reporting.
ANS: A, B, C, D
A good tool for standardizing hand-off reports and other critical communication is the SHARE
model. SHARE standsforstandardizecriticalinformation, hardwirewithin your system, allow
opportunities to askquestions, reinforce quality and measurement, and educate and coach.
Attending hand-off report gives the manager opportunities to educate and coach. Conducting
audits is part of reinforcing quality. Creating a template is hardwiring within the system.
Encouraging staff to ask questions and think critically about the information is allowing
opportunities to ask questions. The manager may need to tie raises into compliance if the staff is
resistive and other measures have failed, but this is not part of the SHARE model.
DIF: Applying/Application REF: 5 KEY: SHARE| hand-off communication
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Car
