LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank
, Chapter 1 f f
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Question 1 f f
Type: MCSA f f
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The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus.
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Which core competency for healthcare professionals is the nurse implementing?
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1. Quality improvement f f
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2. Evidence-based practice f f
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3. Patient-centered care f f
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4. Teamwork and collaboration f f f
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Correct Answer: 3 f f f
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Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency quality
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improvement.
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Rationale 2: Using best research when providing patient care is an example of the core competency evidence- based
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practice.
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Rationale 3: The nurse instructing the patient is an example of the competency patient-centered care.
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Rationale 4: The core competency teamwork and collaboration involves collaboration between disciplines to
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provide continuous and reliable care.
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Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that all
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healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is an
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example of the competency patient-centered care. Identifying safety hazards and measuring quality are examples
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of the core competency quality improvement. Using best research when providing patient care is an example of the
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core competency evidence-based practice. Collaboration between disciplines to provide continuous and reliable
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care is an example of the core competency teamwork and collaboration.
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Cognitive Level: Applying f f f
Client Need: Safe and Effective Care Environment
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Client Need Sub: Management of Care
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QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care
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AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage,
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age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in
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their care
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NLN Competencies: Relationship Centered Care: Learn cooperatively, facilitate the learning of others
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Nursing/Integrated Concepts: Nursing Process: Implementation
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Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
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interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.
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MNL Learning Outcome: 10.5.4. Utilize the nursing process in care of client.
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Page Number: 4 f f f
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Question 2 f f
Type: MCSA f f
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, The nurse is planning to utilize the core competency use informatics when providing patient care. Which action
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should the nurse perform when using this core competency?
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1. Change the sharps container in a patient’s room. f f f f f f f f
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2. Document the effectiveness of pain medication for a patient. f f f f f f f f f
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3. Discuss the effectiveness of bedside physical therapy with the therapist.
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4. Search through a database of articles to find current research on wound care.
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Correct Answer: 4 f f f
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Rationale 1: Changing the sharps container is an example of quality improvement.
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f
Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-centered care.
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Rationale 3: Discussing the effectiveness of bedside physical therapy with the therapist is an example of teamwork
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and collaboration.
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Rationale 4: Searching through a database of articles to find current research on wound care is an example of use
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informatics.
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Global Rationale: Examples of the nurse using the core competency use informatics include the use of technology
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to communicate, manage knowledge, reduce errors, and support decision making. The activity of searching
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through a database of articles to find current research on wound care is an example of use informatics. Changing
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the sharps container in a patient’s room is an example of quality improvement. Documenting the
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effectiveness of pain medication for a patient is an example of patient-centered care. Discussing the effectiveness of
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bedside physical therapy with the therapist is an example of teamwork and collaboration.
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Cognitive Level: Applying f f f
Client Need: Safe and Effective Care Environment
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Client Need Sub: Management of Care
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QSEN Competencies: VI.B.2. Apply technology and information management tools to support safe processes of
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care
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AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies, information systems,
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and communication devices that support safe nursing practice
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NLN Competencies: Knowledge and Science: Electronic databases; literature retrieval; evaluating data for validity
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and reliability; evidence and best practices for nursing
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Nursing/Integrated Concepts: Nursing Process: Planning f f f f f
Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
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interprofessional teams, evidence-based practice, quality improvement, safety, and health information
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technology.
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MNL Learning Outcome: 4.3.3. Examine the treatments used for pressure ulcers. Page
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Number: 4
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Question 3 f f
Type: MCMA f f
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The nurse plans to implement evidence-based practice when providing patient care. Which activities should the
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nurse perform?
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Standard Text: Select all that apply. f f f f f f
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1. Participate in education and research activities when possible. f f f f f f f f
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, 2. Integrate research findings with clinical care to maximize patient outcomes.
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3. Serve on the committee to create critical pathways for patient care.
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4. Reinforce hand hygiene techniques with unlicensed assistive personnel. f f f f f f f f
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5. Contact Environmental Services to report a malfunctioning infusion pump.
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Correct Answer: 1, 2 f f f f
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Rationale 1: Participating in education and research activities when possible is an example of implementing
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evidence-based practice in the provision of patient care.
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Rationale 2: Integrating research findings with clinical care to maximize patient outcomes is an example of
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implementing evidence-based practice in the provision of patient care.
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Rationale 3: Serving on the committee to create critical pathways for patient care is an example of teamwork and
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collaboration.
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Rationale 4: Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality
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improvement. f
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Rationale 5: Contacting Environmental Services to report a malfunctioning infusion pump is an example of quality
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improvement.
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Global Rationale: Participating in education and research activities when possible is an example of implementing
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evidence-based practice in the provision of patient care. Integrating research findings with clinical care to maximize
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patient outcomes is an example of implementing evidence-based practice in the provision of patient care. Serving
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on the committee to create critical pathways for patient care is an example of teamwork and collaboration.
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Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality improvement.
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Contacting Environmental Services to report a malfunctioning infusion pump is an example of quality
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improvement.
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Cognitive Level: Applying f f f
Client Need: Safe and Effective Care Environment
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Client Need Sub: Management of Care
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QSEN Competencies: III.B.6. Participate in structuring the work environment to facilitate integration of new
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evidence into standards of practice
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AACN Essentials Competencies: III.2. Demonstrate an understanding of the basic elements of the research process
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and models for applying evidence to clinical practice
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NLN Competencies: Knowledge and Science; Defining what is evidence-based practice
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Nursing/Integrated Concepts: Nursing Process: Planning f f f f f
Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
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interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.
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MNL Learning Outcome:
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Page Number: 4 f f f
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Question 4 f f
Type: MCSA f f
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The community health nurse is planning to meet with several community members during a health fair. Which
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nursing activity exemplifies the core competency patient-centered care?
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1. Provide smoking cessation classes and literature. f f f f f f
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, Chapter 1 f f
f
Question 1 f f
Type: MCSA f f
f
The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus.
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Which core competency for healthcare professionals is the nurse implementing?
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f
1. Quality improvement f f
f
2. Evidence-based practice f f
f
3. Patient-centered care f f
f
4. Teamwork and collaboration f f f
f
Correct Answer: 3 f f f
f
Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency quality
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improvement.
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f
Rationale 2: Using best research when providing patient care is an example of the core competency evidence- based
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practice.
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f
Rationale 3: The nurse instructing the patient is an example of the competency patient-centered care.
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f
Rationale 4: The core competency teamwork and collaboration involves collaboration between disciplines to
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provide continuous and reliable care.
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f
Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that all
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healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is an
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example of the competency patient-centered care. Identifying safety hazards and measuring quality are examples
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of the core competency quality improvement. Using best research when providing patient care is an example of the
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core competency evidence-based practice. Collaboration between disciplines to provide continuous and reliable
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care is an example of the core competency teamwork and collaboration.
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f
Cognitive Level: Applying f f f
Client Need: Safe and Effective Care Environment
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Client Need Sub: Management of Care
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QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care
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AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage,
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age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in
f f f f f f f f f f f f f f
their care
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NLN Competencies: Relationship Centered Care: Learn cooperatively, facilitate the learning of others
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Nursing/Integrated Concepts: Nursing Process: Implementation
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Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
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interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.
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MNL Learning Outcome: 10.5.4. Utilize the nursing process in care of client.
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Page Number: 4 f f f
f
Question 2 f f
Type: MCSA f f
f
, The nurse is planning to utilize the core competency use informatics when providing patient care. Which action
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should the nurse perform when using this core competency?
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f
1. Change the sharps container in a patient’s room. f f f f f f f f
f
2. Document the effectiveness of pain medication for a patient. f f f f f f f f f
f
3. Discuss the effectiveness of bedside physical therapy with the therapist.
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f
4. Search through a database of articles to find current research on wound care.
f f f f f f f f f f f f f
f
Correct Answer: 4 f f f
f
Rationale 1: Changing the sharps container is an example of quality improvement.
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f
Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-centered care.
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f
Rationale 3: Discussing the effectiveness of bedside physical therapy with the therapist is an example of teamwork
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and collaboration.
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f
Rationale 4: Searching through a database of articles to find current research on wound care is an example of use
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informatics.
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f
Global Rationale: Examples of the nurse using the core competency use informatics include the use of technology
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to communicate, manage knowledge, reduce errors, and support decision making. The activity of searching
f f f f f f f f f f f f f f
through a database of articles to find current research on wound care is an example of use informatics. Changing
f f f f f f f f f f f f f f f f f f f
the sharps container in a patient’s room is an example of quality improvement. Documenting the
f f f f f f f f f f f f f f f f
effectiveness of pain medication for a patient is an example of patient-centered care. Discussing the effectiveness of
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bedside physical therapy with the therapist is an example of teamwork and collaboration.
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f
Cognitive Level: Applying f f f
Client Need: Safe and Effective Care Environment
f f f f f f f
Client Need Sub: Management of Care
f f f f f f
QSEN Competencies: VI.B.2. Apply technology and information management tools to support safe processes of
f f f f f f f f f f f f f
care
f f
AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies, information systems,
f f f f f f f f f f f f
and communication devices that support safe nursing practice
f f f f f f f f f
NLN Competencies: Knowledge and Science: Electronic databases; literature retrieval; evaluating data for validity
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and reliability; evidence and best practices for nursing
f f f f f f f f f
Nursing/Integrated Concepts: Nursing Process: Planning f f f f f
Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
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interprofessional teams, evidence-based practice, quality improvement, safety, and health information
f f f f f f f f f f
technology.
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MNL Learning Outcome: 4.3.3. Examine the treatments used for pressure ulcers. Page
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Number: 4
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f
Question 3 f f
Type: MCMA f f
f
The nurse plans to implement evidence-based practice when providing patient care. Which activities should the
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nurse perform?
f f f
f
Standard Text: Select all that apply. f f f f f f
f
1. Participate in education and research activities when possible. f f f f f f f f
f
, 2. Integrate research findings with clinical care to maximize patient outcomes.
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f
3. Serve on the committee to create critical pathways for patient care.
f f f f f f f f f f f
f
4. Reinforce hand hygiene techniques with unlicensed assistive personnel. f f f f f f f f
f
5. Contact Environmental Services to report a malfunctioning infusion pump.
f f f f f f f f f
f
Correct Answer: 1, 2 f f f f
f
Rationale 1: Participating in education and research activities when possible is an example of implementing
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evidence-based practice in the provision of patient care.
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f
Rationale 2: Integrating research findings with clinical care to maximize patient outcomes is an example of
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implementing evidence-based practice in the provision of patient care.
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f
Rationale 3: Serving on the committee to create critical pathways for patient care is an example of teamwork and
f f f f f f f f f f f f f f f f f f
collaboration.
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f
Rationale 4: Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality
f f f f f f f f f f f f f f f
improvement. f
f
Rationale 5: Contacting Environmental Services to report a malfunctioning infusion pump is an example of quality
f f f f f f f f f f f f f f f
improvement.
f f
f
Global Rationale: Participating in education and research activities when possible is an example of implementing
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evidence-based practice in the provision of patient care. Integrating research findings with clinical care to maximize
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patient outcomes is an example of implementing evidence-based practice in the provision of patient care. Serving
f f f f f f f f f f f f f f f f
on the committee to create critical pathways for patient care is an example of teamwork and collaboration.
f f f f f f f f f f f f f f f f f
Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of quality improvement.
f f f f f f f f f f f f f f
Contacting Environmental Services to report a malfunctioning infusion pump is an example of quality
f f f f f f f f f f f f f f
improvement.
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f
Cognitive Level: Applying f f f
Client Need: Safe and Effective Care Environment
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Client Need Sub: Management of Care
f f f f f f
QSEN Competencies: III.B.6. Participate in structuring the work environment to facilitate integration of new
f f f f f f f f f f f f f
evidence into standards of practice
f f f f f f
AACN Essentials Competencies: III.2. Demonstrate an understanding of the basic elements of the research process
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and models for applying evidence to clinical practice
f f f f f f f f f
NLN Competencies: Knowledge and Science; Defining what is evidence-based practice
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Nursing/Integrated Concepts: Nursing Process: Planning f f f f f
Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
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interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.
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MNL Learning Outcome:
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Page Number: 4 f f f
f
Question 4 f f
Type: MCSA f f
f
The community health nurse is planning to meet with several community members during a health fair. Which
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nursing activity exemplifies the core competency patient-centered care?
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f
1. Provide smoking cessation classes and literature. f f f f f f
f
