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Surgical Nursing6th Edition
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,LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test BankChapter 1
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Questionl1lTy
pe:l MCSA
Thelnurselislinstructinglalpatientlonlthelrolelofldiet,lexercise,landlmedicationltolcontrolltypel2ldiabetesl mellitus.lWhichlcorel
competencylforlhealthcarelprofessionalsl islthelnurselimplementing?
1. Qualitylimprovement
2. Evidence-basedlpractice
3. Patient-centeredlcare
4. Teamworklandlcollaboration
Correctl Answer:l3
Rationalel1:lIdentifyinglsafetylhazardslandlmeasuringlqualitylislanlexampleloflthelcorelcompetencylqualitylimprovement.
Rationalel2:lUsinglbestlresearchlwhenlprovidinglpatientlcarelislanlexampleloflthelcorelcompetencylevidence-
lbasedlpractice.
Rationalel3:lThelnurselinstructingl thelpatientlislanlexampleloflthelcompetencyl patient-centeredlcare.
Rationalel4:lThelcorelcompetencylteamworklandlcollaborationlinvolveslcollaborationlbetweenldisciplinesltolpro
videlcontinuouslandl reliablelcare.
Globall Rationale:lInl2003,l thelNationallAcademyl oflScienceslproposedl alsetloflfivelcorelcompetencieslthatlalllhealthc
arelprofessionalslshouldlpossessltolmeetlthelneedsloflthel21stlcentury.lThelnurselinstructinglthelpatientlislanlexampleloflt
helcompetencylpatient-
centeredlcare.lIdentifyinglsafetylhazardslandlmeasuringlqualitylarelexamplesloflthelcorelcompetencylqualitylimprove
ment.lUsinglbestlresearchlwhenlprovidinglpatientlcarelislanlexampleloflthelcorelcompetencylevidence-
basedlpractice.lCollaborationlbetweenldisciplinesltolprovidelcontinuouslandlreliablel carelislanlexampleloflthelcorelco
mpetencylteamworklandlcollaboration.
Cognitivel Level:l Applying
Clientl Need:l SafelandlEffectivelCarel Environment
Clientl NeedlSub:l Managementl oflCare
QSENlCompetencies:lI.A.1.l Integratel understandingloflmultipleldimensionsloflpatientlcenteredlcare
AACNlEssentiallCompetencies:lIX.7.lProvidelappropriatelpatientlteachinglthatlreflectsldevelopmentallstage,lage,l
culture,lspirituality,lpatientlpreferences,landlhealthlliteracylconsiderationsltolfosterlpatientlengagementlinltheirlcare
NLNlCompetencies:lRelationshiplCenteredlCare:lLearnlcooperatively,lfacilitatel thellearningloflothers
Nursing/Integratedl Concepts:l Nursingl Process:l Implementation
LeMone/Burke/Bauldoff/Gubrud,lMedical-SurgicallNursingl6thlEditionlTestlBank
Copyrightl2015lbylPearsonlEducation,lInc.
,Learningl Outcome:l 1.l Describelthelcorelcompetencieslforlhealthcarel professionals:lpatient-
centeredl care,linterprofessionallteams,levidence-
basedl practice,lqualityl improvement,lsafety,landlhealthlinformationl technology.lMNLlLearninglOutcome:l 10.5.4.l Utilizel
thelnursinglprocesslinl careloflclient.
PagelNumber:l4
Questionl2lTy
pe:l MCSA
Thelnurselislplanningltolutilizelthelcorelcompetencyluselinformaticslwhenlprovidinglpatientlcare.lWhichlactionlshouldlt
helnurselperforml whenlusinglthislcorelcompetency?
1. Changelthelsharpslcontainerlinlalpatient’slroom.
2. Documentltheleffectivenessloflpainlmedicationlforlalpatient.
3. Discussltheleffectivenessloflbedsidelphysicalltherapylwithltheltherapist.
4. Searchlthroughlaldatabaseloflarticlesltolfindlcurrentlresearchlonlwoundlcare.
Correctl Answer:l4
Rationalel1:lChanginglthelsharpslcontainerlisl anlexamplel oflqualitylimprovement.
Rationalel2:lDocumentingltheleffectivenessloflpainlmedicationlforlalpatientlislanlexampleloflpatient-centeredlcare.
Rationalel3:lDiscussingltheleffectivenessloflbedsidelphysicalltherapylwithltheltherapistlislanlexamplelof
teamworklandlcollaboration.
Rationalel4:lSearchinglthroughlaldatabaseloflarticlesltolfindlcurrentlresearchlonlwoundlcarelislanlexamplelofluselinformatic
s.
GloballRationale:lExamplesloflthelnurselusinglthelcorelcompetencyluselinformaticslincludeltheluselofltechnologyltolc
ommunicate,lmanagelknowledge,lreducelerrors,landlsupportldecisionlmaking.lThelactivityloflsearchinglthroughlaldat
abaseloflarticlesltolfindlcurrentlresearchlonlwoundlcarelislanlexamplelofluselinformatics.lChanginglthelsharpslcontainerli
nlalpatient’slroomlislanlexampleloflqualitylimprovement.lDocumentingltheleffectivenessloflpainlmedicationlforlalpatientlisl
anlexampleloflpatient-
centeredlcare.lDiscussingltheleffectivenesslofl bedsidel physicalltherapyl withl thel therapistl isl anl examplelofl teamworklandl
collaboration.
Cognitivel Level:l Applying
Clientl Need:lSafelandlEffectivelCarel Environment
Clientl NeedlSub:l Managementl oflCare
QSENlCompetencies:lVI.B.2.l Applyltechnologyl andlinformationlmanagementltoolsltolsupportlsafelprocessesloflcare
AACNlEssentialsl Competencies:l IV.1.lDemonstratelskillsl inl usinglpatientlcarel technologies,l informationlsystems
,landlcommunicationldeviceslthatlsupportlsafelnursinglpractice
LeMone/Burke/Bauldoff/Gubrud,lMedical-SurgicallNursingl6thlEditionlTestlBank
Copyrightl2015lbylPearsonlEducation,lInc.
, NLNlCompetencies:lKnowledgelandlScience:lElectronicldatabases;lliteraturel retrieval;levaluatingl datalforlvalidit
ylandlreliability;levidencelandlbestlpracticeslforlnursing
Nursing/IntegratedlConcepts:lNursinglProcess:lPlanning
Learningl Outcome:l 1.l Describelthelcorelcompetenciesl forlhealthcarel professionals:lpatient-
centeredl care,linterprofessionallteams,levidence-
basedlpractice,lqualitylimprovement,lsafety,landlhealthlinformationltechnology.
MNLl Learningl Outcome:l 4.3.3.l Examinelthel treatmentsl usedl forlpressurelulcers.
PagelNumber:l 4
Questionl3lTy
pe:l MCMA
Thelnurselplansltolimplementlevidence-
basedlpracticelwhenlprovidinglpatientlcare.lWhichlactivitieslshouldlthelnurselperform?
StandardlText:lSelectlalllthatlapply.
1. Participatelinleducationlandlresearchlactivitieslwhenlpossible.
2. Integratelresearchlfindingslwithlclinicallcareltolmaximizelpatientloutcomes.
3. Servelonlthelcommitteeltolcreatelcriticallpathwayslforlpatientlcare.
4. Reinforcelhandlhygieneltechniqueslwithlunlicensedlassistivelpersonnel.
5. Contactl Environmentall Servicesl tol reportl al malfunctioningl infusionl pump.
Correctl Answer:l1,l 2
Rationalel1:lParticipatinglinleducationlandl researchlactivitieslwhenlpossiblel islanlexampleloflimplementing
evidence-basedlpracticelinlthelprovisionloflpatientlcare.
Rationalel2:lIntegratinglresearchlfindingslwithlclinicallcareltolmaximizelpatientloutcomeslislanlexampleloflimplementingle
vidence-basedl practicelinlthelprovisionloflpatientlcare.
Rationalel3:lServinglonlthelcommitteeltolcreatelcriticallpathwayslforlpatientlcarelislanlexampleloflteamworklandlcollaborat
ion.
Rationalel4:lReinforcinglhandlhygieneltechniqueslwithlunlicensedlassistivelpersonnellislanlexampleloflqualitylimproveme
nt.
Rationalel5:lContactinglEnvironmentallServicesltol reportlalmalfunctioningl infusionlpumpl islanlexamplelof
qualitylimprovement.
Globall Rationale:lParticipatingl inl educationlandlresearchlactivitieslwhenlpossiblelislanlexamplelofl implementinglevid
ence-
basedlpracticelinlthelprovisionloflpatientlcare.lIntegratinglresearchlfindingslwithlclinicallcareltolmaximizelpatientloutc
LeMone/Burke/Bauldoff/Gubrud,lMedical-SurgicallNursingl6thlEditionlTestlBank
Copyrightl2015lbylPearsonlEducation,lInc.