, TESTBANK for Nursing Leadership and
Management for Patient Safety and Quality Care
2nd Edition Elizabeth Murray
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Murray: Nursing Leadership and Management, 2e 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 utilization 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, 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:
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 2
Test Bank Chapter 1
4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a
busy surgical unit. Which element of the QSEN competency of teamwork and collaboration is
essential to ensure implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
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 Institute of Medicine (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 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. Patient-centered
2. Teamwork and collaboration
3. Informatics
4. Evidence-based
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 3
Test Bank Chapter 1
ANS:
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 have to wait to receive quality health care
2. Provision of health care that was 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 Institute of Medicine 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.
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 4
Test Bank Chapter 1
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.
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 © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 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 utilization 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.
Chapter page reference: 7
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. While 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 utilizes research to drive all nursing
care.
CON: Patient-Centered Care
2. According to the Institute of Medicine, which health profession has been directly linked to
patient safety?
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 6
Test Bank Chapter 1
1. Nurses
2. Physicians
3. Social workers
4. Physical therapists
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.
Chapter page reference: 7
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.
CON: Safety
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
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 7
Test Bank Chapter 1
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.
Chapter page reference: 9
Heading: Health Literacy
Integrated Process: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1. While 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 he does
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 his disease.
CON: Health Promotion
4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a
busy surgical unit. Which element of the QSEN competency of teamwork and collaboration is
essential to ensure implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
ANS: 4
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.
Chapter page reference: 12
Heading: Care Coordination
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Copyright © 2022 F. A. Davis Company
, Murray: Nursing Leadership and Management, 2e 8
Test Bank Chapter 1
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1. Time management is an important component of teamwork and collaboration but is not
essential to the implementation of this competency.
2. The assessment of the group dynamics is also an important component of teamwork
and collaboration, but it is not essential to its implementation. Group dynamics may
make it more difficult, but it will not prevent its implementation.
3. Conflict resolution is an element of teamwork and collaboration, but it will not prevent
the implementation of this competency.
4. Care coordination related to teamwork and collaboration indicates that the nurse is the
health-care professional to coordinate the delivery of care to patients. This is seen as a
priority for health-care quality improvement.
CON: Leadership and Management
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 and quality patient-centered care.
Chapter page reference: 23
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 as nurses may feel that
reporting errors will delay success.
3. Transparency is critical in a safety culture. Staff must feel comfortable in reporting
errors, near misses, and potential for errors.
4. Interprofessional collaboration assists a culture of safety by working with others to
Copyright © 2022 F. A. Davis Company
Management for Patient Safety and Quality Care
2nd Edition Elizabeth Murray
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Murray: Nursing Leadership and Management, 2e 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 utilization 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, 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:
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 2
Test Bank Chapter 1
4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a
busy surgical unit. Which element of the QSEN competency of teamwork and collaboration is
essential to ensure implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
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 Institute of Medicine (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 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. Patient-centered
2. Teamwork and collaboration
3. Informatics
4. Evidence-based
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 3
Test Bank Chapter 1
ANS:
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 have to wait to receive quality health care
2. Provision of health care that was 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 Institute of Medicine 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.
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 4
Test Bank Chapter 1
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.
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 © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 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 utilization 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.
Chapter page reference: 7
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. While 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 utilizes research to drive all nursing
care.
CON: Patient-Centered Care
2. According to the Institute of Medicine, which health profession has been directly linked to
patient safety?
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 6
Test Bank Chapter 1
1. Nurses
2. Physicians
3. Social workers
4. Physical therapists
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.
Chapter page reference: 7
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.
CON: Safety
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
Copyright © 2022 F. A. Davis Company
,Murray: Nursing Leadership and Management, 2e 7
Test Bank Chapter 1
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.
Chapter page reference: 9
Heading: Health Literacy
Integrated Process: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1. While 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 he does
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 his disease.
CON: Health Promotion
4. The nurse manager is utilizing the QSEN competencies to ensure quality care for patients on a
busy surgical unit. Which element of the QSEN competency of teamwork and collaboration is
essential to ensure implementation?
1. Time management
2. Assessment of group dynamics
3. Conflict resolution
4. Care coordination
ANS: 4
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.
Chapter page reference: 12
Heading: Care Coordination
Integrated Process: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Copyright © 2022 F. A. Davis Company
, Murray: Nursing Leadership and Management, 2e 8
Test Bank Chapter 1
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1. Time management is an important component of teamwork and collaboration but is not
essential to the implementation of this competency.
2. The assessment of the group dynamics is also an important component of teamwork
and collaboration, but it is not essential to its implementation. Group dynamics may
make it more difficult, but it will not prevent its implementation.
3. Conflict resolution is an element of teamwork and collaboration, but it will not prevent
the implementation of this competency.
4. Care coordination related to teamwork and collaboration indicates that the nurse is the
health-care professional to coordinate the delivery of care to patients. This is seen as a
priority for health-care quality improvement.
CON: Leadership and Management
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 and quality patient-centered care.
Chapter page reference: 23
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 as nurses may feel that
reporting errors will delay success.
3. Transparency is critical in a safety culture. Staff must feel comfortable in reporting
errors, near misses, and potential for errors.
4. Interprofessional collaboration assists a culture of safety by working with others to
Copyright © 2022 F. A. Davis Company
