Test Bank for LeMone Burkes

Test Bank for LeMone & Burke’s

Medical-Surgical Nursing:

Clinical Reasoning in Patient Care LeMone & Burke’s

Medical-Surgical Nursing:

Clinical Reasoning in Patient Care Seventh Edition Gerene Bauldoff Paula Gubrud Margaret-Ann Carno 1 / 4

1 Copyright © 2020 Pearson Education, Inc.LeMone & Burke's Medical-Surgical Nursing, 7e (Bauldoff/Gubrud/Carno) Chapter 1 Medical-Surgical Nursing in the 21st Century 1) A patient is instructed on the role of diet, exercise, and medication to control type 2 diabetes mellitus. Which core competency for healthcare professionals is the nurse implementing?

1.Quality improvement 2.Evidence-based practice 3.Patient-centered care 4.Teamwork and collaboration

Answer: 3

Explanation: 1. Identifying safety hazards and measuring quality is an example of the core competency quality improvement.

• Using best research when providing patient care is an example of the core competency

evidence-based practice.

• Patient teaching is an example of the competency patient-centered care.
• The core competency teamwork and collaboration involves collaboration between disciplines

to provide continuous and reliable care.

Page Ref: 5

Cognitive Level: Applying

Client Need & Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient- centered care, interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare professionals in nursing practice. 2 / 4

2 Copyright © 2020 Pearson Education, Inc.2) The nurse is planning to utilize the core competency use informatics when providing patient care. Which action should the nurse perform when using this core competency?

• Change the sharps container in a patient's room.
• Document the effectiveness of pain medication for a patient.
• Discuss the effectiveness of bedside physical therapy with the therapist.
• Search through a database of articles to find current research on wound care.

Answer: 4

Explanation: 1. Changing the sharps container is an example of quality improvement.

• Documenting the effectiveness of pain medication for a patient is an example of patient-

centered care.

• Discussing the effectiveness of bedside physical therapy with the therapist is an example of

teamwork and collaboration.

• Searching through a database of articles to find current research on wound care is an

example of use informatics.

Page Ref: 5

Cognitive Level: Applying

Client Need & Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: VI.B.2. Apply technology and information management tools to support safe processes of care | AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice | NLN Competencies: Knowledge and Science: Practice-Know-How: Retrieve research findings and other sources of information | Nursing/Integrated Concepts:

Nursing Process: Planning

Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient- centered care, interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare professionals in nursing practice. 3 / 4

3 Copyright © 2020 Pearson Education, Inc.3) The nurse plans to implement evidence-based practice when providing patient care. Which activity should the nurse perform? Select all that apply.

• Participate in education and research activities when possible.
• Integrate research findings with clinical care to maximize patient outcomes.
• Serve on the committee to create critical pathways for patient care.
• Reinforce hand hygiene techniques with unlicensed assistive personnel.
• Contact Environmental Services to report a malfunctioning infusion pump.

Answer: 1, 2

Explanation: 1. Participating in education and research activities when possible is an example of implementing evidence-based practice in the provision of patient care.

• Integrating research findings with clinical care to maximize patient outcomes is an example

of implementing evidence-based practice in the provision of patient care.

• Serving on the committee to create critical pathways for patient care is an example of

teamwork and collaboration.

• Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of

quality improvement.

• Contacting Environmental Services to report a malfunctioning infusion pump is an example of

quality improvement.

Page Ref: 5

Cognitive Level: Applying

Client Need & Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: III.B.6. Participate in structuring the work environment to facilitate integration of new evidence into standards of practice | AACN Essentials Competencies: III.2. Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice | NLN Competencies: Knowledge

and Science; Knowledge: What is evidence-based practice (EBP)? Informatics? |

Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1.1 Describe the core competencies for healthcare professionals: Patient- centered care, interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.MNL Learning Outcome: 1. Demonstrate use of the core competencies for healthcare professionals in nursing practice.

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