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?
- Quality improvement
- Evidence-based practice
- Patient-centered care
- 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) 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:
