Question 1

What competency did the QSEN project add to the competencies set forth by the IOM 2003 report,Health Professions Education: A Bridge to Quality?&#10;A)Informatics&#10;B)Safety&#10;C)Teamwork and Collaboration&#10;D)Evidence-Based Practice&#10;

Accepted Answer

The QSEN project added "Safety" as a competency to the competencies set forth by the IOM 2003 report. The other competencies - Informatics, Teamwork and Collaboration, and Evidence-Based Practice - were already included in the IOM report.

Question 2

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.&#10;A)Share power and responsibility with patients and caregivers.&#10;B)Take into account patients' individuality,emotional needs,values,and life issues.&#10;C)Ensure that accurate and timely information reaches those who need it at the appropriate time.&#10;D)Formulate clear clinical questions.&#10;E)Enhance prevention and health promotion.&#10;

Accepted Answer

The IOM identifies skills for Patient-Centered Care as sharing power and responsibility with patients, considering patients' individuality and needs, and enhancing prevention and health promotion.

Question 3

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?

A)Time management
B)Assessment of group dynamics
C)Conflict resolution
D)Care coordination

Care coordination

Accepted Answer

Care coordination

Question 4

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?&#10;A)Reduction of the time patients have to wait to receive quality health care&#10;B)Provision of health care that was based on the most recent scientific knowledge&#10;C)Avoidance of waste of health-care dollars&#10;D)Narrowing of the quality gap in health care&#10;

Accepted Answer

The six aims found in the 2001 IOM report were intended to narrow the quality gap in health care, which includes improving patient safety, effectiveness, patient-centeredness, efficiency, timeliness, and equity. While some of the other options may align with these aims, they are not the primary intention of the report.

Question 5

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?

A)Patient-centered
B)Teamwork and collaboration
C)Informatics
D)Evidence-based

Accepted Answer

Patient-centered care is both one of the six aims of the IOM report "Crossing the Quality Chasm" and a health-care education competency in the 2003 IOM report "Health Professions Education: A Bridge to Quality."

Question 6

The nurse admits a patient to the nursing unit for treatment of pneumonia.Prior to 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?

A)Apply quality improvement
B)Use informatics
C)Provide patient-centered care
D)Employ evidence-based practice

Accepted Answer

The nurse discussing and incorporating the patient's input into the nursing care plan demonstrates the QSEN competency of providing patient-centered care, which involves recognizing the patient as an individual with unique preferences, values, and needs and involving them in the decision-making process.

Question 7

The 2003 Institute of Medicine (IOM)report,Health Professions Education: A Bridge to Quality,led to what initiative?&#10;A)The three domains of quality&#10;B)The 10 rules for the redesign of health-care delivery&#10;C)The five quality and safety competencies&#10;D)The six aims for health-care improvement&#10;

Accepted Answer

The 2003 IOM report, Health Professions Education: A Bridge to Quality, led to the development of the five quality and safety competencies that health-care professionals should possess: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, and informatics.

Question 8

What quality would the nurse manager strive to achieve in ensuring a culture of safety on the maternal-child unit?&#10;A)Fairness&#10;B)Preoccupation with success&#10;C)Transparency&#10;D)Discouragement of interprofessional collaboration&#10;

Accepted Answer

Transparency is important in ensuring a culture of safety as it promotes open communication, reporting of errors, and accountability. Fairness and preoccupation with success are also important qualities, but transparency is specifically related to creating a culture of safety. Discouragement of interprofessional collaboration would be counterproductive to creating a culture of safety.

Question 9

According to the Institute of Medicine,which health profession has been directly linked to patient safety?&#10;A)Nurses&#10;B)Physicians&#10;C)Social workers&#10;D)Physical therapists&#10;

Accepted Answer

The Institute of Medicine has stated that nurses play a critical role in patient safety, with their actions and decisions directly impacting the quality of care that patients receive.

Question 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?&#10;A)Nurses must avoid having the patient wait for care to be provided.&#10;B)Nurses must share power with the patient.&#10;C)Nurses must provide equitable care to all patients.&#10;D)Nurses must provide respectful care to all patients.&#10;

Accepted Answer

The QSEN competencies, developed as a response to the 2003 Institute of Medicine report, emphasize the importance of patient-centered care and shared decision-making between the nurse and patient. This means that nurses must work with patients to establish goals and plans of care that are informed by the patient's values and preferences, and take into account their cultural background, social context, and personal circumstances. Nurses must recognize that patients are experts on their own bodies and experiences, and must respect their autonomy and right to participate in their own care. Therefore, nurses must share power with the patient and collaborate with them to promote their health and well-being. The other choices are important aspects of nursing care, but do not reflect the core principles of patient-centered care and shared decision-making.

Question 11

The nurse is caring for a patient who is currently hospitalized for the third time with diabetic ketoacidosis.The nurse notes 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?

A)Cultural competence
B)Health literacy
C)Self-management
D)Optimal healing environment

Accepted Answer

The answer of The nurse is caring for a patient...

Deck 1: Core Competencies for Safe and Quality Nursing Care