Test Bank For Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Quality Care 3rd Edition Test Bank
Chapter 2

Question 1

Type: MCSA

Which option represents a situation exemplifying the need for nurses to become involved in healthcare policy development?

1. The nurse omitted documentation of a surgical dressing change.

2. The nurse must have a nursing license and be certified as APRN to prescribe medications.

3. The nurse administered oral medications to the patient in the home.

4. The nurse discussed do-not-resuscitate decisions with the patient and the family.

Correct Answer: 2

Rationale 1: This scenario represents a violation of standards and a potential malpractice issue, not an issue of healthcare planning.

Rationale 2: Changes in legislation and regulation (which might be influenced by nurses involved in healthcare planning) affect nursing practice.

Rationale 3: This scenario is unlikely to be altered by change in legislation or regulation.

Rationale 4: This scenario is unlikely to be altered by change in legislation or regulation.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Explain why nurses should be involved in healthcare policy and the political process.

Page: p. 29

Question 2

Type: MCSA

Which strategy could the nurse use to avoid disparity in healthcare delivery?

1. Recognize the cultural issue related to patient care.

2. Request more health plan options.

3. Care for more patients even if quality suffers.

4. Campaign for fixed nurse-patient ratios.

Correct Answer: 1

Rationale 1: Disparities often occur because the healthcare professional does not recognize cultural differences or has a cultural bias.

Rationale 2: This is a consumer demand related to insurance. The nurse has little effect on this issue.

Rationale 3: This is an unacceptable strategy to nursing.

Rationale 4: This scenario is unlikely to have impact on health disparities.

Global Rationale: 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Explain why nurses should be involved in healthcare policy and the political process.

Page:  pp. 31-32