A nurse is speaking to a group of newly licensed nurses about how the QSEN competencies were integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students?

Patient-centred care

Teamwork and collaboration

Evidence-based practice

Quality improvement

Answer and Explanation

The Correct Answer is A

A. Patient-centered care: Nursing education heavily emphasizes patient-centered care, as it is foundational to nursing practice and critical for promoting client well-being.

B. Teamwork and collaboration. While teamwork is taught, it is often more extensively developed in clinical practice settings.

C. Evidence-based practice. Although evidence-based practice is a focus in nursing education, new graduates often require additional experience to apply it effectively.

D. Quality improvement. Quality improvement processes are introduced in nursing school but may not be as emphasized compared to patient-centered care.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A. "I will review my actions at the end of the day in the team huddle.": While team reflection is valuable, addressing personal biases requires individual introspection beyond group discussions.

B. "I should treat all patients the same way to avoid favoritism and ensure fairness.": Treating all patients identically may overlook individual needs and perpetuate bias by failing to address unique vulnerabilities.

C. "I will reflect on my responses and thoughts when meeting new clients." Self-reflection is a key strategy for identifying and addressing personal biases, ensuring that care is equitable and patient-centered.

D. "I believe that my professional training is sufficient, so personal biases will not affect my care.": Professional training does not automatically eliminate personal biases. Active reflection is necessary.

A. Vital sign measurement B. The nature and invasiveness of the surgical procedure C. Visual observation for nonverbal signs of pain D. The client's self-report of pain severity

Correct Answer is D

Explanation

A. Vital sign measurement: While vital signs may change due to pain, they are not specific indicators of pain intensity and should not be the primary basis for pain management.

B. The nature and invasiveness of the surgical procedure: The type of procedure may influence pain, but it is still essential to rely on the client's self-report for pain management.

C. Visual observation for nonverbal signs of pain: While helpful in some cases, nonverbal signs are not as reliable as the client's own report of pain.

D. The client's self-report of pain severity. The most accurate method to assess pain is through the client's self-report. This allows the nurse to understand the severity and nature of the pain, which helps guide treatment.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reflecting on their own personal attitudes about vulnerable populations. Which of the following statements demonstrates an attempt by the nurse to minimize judgment and bias when caring for clients?

Correct Answer is C

Explanation

A nurse is caring for a client who is postoperative. The nurse should base their pain management interventions primarily on which of the following methods of determining the intensity of the client's pan?

Correct Answer is D

Explanation

A nurse is educating a group of clients about complementary and integrative therapies. Which of the following statements about these therapies are accurate? Select all that apply

A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?

A nurse is conducting a pain assessment for a client who reports discomfort. Which of the following actions is the most appropriate for the nurse to take to obtain a comprehensive understanding of the client's pain?

A nurse is assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?

A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between meal protein and calorie supplement?

A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify which of the following factors place populations at the highest risk for negative health outcomes?

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

A 49-year-old patient who reports pain in the foot that moves up along the calf says, "My left foot feels like it is on fire." The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?