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 ["B","C","D","E"]

Explanation

A. Place throw rugs and carpets throughout the home to add comfort and warmth: Throw rugs and carpets can increase the risk of falls, especially for clients with vision impairments. They should be avoided.

B. Ensure that all electrical cords and wires are secured against walls and out of walkways: Preventing tripping hazards is critical for a client with vision impairment.

C. Install bright, overhead lighting in every room and hallway to improve visibility: Adequate lighting is essential for clients with glaucoma to help them navigate safely.

D. Encourage the client to use a walking stick or guide dog when moving around the home: This enhances mobility and safety for clients with decreased vision by providing support and guidance.

E. Label kitchen cabinets and drawers with large-print, high-contrast labels: This helps the client identify items more easily and reduces the risk of injury or confusion.

A. "I will review my actions at the end of the day in the team huddle." B. "I should treat all patients the same way to avoid favoritism and ensure fairness." C. "I will reflect on my responses and thoughts when meeting new clients." D. "I believe that my professional training is sufficient, so personal biases will not affect my care."

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is conducting a safety assessment for a client with decreased vision due to glaucoma. Which of the following interventions should the nurse prioritize to ensure a safe home environment for the client? Select all that apply

Correct Answer is ["B","C","D","E"]

Explanation

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 client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

A nursing student is preparing a presentation on cultural competence for a group of fellow nursing students. Which of the following statements should the student include in their explanation to best describe cultural competence in nursing?

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?

A nurse is teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include?

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

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?