A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?

Patient-centered care

Quality improvement

Teamwork and collaboration

Safety

Answer and Explanation

The Correct Answer is B

A. Patient-centered care emphasizes understanding the patient’s needs and preferences, but it does not specifically address practice gaps.
B. Quality improvement focuses on identifying and addressing discrepancies between current practices and best practices, aiming to improve patient care outcomes.
C. Teamwork and collaboration involve working effectively with others to provide care, not directly identifying practice gaps.
D. Safety is about preventing harm to patients, but quality improvement is more focused on systematic evaluation and process improvement.

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Correct Answer is D

Explanation

A. A 3-mL syringe is not appropriate for administering U-500 insulin, as the concentration may not allow for accurate dosing at such a small volume.
B. A U-100 syringe is designed for U-100 insulin and would not provide accurate measurement for U-500 insulin.
C. A needleless syringe may be useful in certain contexts, but it does not specifically provide the necessary precision for insulin dosage.
D. A tuberculin syringe is suitable for administering small doses (like 0.3 mL) and provides more accurate measurement for high-concentration insulin such as U-500.

A. It is for those having a terminal illness, such as cancer. B. It is for those needing assistance with pain management. C. It is for those with completion of an advance directive. D. It is for those expected to live less than 6 months.

Correct Answer is D

Explanation

A. While hospice care is appropriate for those with terminal illnesses, the criteria are more specifically defined by life expectancy rather than just the diagnosis itself.
B. Although pain management is a significant aspect of hospice care, the criteria for eligibility focus on life expectancy rather than need for pain management alone.
C. Completion of an advance directive is encouraged but not a specific criterion for hospice care; patients can receive hospice services without having an advance directive in place.
D. Hospice care is typically designated for patients who are expected to live less than 6 months, focusing on providing comfort and support in the final stages of life.

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A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been prescribed to receive 0.3 mL of U-500 insulin. Which syringe will the nurse use to administer the medication?

Correct Answer is D

Explanation

A patient diagnosed with terminal cancer asks the nurse what the criteria are for hospice care. Which information should the nurse share with the patient?

Correct Answer is D

Explanation

A nurse is teaching a patient how to meditate. Which behavior presented by the patient indicates effective learning?

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The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing diagnoses. Which step will the nurse take next in the nursing process?

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