A nurse is providing care to a client. Prior to exiting the client's room, the nurse ensures the client's bed is locked and their call light is within reach. Which of the following QSEN competencies is the nurse demonstrating?

Quality improvement

Safety

Teamwork and collaboration

Patient-centered care

Answer and Explanation

The Correct Answer is B

A.   Quality improvement focuses on the processes and systems within healthcare that enhance patient outcomes and improve care delivery. While the nurse's actions contribute to overall quality of care, this specific scenario does not directly relate to improving a process or system.
B.   The nurse is demonstrating the competency of safety by ensuring the client’s bed is locked (preventing falls) and the call light is within reach (allowing the client to request help easily). These actions directly enhance the client's safety and prevent potential harm.
C.   Teamwork and collaboration involve working effectively with other healthcare professionals to provide optimal care. While collaboration is essential in nursing, the actions described do not specifically pertain to working with other team members.
D.   Patient-centered care focuses on respecting and responding to individual patient preferences, needs, and values. While ensuring the call light is within reach aligns with the principles of patient-centered care, the primary focus of the nurse’s actions is on safety.

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Correct Answer is B

Explanation

A. The systolic blood pressure is clearly stated as "102 mm Hg" in the documentation. There is no need for clarification regarding the systolic value.
B. It is essential to document the site where the blood pressure was taken, as this can affect the accuracy of the reading. Typically, the blood pressure is measured in the brachial artery in the upper arm. If the cuff was placed on a different site, such as the wrist or ankle, this should be noted in the documentation.
C. The unit of measurement for blood pressure is correctly indicated as "mm Hg" (millimeters of mercury). There is no need for clarification regarding the unit since it is standard and clear.
D. The position of the client is correctly documented as sitting up in a chair.

A. Hearing loss is considered a development factor that has minimal effect on nurse-client communication. B. Clients who have developmental deficits are less distracted by environmental noises than client who do not have these deficits. C. Nurses might focus on a client's physiological needs over psychosocial needs when communicating during care. D. Nurses caring for clients experiencing a highly emotional situation report that communication is rarely affected.

Correct Answer is D

Explanation

A. Hearing loss is a significant factor that can significantly impact nurse-client communication. Clients with hearing loss may have difficulty understanding what is being said, leading to misunderstandings and frustration.
B. Clients with developmental deficits may be more sensitive to environmental noises and distractions, which can make it difficult to focus on communication.
C. This can be a significant barrier to effective communication, as it can lead to neglecting the client's emotional and psychological needs. It's important for nurses to be aware of this tendency and to make a conscious effort to address both the physical and emotional needs of their clients.
D. Emotional factors can significantly affect communication. When clients are experiencing a highly emotional situation, they may be more likely to become overwhelmed, anxious, or defensive, which can make it difficult to communicate effectively.

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A nurse is providing care to a client. Prior to exiting the client's room, the nurse ensures the client's bed is locked and their call light is within reach. Which of the following QSEN competencies is the nurse demonstrating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg. client sitting up in a chair." Which of the following information should the nurse clarify?

Correct Answer is B

Explanation

A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?

Correct Answer is D

Explanation

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