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 D

Explanation

A. Used razors should never be disposed of in regular wastebaskets as they pose a significant risk for puncture injuries. Instead, they should be placed in a designated sharps container to prevent accidental cuts or injuries to anyone handling the waste.
B. The practice of using two hands to recap a needle is not recommended because it increases the risk of a needlestick injury. Instead, nurses should use a one-handed technique or a safety device designed for recapping needles to minimize the risk of injury.
C. Needles should not be broken off from syringes before disposal, as this can create sharp edges that can puncture the skin and lead to injuries. Instead, syringes with needles should be disposed of intact in a designated sharps container.
D. Sharps containers should be replaced when they are full to ensure safe disposal of needles and other sharp instruments. Overfilled containers can pose a risk of needlestick injuries and may not allow for proper disposal of new sharps.

A. Providing passive responses B. Using silence C. Offering personal opinions D. Offering sympathy

Correct Answer is B

Explanation

A. This is not a therapeutic communication technique. Passive responses can create barriers to communication and may lead to misunderstandings. They often convey a lack of interest or engagement, which is counterproductive in therapeutic settings.
B. This is a valuable therapeutic communication technique. Silence allows clients to reflect on their thoughts and feelings, giving them the space to express themselves without pressure. It can encourage deeper conversation and provide opportunities for the nurse to observe non-verbal cues.
C. Offering personal opinions is generally not considered a therapeutic communication technique. It can shift the focus away from the client and may inadvertently lead to judgment or bias. Instead,
therapeutic communication emphasizes listening and understanding the client’s perspective without imposing personal views.
D. While offering sympathy may seem caring, it can sometimes lead to a focus on the nurse's feelings rather than the client's experience. Sympathy may not promote empowerment or exploration of the client’s feelings as effectively as empathy, which involves understanding and validating the client's
emotions without imposing one’s own feelings.

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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

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Correct Answer is D

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Correct Answer is B

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