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 D

Explanation

A. "I promise I won't tell anyone about this." This is incorrect because nurses are mandated reporters and must report abuse to appropriate authorities. Promising confidentiality is misleading and violates legal obligations.

B. "Your family is bad for doing this to you." Making judgmental statements about the family can hinder the therapeutic relationship and may increase the child’s stress or feelings of loyalty conflict.

C. "Let's discuss what happened with your family here." Discussing abuse in the presence of the family may put the child at risk for retaliation and discourage open communication.

D. "It is not your fault that this happened." This statement reassures the child and helps mitigate feelings of guilt or shame that are common in abuse victims. It is supportive, nonjudgmental, and developmentally appropriate, fostering trust and safety.

A. Use materials written in the client's spoken language. B. Choose materials that include culturally relevant information and examples. C. Use materials written at a twelve-grade level. D. Use pictures. E. Provide a variety of educational materials.

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

Explanation

A. Use materials written in the client's spoken language. Providing information in the client's preferred language ensures understanding and facilitates informed decision-making.

B. Choose materials that include culturally relevant information and examples. Cultural relevance helps the client relate to and understand the information in a meaningful way.

C. Use materials written at a twelve-grade level: Educational materials should generally be written at a 5th to 6th-grade reading level to ensure accessibility for a broad audience.

D. Use pictures. Pictures can enhance comprehension by providing visual aids, especially for clients with limited language proficiency.

E. Provide a variety of educational materials. Offering materials in multiple formats (e.g., written, visual, or video) accommodates different learning preferences.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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.)

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

Explanation

A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

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

A nurse is educating a client about their responsibilities in managing their chronic condition. Which of the following statements by the client demonstrates an understanding of their healthcare responsibilities?

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 nurse in a public clinic is planning a health fair for clients in the community who are at risk for developing type 2 diabetes mellitus. Which of the following activities should the nurse include for secondary prevention?

A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?