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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Correct Answer is C

Explanation

A. Instruct the family about anticipatory grieving: While anticipatory grieving is important, it is better addressed after the family has had time to express initial feelings.

B. Explore effective ways of family coping: This is important but should come after encouraging the family to process their immediate feelings.

C. Encourage the family’s expression of their feelings. The first priority is to allow the family to express their emotions and begin the grieving process. Encouraging emotional expression helps the family cope with the overwhelming news and facilitates their emotional support needs.

D. Discuss the disease and its manifestations with family members: While understanding the disease is essential, focusing on the family's emotional response is more critical at this initial stage of shock and grief.

A. Screening for blood sugar levels B. Demonstrating a 15-minute exercise routine C. Educating about stress management strategies D. Providing a cooking lesson using sugar alternatives

Correct Answer is A

Explanation

A. Screening for blood sugar levels. Secondary prevention focuses on early detection of diseases to initiate timely interventions and prevent complications. Blood sugar screening identifies individuals with prediabetes or undiagnosed diabetes.

B. Demonstrating a 15-minute exercise routine: This is a primary prevention activity aimed at reducing risk factors before the disease develops.

C. Educating about stress management strategies: Stress management education is a primary prevention strategy focused on preventing risk factors associated with diabetes.

D. Providing a cooking lesson using sugar alternatives: This is primary prevention, promoting healthy habits to prevent diabetes rather than detecting it early.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a child who has a diagnosis of metastatic brain cancer. The father states "I can't believe this is happening to us, I feel numb." Which of the following nursing interventions by the nurse is the first priority?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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?

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 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?

A nurse is preparing to communicate with a hearing-impaired client during a routine assessment. Which of the following strategies is most appropriate for ensuring effective communication with 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 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?