The Quality and Safety Education for Nurses (QSEN) project has identified the most important pre-licensing skills for nurses as:

writing nursing care plans.

informatics.

familiarity with medical terms.

effective communication.

Answer and Explanation

The Correct Answer is B

A. Writing nursing care plans.
Although care plans are essential in nursing, qsen emphasizes broader competencies beyond just planning, such as teamwork and quality improvement.

B. Informatics. Informatics is a core competency highlighted by qsen to ensure nurses can use technology effectively for patient safety and care quality.

C. Familiarity with medical terms. Medical terminology is basic knowledge for nurses, but qsen emphasizes specific competencies beyond terminology.

D. Effective communication.
Effective communication is a fundamental qsen skill that enhances patient safety, teamwork, and patient-centered care.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Blood not drawn because tests are no longer desired by patient."
This statement is vague and lacks specific details regarding the patient's exact refusal and the communication with the doctor.

B. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This response documents the patient's refusal with their exact words ("useless") and also notes that the doctor has been informed, which is essential for clear, complete documentation.

C. "Doctor notified of failure to draw ordered blood work."
This documentation lacks the reason for the blood draw failure (patient refusal) and omits the patient’s specific wording.

D. "Refuses to have blood drawn. Doctor notified."
Although this documents the refusal and the doctor’s notification, it omits the patient’s exact words, which can provide additional context for the healthcare team.

A. wrings her hands and paces around the room while denying that she is upset. B. states she is comfortable while she frowns, and her teeth are clenched. C. is tearful and slow in speech when talking about her husband's death. D. smiles and laughs while speaking of feeling lonely and depressed.

Correct Answer is C

Explanation

A. wrings her hands and paces around the room while denying that she is upset.
This example reflects incongruence. The patient's body language (pacing, wringing hands) suggests anxiety or distress, which does not match her verbal denial of being upset.

B. states she is comfortable while she frowns, and her teeth are clenched.
This example also reflects incongruence. Her facial expression and clenched teeth contradict her statement of comfort, indicating her communication is not aligned.

C. is tearful and slow in speech when talking about her husband's death.
This example reflects congruence. The patient’s verbal expression and nonverbal cues are aligned, indicating that her communication is consistent with her emotions.

D. smiles and laughs while speaking of feeling lonely and depressed.
This example reflects incongruence. Smiling and laughing contradict the verbal expression of loneliness and depression, indicating a mismatch in her communication.

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The Quality and Safety Education for Nurses (QSEN) project has identified the most important pre-licensing skills for nurses as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse will plan to offer the patient education session in a quiet area in order to:

Correct Answer is B

Explanation

The nurse recognizes the patient who demonstrates communication congruency when the patient

Correct Answer is C

Explanation

The nurse appropriately begins discharge planning when:

When educating an older adult patient about changing his dressing, the nurse would most appropriately:

The nurse can best ensure that communication is understood by:

The nurse caring for a patient who is concerned about her 10-pound weight loss relative to her chemotherapy tells the patient. "Lucky you! Every cloud has a silver lining." The nurse's statement is an example of which type of communication block?

When interacting with an older adult patient, the nurse would enhance communication by:

Because a person may learn best in a particular manner, to improve patient education, the nurse should:

When communicating with an adolescent, the nurse should be very sensitive to avoid:

The nurse would identify an opportunity for a “teaching moment” in the situation of a patient who: