Chapter 1

Question 1

The Quality and Safety Education for Nurses (QSEN) Project

Answer 1

• Initiated in 2005
• Preparing future nurses with the knowledge, skills, and attitudes (KSAs) needed to continuously improve the quality and safety of patient care within the health care system
• KSAs flow out of the QSEN initiatives and are being integrated into nursing education curricula and clinical outcomes.

Question 2

Six Major Initiatives of QSEN

Answer 2

• Patient-centered care
• Teamwork and collaboration
• Evidence-based practice (EBP)
• Quality improvement (QI)
• Safety
• Informatics

Question 3

The Nursing Process

Answer 3

• A research-based organizational framework for professional nursing practice
• Ensures the delivery of thorough, individualized, and quality nursing care to patients
• Requires critical thinking
• Ongoing and constantly evolving process

Question 4

Five Steps of the Nursing Process

Answer 4

-Assessment
-Nursing diagnosis
-Planning
Goals
Outcome criteria
-Implementation, including patient education
-Evaluation

Question 5

Assessment

Answer 5

-Data collection, review, and analysis
-Medication profile
Any and all drug use
Prescriptions
Over-the-counter medications
Vitamins, herbs, and supplements
Compliance and adherence

Question 6

Purpose of NANDA-I

Answer 6

increase the visibility of nursing’s contribution to the care of patients and to further develop, refine, and classify the information and phenomena related to nurses and professional nursing practice

Question 7

Nursing Diagnoses

Answer 7

-used to communicate and share information about the patient and the patient experience.
-Common nursing diagnoses related to drug therapy include:
Deficient knowledge
Risk for injury
Noncompliance

Question 8

Nursing Diagnoses 3 Step Process

Answer 8

• Human response to illness, injury, or significant change
• Factors related to the response (“related to”)
• Listing of cues, clues, evidence, or other data that support the nurse’s claim for the diagnosis (“as evidenced by”)

Question 9

Planning

Answer 9

-Identification of goals and outcome criteria
-Goals
Objective, measurable, and realistic with an
established time period for achievement of the
outcomes that are specifically stated in the
outcome criteria
-Outcome criteria
-Concrete descriptions of patient goals

Question 10

Implementation

Answer 10

• Initiation and completion of specific nursing actions as defined by the nursing diagnoses, goals, and outcome criteria
• Independent, collaborative, and dependent

Question 11

The “Six Rights” of Medication Administration

Answer 11

Right drug
Right dose
Right time
Right route
Right patient
Right documentation

Question 12

Evaluation

Answer 12

-Ongoing part of the nursing process
-Determining the status of the goals and outcomes of care
-Monitoring the patient’s response to drug therapy
Expected and unexpected responses
-Clear, concise documentation