QSEN Competency

The nurse is caring for a client who is prone to falls. Which nursing diagnosis would be most appropriate for this client?

• Risk for Injury

• Risk for Suffocation

• Deficient Knowledge

• Risk for Disuse Syndrome

A nurse manager is assessing the hospital environment in order to decrease the risk for client falls. Which is the best intervention to decrease the risk of client falls?

• Keep the call button within reach at all times.

• Read label directions.

• Keep electrical cords under the bed.

• Clean the environment of clutter.

After completing an assessment, the nurse determines a client is at risk for safety issues. Which data supports the nurse’s conclusion? Select all that apply.

• Lives with adult married daughter and family

• Occasional dizziness with walking

• Prescribed antihypertensive and pain medication

• Ingests three meals a day and two snacks

• Receives an annual ophthalmologic examination

The nurse is developing a plan of care for a client who is at risk for falls. Which interventions would be appropriate for the nurse to include in the plan of care?

Select all that apply.

• Apply physical restraints if the client gets out of bed.

• Assess the client's vision and make sure he is utilizing any prescribed eyewear.

• Utilize side rails on client beds.

• Keep frequently used items within easy reach.

During report, the previous nurse emphasized that one of the newly admitted patients is on seizure precautions. The incoming nurse is correct when performing which of the following actions?

• Move the client to a room closer to the nurses' station.

• Ensure that soft limb restraints are applied to upper extremities.

• Maintain the client's bed in the lowest position.

• Serve the client's food in paper and plastic containers.

A nurse conducted a class on fall prevention for a group of older adult clients in the community. Which observation during a client home visit indicates that teaching on fall prevention was effective?

• All meat is placed in the freezer.

• The locks were changed on the doors.

• Scatter rugs are placed in the kitchen.

• Safety strips are installed in the shower.

A novice nurse has accepted a position on a medical-surgical unit at a local university hospital. In order to provide safe care to clients, the nurse should plan to develop which competency?

• Creating a culture of trust within the hospital

• Functioning as a member of the healthcare team

• Promoting appropriate values that clients should adopt

• Reporting families for bringing food to the client's room

What is a common cause of errors within health care settings?

• Uncaring professionals

• Incompetent caregivers

• Communication problems between caregivers

• Phones not connecting to the nurse’s station

QSEN has developed multiple quality and safety elements to guide nursing practice. Identify which of these are considered a part of the six key elements.

• QI, teamwork and collaboration, and EBP

• Fact finding, mission statements, and strategic planning

• Stakeholder feedback, budget reconciliation, and strategic planning

• Financial reporting, wait time measurements, and time delays in getting treatments.

The nurse manager is evaluating a staff nurse's knowledge, skills, and attitudes when addressing safety issues with client care. What observations indicate the nurse is skilled when addressing safety concerns?

Select all that apply.

• Documents care immediately after providing it

• Devises methods that enhance teamwork

• Participates in conflict resolution

• Recognizes deficiencies between current and best practice

• Participates in root cause analysis when appropriate