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NUR 205 Chapter 13 Blended
Competencies, Clinical Reasoning, and
Person Centered Care Questions and
Correct Answers 2025
A new graduate nurse phones the surgeon to report their patient is having severe incisional pain. The surgeon asks about vital signs and appearance of the wound, causing the nurse to return to the bedside for additional assessments. Upon reflection with the preceptor, which characteristic of the nursing process should the nurse have remembered? a. Centric b. Dynamic c. Interpersonal d. Systematic - ANSd A nurse is caring for a patient with type 2 diabetes who has an infected foot ulcer requiring dressing changes. Which nursing action best demonstrates the QSEN competency of patient-centered care? a. Asking the patient if they would like their spouse to be present for a teaching session b. Researching new procedures to care for foot ulcers when developing a care plan for this patient c. Leading a grand rounds or unit-based discussion on complications of diabetes d. Using the electronic medical record to review trends of the patient's blood glucose levels - ANSa
A nurse uses critical-thinking skills to develop the care plan for an older adult with dementia awaiting placement in a long-term care facility. Which statements describe characteristics of the critical thinking used by nurses engaged in clinical reasoning? Select all that apply. a. Functions independently of nursing standards, ethics, and state practice acts b. Based on the principles of the nursing process, problem solving, and the scientific method c. Driven by patient, family, and community needs as well as nurses' needs to give competent, efficient care d. Avoids designs to compensate for problems created by human nature, such as medication errors e. Constantly reevaluating, self-correcting, and striving for improvement f. Focuses on the big picture rather than identifying the key problems, issues, and risks involved with patient care - ANSb, c, e A nurse working in a long-term care facility reviews the electronic health records of patients who have fallen in the last month to determine if there is a common risk factor. Which QSEN competency is the nurse demonstrating? a. Patient-centered care b. Evidence-based practice c. Teamwork and collaboration d. Informatics - ANSd
c. The emphasis on logical, scientific, evidence-based reasoning has held nursing back; we need intuitive, creative thinkers. d. The nurse's preference dictates whether they are logical, scientific thinkers or intuitive, creative thinkers. - ANSa An oncology nurse is analyzing a patient's strengths and finds the patient is well educated, learns quickly, and is resilient. In which phase of the nursing process will the nurse use this information? a. Diagnosing b. Evaluating c. Planning d. Implementing - ANSa The nurse is formulating a care plan for a patient in a long-term care facility who has lost 12 lb in the last 2 months. To arrive at a patient-centered nursing judgment, what will the nurse do first? a. Ensure the patient is receiving foods they like, including favorites. b. Make sure the patient's dentures are clean and inserted at mealtimes. c. Assess the patient's food intake and hydration over the last 1 to 3 days. d. Request that the nursing assistant feed the client at mealtime. - ANSc The nurse uses blended competencies when caring for patients in a rehabilitation facility. Which interventions reflect the use of cognitive skills? Select all that apply. a. Monitoring for side effects of medications b. Safely administering an injectable medication c. Teaching a patient about diabetes and its management
d. Acting as witness by signing a surgical consent form e. Helping a patient identify their progress in physical therapy f. Comforting a patient who has received bad news - ANSa, c The nursing assessment of a patient with a diagnosis of anorexia nervosa reveals the patient consumes a vegan diet of 700 calories daily and has lost 30 lb in 4 months. The nurse's recommendation to meet with a nutritionist is the outcome of which process? a. Clinical judgment b. Nursing process c. Clinical reasoning d. Critical thinking - ANSa The nursing philosophy in an acute care hospital includes a commitment to deliver thoughtful, person-centered care. Which description of the nursing process best supports this commitment? a. Systematic b. Interpersonal c. Dynamic d. Universally applicable in nursing situations - ANSb When implementing a thoughtful, patient-centered care plan, which action does the nurse prioritize? a. The patient's loved ones are considered part of the team. b. A caring relationship with mutual trust is established. c. Measures for safety are visibly incorporated. d. Transparent communication is observed. - ANSc
