The nurse is teaching a new nurse about protocols. Which information from the new nurse indicates a correct understanding of the teaching?
a. Protocols are guidelines to follow that replace the nursing care plan.
b. Protocols assist the clinician in making decisions and choosing interventions for specific health care problems or conditions.
c. Protocols are policies designating each nurse's duty according to standards of care and a code of ethics.
d. Protocols are prescriptive order forms that help individualize the plan of care.
ANS: B
A clinical practice guideline or protocol is a systematically developed set of statements that helps nurses, physicians, and other health care providers make decisions about appropriate health care for specific clinical situations. This guideline establishes interventions for specific health care problems or conditions. The protocol does not replace the nursing care plan. Evidence-based guidelines from protocols can be incorporated into an individualized plan of care. A clinical guideline is not the same as a hospital policy. Standing orders contain orders for the care of a specific group of patients. A protocol is not a prescriptive order form like a standing order.
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The demand for measuring outcomes is believed to result from ____
a. A lack of accuracy in documentation b. Indecision across health care disciplines c. Treatment variations based on client gender and race d. Variations in medical treatment based on geographic area
The nurse is caring for a client with a diagnosed closed head injury that requires intracranial pressure monitoring. Which signs/symptoms indicate that the client's intracranial pressure is rising? Select all that apply.
A. The nurse notes "Doll's eyes" when assessing the client's pupils. B. The nurse documents eupnea in respect to respiratory effort. C. The nurse finds that all extremities are flaccid. D. The nurse notes that blood pressure is stable. E. The nurse documents that the client is in a comatose state.
Which of the following would not be considered a strength of the situational approach?
a. Emphasizes leadership flexibility b. Is a very practical approach c. Is considered a credible model for training leaders within organizations d. Takes the influence of gender into account during leader-follower situations
Before C.Q. leaves the clinic, you recognize the need for further teaching when she says:
a. "Joining a support group can help me deal with my HIV diagnosis." b. "I will not use any other medications without checking with my health care provider." c. "If my viral load becomes undetectable, I will not have to worry about transmitting HIV to someone else." d. "If my skin turns yellow, I have unusual muscle pain or feel dizzy or weak, I will call the provider immediately."