The manager is concerned that a staff nurse is not appropriately implementing evidence-based practice with patient care. What did the manager observe to come to this conclusion?
1. Clinical expertise is included.
2. Patient situations are individualized.
3. Data is researched before implementing.
4. Interventions are applied to all patients assigned.
Correct Answer: 4
EBP is meant to be applied at the local level; it is not to be generalized like research. Clinical expertise, individualized patient situations, and researching data are components of EBP.
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A client requests a minister to perform a healing ritual during her hospitalization for preterm labor. The nurse should:
a. determine if the practice is harmful to the current medical treatment b. discuss with the client the lack of positive benefits associated with this practice c. recommend this practice be done outside of the hospital environment d. permit any ritual or symbolic healing system desired by the client
The nurse admits a patient who is complaining of severe abdominal pain and vomiting who is nonverbal. What can the nurse do to communicate effectively with the patient?
a. Use a communication aid b. Wait for family to arrive c. Call interpreter services d. Treat the pain
A client requests that the nurse allow her 15 minutes two times a day for prayer during her hospitalization. What value does this represent?
A) Foundation value B) Focused value C) Free value D) Future value
A patient is very restless and agitated near the end of life, and the physician orders haloperidol (Haldol) by mouth. However, the patient coughs and chokes every time foods or fluids are offered. Which action should the nurse take?
a. Crush the medication, and mix it with applesauce. b. Hold the medication until the patient is more alert and able to swallow. c. Ask the physician for an order to administer the Haldol intramuscularly. d. Dissolve the medication in a small amount of water, and administer it with an oral syringe.