The psychiatric nurse is seeking to apply evidence-based nursing practice. Which sequence best demonstrates an understanding of the process?
A) Identify a problem, link with outcomes, and research available reliable evidence.
B) Identify a problem, develop a protocol or procedure, and get people involved.
C) Open communication channels, review research, and identify a problem for change.
D) Involve others, design a change in practice, and review the research.
A
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While taking a nursing history of a patient recently diagnosed with restrictive cardiomyopathy, which information does the nurse recognize as significant to this health problem?
1. A history of cocaine abuse 2. A family history of cardiomyopathy 3. History of depression 4. History of excessive alcohol use
A 68-year-old woman with acute myelogenous leukemia (AML) asks the nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate?
a. "If you do not want to have chemotherapy, other treatment options include stem cell transplantation." b. "The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy." c. "The decision about treatment is one that you and the doctor need to make rather than asking what I would do." d. "You don't need to make a decision about treatment right now because leukemias in adults tend to progress quite slowly."
To verify the correct placement of an oral endotracheal tube (ET) after insertion, the best initial action by the nurse is to
a. auscultate for the presence of bilateral breath sounds. b. obtain a portable chest x-ray to check tube placement. c. observe the chest for symmetric chest movement with ventilation. d. use an end-tidal CO2 monitor to check for placement in the trachea.
The parent of a 2-month-old infant who just received the first dose of DTaP asks the nurse whether he should expect any reaction to the vaccine. Education from the nurse should include the response that
a. most children do not experience any reaction. b. seizures are common and require anticonvulsant medication. c. the most common reaction is a rash that develops into itchy vesicles. d. mild reactions are common, most frequently a low-grade fever.