How should a nurse best understand the concept of clinical expertise?
A) Clinical expertise is even more valuable than research evidence.
B) Clinical expertise is enhanced by holistically knowing patients as individuals.
C) Clinical expertise is demonstrated by the formalized knowledge of nursing practice.
D) Clinical expertise is central to good nursing practice, superseded only by the importance of published articles.
B
You might also like to view...
Leda is a 38-year-old woman who began to experience weight gain, mood swings, and weakness. When her periods became irregular, she went to her physician
Leda's physician heard the symptoms Leda was concerned about and then ordered a 24-hour free cortisol urine test and an overnight dexamethasone suppression test and measured her serum ACTH levels. The results indicated that Leda had Cushing disease, a condition caused by the hypersecretion of ACTH by the anterior pituitary and resulting in elevated cortisol levels. To confirm the diagnosis, Leda's physician ordered a cranial MRI to identify the presence of a pituitary tumor. The dexamethasone test involves the administration of a synthetic glucocorticoid (i.e., cortisol). Knowing what you do about negative feedback mechanisms, how might this test be used to assess pituitary function? Describe how the steroid hormones, like cortisol, are metabolized in the body. What are the advantages of using a 24-hour urine test to measure this hormone? Protein-based and steroid-based hormones trigger cellular responses in different ways. What are the differences between the mechanism of action of ACTH and cortisol on target cells?
An older client is experiencing acute liver failure. Which laboratory findings are most closely related to this condition? Select all that apply.
1. Elevated INR 2. Decreased hematocrit and hemoglobin 3. Elevated serum ferritin 4. Decreased platelet count 5. Elevated white blood cell count
The pregnant client plans to breast-feed her baby. She asks the nurse about the use of herbal products during breast-feeding. Which response by the nurse is the most appropriate?
1. "That should be fine as long as at least 12 hours pass between the time you use the product and when you breast-feed." 2. "Most drugs can be transferred to the infant during breast-feeding, so this is not recommended." 3. "Herbal products are considered natural, so it should be fine to use them during breast-feeding." 4. "Be sure to check the label to see whether the herbal product can be used during breast-feeding."
On the second appointment at the crisis clinic, the client tells the nurse, "I worry hour after hour about my problem
I can't get away from it. I feel as though I'm going crazy." A helpful technique the nurse can recommend to the client to limit worry is to: 1. Not think about the worrisome topic or situation at any time 2. Talk about the worry with family and friends whenever it crops up 3. Reserve an hour a day for worrying and devote the entire time to worry 4. Call the crisis hot line whenever the worrisome thoughts intrude