Of the steps to implementation, research is not complete until which of the following steps is ac-complished?
a. Synthesizing relevant research
b. Determining the sufficiency of the sample
c. Instituting the change
d. Monitoring the outcome
ANS: D
Monitoring the outcome is the final step in determining whether to continue with the new prac-tice. The other options are a step to implementation but is not the final step.
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The school health nurse recognizes that children who display certain characteristics are at risk for poor school performance. Which would be most likely to cause poor school performance?
1. Decreased ability to perform visual tracking 2. Increased auditory stimulation 3. Increase muscle tone 4. Multiple dental caries
To distinguish a physiologic split S2 heart sound, it is best to listen with the stethoscope at:
A. Left fifth intercostal space midclavicular line B. Fourth intercostal space left sternal border with patient holding his or her breath C. Second intercostal space left sternal border with inspiration D. Fourth intercostal space right sternal border with expiration
A client shares that, "I can't stand his controlling ways. I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time." What therapeutic communication technique is the nursing using when responding, "Are you saying that things would be better if you left your husband?"
A. Focusing B. Restating C. Reflection D. Clarification
The nurse is assessing an older adult client whose health problems include receding gums. The nurse notes gum ischemia and worn tooth surfaces. Which question would be most important for the nurse to ask?
A) Have you lost any teeth recently?
B) How would you describe your typical diet?
C) Has your dentist screened you for oral cancer recently?
D) Are you able to taste the food you eat?