A nurse plans evidence-based care for a client on a medical-surgical unit. Which elements should the nurse assess when developing this plan of care? (Select all that apply.)
a. Client values
b. Nurse's experiences
c. Organizational budget
d. Staffing ratios
e. Best available evidence
ANS: A, B, E
Evidence-based practice incorporates best current evidence with the expertise of the clinician and the client's values.
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Using Hagerty and Patusky's theory of human relatedness (2003), the nurse-patient relationship has been reconceptualized by approaching
a. each patient contact as one step in a lengthy relationship-building process. b. patients with a sense of the patient's autonomy, choice, and participation. c. the relationship as one in which the nurse has the power. d. the nurse-patient contact as an opportunity to streamline caregiving.
A patient with cerebral infarction is experiencing an acceleration of symptoms. The nurse realizes that the death of the cerebral tissue is to due to which of the following?
1. increased concentration of potassium in the brain cells 2. reduced concentration of sodium, chloride, and calcium in the brain cells 3. increased concentration of sodium, chloride, and calcium in the brain cells 4. reduced ability of the macrophages to reach the site of injury
Which of the following would suggest spinal stenosis as a cause of this pain?
Mr. Edwards complains of cramps and difficulties with walking. The cramps occur in his calves consistently after walking about 100 yards. After a period of rest, he can start to walk again, but after 100 yards these same symptoms recur. A) Coldness and pallor of the legs B) Relief of the pain with bending at the waist C) Color changes of the skin D) Swelling with tenderness of the skin
A patient in the process of being involuntarily committed demands to be evaluated by his own private psychiatrist. To preserve the patient's rights, the treatment team must:
a. stop the commitment process. b. notify the unit psychiatrist immediately. c. provide access to the private psychiatrist. d. determine why the patient is resisting staff care.