A nursing student asks the registered nurse (RN) preceptor why EBP is important. How should the nurse respond to the student?
a. "EBP makes nursing more professional."
b. "EBP helps ensure we can demand more pay."
c. "EBP helps validate the difference nurses really make."
d. "EBP guides nursing decisions to optimize effective care."
ANS: D
Evidence-based nursing practice is much more than just evaluating research studies to determine what results to apply to nursing practice. Evidence-based nursing practice is a systematic process that utilizes current evidence to make decisions about the care of patients, including evaluation of quality and applicability of existing research, patient preferences, costs, clinical expertise, and clinical settings. A. B. EBP is not used to support professionalism in nursing or as a mechanism to increase nurses' salaries. C. EBP also is not used to validate the importance of nursing care.
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The nurse is caring for a patient who has expressed a desire to commit suicide. Which statement by the nurse is most appropriate?
1. "Your problems will get better. Hurting yourself is not the answer." 2. "Your family and friends will be very upset at you if you hurt yourself." 3. "I am shocked that you would consider hurting yourself. You have so much to live for." 4. "I am here for you. I know you want to hurt yourself, but there are things we can do to help you."
A family has given consent for organ donation for a patient who has been declared brain dead. The family is visiting the room for the first time since giving this consent. Which nursing interventions are indicated?
1. Explain that the mechanical ventilator is helping the patient continue to breathe. 2. Speak to the patient in a normal tone of voice. 3. Explain why the cardiac monitor continues to show a heart rate and ECG tracing. 4. Refer to the patient in terms of being dead. 5. Explain that intravenous lines and medications are being given to protect organ function.
In practical terms regarding genetic health care, nurses should be aware that
a. Genetic disorders equally affect people of all socioeconomic backgrounds, races, and ethnic groups. b. Genetic health care is more concerned with populations than individuals. c. The most important of all nursing functions is providing emotional support to the family during counseling. d. Taking genetic histories is the province of large universities and medical centers.
Which community-dwelling healthy person has the greatest risk for dehydration when exposed to a hot, dry environment for several hours?
A. 50-year-old man B. 50-year-old woman C. 80-year-old man D. 80-year-old woman