When the patient asks the nurse to make sure no one sees her with her dentures out, the nurse recognizes the common preoperative fear of:
a. anesthesia.
b. loss of control.
c. fear of separation from family.
d. mutilation.
ANS: B
Fear of loss of control may be partially related to concerns about anesthesia, but this patient's concern is about self-image. Preoperative anxiety from any cause may affect the amount of anesthesia and postoperative analgesia needed.
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In assessing a family, the community nurse uses a family assessment tool, which provides an organized framework to collect data concerning which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Access to laundry and grocery facilities 2. Access to health care 3. Sharing of religious beliefs and values 4. Acculturation to traditional lifestyles 5. Ability to include a new spouse into the family unit
The nurse educator is reviewing concerns about the use of research for evidence-based practice. What particular concerns should the nurse highlight when discussing the use of research with the students?
1. When evidence-based practice is done appropriately, the process often becomes cost-prohibitive. 2. The research environment results in strictly constructed and controlled circumstances. 3. There is a "best" solution or practice for any specific research question. 4. Evidence-based practice is most applicable to physiological problems. 5. Research evidence can be flawed when applied to various cultures and ethnic groups.
Which of the following statements about evidence-based practice has been identified by multiple reports over the past decade, such as To Err Is Human: Building a Safer Health System (2000),
rossing the Quality Chasm: A New Health System for the 21st Century (2001), and Priority Areas for National Action: Transforming Health Care Quality (2003)? A) We must continue to cling to "the way we've always done it." B) We have spent billions of dollars each year researching new treatments and have translated that knowledge into clinical practice. C) We are not translating the knowledge that we are gaining into clinical practice. D) We have continued to spend more than a trillion dollars a year providing care and do translate that capacity into improved clinical practice.
A client was admitted with the diagnosis of a brain attack. Their symptoms began 24 hours before being admitted. Why would this client not be a candidate for for thrombolytic therapy?
What will be an ideal response?