Which clinical question reflects the PICOT format?
1. Do children who must have suture repair of lacerations do better when placed on a papoose board or when held by a parent?
2. How do 24-hours of postoperative inpatient care compared with 12 hours of postoperative outpatient care affect development of deep vein thrombosis in the first seven days after hysterectomy?
3. What is the mean heart rate decrease in patients treated with guided imagery rather than being treated with medication for anxiety?
4. In patients who sustain traumatic head injuries, is it better to keep them immobilized in a head vise until they have returned from radiology or is it better to remove the head vise as soon as the x-rays have been read?
2
Rationale 1: This question lacks a time element and the word "better" is not measurable.
Rationale 2: T = first seven days post-op.
Rationale 3: This statement lacks a time.
Rationale 4: "Better" is not measurable.
Global Rationale:
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A nurse is providing education to prevent health problems in children. Which of the following levels of prevention is being used?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Assessment
After being presented with the potential benefits of ECT, a client has replied, "I've seen enough movies to know there's no way I'm going to have any shock therapy." What is the most therapeutic response to this client's concerns?
A) "Ultimately it will be up to your psychiatrist to decide whether you will have the treatment or not." B) "Don't believe what you see in movies. ECT is safe and effective and you're asleep the whole time." C) "I know it looks violent, but you need to weigh the potential costs and benefits carefully before you make a decision." D) "You won't have to go through it alone. Doctors and nurses will be present the whole time to reassure and protect you during ECT."
An older client asks why their height has decreased by 1/4 of inch over past two years. Which response should the nurse provide?
A. "Stand up straighter this time and we will measure again." B. "Your height decreases with age due to musculoskeletal changes." C. "Your bones are weaker and are shrinking." D. "Maybe you are mistaken about your actual height."
The CNS is more likely than the NP to be involved with:
a. Diagnosing health problems b. Managing chronic disease c. Limiting disability d. Conducting community assessments