The nurse demonstrates a commitment to the health, safety, and welfare of people by providing evidence-based practice. What does the term "evidence-based practice" mean?
A) Care that integrates research and clinical expertise with the client's characteristics, culture, and preferences
B) Care that bases decision making on established clinical protocols
C) Care based on prior outcomes from the nurse's practice
D) Care based on outcomes and research conducted by the practitioner
Ans: A
Feedback:
EBP is the integration of research with clinical expertise in the context of the client's characteristics, culture, and preferences. EBP also includes a weighing of benefits against the risks and costs of treatment.
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Parents ask the nurse why an over-the-counter cough suppressant with sedative side effects is not recommended for infants. Which response by the nurse is correct?
a. "Babies have a more rapid gastric empty-ing time and don't absorb drugs well." b. "Cough medicine tastes bad, and infants usually won't take it." c. "Infants are more susceptible to central nervous system effects than are adults." d. "Infants metabolize drugs too rapidly, so drugs aren't as effective."
Healthcare organization X is committed to improving patient outcomes and, as part of the QI process, examines its executive structure and organizational design. This approach recognizes:
a. The importance of decentralized structure in QA. b. That structure influences nurse burnout and participation in quality improvement initiatives. c. The need to ensure sufficient supervisory staff to respond in a corrective manner when mistakes occur. d. That a narrow hierarchy ensures accountability for errors and outcomes.
When a manager pays attention to group dynamics and fosters cooperation to increase productivity, the approach is based on:
1. Classical management 2. Scientific management 3. Expectancy theory 4. Reinforcement theory
The nurse is providing patient education for a postmenopausal patient who is considering estrogen/progestin replacement therapy (EPT). Which risks associated with EPT should the nurse discuss with the patient? (Select all that apply.)
a. Decreased colon cancer b. Stroke c. Deep vein thrombosis d. Ovarian cancer e. Decreased bone density