A nurse wants to use evidence-based practice (EBP) to develop a program aimed at preventing social isolation in older adults. The first step the nurse should take is to
A. Do an assessment.
B. Develop a community diagnosis.
C. Consult the literature to create a rationale for intervention.
D. Begin community organizing.
ANS: C
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A nurse who provides care on a busy medical unit is aware that his own beliefs do not always coincide with the beliefs of patients from some cultural backgrounds. What aspects of patient care may be most influenced by diverse cultural perspectives?
A) Pharmacokinetics and pharmacodynamics B) Monitoring fluid balance C) Monitoring food intake D) Obtaining informed consent
A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?
a. Schedule a polysomnography (PSG) study. b. Arrange for the patient to have a sleep study. c. Ask the patient to keep a 2-week sleep diary. d. Teach the patient about the use of an actigraph.
The nurse is providing discharge teaching to a woman who has delivered her first child two days ago. The nurse understands that additional information is needed if the client makes which statement? (Select all that apply.)
A. "I should expect a lighter flow next week." B. "The flow will increase if I am too active." C. "My bleeding will remain red for about a month." D. "I will be able to use a pantiliner by tomorrow."
The nurse is teaching a family member of an obese patient how to administer a subcutaneous U-100 insulin injection to the patient. Which instruction should be included in the teaching plan?
a. Carefully massage the site after the injection to aid absorption. b. Draw the medication into a tuberculin syringe with a 27-gauge needle. c. Insert the needle quickly and firmly at a 90-degree angle. d. Rotate injection sites between the abdomen, thighs, and upper arms.