A nurse has decided to increase the evidence base of current nursing practice in an agency. Which of the following describes a barrier that could be encountered by the nurse? (Select all that apply.)
a. Colleagues who don't know how to search the literature or critique research
b. Dedication to the history and tradition of the agency
c. Little or no research published in the clinical area of concern
d. Several meta-analyses in the literature with inconsistent results
ANS: A, C
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A patient who has been taking a monoamine oxidase inhibitor (MAOI) for depression for several months tells the provider that the medication has not helped with symptoms. The provider plans to switch the patient to an SSRI
The nurse will teach this patient to: a. start taking the SSRI and stop the MAOI when symptoms improve. b. start taking the SSRI and then gradually withdraw the MAOI. c. stop taking the MAOI and wait 5 weeks before starting the SSRI. d. stop taking the MAOI 2 weeks before starting the SSRI.
The nurse is caring for a patient with hypovolemic shock. The nurse should realize that this patient's heart sounds will change in which way?
1. diminished S2 2. accentuated S2 3. diminished S1 and S2 4. no change in S1 or S2
Fill in the blank with correct word Fill in the blank with correct word
Choose the most therapeutic intervention to the client's statement, "All I feel like doing is screaming as loudly as I can."
A) "Please calm down; everything is going to be better." B) "There is nothing to be so upset about." C) "I wish you could try to be more positive." D) "You look like you are very angry this morning."