The nurse utilized evidence-based practice to plan the care for a patient. One feature of this approach would be:
a. It is purely nursing-focused.
b. Clinical practice is based upon nursing theory.
c. Evaluation is based on patient outcomes.
d. Individual and organizational factors guide the integration of these new practices.
D
The features of evidence-based practice include: it is interdisciplinary; the development of clinical practice is based on the evidence synthesis of the topic; clinical practice guidelines are important in repackaging the evidence for use by the point-of-care clinician; individual provider as well as organizational factors guide the integration and rate of evidence-based practice adoption of new practices; and evaluation includes determining the effectiveness and efficiency of patient outcomes and economy of the services.
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A patient with a history of angina asks the nurse whether it is safe to use pseudoephedrine for allergic rhinitis. Select the nurse's best response
a. "It is safe, provided you follow the instructions on the label." b. "It is safe to use this agent if you are also using nitroglycerin." c. "Rebound congestion is more common when a person with angina takes pseudoephedrine." d. "These agents should not be used by patients with any form of heart disease."
What is the most likely reason that causes a mother to induce symptoms in her 18-month-old toddler to the point that hospitalizations are necessary?
A) The mother is experiencing burnout and has difficulty controlling her anger. B) This is the mother's indirect way of communicating that she does not want the child. C) This is the mother's way of receiving secondary gains of attention and support from the health care team. D) The mother is using excessive discipline for inappropriate behaviors.
A disaster has occurred in the community. Which of the following actions should be taken by the school nurse?
a. Continue activities as much as possible as if nothing had happened b. Continue to assess for shock and stress c. Help teachers discuss the disaster with their class d. Maintain school routines and activities
Emotion-focused coping strategies are designed to accomplish which of the following outcomes?
a. Helping the client manage difficult situations more effectively. b. Helping the client manage the intensity of symptoms. c. Teaching the client the relationship between stress and physical symptoms. d. Relieving the client's physical symptoms.