A nursing manager wants the unit staff to use evidence-based practice (EBP). To decrease barriers to using EBP, what actions by the manager are best? (Select all that apply.)
a. Build time for EBP activities into workloads.
b. Create policies mandating the use of EBP.
c. Develop a relationship with a medical librarian.
d. Engage administration with the EBP process.
e. Provide access to health care databases.
A, C, D, E
Common barriers to using EBP include lack of time, lack of resources, and lack of institutional support. The manager can address these by adding time into workloads for EBP activities, developing a relationship with a medical librarian who can help the staff, engaging administration in the process, and allowing nurses to access health care databases at work. Mandating the use of EBP will not decrease these barriers.
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During a health assessment the patient asks the nurse, "Why do you need all this health information and who is going to see it?" What is the nurse's best response?
A) Please do not worry. It is safe and will be used only to help us with your care. It allows access to a wide variety of people who need to know your health information. B) It is good you asked and you have a right to know; your information helps us to provide you with the best possible care, and your records are in a secure place. C) Your health information is placed on Web sites to provide easy access to anyone wishing to see your medical records, which is a great way to offer other people your information. D) Health information becomes the property of the hospital and we will make sure that no one sees it. Then, in 2 years, we destroy all records and the process starts over.
Adolescents who live away from home, are married, or are in military service may be exempt from the need for parental consent for health care and are considered ____________________
Fill in the blank(s) with correct word
What question should you be sure to ask before administering a dose of tamsulosin (Flomax) to a patient?
a. "Do you have a history of high blood pressure?" b. "Have you ever had a problem with liver disease?" c. "Are you allergic to any of the sulfa drugs?" d. "How often are you sexually active?"
A nurse is working with a patient who has been diagnosed with a somatoform disorder. The patient asks, "My last tests didn't show anything. When will I have more diagnostic testing?" Which nursing response would be most therapeutic?
a. "You are resisting the idea that you do not have a physical illness.". b. "No more tests will be ordered. Your health maintenance organization (HMO) won't pay for repeating any tests.". c. "We think you need a rest from all the testing. We'll consider more tests at a later time.". d. "Since the tests were all negative, we will focus next on evaluating the role of stress in your life.".