A public health nurse would like to incorporate evidence-based practice into the clinical practice at the health department. According to Melnyk and Fineout-Overholt et al., the first step in this process is:
a. Integrating the evidence with clinical expertise
b. Cultivating a spirit of inquiry
c. Asking clinical questions
d. Searching for the best evidence
B
According to Melnyk and Fineout-Overholt et al., the first step is step 0: cultivating a spirit of inquiry.
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A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
a. "Don't worry, that is a normal reaction." b. "I'll report the findings immediately to the head nurse." c. "That is a symptom that resulted from your position on the operating table." d. "That is from the carbon dioxide passing from the fallopian tubes into your abdomen."
An 82-year-old client is admitted to the hospital for surgery. During the admission assessment the daughter of the client describes difficulties that she has observed in the client
The daughter tells you that the client used to be a wonderful cook but now cannot even remember for what a blender is used. You consider this finding a A) cognitive change that requires further assessment. B) long-term memory loss. C) short-term memory loss. D) normal cognitive change in the elderly.
List four of the vaccines a 2-year-old child should have received
What will be an ideal response?
The school nurse overhears a conversation among adolescent girls. Which comment would be of most concern related to the nutritional health of these adolescents?
A) "I hate eating with my family. I would much rather snack all day." B) "I had lunch with my boyfriend before his game and all he ate were carbohydrates." C) "I am feeling so fat. I think I need to exercise a few extra hours today." D) "I don't really like it, but I have been drinking lots of skim milk."