A nurse implements the Institute of Medicine's definition of quality health care when providing care. Which of the following describes this care?
a. Licensed—all health care workers must have a license
b. Safe—avoiding injuries to patients from the care intended to help them
c. Timely—no waiting or delay for health care
d. Innovative—new innovations must be used when they become available
ANS: B
The Institute of Medicine states that quality health care is safe—avoiding injuries to patients from the care that is intended to help them. The other parts of this definition are effective, time-ly, client centered, equitable, and efficient.
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When instructing the nursing mother, the nurse explains that engorgement is most likely to occur when the:
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A patient with chronic respiratory disease tells the nurse that he has been using aromatherapy for the past 6 months. The best response from the nurse is:
1. "The aromatherapy can react with your inhalers. Please stop." 2. "What do you believe this will accomplish for you?" 3. "There is no research that supports the effects of aromatherapy." 4. "Do not swallow the oils, and keep them away from your eyes."
Which of the following statements made by a nurse reflects a need for further instruction re-garding communicating with the older adult client?
1. "Children and the elderly have the same communication barriers." 2. "If I tell him why he needs to know something, he'll usually listen." 3. "Hearing deficits can certainly make communication a challenge." 4. "I always try to have family around when I talk with an elderly client."
Which of the following learning outcomes should be prioritized in the early stages of a hospital's evidence-based practice (EBP) educational initiative?
A) "Participants will formulate PICOT questions relevant to their clinical context." B) "Participants will generate clinical practice guidelines (CPGs) that are evidence based." C) "Participants will perform critical appraisal of evidence sources." D) "Participants will correlate evidence with the policies and protocols of the unit."