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A nurse is utilizing evidence-based practice (EBP) when providing care to a patient. Which of the following best describes evidence-based practice?
A nurse is utilizing evidence-based practice (EBP) when providing care to a patient. Which of the following best describes evidence-based practice?
Which of the following is an example of evidence-based nursing practice?
Which of the following is an example of evidence-based nursing practice?
A nurse is providing postoperative care and uses chewing gum to prevent ileus, based on recent research findings. This is an example of:
A nurse is providing postoperative care and uses chewing gum to prevent ileus, based on recent research findings. This is an example of:
Which of the following describes "best practice" in nursing?
Which of the following describes "best practice" in nursing?
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A nurse is evaluating their care decisions. Which of the following factors should they consider when making evidence-based decisions? (Select all that apply)
A nurse is evaluating their care decisions. Which of the following factors should they consider when making evidence-based decisions? (Select all that apply)
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Which of the following statements best describes health equity?
Which of the following statements best describes health equity?
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A nurse is teaching a patient newly diagnosed with hypertension about lifestyle modifications. Which of the following topics should the nurse prioritize?
A nurse is teaching a patient newly diagnosed with hypertension about lifestyle modifications. Which of the following topics should the nurse prioritize?
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In the context of patient education, which teaching method would be most effective for teaching a skill, such as using an inhaler?
In the context of patient education, which teaching method would be most effective for teaching a skill, such as using an inhaler?
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A nurse assesses a patient’s motivation to learn about managing their diabetes. Which factor is most likely to increase the patient’s motivation?
A nurse assesses a patient’s motivation to learn about managing their diabetes. Which factor is most likely to increase the patient’s motivation?
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Which of the following teaching techniques is used to confirm patient understanding of newly taught health information?
Which of the following teaching techniques is used to confirm patient understanding of newly taught health information?
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A nurse is developing a teaching plan for a patient. Which step should the nurse take first?
A nurse is developing a teaching plan for a patient. Which step should the nurse take first?
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Which domain of learning is being targeted when a nurse helps a patient cope with the emotional aspects of a chronic illness?
Which domain of learning is being targeted when a nurse helps a patient cope with the emotional aspects of a chronic illness?
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A nurse is caring for a patient from a non-Western culture who expresses a preference for holistic treatments over biomedical interventions. Which of the following nursing actions best respects the patient's cultural beliefs?
A nurse is caring for a patient from a non-Western culture who expresses a preference for holistic treatments over biomedical interventions. Which of the following nursing actions best respects the patient's cultural beliefs?
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A nurse is preparing to conduct a health assessment with a patient who practices cupping as part of their cultural health practices. Which of the following is the most appropriate nursing action?
A nurse is preparing to conduct a health assessment with a patient who practices cupping as part of their cultural health practices. Which of the following is the most appropriate nursing action?
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A nurse working with a Native American patient notices that the patient avoids direct eye contact. Which of the following interpretations should the nurse make?
A nurse working with a Native American patient notices that the patient avoids direct eye contact. Which of the following interpretations should the nurse make?
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A nurse is educating a Muslim patient who expresses concerns about a new medication because it contains gelatin. The nurse's best response to this concern is to:
A nurse is educating a Muslim patient who expresses concerns about a new medication because it contains gelatin. The nurse's best response to this concern is to:
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A patient with limited English proficiency is being educated about their discharge instructions using an interpreter. Which of the following practices is inappropriate?
A patient with limited English proficiency is being educated about their discharge instructions using an interpreter. Which of the following practices is inappropriate?
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A nurse is working with a patient who is experiencing spiritual distress due to an inability to practice daily rituals in the hospital setting. Which intervention is most appropriate?
A nurse is working with a patient who is experiencing spiritual distress due to an inability to practice daily rituals in the hospital setting. Which intervention is most appropriate?
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A nurse is aware that a patient's religious beliefs prohibit blood transfusions. The patient is scheduled for surgery with potential for significant blood loss. Which nursing action best demonstrates cultural sensitivity?
A nurse is aware that a patient's religious beliefs prohibit blood transfusions. The patient is scheduled for surgery with potential for significant blood loss. Which nursing action best demonstrates cultural sensitivity?
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A patient is experiencing the alarm stage of the general adaptation syndrome (GAS) in response to acute stress. Which physiological changes would the nurse expect to observe in this stage?
A patient is experiencing the alarm stage of the general adaptation syndrome (GAS) in response to acute stress. Which physiological changes would the nurse expect to observe in this stage?
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A nurse is assessing an elderly patient who reports high levels of stress due to the recent loss of a spouse. The nurse understands that stress in older adults may present differently. Which of the following coping mechanisms is most commonly utilized by older adults?
A nurse is assessing an elderly patient who reports high levels of stress due to the recent loss of a spouse. The nurse understands that stress in older adults may present differently. Which of the following coping mechanisms is most commonly utilized by older adults?
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During a patient’s response to chronic stress, which physiological reaction is most likely to occur during the resistance stage of the general adaptation syndrome?
During a patient’s response to chronic stress, which physiological reaction is most likely to occur during the resistance stage of the general adaptation syndrome?
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A patient in an acute care setting shows signs of severe anxiety, including hyperventilation and sweating. What is the nurse's priority intervention?
A patient in an acute care setting shows signs of severe anxiety, including hyperventilation and sweating. What is the nurse's priority intervention?
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A nurse observes that a patient is frequently anxious due to a recent diagnosis of chronic illness. The nurse plans to teach coping strategies. Which strategy would be least effective in helping the patient manage chronic stress?
A nurse observes that a patient is frequently anxious due to a recent diagnosis of chronic illness. The nurse plans to teach coping strategies. Which strategy would be least effective in helping the patient manage chronic stress?
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The nurse is caring for a patient experiencing the exhaustion stage of the general adaptation syndrome (GAS) due to prolonged stress. Which clinical manifestation would the nurse expect?
The nurse is caring for a patient experiencing the exhaustion stage of the general adaptation syndrome (GAS) due to prolonged stress. Which clinical manifestation would the nurse expect?
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A nurse is working with a patient who copes with stress by frequently expressing emotions and seeking social support. This coping mechanism is best described as:
A nurse is working with a patient who copes with stress by frequently expressing emotions and seeking social support. This coping mechanism is best described as:
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A nurse is transferring a patient from the intensive care unit (ICU) to the general medical floor. During the hand-off, which of the following actions best aligns with National Patient Safety Goals to ensure patient safety?
A nurse is transferring a patient from the intensive care unit (ICU) to the general medical floor. During the hand-off, which of the following actions best aligns with National Patient Safety Goals to ensure patient safety?
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A nurse on a medical-surgical floor identifies that a patient is at risk of falls due to impaired mobility. Which of the following micro and macro system strategies best address fall prevention?
A nurse on a medical-surgical floor identifies that a patient is at risk of falls due to impaired mobility. Which of the following micro and macro system strategies best address fall prevention?
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A nurse is aware that healthcare errors are a significant cause of mortality, with communication failures often contributing to adverse events. Which strategy is most effective for reducing communication-related errors in a microsystem?
A nurse is aware that healthcare errors are a significant cause of mortality, with communication failures often contributing to adverse events. Which strategy is most effective for reducing communication-related errors in a microsystem?
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A nurse manager is discussing the importance of National Patient Safety Goals (NPSGs) with the healthcare team. Which of the following statements about NPSGs reflects a misunderstanding?
A nurse manager is discussing the importance of National Patient Safety Goals (NPSGs) with the healthcare team. Which of the following statements about NPSGs reflects a misunderstanding?
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In which of the following situations would the distinction between a healthcare micro and macro system most impact patient care?
In which of the following situations would the distinction between a healthcare micro and macro system most impact patient care?
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A healthcare facility aims to reduce medication administration errors. Which approach demonstrates an effective collaboration between micro and macro systems?
A healthcare facility aims to reduce medication administration errors. Which approach demonstrates an effective collaboration between micro and macro systems?
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A nurse is educating new staff about the role of clinical microsystems in healthcare. Which of the following descriptions best explains a clinical microsystem?
A nurse is educating new staff about the role of clinical microsystems in healthcare. Which of the following descriptions best explains a clinical microsystem?
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A nurse is preparing to teach an older adult patient about new medication management. Which approach best demonstrates individualized, age-appropriate teaching?
A nurse is preparing to teach an older adult patient about new medication management. Which approach best demonstrates individualized, age-appropriate teaching?
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A nurse is caring for an older adult who expresses feeling unattractive and incapable of learning new things. The nurse recognizes this as potentially influenced by stereotypes. Which theory of aging best addresses how these societal perceptions affect the older adult’s self-concept?
A nurse is caring for an older adult who expresses feeling unattractive and incapable of learning new things. The nurse recognizes this as potentially influenced by stereotypes. Which theory of aging best addresses how these societal perceptions affect the older adult’s self-concept?
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A nurse is developing a care plan for an older adult patient with limited mobility and a genetic predisposition for cardiovascular disease. Which concept of genomics is most applicable in the nurse's approach to personalized care for this patient?
A nurse is developing a care plan for an older adult patient with limited mobility and a genetic predisposition for cardiovascular disease. Which concept of genomics is most applicable in the nurse's approach to personalized care for this patient?
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Which of the following statements by a nurse best illustrates a stereotypical view of older adults?
Which of the following statements by a nurse best illustrates a stereotypical view of older adults?
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A nurse is reviewing theories of aging to better understand the physiological changes observed in older adults. Which theory would most likely suggest that aging results from accumulated cellular damage over time?
A nurse is reviewing theories of aging to better understand the physiological changes observed in older adults. Which theory would most likely suggest that aging results from accumulated cellular damage over time?
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When providing health education to an older adult, the nurse notices the patient appears disengaged. Based on the disengagement theory, which nursing intervention would best support the patient?
When providing health education to an older adult, the nurse notices the patient appears disengaged. Based on the disengagement theory, which nursing intervention would best support the patient?
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A nurse is planning care for an older adult patient who recently lost their spouse and has limited family support. Which nursing intervention would best address this patient's risk of social isolation and support the activity theory of aging?
A nurse is planning care for an older adult patient who recently lost their spouse and has limited family support. Which nursing intervention would best address this patient's risk of social isolation and support the activity theory of aging?
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A nurse is working in a community health clinic that serves a predominantly low-income population. Which intervention best addresses a social determinant of health to improve this community’s overall health outcomes?
A nurse is working in a community health clinic that serves a predominantly low-income population. Which intervention best addresses a social determinant of health to improve this community’s overall health outcomes?
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A nurse is assessing an older adult patient who lives in a neighborhood with high crime rates. The patient reports not leaving their home for exercise due to safety concerns. Which nursing intervention best addresses this patient’s social determinant of health?
A nurse is assessing an older adult patient who lives in a neighborhood with high crime rates. The patient reports not leaving their home for exercise due to safety concerns. Which nursing intervention best addresses this patient’s social determinant of health?
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A nurse notices that a patient frequently misses follow-up appointments due to lack of transportation. To address this social determinant of health, what would be the most appropriate nursing action?
A nurse notices that a patient frequently misses follow-up appointments due to lack of transportation. To address this social determinant of health, what would be the most appropriate nursing action?
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A patient with chronic respiratory issues lives in an area with high pollution. Which intervention best demonstrates the nurse’s understanding of the impact of environmental social determinants of health?
A patient with chronic respiratory issues lives in an area with high pollution. Which intervention best demonstrates the nurse’s understanding of the impact of environmental social determinants of health?
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A nurse is planning discharge instructions for a patient with diabetes who has low health literacy and limited financial resources. Which approach would best support this patient’s adherence to their diabetes management plan?
A nurse is planning discharge instructions for a patient with diabetes who has low health literacy and limited financial resources. Which approach would best support this patient’s adherence to their diabetes management plan?
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A nurse is working with a patient from a rural area who has limited access to specialty care providers. What intervention best demonstrates the nurse’s understanding of addressing healthcare access as a social determinant of health?
A nurse is working with a patient from a rural area who has limited access to specialty care providers. What intervention best demonstrates the nurse’s understanding of addressing healthcare access as a social determinant of health?
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During a health assessment, a nurse learns that a patient has difficulty affording medications due to unemployment. Which intervention would best address this social determinant of health?
During a health assessment, a nurse learns that a patient has difficulty affording medications due to unemployment. Which intervention would best address this social determinant of health?
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A nurse is developing a community outreach program to address social determinants of health affecting local families. Which topic would be most beneficial to include for a community facing housing instability?
A nurse is developing a community outreach program to address social determinants of health affecting local families. Which topic would be most beneficial to include for a community facing housing instability?
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Study Notes
Evidence-Based Practice
- Utilizes current, valid research findings to guide nursing practice
- Focuses on providing the best patient outcomes
- Example: Using chewing gum to prevent ileus after surgery based on recent research findings
Best Practice in Nursing
- Utilizes the best available evidence, clinical expertise, and patient preferences to make decisions
- Aims to improve patient outcomes by incorporating optimal strategies
- May utilize guidelines, research, and consensus recommendations
Factors for Evidence-Based Decisions
- Current research findings
- Patient preferences and values
- Nurse's clinical expertise
- Availability of resources
- Ethical considerations
Health Equity
- Everyone has the opportunity to attain their full health potential
- Addresses disparities in health outcomes based on factors like race, ethnicity, socioeconomic status, or geographic location
- Aims to create a just and equitable healthcare system for all individuals
Prioritized Teaching Topics for Hypertension
- Lifestyle modifications, including weight management, diet, and exercise
- Medications and their side effects
- Blood pressure monitoring techniques
- Importance of adherence to treatment
- Risk factors and complications of uncontrolled hypertension
Teaching Method for Skills
- Demonstration-return demonstration: nurse demonstrates the skill (i.e., inhaler use) and then the patient repeats the process
Factors that Increase Patient Motivation
- Perceived benefit of learning: patient understands how the information will be helpful
- Patient-centered approach: nurse considers the patient’s needs and preferences
- Positive and encouraging feedback
- Building rapport and trust with the patient
Teaching Technique to Confirm Understanding
- Teach-back method: patient explains the information in their own words
First Step in Developing a Teaching Plan
- Assess the patient's learning needs and readiness to learn
Domain of Learning for Coping with Chronic Illness
- Affective domain: focuses on feelings, values, attitudes, and emotions
Respecting Cultural Beliefs
- Incorporate patient's preferred practices into the care plan
- Consult a cultural expert for additional guidance
Appropriate Nursing Action for Cultural Health Practices
- Respectfully inquire and learn about the patient's beliefs and practices
- Incorporate these practices into the care plan, if possible, and safe to do so
- Explain the rationale for any necessary interventions
Avoiding Direct Eye Contact
- May reflect cultural respect or humility
Response to Religious Concerns about Medication
- Provide accurate information about the medication and its ingredients
- Offer alternatives if possible
- Respect the patient's beliefs and discuss options with a healthcare provider
Inappropriate Practice with Limited English Proficiency
- Using family members interpreters can be challenging due to potential for misunderstanding and privacy issues, and lack of training
Intervention for Spiritual Distress
- Facilitate access to spiritual resources or provide calming techniques
Demonstrating Cultural Sensitivity for Religious Beliefs
- Respect the patient's wishes and advocate for alternative treatment options
Physiological Changes in the Alarm Stage of GAS
- Increased heart rate and blood pressure
- Rapid breathing
- Pupil dilation
- Increased blood sugar levels
- Release of stress hormones like adrenaline and cortisol
- Activation of the sympathetic nervous system
Coping Mechanisms Used by Older Adults
- Problem-focused coping: aims to change or adapt to the stressful situation
- Social support: seeking assistance from others
- Reframing (positive reappraisal): changing one’s perspective on the stressor
Physiological Reaction in the Resistance Stage
- Body attempts to adapt to the stressor
- Stress hormone levels may normalize
Priority Intervention for Severe Anxiety
- Safety of the patient and others
- Assess for potential triggers and contributing factors
- Encourage calming techniques such as deep breathing exercises
Least Effective Coping Strategy for Chronic Stress
- Denial: ignoring or minimizing the stressor
Clinical Manifestation of Exhaustion Stage
- Fatigue and exhaustion
- Impaired immune function
- Increased susceptibility to illness
- Potential for burnout
Coping Mechanism as Emotion Expression and Social Support
- Emotion-focused coping: aims to regulate emotional responses to the stressor
Action that Aligns with National Patient Safety Goals
- Use a standardized hand-off tool to ensure clear and concise communication of patient information
Micro and Macro System Strategies for Fall Prevention
- Micro-level: bedside fall risk assessments, implementing fall prevention protocols, environmental modifications
- Macro-level: system-wide policies and protocols for fall prevention, implementation of education programs
Reducing Communication-Related Errors
- Structured communication strategies, such as SBAR (Situation, Background, Assessment, Recommendation)
Misunderstanding of NPSGs
- NPSGs apply only to large healthcare systems, rather than individual providers
Distinction Between Micro and Macro System
- Impact on patient care decision-making: micro-level decisions influence immediate care, whereas macro-level decisions influence overall system structure and performance
Collaboration Between Micro and Macro Systems
- Nurse participates in quality improvement initiatives related to medication administration errors
Description of a Clinical Microsystem
- Group of healthcare providers who work together to deliver care to a specific patient population
- Example: diabetes management team
Age-Appropriate Teaching for an Older Adult
- Use teaching strategies that cater to the patient's learning needs and potential age-related changes
- Consider sensory impairments, learning style preferences, and potential cognitive changes
Theory of Aging that Addresses Societal Stereotypes
- Social theory of aging: emphasizes the role of society and social structures in shaping the aging experience
Concept of Genomics for Personalized Care
- Personalized medicine: tailoring care to individual genetic and genomic variations
- Nurse can identify genetic predispositions to cardiovascular disease and provide tailored prevention strategies
Stereotypical View of Older Adults
- Older adults are not capable of learning new things
Theory of Aging that Suggests Accumulated Cellular Damage
- Wear and tear theory
Nursing Intervention Based on Disengagement Theory
- Recognize the patient's desire for decreased social engagement and avoid pressuring social interaction
Nursing Intervention Based on the Activity Theory
- Encourage the patient to engage in social and leisure activities to maintain a sense of purpose and well-being
Intervention for Social Determinants of Health
- Advocate for affordable housing options and connect patients with resources to address housing instability
Intervention for Social Determinant of Health Affecting Exercise
- Collaborate with community leaders to enhance neighborhood safety and promote safe walking routes
Intervention for Transportation Access
- Develop a referral system for patients to access transportation services
Intervention for Environmental Social Determinant of Health
- Educate patients on the impact of air pollution on respiratory health and recommend strategies to minimize exposure
Approach for Patient with Low Health Literacy
- Use clear and concise language
- Provide written instructions in plain language
- Utilize teach-back method to ensure understanding
- Incorporate visual aids
Intervention for Access to Specialty Care
- Advocate for telemedicine options to connect with specialists
- Assist patients with transportation or community resources
Intervention for Affordability of Medications
- Connect the patient with financial assistance programs
- Explore generic medications or alternative therapies
Community Outreach Program Topic
- Housing instability, resources for housing assistance, and strategies for preventing homelessness
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Description
This quiz explores the concept of evidence-based practice (EBP) in nursing. It focuses on the principles, application, and importance of utilizing research and clinical expertise to enhance patient care. Test your understanding of EBP and how it influences nursing decisions.
