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A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)

"We use an automated dispensing device to track the use of controlled substances."

"You are required to have a second nurse witness disposal of a controlled substance."

“If a client refuses a medication, you can place it in your pocket to administer later."

"Activities of the automated dispensing machine will be reviewed periodically."

"We count the amount of a controlled substance available before removal from a medication drawer.”

Answer and Explanation

Correct Answer : A,B,D,E

Explanation:

A. "We use an automated dispensing device to track the use of controlled substances."

This is a valid statement. Automated dispensing devices (ADDs) help track the use of controlled substances by requiring users to log in, record transactions, and provide an audit trail of medication access.

B. "You are required to have a second nurse witness disposal of a controlled substance."

Having a second nurse witness disposal of controlled substances is a common practice to ensure accountability and prevent diversion. This statement aligns with safety protocols.

C. “If a client refuses a medication, you can place it in your pocket to administer later."

This statement is incorrect and potentially dangerous. Controlled substances should never be pocketed or carried around for later administration, as this increases the risk of diversion and compromises medication safety.

D. "Activities of the automated dispensing machine will be reviewed periodically."

Reviewing the activities of the automated dispensing machine is an essential part of medication safety and helps detect any discrepancies or irregularities in medication access and administration.

E. "We count the amount of a controlled substance available before removal from a medication drawer."

Counting the amount of controlled substances before removal from a medication drawer is a standard procedure to ensure accurate inventory management and detect any discrepancies or losses promptly.

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Correct Answer is B

Explanation

Explanation:

A. Expert opinions:

Expert opinions are valuable in clinical practice and decision-making, but they are considered a lower level of evidence compared to systematic reviews and meta-analyses. Expert opinions are often classified as Level V evidence in the hierarchy.

B. Systematic review

A systematic review is a comprehensive and rigorous synthesis of multiple studies on a particular topic, and it often includes a meta-analysis that statistically combines the results of these studies to provide a high level of evidence. This type of evidence is considered Level I because it provides a strong foundation for making clinical decisions due to its methodological rigor and ability to summarize findings from multiple studies.

C. Credible websites:

Credible websites can provide valuable information, but they are not classified as Level I evidence. The evidence hierarchy typically places systematic reviews and meta-analyses at the highest level due to their methodological rigor and synthesis of multiple studies.

D. Qualitative studies:

Qualitative studies are valuable for exploring complex phenomena and understanding individuals' experiences, beliefs, and perspectives. However, they are generally considered lower in the hierarchy of evidence compared to systematic reviews and RCTs, which are categorized as Level I evidence.

A. Spirituality decreases feelings of depression. B. Spirituality increases feelings of hopelessness. C. Spirituality increases the desire to hasten death. D. Spirituality decreases quality of life.

Correct Answer is A

Explanation

Explanation:

A. Spirituality decreases feelings of depression:

This statement is generally accurate. Many studies and anecdotal evidence suggest that spirituality can have a positive impact on mental and emotional well-being, including reducing feelings of depression and providing a sense of peace and comfort.

B. Spirituality increases feelings of hopelessness:

This statement is not typically supported by research or clinical observations. Spirituality often fosters feelings of hope, meaning, and purpose, which can counteract feelings of hopelessness commonly experienced by individuals facing end-of-life challenges.

C. Spirituality increases the desire to hasten death:

There is limited evidence to support this statement. In fact, spirituality often provides individuals with a sense of resilience, acceptance, and coping mechanisms that may reduce the desire to hasten death. However, individual beliefs and experiences can vary widely.

D. Spirituality decreases quality of life:

This statement is generally inaccurate. For many individuals, spirituality enhances quality of life by providing a sense of meaning, connection, and comfort, especially during challenging times such as end-of-life care.

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A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of evidence with a newly licensed nurse. Which of the following examples should the nurse provide when discussing Level I evidence?

Correct Answer is B

Explanation

A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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