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.)

Explanation:

A. Encourage the client to increase participation in community social activities:

While social activities can be beneficial for overall well-being, including mental and emotional aspects, at the end of life for a client with HIV, the focus shifts towards palliative care and symptom management. Encouraging social activities may not directly address the client's immediate end-of-life needs.

B. Prepare the client to begin highly active antiretroviral therapy (HAART):

Starting or continuing highly active antiretroviral therapy (HAART) may not be appropriate at the end of life. HAART is typically used to manage HIV infection and prolong life expectancy by controlling viral replication. However, at the end of life, the focus shifts towards comfort care rather than aggressive treatment aimed at extending life.

C. Provide routine analgesia to minimize episodes of breakthrough pain:

This intervention is more aligned with the principles of end-of-life care. Providing routine analgesia helps manage pain effectively, which is crucial for improving the client's comfort and quality of life during this stage.

D. Promote client weight gain of one to two pounds per week:

Weight gain may not be a priority at the end of life, especially if the client is experiencing advanced HIV disease or complications. Instead of focusing on weight gain, the emphasis should be on optimizing comfort, managing symptoms, and enhancing quality of life.

Explanation:

A. "Reliance on personal experiences is important to the process of EBP."

This statement is not accurate in the context of evidence-based practice (EBP). EBP emphasizes the use of the best available evidence from research, combined with clinical expertise and patient values and preferences. While personal experiences can provide context, they should not be the primary basis for decision-making in EBP.

B. "Identifying the problem is the first step of the EBP process."

This statement is correct. The first step in the EBP process is identifying a clinical problem or question that requires evidence-based intervention or decision-making. This step involves clearly defining the issue and understanding its significance.

C. "Reviewing the effectiveness of the findings is the last step of the EBP process."

This statement is not accurate. While evaluating the effectiveness of the chosen intervention or practice change is an essential component of EBP, it is not necessarily the last step. EBP involves an iterative process where findings are continuously evaluated, integrated into practice, and refined based on ongoing evidence and outcomes.

D. "There are four steps in the process of EBP."

This statement is not entirely accurate. While different models and frameworks may outline EBP in different steps or stages, it typically involves multiple steps that include formulating a clinical question, searching for evidence, critically appraising the evidence, applying the evidence to practice, and evaluating outcomes.