A nurse is teaching a group of newly hired nurses about evidence-based practice. The nurse should include which of the following as the first step in the process?
Evaluate the outcomes
Implement the findings
Formulate a question
Search for evidence
The Correct Answer is C
Choice A reason: Evaluating the outcomes is not the first step in the evidence-based practice process, but the last one. The nurse should evaluate the outcomes after implementing the findings and comparing them with the expected results.
Choice B reason: Implementing the findings is not the first step in the evidence-based practice process, but the fourth one. The nurse should implement the findings after searching for evidence, appraising the quality and relevance of the evidence, and synthesizing the evidence.
Choice C reason: Formulating a question is the first step in the evidence-based practice process, as it helps to define the problem, the population, the intervention, the comparison, and the outcome. The nurse should formulate a question that is clear, specific, and answerable.
Choice D reason: Searching for evidence is not the first step in the evidence-based practice process, but the second one. The nurse should search for evidence after formulating a question, using appropriate sources, keywords, and strategies.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: A client who has bipolar disorder and is exhibiting signs of hallucination is not the highest priority for treatment. The client may have a psychiatric emergency, but their condition is not life-threatening or unstable. The nurse should assess the client's safety and provide emotional support, but they can wait for further intervention.
Choice B reason: A client who has major burns over 75% of their body surface area is a high priority for treatment, but not the highest. The client has a serious injury that can cause shock, infection, and organ failure. The nurse should monitor the client's vital signs, fluid status, and wound care, but they can wait for a short time.
Choice C reason: A client who has two open chest wounds with a left tracheal deviation is a high priority for treatment, but not the highest. The client has a tension pneumothorax, which is a life-threatening condition that causes air to accumulate in the pleural space and compress the lung and the heart. The nurse should seal the wounds with an occlusive dressing and prepare for chest tube insertion, but they can wait for a few minutes.
Choice D reason: A client who has a neck injury and is unable to breathe spontaneously is the highest priority for treatment. The client has a respiratory emergency, which is the most urgent condition that requires immediate intervention. The nurse should establish an airway, provide oxygen, and stabilize the neck, as well as call for help and notify the provider.
Correct Answer is D
Explanation
Choice A reason: The client must understand the risks and benefits of the proposed treatment is not information that the nurse should include in the teaching about implied consent. This is information that the nurse should include in the teaching about informed consent, which is a type of consent that requires the client's written or verbal agreement after receiving adequate information about the treatment.
Choice B reason: The nurse's signature indicates that they witnessed the client's signature is not information that the nurse should include in the teaching about implied consent. This is information that the nurse should include in the teaching about informed consent, which is a type of consent that requires the client's written or verbal agreement after receiving adequate information about the treatment.
Choice C reason: Consent can be verbal or written is not information that the nurse should include in the teaching about implied consent. This is information that the nurse should include in the teaching about informed consent, which is a type of consent that requires the client's written or verbal agreement after receiving adequate information about the treatment.
Choice D reason: Nonverbal behavior indicates agreement is information that the nurse should include in the teaching about implied consent. This is a type of consent that does not require the client's written or verbal agreement, but is based on the client's actions or circumstances. For example, if the client holds out their arm for a blood pressure measurement, they are giving implied consent for the procedure.
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