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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Administering a bronchodilator two times a day for a child who has cystic fibrosis is an appropriate intervention, as it helps to improve the child's respiratory function and prevent mucus accumulation.
Choice B reason: Checking the neurovascular status every 4 hr of a child who had a hip spica cast placed 6 hr ago is an appropriate intervention, as it helps to monitor the child's circulation and nerve function and detect any signs of compartment syndrome.
Choice C reason: Maintaining eye shields for a newborn receiving phototherapy for hyperbilirubinemia is an appropriate intervention, as it helps to protect the newborn's eyes from the harmful effects of the light and prevent eye damage.
Choice D reason: Teaching an adolescent who has an exacerbation of ulcerative colitis about a high-protein, low-fiber diet is an incorrect intervention, as it contradicts the dietary recommendations for this condition. A high-protein, low-fiber diet can worsen the inflammation and symptoms of ulcerative colitis. The nurse should teach the adolescent about a low-residue, high-calorie, high-protein diet instead.
Correct Answer is A
Explanation
Choice A reason: A durable power of attorney for health care is a type of advance directive that allows the client to designate a person who can make health care decisions for them if they become incapacitated. This is a valid statement by the client that shows an understanding of the teaching.
Choice B reason: A living will is another type of advance directive that specifies the client's wishes regarding life-sustaining treatments. A family member does not need to co-sign the living will for it to be valid. This is an incorrect statement by the client that shows a misunderstanding of the teaching.
Choice C reason: The doctor does not need to provide approval for the decisions outlined in the living will. The living will is a legal document that expresses the client's preferences and values. The doctor should respect and follow the living will as much as possible. This is an incorrect statement by the client that shows a misunderstanding of the teaching.
Choice D reason: The client should not wait until they have a serious health problem to sign their advance directives. The client should sign their advance directives when they are mentally competent and able to communicate their wishes. This is an incorrect statement by the client that shows a misunderstanding of the teaching.
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