The nurse is updating a patient care policy based on current literature. Which action by the nurse ensures that the best available evidence is being used to update the policy?

Searching online for similar policies from other local hospitals.

Using Google Scholar, CINAHL, or PubMed to locate appropriate journal articles.

Collecting an opinion poll from the individuals who will be impacted by the policy.

Using Wikipedia since multiple experts can contribute and fact-check information.

Answer and Explanation

The Correct Answer is B

A. Searching for similar policies online may provide information, but it does not ensure that the best available evidence is being used.

B. Using databases like Google Scholar, CINAHL, or PubMed ensures access to peer-reviewed, high-quality research articles, which is essential for evidence-based practice.

C. Collecting an opinion poll does not provide the best available evidence or focus on current research literature for policy updates.

D. Wikipedia is not a reliable or scholarly source for evidence-based practice.

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Correct Answer is ["B","D","E"]

Explanation

A. It is important to assess the patient’s and family’s desire for information rather than assuming they want all details.

B. Understanding what the client and family already know helps to provide information appropriately and fill gaps.

C. Breaking bad news should be done by a healthcare professional directly involved in the care, not delegated to a minister.

D. Controlling the environment ensures privacy and comfort during the conversation.

E. Planning what is to be said ensures that the information is communicated clearly and compassionately.

A. Imagery is a process of using pictures to remember past events with positive regard. B. Imagery is most successful if visualizations are ambiguous and constrained. C. Imagery only works if individuals truly believe that all things work out for the best. D. Imagery works because the brain does not discriminate between thoughts and actions.

Correct Answer is D

Explanation

A. Imagery is a process of using pictures to remember past events with positive regard.
This statement is incorrect because imagery in the context of communication is not about remembering past events but about using mental visualization to prepare for future interactions.

B. Imagery is most successful if visualizations are ambiguous and constrained.
Effective imagery relies on clear and specific visualizations rather than ambiguous or constrained ones. Success comes from vivid, detailed mental rehearsals.

C. Imagery only works if individuals truly believe that all things work out for the best.
Belief in a positive outcome is helpful but not the sole factor for successful imagery. The effectiveness of imagery depends on mental practices and techniques rather than just optimism.

D. Imagery works because the brain does not discriminate between thoughts and actions.
This statement is correct. Imagery leverages the brain’s ability to treat imagined scenarios as real experiences, which helps build confidence and prepare for actual events.

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The nurse is updating a patient care policy based on current literature. Which action by the nurse ensures that the best available evidence is being used to update the policy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following steps should the nurse take before breaking bad news to a patient and/or their family? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse attends an education session on effective communication. Which statement, if made by the nurse, indicates an understanding of how imagery may be used to build confidence when communicating with patients and colleagues?

Correct Answer is D

Explanation

Which nurse is being fully present with the patient to provide spiritual care?

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