B. It excludes the client's family if the client requests it. - Answers A nurse is evaluating an EBP
project for implementation at the facility. After evaluating the project for compliance to the
Centers for Medicare and Medicaid Services (CMS), the nurse discovers which section is not in
compliance?
A. It addresses the various cultures of the community.
B. It excludes the client's family if the client requests it.
C. It includes information about practice expertise.
D. It has guidelines to improve client outcomes.
D. Develops a high level of emotional competence - Answers The nursing instructor has pointed
out various behaviors of a complexity leader in a graduate nurse class. The instructor
determines the session is successful after the class correctly chooses which necessary trait?
A. Accumulates the facts and then makes a decision
B. Identifies performance markers
C. Encourages adoption of an EBP
D. Develops a high level of emotional competence
D. Consistently ensure all clinicians are using the same evidentiary set of guidelines. - Answers
A nurse has accepted the leadership role at the facility to introduce and implement EBP among
,the staff. Which activity should the nurse prioritize to help the staff embrace and implement
EBP?
A. Maintain an open-door policy so staff can ask questions and confirm data if necessary.
B. Conduct weekly discussion groups for staff to discuss information and voice concerns.
C. Encourage staff to always be thinking of better ways to do procedures.
D. Consistently ensure all clinicians are using the same evidentiary set of guidelines.
An interdisciplinary approach with all members planning and coordinating care as a team -
Answers A nurse, frustrated with the recent changes being implemented to increase EBPs on
the unit, notes there appears to be conflict with what all the healthcare professionals are doing.
To ensure the best client outcome, what should this nurse encourage?
An interdisciplinary approach with all members planning and coordinating care as a team
Instruct the support members as to what they should be doing
Create an EBP team to investigate a better approach to provide client care
Document and report the inconsistencies to the administration
Many long-held assumptions are being challenged with new evidence and proven to not be as
effective. - Answers A new nurse is excited to be starting orientation in the new job, but the
nurse is also a little apprehensive. The older nurse responsible for the orientation said, "Forget
everything they told you in school. We do things this way." At the end of the day, the new nurse
is beginning to question if becoming a nurse was a mistake. What is happening here?
,Many long-held assumptions are being challenged with new evidence and proven to not be as
effective.
The training of the new nurse is more recent and up-to-date.
The new nurse is discovering the difference between studying theory and actual work required.
The new nurse just needs to survive orientation and can do what she wants after she is on her
own.
Offer to contact the other physicians and try to coordinate care. - Answers A nurse discovers a
client is angry and frustrated over the lack of knowing what is wrong and why no one can agree.
The nurse learns the client sees the primary care physician, a cardiologist for atrial fibrillation,
and an urologist for BPH. The client states, "I just want answers and consistent care." Which
action should this nurse prioritize to best assist this client?
Provide the client with a copy of his/her medical records to share with the other physicians and
request permission to get records from the others.
Apologize for the misunderstanding and document the client's concerns for the physician.
Offer to contact the other physicians and try to coordinate care.
Allow the client and the client's spouse to verbalize their frustration and explain that
unfortunately there is nothing that can be done.
Recognize there could be some help from this and research if there is evidence of a particular
substance in the herb that has been found to be helpful. - Answers Refugees from El Salvador
, are reporting to the clinic nurse that they have been using herbs unsuccessfully for an upper
respiratory infection. Which response should this nurse prioritize in this situation?
Recognize there could be some help from this and research if there is evidence of a particular
substance in the herb that has been found to be helpful.
Scold the clients for believing in old wives' tales and remind them where they are.
Explain why this method does not work and probably never did.
Ignore that the client even reported using the herbs.
A)
There is a continual introduction and evaluation of new ideas. - Answers An EBP team has been
working steadily in identifying and implementing various EBPs over the past several years. To
ensure continued success of the program which major category should the leadership prioritize?
A)
There is a continual introduction and evaluation of new ideas.
B)
Each idea is given an educational session.
C)
There is a defined nursing staff structure.