ALTERED HEALTH STATES 10TH EDITION BY
TOMMIE L NORRIS , RUPA LALCHANDANI TES
J
BANK ALL CHAPTERS COVERED
, Chapter 01: Concepts of Health and Disease
Question 1 1 ou of 1 points
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The neuroscience nursing unit has developed a set of step-by-step directions of what should occur if a
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nursing assessment reveals the client may be exhibiting clinical manifestations of a cerebrovascular
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accident (CVA). Which statement about clinical practice guidelines are accurate? Select all that apply.
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Selected C.
Answers: When developing a CVA set of step-by-step directions, the nursing unit should ask for
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assistance from experts in the neuroscience field. The potential users of the guidelines should pilot test
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it for further feedback.
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D.
A meta-analysis could be utilized to combine evidence from different studies to produce a more
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accurate diagnostic method. J J
E.
The development of evidence-based practice guidelines require a research review from different
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studies to develop the most accurate diagnostic method to implement.
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Response Rationale: Clinical practice guidelines are systematically J J J J J
Feedback: developed and intended to inform practitioners in making decisions about health care for
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CVA clients. They should be developed using research and review by experts in the clinical content.
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Potential users should also participate and provide feedback prior to implementation. The purpose of
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the guidelines is to review EBP articles and develop new practice guidelines rather that continuing
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practicing primarily on "how it has always been done before." Once developed, the guidelines must be
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continually reviewed and changed to keep pace with new research findings. A meta-analysis could be
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utilized to combine evidence from different studies to produce a more accurate diagnostic method or
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the effects of an intervention method.
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,Question 2 J 1 out of 1 points
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Question 2 J
The nurse is questioning the validity of oxygen saturation readings from the new oximeters on the unit.
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Which action should the nurse take to best determine if the results from the oximeter are valid?
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Selected D.
Answer: Compare clients' results to measurements taken using arterial blood gas analyses.
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Response Rationale: Validity refers to the extent to which a
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Feedback: measurement tool measures what it is intended to measure. J J J J J J J J
The best way to confirm validity is to compare the measurement against those from another test that
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measures the same data. Oxygen saturation levels and PaO 2 are both
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reported on arterial blood gas (ABG) results. The results from any client who had an ABG done
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concurrent with an oxygen saturation measurement with the new oximeter could be compared for
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discrepancy. Repeating the test with the same device would provide information about reliability.
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Reviewing the literature may provide the nurse with the company's interpretation of the validity of the
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oximeter brand, but this does not guarantee perfect functioning of the unit in question. If the results are
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inaccurate, comparing these inaccurate results to one another will not help determine validity of the
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measurement.
, Question 3 J
Anurse researcher is interested in the natural history of a disease being studied. What should the nurse
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focus on to best understand the condition's natural history?
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Selected J A.
Answer: Focusing on clients who did not receive treatment for the J J J J J J J J J J
condition
Response J Rationale: The natural history of a disease refers to the J J J J J J J J J J
Feedback: progression and projected outcome of the disease without J J J J J J J J
medical intervention. For this reason, following clients who have
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had any level of treatment will be less valuable at establishing
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natural history than focusing on only those who have had no
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treatment. Client experience with the condition will not inform J J J J J J J J J
how the disease progresses from a pathogenesis perspective.
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Question 4
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1 out of 1 points
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A nurse practitioner is working in a crowded neighborhood where the
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population is primarily immigrants from China. The nurse has designed a J J J J J J J J J J J
research study to follow children from kindergarten to the age of 25. She is
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going to be looking at their diet, successful progression in school, health
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practices, and development of disease, to name a few items. This type of
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research is known as: J J J
Selected Answer: J
B. Cohort study J
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Response J Rationale: In this cohort study, a group of people who were born at J J J J J J J J J J J J J
Feedback: approximately the same time or share some characteristics of J J J J J J J J J
interest is the focus of the research. This study does not possess
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the characteristics of a case–control or cross-sectional study.
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Epidemiologic study is not an existing methodology. J J J J J J
Question 5 J
1 out of 1 points
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The clinical educator of a hospital medical unit has the mandate of establishing
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evidence-based practice guidelines for the nursing care on the unit. Which J J J J J J J J J J J
statement most accurately captures a guiding principle of the nurse's task?
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Selected J A.
Answer: The guidelines will combine individual expertise with external
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systematic evidence. J