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D118 EXAM QJUESTIONS WITH CORRECT ANSWERS

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D118 EXAM QJUESTIONS WITH CORRECT ANSWERS

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D118 EXAM QJUESTIONS WITH |\ |\ |\ |\




CORRECT ANSWERS |\




What is evidenced-based practice and why is it important in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


healthcare? - CORRECT ANSWERS ✔✔Evidence-based practice |\ |\ |\ |\ |\ |\


(EBP) is defined by Duke University Medical Center as "the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


integration of clinical expertise, patient values and the best
|\ |\ |\ |\ |\ |\ |\ |\ |\


research evidence into the decision-making process for patient
|\ |\ |\ |\ |\ |\ |\ |\


care.


DESCRIBE the standard methods for appraising evidence |\ |\ |\ |\ |\ |\ |\


including evidence grading scales. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\


✔✔Randomized control trials (RCTs) and systematic reviews (SRs) |\ |\ |\ |\ |\ |\ |\


are considered the goal standards in the types of evidence
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


hierarchical structure. |\




the Iowa Model of Evidence-Based Practice to Promote Quality
|\ |\ |\ |\ |\ |\ |\ |\ |\


Care - CORRECT ANSWERS ✔✔IOWA Model was developed at the
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University of Iowa Hospitals and Clinics in 1990s to serve as a
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guide for nurses to use research findings to help improve patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


care. The model was developed as a pathway or method to EBP -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


a method to guide the steps to help identify issues, research
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


solutions and implement changes |\ |\ |\




ACE Star Model of Knowledge Transformation - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔The ACE Star Model emphasizes crucial steps to
|\ |\ |\ |\ |\ |\ |\ |\ |\


convert one form of knowledge to the next and incorporate best
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


research evidence with clinical expertise and patient preferences
|\ |\ |\ |\ |\ |\ |\ |\


thereby achieving EBP |\ |\

,the Johns Hopkins Nursing Evidence-Based Practice Model -
|\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔The Johns Hopkins Nursing EBP Model is
|\ |\ |\ |\ |\ |\ |\ |\ |\


a powerful problem-solving approach to clinical decision-making,
|\ |\ |\ |\ |\ |\ |\


and is accompanied by user-friendly tools to guide individual or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


group use. It is designed specifically to meet the needs of the
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practicing nurse. |\




the Stetler Model of Evidence-Based Practice. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔The Stetler model of research use is based on the
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notion that the user's internal characteristics, as well as external
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environmental factors, influence use of knowledge. |\ |\ |\ |\ |\




What are the stages involved in Lewn's change theory and how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


does this apply to evidenced-based practice? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Kurt Lewin developed a change model involving
|\ |\ |\ |\ |\ |\ |\ |\


three steps: unfreezing, changing and refreezing. For Lewin, the
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process of change entails creating the perception that a change
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


is needed, then moving toward the new, desired level of behavior
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


and, finally, solidifying that new behavior as the norm.
|\ |\ |\ |\ |\ |\ |\ |\ |\




Name the domains of wellness and describe each type. -
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CORRECT ANSWERS ✔✔Physical. |\ |\




Emotional.
Intellectual.
Social.
Spiritual.
Environmental.
Occupational.

,FINANCIAL


Explain the reasons why transitions of care increase risks for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


adverse events. - CORRECT ANSWERS ✔✔Transitions increase the
|\ |\ |\ |\ |\ |\ |\


risk of adverse events due to the potential for miscommunication
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


as responsibility is given to new parties. Hospital discharge is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


complex process representing a time of significant vulnerability
|\ |\ |\ |\ |\ |\ |\ |\


for patients
|\




Describe different models of chronic care coordination. -
|\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔Several models of care have been |\ |\ |\ |\ |\ |\ |\ |\


established, including Patient-Centered Medical Homes (PCMHs), |\ |\ |\ |\ |\ |\


self-management programs, house call or home-based primary |\ |\ |\ |\ |\ |\ |\


care programs, and distance chronic disease programs
|\ |\ |\ |\ |\ |\ |\


(telehealth)`


Explain the difference between synchronous and asynchronous
|\ |\ |\ |\ |\ |\ |\


telemedicine and the significance of this type of healthcare |\ |\ |\ |\ |\ |\ |\ |\ |\


delivery in the US. - CORRECT ANSWERS ✔✔Synchronous or real-
|\ |\ |\ |\ |\ |\ |\ |\ |\


time telehealth requires the presence of both parties at the same
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


time and a communication link between them that allows a real-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


time interaction to take place. Videoconferencing equipment is
|\ |\ |\ |\ |\ |\ |\ |\


one of the most common forms of technologies used in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


synchronous telehealth. There are also peripheral devices that |\ |\ |\ |\ |\ |\ |\ |\


can be attached to computers or the videoconferencing
|\ |\ |\ |\ |\ |\ |\ |\


equipment, which can aid in an interactive examination. |\ |\ |\ |\ |\ |\ |\




Asynchronous telehealth involves acquiring medical data (e.g., |\ |\ |\ |\ |\ |\ |\


medical images, biosignals, voice recordings) and then
|\ |\ |\ |\ |\ |\ |\


transmitting these data to a doctor or medical specialist at a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


convenient time for assessment offline. It does not require the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


presence of both parties at the same time. |\ |\ |\ |\ |\ |\ |\

, What are the key components of social determinants of health
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


and why are they significant? - CORRECT ANSWERS ✔✔Social
|\ |\ |\ |\ |\ |\ |\ |\ |\


determinants of health (SDOH) are the conditions in the |\ |\ |\ |\ |\ |\ |\ |\ |\


environments where people are born, live, learn, work, play, |\ |\ |\ |\ |\ |\ |\ |\ |\


worship, and age that affect a wide range of health, functioning,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


and quality-of-life outcomes and risks.
|\ |\ |\ |\




Identify two national initiatives to improve health care quality
|\ |\ |\ |\ |\ |\ |\ |\ |\


and patient care throughout the US - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Better CareImprove quality by making health care more
|\ |\ |\ |\ |\ |\ |\ |\


person-centered, reliable, accessible, and safe. |\ |\ |\ |\




Describe the NNDSS. - CORRECT ANSWERS ✔✔The National
|\ |\ |\ |\ |\ |\ |\ |\


Notifiable Disease Surveillance System (NNDSS) is a nationwide
|\ |\ |\ |\ |\ |\ |\ |\


collaboration that enables all levels of public health (local, state,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


territorial, federal, and international) to share health information
|\ |\ |\ |\ |\ |\ |\ |\


to monitor, control, and prevent the occurrence and spread of
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state-reportable and nationally notifiable |\ |\ |\




What is included in palliative care? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Aligning treatment outcomes with the patient's values and
|\ |\ |\ |\ |\ |\ |\ |\


preferences.
Improving quality of life for both the patient and the family.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




Minimizing pain and discomfort. |\ |\ |\




Alleviating emotional distress, anxiety, or depression.
|\ |\ |\ |\ |\




Assisting with safety, mobility, and equipment.
|\ |\ |\ |\ |\




Spiritual counseling. |\




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