NURS 1220 EXAM 3 STUDY GUIDE
PICO + T acronym - Answers :*P* - population of interest
*I* - intervention
*C* - comparison
*O* - outcome
*T* - Time for things to be done
Qualitative - Answers :Quality of something being provided for care, subjective, why is
this happening, meaning of the process.
Quantitative - Answers :Seen more in numbers, objective, what is occurring and the
relationship of the statistics.
Barriers to finding evidence: - Answers :Lack of time, value of the research, difficulty
accessing the research, lack of computer skills, difficulty with understanding what was
researched.
Teaching strategies: - Answers :Different age groups will need to be taught differently.
Some may require adjustments based on cognitive skills, comprehension, may need a
family member to aid in teaching, visual, demonstration, consideration for hearing and
vision losses.
Abbreviation use - Answers :Avoid using abbreviations with patient to eliminate
confusion. Teach things in layman's terms. Abbreviations can leave room for
misunderstanding or mistakes to be made.
6 Steps of EBP Process - Answers :1)Ask "Burning" question. (who, what, when, why,
how)
2)Acquire evidence to answer the questions
3)Critically appraise and synthesize relevance
4)Make Recommendations to apply
5)Implement accepted recommendations to pt. care
6)Evaluate the outcomes
Information provided before and after surgery - Answers :Explain what they are to
expect prior to the surgery. How long they will be there, who will be there, what to
expect afterwards, what are the side effects of the procedure and medications, what
s/s's to be aware of.
When they should come back for follow-up if necessary. Instructions prior may be NPO,
bathing, medications, what kind of diet they will need to follow afterwards, how to keep
their pain under control. Explain that there will be a certain amt. of discomfort and help
them to be aware of what to expect and what is considered to be abnormal.
, What to consider with the population you are educating: - Answers :Culture, age group,
education and level of understanding, what things will be available to them such as
treatments, and what is their religious practices.
Consent Form - Answers :document signed by the patient or legal guardian giving
permission for medical or surgical care. Procedure is explained to pt by the physician
and a nurse will witness the signature and place it in with their chart. The pt. will be
informed of the risks involved, if there are any alternative options available, What are
the risks with the anesthesia, If someone comes in needing an emergency procedure, a
phone call to someone will be considered appropriate.
What to consider when you assess for Pain: - Answers :Describe the pain, rate the pain,
how often does this pain occur and how long it lasts. What level of pain is acceptable?
What to consider with Nausea and Vomiting: - Answers :Give soda and crackers unless
they are on orders for NPO. Orange scented patch, Zophran or Phenergren. Consider
the positioning of the pt. to avoid aspiration. Oxygen can be beneficial.
What to consider for a patient with constipation: - Answers :Limit narcotic meds when
possible, Ambulate your patient and keep them well hydrated. When allowed, give pt. a
diet of fiber and can give them stool softeners.
Behaviors that can hurt collaboration - Answers :Someone who is stuck in the old ways,
unwilling to change. Communication barriers, delegation to those who should not have
been. Lack of respect, not using good communication skills such as listening. Not
getting further knowledge or doing research prior giving instructions to your patient or
others.
Importance of including the patient/family in the plan of care: - Answers :Work together
with the patient, physicians, family, and community to have the best outcome attained.
When one team member is left out, there can be errors, or lack of cooperation.
Nurse-Patient Collaboration - Answers :Collaboration on plan of care, Collaboration
from time of assessment to discharge plans, Home care models, Community
partnerships, Community based participatory research.
Nurse-Nurse Collaboration - Answers :Quality improvement project, Mentoring
programs, Dedicated information exchange; memos, e-mail, meetings, shared
governance, patient care handoff, student-nurse collaborative learning.
Interorganizational - Answers :Rapid response teams, Ethics committees, Specialty
care teams, patient rounding, team meetings for information exchange, Quality
improvement committee to discuss near-miss or sentinel events, patient care handoff,
Disaster preparedness teams, Interprofessional education, and Interprofessional
practice.
PICO + T acronym - Answers :*P* - population of interest
*I* - intervention
*C* - comparison
*O* - outcome
*T* - Time for things to be done
Qualitative - Answers :Quality of something being provided for care, subjective, why is
this happening, meaning of the process.
Quantitative - Answers :Seen more in numbers, objective, what is occurring and the
relationship of the statistics.
Barriers to finding evidence: - Answers :Lack of time, value of the research, difficulty
accessing the research, lack of computer skills, difficulty with understanding what was
researched.
Teaching strategies: - Answers :Different age groups will need to be taught differently.
Some may require adjustments based on cognitive skills, comprehension, may need a
family member to aid in teaching, visual, demonstration, consideration for hearing and
vision losses.
Abbreviation use - Answers :Avoid using abbreviations with patient to eliminate
confusion. Teach things in layman's terms. Abbreviations can leave room for
misunderstanding or mistakes to be made.
6 Steps of EBP Process - Answers :1)Ask "Burning" question. (who, what, when, why,
how)
2)Acquire evidence to answer the questions
3)Critically appraise and synthesize relevance
4)Make Recommendations to apply
5)Implement accepted recommendations to pt. care
6)Evaluate the outcomes
Information provided before and after surgery - Answers :Explain what they are to
expect prior to the surgery. How long they will be there, who will be there, what to
expect afterwards, what are the side effects of the procedure and medications, what
s/s's to be aware of.
When they should come back for follow-up if necessary. Instructions prior may be NPO,
bathing, medications, what kind of diet they will need to follow afterwards, how to keep
their pain under control. Explain that there will be a certain amt. of discomfort and help
them to be aware of what to expect and what is considered to be abnormal.
, What to consider with the population you are educating: - Answers :Culture, age group,
education and level of understanding, what things will be available to them such as
treatments, and what is their religious practices.
Consent Form - Answers :document signed by the patient or legal guardian giving
permission for medical or surgical care. Procedure is explained to pt by the physician
and a nurse will witness the signature and place it in with their chart. The pt. will be
informed of the risks involved, if there are any alternative options available, What are
the risks with the anesthesia, If someone comes in needing an emergency procedure, a
phone call to someone will be considered appropriate.
What to consider when you assess for Pain: - Answers :Describe the pain, rate the pain,
how often does this pain occur and how long it lasts. What level of pain is acceptable?
What to consider with Nausea and Vomiting: - Answers :Give soda and crackers unless
they are on orders for NPO. Orange scented patch, Zophran or Phenergren. Consider
the positioning of the pt. to avoid aspiration. Oxygen can be beneficial.
What to consider for a patient with constipation: - Answers :Limit narcotic meds when
possible, Ambulate your patient and keep them well hydrated. When allowed, give pt. a
diet of fiber and can give them stool softeners.
Behaviors that can hurt collaboration - Answers :Someone who is stuck in the old ways,
unwilling to change. Communication barriers, delegation to those who should not have
been. Lack of respect, not using good communication skills such as listening. Not
getting further knowledge or doing research prior giving instructions to your patient or
others.
Importance of including the patient/family in the plan of care: - Answers :Work together
with the patient, physicians, family, and community to have the best outcome attained.
When one team member is left out, there can be errors, or lack of cooperation.
Nurse-Patient Collaboration - Answers :Collaboration on plan of care, Collaboration
from time of assessment to discharge plans, Home care models, Community
partnerships, Community based participatory research.
Nurse-Nurse Collaboration - Answers :Quality improvement project, Mentoring
programs, Dedicated information exchange; memos, e-mail, meetings, shared
governance, patient care handoff, student-nurse collaborative learning.
Interorganizational - Answers :Rapid response teams, Ethics committees, Specialty
care teams, patient rounding, team meetings for information exchange, Quality
improvement committee to discuss near-miss or sentinel events, patient care handoff,
Disaster preparedness teams, Interprofessional education, and Interprofessional
practice.
