Nokea
A nurse is concerned that the policy of using povidone-iodine (Betadine) to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue. A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse: (select all that apply)
- A. is applying evidence-based practice to the clinical setting.
- B. is using critical thinking to change procedures performed in the care of foot ulcers.
- C. is minimally educated at the master's level and participating in research to provide cost-effective care (soap is less expensive than povidone-iodine).
- D. lacks clinical competence in health assessment and in application of theory to the clinical setting.
Correct Answer: A
Rationale: The correct answer is A because the nurse is using evidence-based practice by conducting a literature review to determine the best practice for caring for foot ulcers. Evidence-based practice involves integrating the best available evidence with clinical expertise and patient values to make informed decisions about patient care. This nurse is ensuring that the care provided is based on current research and best practices, which can lead to better patient outcomes.
Choices B, C, and D are incorrect because they do not directly relate to the nurse's action of conducting a literature review to determine best practices for foot ulcer care. Choice B mentions critical thinking but does not specifically address evidence-based practice. Choice C focuses on cost-effectiveness and level of education, which are not relevant to the nurse's evidence-based practice. Choice D refers to clinical competence, which is not the main focus of the nurse's action in this scenario.
You may also like to solve these questions
The nurse is demonstrating active listening when:
- A. while assessing the patient's vital signs, the nurse records the data and states, "You are improving, your vital signs are normal."
- B. eye contact is maintained while focusing on the patient as the patient describes the current pain level and location.
- C. he or she states, "I know how you feel, I recently lost my father and I am still hurting."
- D. cultural values are in opposition to the patient but shares that "I agree with your decision to use herbs rather than the prescribed medications."
Correct Answer: B
Rationale: The correct answer is B because maintaining eye contact while focusing on the patient's description of pain level and location demonstrates active listening. This non-verbal communication shows empathy and attentiveness to the patient's concerns. Choice A focuses on providing information rather than actively listening. Choice C involves personalizing the situation rather than focusing on the patient's needs. Choice D involves agreeing with the patient's decision rather than actively listening to understand their perspective.
A nurse asks, "What is meant by 'internal' customers?" The correct response is: (select all that apply)
- A. insurance companies
- B. accreditors such as The Joint Commission
- C. X-ray technicians
- D. clinical pharmacist
Correct Answer: C
Rationale: The correct answer is C: X-ray technicians. Internal customers refer to individuals or departments within the same organization who rely on each other's services to fulfill their roles effectively. X-ray technicians work within the healthcare facility and depend on other staff like nurses for patient care coordination. Insurance companies (A) and accreditors (B) are external entities. Clinical pharmacists (D) are also internal, but X-ray technicians have a direct service-dependency relationship with nurses in healthcare settings, making them the most relevant internal customers in this context.
The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform the following steps in order: (items on left will be moved in correct order on the right) Open inner package, taking care not to touch inner surface. Put the glove on the nondominant hand using the sterile gloved hand. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. Adjust each glove carefully by sliding finders under the cuffs. The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
- A. Drag-and-drop item, comprehension
- B. Chart/exhibit item, analysis
- C. Multiple-response, application
- D. Hot-spot item, knowledge
Correct Answer: A
Rationale: The correct answer is A: Drag-and-drop item, comprehension. This question requires the nurse to demonstrate understanding of the correct sequence for applying sterile gloves. The drag-and-drop format assesses the ability to organize steps in a specific order, which falls under the comprehension level of Bloom's taxonomy, where the individual is required to understand the information provided. The other choices are incorrect because:
B: Chart/exhibit item, analysis - This choice involves interpreting data or information presented in a chart or exhibit, which is not the case in this question.
C: Multiple-response, application - This choice requires selecting multiple correct responses to a scenario, which is not the format of this question.
D: Hot-spot item, knowledge - This choice involves identifying a specific area or point on an image, which is not relevant to the question about the correct sequence for applying sterile gloves.
Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?
- A. Florence Nightingale
- B. Margaret Hoolihan
- C. Clara Maas
- D. Sairy Gamp
Correct Answer: C
Rationale: The correct answer is C: Clara Maas. Clara Maas died after deliberately acquiring two bites from yellow fever carrier mosquitoes to provide care during the Spanish-American War. This is correct because Clara Maas was a real historical figure known for her selfless dedication to nursing and her sacrifice to help others. Florence Nightingale (A) is renowned for her work in nursing during the Crimean War, but she did not die from acquiring yellow fever. Margaret Hoolihan (B) and Sairy Gamp (D) are fictional characters and not relevant to the historical context of the Spanish-American War.
A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?
- A. A negative alteration in the body produces a parallel effect on the mind and spirit.
- B. The body can heal itself with the help of complementary alternative therapies.
- C. Approaches to therapy are individualized.
- D. There is a focus on the total lifestyle.
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. The patient believes in the power of complementary alternative therapies to help the body heal itself.
2. This aligns with the principle underlying alternative healing, which emphasizes the body's innate ability to heal.
3. By engaging in spiritual care, mind games, Tai chi, and focusing on memory and lung health, the patient is supporting the body's natural healing processes.
4. This choice is correct as it reflects the patient's belief in utilizing alternative therapies to support the body's healing mechanisms.
Summary of why other choices are incorrect:
A. This choice suggests a negative alteration affecting the mind and spirit, which is not directly related to the patient's belief in complementary alternative therapies for healing.
C. While individualized approaches to therapy are important in alternative healing, this choice does not directly address the patient's belief in the body's ability to heal itself.
D. While focusing on total lifestyle is important in alternative healing, this choice does not directly