What is the primary goal of evidence-based practice (EBP)?
- A. Reduce healthcare costs
- B. Improve patient outcomes
- C. Enhance clinical decision making
- D. Ensure patient safety
Correct Answer: C
Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision-making. Evidence-based practice involves integrating the best available research evidence with clinical expertise and patient values to make informed decisions about patient care. By using evidence-based practice, healthcare providers can ensure that their decisions are based on the most current and relevant evidence, leading to improved patient outcomes. While reducing healthcare costs, improving patient outcomes, and ensuring patient safety are important aspects of healthcare, they are not the primary goal of evidence-based practice.
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Change is a mandatory skill for managers. Successful change agents display certain characteristics. Some of these characteristics are: (Select all that apply.)
- A. Energy
- B. Confidence
- C. Ambiguity
- D. Trustworthiness
Correct Answer: C
Rationale: The correct answer is C: Ambiguity. Successful change agents must be comfortable with uncertainty and ambiguity inherent in the change process. They need to navigate through unknown situations and adapt to unforeseen challenges. Energy and confidence (choices A and B) are valuable traits but not specifically tied to managing change. Trustworthiness (choice D) is important for building relationships but not a defining characteristic of successful change agents.
Most evaluations are based on absolute judgment. This is:
- A. A standard set by an external source.
- B. The manager and staff's perceived notion.
- C. Internal standards.
- D. The manager's personal opinion.
Correct Answer: C
Rationale: The correct answer is C: Internal standards.
Rationale:
1. Internal standards refer to criteria set by an organization based on its own goals and values.
2. Absolute judgment means evaluations are made against these internal standards.
3. By using internal standards, evaluations are consistent and aligned with organizational objectives.
4. External sources (A) and manager's personal opinion (D) are subjective and may not reflect organizational goals.
5. Manager and staff's perceived notion (B) may vary and lack consistency, unlike internal standards.
Summary:
Internal standards provide a consistent and objective basis for evaluations, ensuring alignment with organizational goals. External sources, personal opinions, and perceived notions lack this consistency and alignment.
When a nurse observes a fellow nurse preparing an incorrect dose of medication, what is the best action to take?
- A. Ignore the error
- B. Administer the medication anyway
- C. Correct the error without informing the nurse
- D. Report the error to the supervisor immediately
Correct Answer: D
Rationale: The correct answer is D: Report the error to the supervisor immediately. This action prioritizes patient safety and prevents harm. It follows ethical guidelines by promoting transparency and accountability. Reporting the error also upholds professional standards and fosters a culture of continuous learning and improvement. Ignoring the error (A) risks patient harm. Administering the medication anyway (B) compromises patient safety. Correcting the error without informing the nurse (C) overlooks the importance of addressing the root cause and preventing future mistakes.
Which of the following is one of the positive benefits of conflict within an organization?
- A. Conflict leads to compromise on values and beliefs.
- B. Conflict leads to intergroup competition.
- C. Conflict helps people recognize differences and motivates people towards improved performance.
- D. Conflict always leads to a win-win resolution.
Correct Answer: C
Rationale: The correct answer is C because conflict can help individuals recognize differences and perspectives, leading to increased understanding and motivation for improved performance. Conflict can stimulate creativity and innovation, encouraging teams to consider different viewpoints and solutions. It does not always result in a win-win resolution (D) as conflicts can have winners and losers. Compromising on values and beliefs (A) is not a positive outcome of conflict, as it may undermine organizational integrity. Intergroup competition (B) may escalate conflicts and hinder collaboration.
During a physical assessment of adult clients, which of the following techniques should the nurse use?
- A. Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client experiencing pain.
- B. Palpate the client's abdomen before auscultating bowel sounds.
- C. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm.
- D. Obtain an apical heart rate by auscultating at the third intercostal space to the left of the sternum.
Correct Answer: B
Rationale: Step 1: Palpating the client's abdomen before auscultating bowel sounds is the correct technique during a physical assessment. This sequence is important because palpation can potentially disrupt bowel sounds, leading to inaccurate assessment results.
Step 2: Palpation helps to identify any tenderness, masses, or abnormalities in the abdomen before proceeding to auscultate bowel sounds. This way, any abnormal findings during palpation can be correlated with bowel sound assessment.
Step 3: By following this sequence, the nurse ensures a systematic and accurate assessment of the client's abdomen, which is crucial for detecting any gastrointestinal issues or abnormalities.
In summary, option B is correct because it follows the appropriate sequence of assessment techniques, ensuring a thorough and accurate evaluation of the client's abdomen. Options A, C, and D are incorrect because they do not pertain to the correct sequence or technique for assessing the abdomen during a physical assessment.