Nokea
Which of the following is most accurate regarding evidence-based practice?
- A. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines.
- B. Evidence-based practice replaces continuous quality improvement.
- C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions.
- D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice.
Correct Answer: C
Rationale: The correct answer is C because evidence-based practice involves integrating research evidence, clinical expertise, and patient values to make informed care decisions. This approach ensures that patient care is individualized and based on the best available evidence. Choice A is incorrect as evidence-based practice encourages collaboration across healthcare disciplines. Choice B is incorrect as evidence-based practice complements continuous quality improvement efforts rather than replacing them. Choice D is incorrect as evidence-based practice is a separate entity from medicine and focuses on nursing-specific interventions.
You may also like to solve these questions
During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:
- A. Review the correct procedure with staff members who use the mechanical lifts incorrectly.
- B. Remind employees who sustain back injuries that they are solely responsible for their actions.
- C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts.
- D. File a grievance about inadequate funding and an unsafe work environment.
Correct Answer: A
Rationale: The correct answer is A: Review the correct procedure with staff members who use the mechanical lifts incorrectly. This is the correct choice because it addresses the root cause of the problem, which is the incorrect use of mechanical lifts. By reviewing the correct procedure with the staff members, the unit manager can ensure that everyone is properly trained and following the correct protocols, thus reducing the occurrence of back injuries.
Choice B is incorrect because it shifts the blame to the employees instead of addressing the need for proper training and procedures. Choice C is incorrect because using Wikipedia articles may not provide accurate or reliable information for developing a revised procedure. Choice D is incorrect because filing a grievance does not directly address the issue of improper use of mechanical lifts.
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
- A. Evaluate the results.
- B. Identify the problem.
- C. Brainstorm solutions.
- D. Implement a resolution.
Correct Answer: B
Rationale: The correct answer is B: Identify the problem. The first step in resolving any conflict is to understand the root cause. By identifying the problem between the pharmacy and staff nurses, the nurse manager can gain insight into the specific issues causing the conflict. This step allows for a targeted and strategic approach to finding solutions. Evaluating results (A) comes after implementing a resolution, brainstorming solutions (C) is premature without a clear understanding of the problem, and implementing a resolution (D) should only occur once the problem has been fully identified and a plan developed.
To help nurse managers better manage their time, the chief nursing officer suggests that they:
- A. Progress through the workday without a plan.
- B. Put off important tasks until they feel motivated to start them.
- C. Only accept projects that exactly fit their specifications.
- D. Decline requests that are not in alignment with their priorities.
Correct Answer: D
Rationale: The correct answer is D: Decline requests that are not in alignment with their priorities. This is the best option for nurse managers to manage their time effectively. By focusing on tasks that align with their priorities, they can ensure they are using their time efficiently and effectively. Progressing without a plan (choice A) is not recommended as it can lead to disorganization and inefficiency. Putting off important tasks (choice B) is counterproductive and can lead to increased stress and missed deadlines. Only accepting projects that fit exact specifications (choice C) may limit opportunities for growth and development. In summary, by declining requests that do not align with priorities, nurse managers can optimize their time management and focus on what truly matters.
The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?
- A. Integrate available evidence with unit expertise.
- B. Develop the clinical question.
- C. Appraise the evidence.
- D. Identify the databases to be used.
Correct Answer: B
Rationale: The correct answer is B: Develop the clinical question. This step is crucial in evidence-based practice as it helps to focus the search for evidence. By clearly defining the clinical question, the nurse manager can determine what information is needed to address the problem of preventing ventilator-associated pneumonia. Integrating available evidence with unit expertise (choice A) comes after developing the question. Appraising the evidence (choice C) and identifying databases (choice D) are important steps, but they should come later in the evidence-based inquiry process after the question has been formulated.
With regard to nursing practice, nurse managers are held responsible for:
- A. Referring all errors in nursing judgment to state disciplinary boards.
- B. Verifying that attending physicians are properly licensed to provide care on patient care units.
- C. Practicing within legal guidelines established under state law and nurse practice acts.
- D. Creating an environment of severe consequences for nursing errors to ensure quality practice.
- E. Ensuring that nursing staff under their supervision are currently licensed to practice.
Correct Answer: C,E
Rationale: The correct answers are C and E. Nurse managers are responsible for ensuring that nursing practice is within legal guidelines and that all nursing staff under their supervision are currently licensed. This is crucial for maintaining patient safety, quality care, and regulatory compliance. Referring errors to disciplinary boards (A) is not solely the role of nurse managers. Verifying physician licenses (B) is outside the scope of nursing practice. Creating an environment of severe consequences (D) may not promote a culture of learning and improvement. Choice F and G are not provided.