Claywell Chap 6, 7, & 8

Maximizing good practice Improving quality care

A group of nurses is learning about evidence-based practice in preparation for their facility to attain magnet status. What does magnet status overall aim to standardize practice by? (Select all that apply.) Select all that apply. Having nurses conduct research studies Having only physicians make clinical decisions Increasing costs Maximizing good practice Improving quality care

It is an irrational process of thought. It uses available facts. It is necessary in the nursing process. It is purposeful. It assists in decision making.

A group of nursing students is discussing critical thinking in class. What should the instructor explain about critical thinking? (Select all that apply.) Select all that apply. It is necessary in the nursing process. It is purposeful. It assists in decision making. It is goal directed. It is an irrational process of thought. It uses available facts.

Indirect research utilization

A group of oncology staff nurses attend a conference that provides the nurses with a new conceptual understanding of various treatments for breast cancer based on current research. The information provided enhances the nurses' knowledge base. What is this considered a direct result of? Direct research utilization Persuasive research utilization Nonpersuasive research utilization Indirect research utilization

Intuitive thought

A nurse is caring for a patient in the acute care setting. When performing the morning head-to-toe assessment, the nurse documents that the patient's condition has remained unchanged from the previous shift. However, the nurse perceives that something about the patient's appearance does not seem right. What is this perception considered? Reflection Rational thought Curiosity Intuitive thought

Social Psychological Physiological Cultural Spiritual

A nurse is obtaining assessment information on a new patient on the acute care unit. In order to complete this assessment thoroughly, which realms will the nurse need to examine? (Select all that apply.) Select all that apply. Physiological Cultural Spiritual Diagnostic Social Psychological

Arrogant Spontaneous

A nurse manager is reviewing a performance evaluation with a staff nurse. The nurse manager comments that the staff nurse is a cultivated thinker. What other descriptive words can be used in this performance evaluation? (Select all that apply.) Select all that apply. Unorganized Unsure Sensible Spontaneous Educated Arrogant

Incision will be free of signs and symptoms of infection.

A student nurse performs a sterile dressing change on an abdominal incision site. What should the student nurse expect to assess as a consequence of this procedure? Incision will be free of signs and symptoms of infection. Incision will have a foul odor. Incision will drain purulent fluid. Incision will be redressed every 3 hours.

qualitative

Clinical questions that emphasize an understanding of a clinical phenomenon as the patient experiences and values it are considered ________________.

Comparative intervention Who, what, when, and where Focus on a disorder

Nursing students are learning about evidence-based practice. When applying information learned to this process, the nursing students are asked to formulate foreground questions. What are the key components of the questions these students will formulate? (Select all that apply.) Select all that apply. Comparative intervention Who, what, when, and where Focus on a disorder Focus on treatment Clinical outcome Intervention

Nurturing of evidence-based practice

The administrators at an acute care hospital inform nursing staff that the future goal of the facility is to achieve magnet status. What type of atmosphere does magnet status create? Encourages interdependence Experimental with patient care Constantly changing Nurturing of evidence-based practice

Construct a relevant, answerable question

The health care team is working on reducing the incidence of hospital-acquired infections using the evidence-based process. What is the first step the health care team will take in this process? Apply evidence to clinical concern Evaluate performance Construct a relevant, answerable question Search literature

Assessment

The nurse obtains data from a home health patient regarding current and past health concerns. Which component of the nursing process includes this information? Implementation Analysis Planning Assessment

Drawing Conclusions

When discussing patients' symptoms in clinical preconference, nursing students are implementing Pearson's RED model of critical thinking. This model involves recognizing symptoms, evaluating and arguments. What is the fourth component of this process? Deviating norms Diverging opinions Diagnosing conditions Drawing conclusions

Makes it challenging to find a specific topic.

When participating in a search for literature for the best external evidence regarding care of the preterm neonate, the nurse first accesses the MEDLINE database. What is characteristic of this resource? Makes it challenging to find a specific topic. Focuses on both clinical and nonclinical aspects of health care delivery. Provides evidence-based clinical guidelines. Is designed to make informed health care decisions.

Assessment, analysis, planning, implementation, and evaluation

Which is the correct order of the five phases of the nursing process? Planning, assessment, analysis, implementation, and evaluation Analysis, assessment, planning, evaluation, and implementation Assessment, implementation, analysis, planning, and evaluation Assessment, analysis, planning, implementation, and evaluation

Outcome

While reviewing the patient's plan of care, the nurse reads the following: "The patient will verbalize that pain has decreased within 30 minutes of pain medication administration." What component of the nursing process is this considered? Diagnosis Assessment Outcome Evaluation

Clinical judgement

_______________ is perceptive understanding of a situation based on knowledge, empirical data, theory, and scientific inquiry.

Reasoned thought

________________ is discriminating and prudent and does not allow emotion, feelings, or prejudices to skew decisions.

PICO

__________________ is an acronym used to describe a format of the four elements required to formulate a good clinical question

Evaluation

__________________ is the process of examining the effectiveness of the plan of care and adjusting it to ultimately meet the needs of the patient.