Nursing Unit 2 Bank

Nonmaleficence

A Young woman who is pregnant with a fetus exposed to multiple teratogens consent to have her fetus undergo serial PUBS to examine gore exposure affects the fetus over time. Although these tests will not improve the fetus's outcomes and will expose it to some risks, the information gathered may help infants in the future. Which ethical principle is at greatest risk?

Utilitarianism

A nurse agrees with regulations for mandatory immunization of children. The nurse believes that immunizations prevent disease adds well as prevent the spread of the disease to others. Which ethical framework the nurse using?

Who receive standard nursing care

A nurse develops the following PICOT question: Do patients who listen to music achieve better controls of their anxiety and pain after surgery when compared with patients who receive standard nursing care following surgery? Which information will the nurse use as the "C"?

An article that uses randomized control trials (RCT)

A nurse has collected several research findings for evidence based practice. Which article will be the best for the nurse to use?

Develop a hypothesis

A nurse identifies a clinical problem with pressure ulcers. Which step should the nurse take next in the research process?

Determining the degree to which standards of care are met by reviewing patients health records

A nurse is auditing and monitoring patients health records. Which action is the nurse taking?

Patients

A nurse is developing a care delivery outcome research project. Which population will the nurse study?

Quality improvement data

A nurse is implementing an evidence based practice project regarding infection rates. After reviewing research literature, which other evidence should the nurse review?

metaanalysis

A nurse is reviewing literature for an evidence based practice study. Which study should the nurse use for the most reliable level of evidence that uses statistics to show effectiveness?

An article about the emotional needs of dying patients and their families

A nurse is reviewing research studies for evidence based practice. Which article should the nurse use for qualitative Nursing research?

Performance improvement

A nurse is trying to decrease the rate of falls on the unit. After reviewing the literature, a strategy is implemented on the unit. After 3 months, the nurse finds that the falls have decreased. Which process did the nurse institute?

1) identify clinical problem 2) develop research question 3) determine how the study will be conducted 4) conduct the study 5) analyze results

A nurse is using the research process. Place in order the sequence that the nurse will follow.

Feminist ethics

A nurse must make an ethical decision concerning vulnerable patient populations. Which philosophy of health care ethics would be particularly useful for this nurse?

EBP is a guide for nurses is making clinical decisions

A nurse used evidence based practice (EBP) to provide nursing care. What is the best rationale for the nurse's behavior?

Use a PICOT format for the search

A nurse wants to change a patient procedure. Which actions will the nurse take to easily find research evidence to support this change?

A true PICOT question regardless of the number of elements

A nurse wrote the following PICOT question: How do patients with breast cancer rate their quality of life? How should the nurse evaluate this question?

Communicate to staff the results of this project

After reviewing the literature, the evidence based practice committee institutes a practice change that bedrails should be left in the down position and hourly nursing rounds should be conducted. The results indicate over a 40% reduction in falls. What is the committees next step?

• gives complete information about the purpose • allows free choice to participate or withdraw • understand how confidentiality is maintained • identifies risks and benefits of participation

Before conducting any study with human subjects, the nurse researcher must obtain informed consent. What must the nurse researcher ensure too obtain informed consent?

Utilitarianism

During a severe respiratory epidemic, the local health care organizations decide to give health care workers priority access to ventilator over other members of the community who also need that resource. Which philosophy works fine the strongest support for this decision?

EBP is dependent on patient values and expectations

In caring for patients, what must the nurse remember shoot evidence based practice (EBP)?

Confidentiality

In conducting a research study, the nurse researcher guarantees the subject no information will be reported in any manner that will identify the subject and only the research team will have access to the information. Which concept is the nurse researcher fulfilling?

Responsibility

The nurse has become aware of missing narcotics in the patient care aura. Which ethical principle obligates the nurse to report the missing medications?

Administering the influenza vaccine

The nurse is caring for a dying patient. Which intervention is considered futile?

AHRQ (Agency for Healthcare Research and Quality)

The nurse is caring for a patient with chronic low back pain. The nurse wants to determine the best evidence based practice regarding clinical guidelines for low back pain. What is the best database for the nurse to access?

• surveys • evaluation research • nonexperimental research • experimental research

The nurse is preparing to conduct research that will allow precise measurements of a phenomenon. Which methods will provide the nurse with the right kind of data?

Introduction

The nurse is reviewing a research article on a patient care topic. Which area should entice the nurse to read the article?

• Nursing research identifies new knowledge • Nursing research enhances effective use of resources • Nursing research improves professional practice

The nurse is reviewing nursing research literature related to a potential practice problem in the nursing unit. What is the rationale for the nurse's action?

Qualitative research

The nurse is trying to identify common general themes related to the effectiveness of cardiac rehabilitation from patients who have had heart attacks and have gone through cardiac rehabilitation programs. The nurse conducts interviews and focus groups. Which type of research is the nurse conducting?

Autonomy

The nurse questions a health care provider's decision to not tell the patient about a cancer diagnosis. Which ethical principle is the nurse trying to uphold for the patient?

Conclusion

The nurse researcher is preparing to publish the findings and is preparing to add the limitations to the manuscript. Which area of the manuscript will the nurse researcher as this information?

Conduct a pilot study to investigate findings

The nurse uses a PICOT question to develop an evidence based change in protocol door a certain nursing procedure. However, to make these changes throughout the entire institution would require more evidence than is available at this time. What is the nurse's best option?

So different perspectives are respected

When professionals work together to solve ethical dilemma a, nurses must examine their own values. What is the best rationale for this step?