You are a nurse caring for an elderly female patient in a medical-surgical inpatient unit. The patient is suffering from an alteration in level of comfort related to post-surgical pain.
As you evaluate her response to the standard care provided, you wonder about the effectiveness of alternate interventions. When you frame your question as a PICO question, the intervention would be: a. the standard treatment
b. the alternative treatment
c. the outcome
d. the population
e. none of the above
Question 2With the uncertainty that a multiple trauma accident poses in an Emergency Department, the physicians and nursing staff generally tend to come together for the common good.
This is il-lustrated by which of the following communication strategies?
A. Less enthusiasm and frantic, quick state-ments of doom
B. Somber tone with short, monosyllabic words
C. More professional wording and less fami-liarity with team members
D. More personal and group approach
Question 3Angela McBride, a significant leader in nursing, has suggested that leadership will move the nursing profession forward.
This is similar to what Bennis and Nanus have said about how im-portant it is for leaders to follow their vision, be consistent, have self-respect, and communicate effectively. Nurses will need which of the following to accomplish this?
A. Knowledge about the institution's budget and political acumen
B. Self-confidence and assertiveness
C. Ability to negotiate with physicians for more financial reimbursement for nursing and aggressive communication skills
D. Increased nursing staff with critical care competency and financial motivation for nurses
Question 4Evidence-based nursing practice considers:
a. patient preferences
b. the clinical situation
c. the expertise of the clinician
d. all of the above
Question 5The newest IOM Report was published in 2010 and included which of the following recommendations for the nursing profession?
A. Increase collaboration of nurses with the health-care team, increase bachelor of science in nursing (BSN) and doctorally prepared nurses, and increase nursing leadership at each level of the profession.
B. Reimburse RNs who acquire certification in their specialty area, increase staff nursetopatient ratio in acute care insti-tutions, and provide employee paid mal-practice insurance for every staff nurse.
C. Identify more cross-training units for more efficient use of RNs in each institution, apply for Magnet status to increase consumer interest in agency, and provide nurses a patient written report card on their performance.
D. Require all acute care institutions to pro-vide 100 tuition reimbursement for as-sociate degree nurses to obtain a BSN, perform patient satisfaction surveys weekly, and collaborate 100 with aca-demic nursing programs.
Question 6As a student nurse you are committed to basing your practice on evidence. The highest level of evidence is produced using which of the following methods?
a. Individual quasi-experimental studies
b. individual experimental studies
c. meta-analysis of multiple studies
d. a series of non experimental studies
e. program evaluation
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