C1: Evidence in Using Nursing Practice
The three concepts that make up evidence-based practice
Best Research Evidence, Clinical Expertise, and Patient Values and Preferences.
A federal law designed to protect the privacy of patient health information.
Health Insurance portability and Accountability Act (HIPAA)
"You're smiling, but I sense that you're really upset with me" is an example of what therapeutic communication technique?
Sharing Perceptions.
The acronym SBAR stands for
Situation, Background, Assessment, and Recommendation
"Contact, airborne, droplet" describes what chain of the infection cycle?
Transmission.
The acronyms PICOT stands for
Patient population of interest, Intervention or Issue of interest, Comparison intervention, Outcome, Time.
Standard 3 of Patient's Rights is
Privacy and Safety
The three overlapping phases of the nurse-patient relationship are
Orientation, Working, Termination
The conclusions reached based on data defines what acronym of SOAP?
A - Assessment/Analysis
What type of Asepsis technique is the absence of all microorganisms within any type of invasive procedure?
Surgical Asepsis.
The strongest source of evidence on the evidence pyramid is
Systematic Reviews and Meta-analyses of RCTs.
A document that gives a patient's directions about future medical care or designates another person(s) to make medical decisions if the individual loses decision-making capacity.
Advance Directives.
(2) special approaches for patients who speak different languages.
A comprehensive computer system in Health Care that contains a patient's medical history, allergies, current medications, and treatment complications.
Electronic Health Record (EHR)
What type of Precaution deals with airborne and contact precautions?
Transmission-Based Precautions.
The 5th step of Evidence-Based Practice is
5. Evaluate the practice decision or change.
Name any element of a Written Discharge Summary Form.
- mode of transportation
- instructions of self-care activities
- reconciled list of discharge medications
- signs and symptoms of complications or drug reactions for which to be observant
- name and contact info of HC provider/nursing unit
Focus on fragmented details; headaches, nausea, dizziness; unable to see connections between details; poor recall are all symptoms of what stage of anxiety?
Severe anxiety.
What purpose of record contains a variety of information, including medical and nursing diagnoses, signs and symptoms, diagnostic findings, patient behaviours etc.
Educational.
(2) Respiratory hygiene/cough etiquette to have patient perform
cover mouth/nose when coughing or sneezing; use tissues to contain respiratory secretions; perform hand hygiene; contain respiratory secretions with procedure or surgical mask, sit at least 3 feet away from others if coughing
Researchers study one group of subjects with a certain condition (e.g. obesity) at the same time as another group of subjects who do not have the condition to determine if there is an association between the condition and predictor variables - is what kind of study type?
Case control study.
An example of nursing diagnosis for discharging patients.
anxiety; caregiver role strain; deficient knowledge regarding home care restrictions; impaired home maintenance' interrupted family processes; relocation stress syndrome; self-care deficit
What is the rationale for using therapeutic silence?
Allow patients to vent feelings. De-escalates anger.
"MS" is a abbreviation not recommended to be used in documentation. Why?
Can mean morphine sulfate or magnesium sulfate. Write both these words out instead.
What are the 6 links of the chain of infection cycle?
Transmission, portal of entry, host susceptibility, infectious agent, reservoir, and portal of exit