Research and Evidenced Based Practice
A patient refuses a treatment that research strongly supports. According to Evidence-Based Practice, the nurse should also consider the patient's:
A. Room assignment
B. Personal values and preferences
C. Insurance status
D. Age only
Personal values and preferences
Define Client-Centered Care
Care that respects the client's preferences, values, and needs while involving the client and family in healthcare decisions
A nursing student is unsure how to perform a sterile dressing change.
What is the MOST accountable action?
A. Ask the instructor for assistance.
B. Attempt the procedure independently.
C. Ask another student to perform it.
D. Skip the dressing change.
Ask the instructor for assistance
Define Autonomy:
Respecting a patient's right to make their own healthcare decisions.
A nursing student is unsure of the correct answer on an NCLEX question. Which strategy should the student use FIRST?
A. Pick the answer that sounds most familiar.
B. Eliminate answers that are clearly incorrect before choosing.
C. Always choose the longest answer.
D. Skip the question and never return.
Eliminate answers that are clearly incorrect before choosing
Which step comes FIRST in the Evidence-Based Practice process?
A. Evaluate outcomes
B. Review research
C. Ask a clinical question
D. Apply interventions
Ask a clinical question
Mrs. Jones fractured her hip after falling at home. The provider wants to improve her walking ability before discharge. Which healthcare professional should be consulted FIRST?
A. Occupational therapist
B. Physical therapist
C. Dietitian
D. Respiratory therapist
Physical Therapist
An LPN administers the wrong insulin dose. The patient develops severe hypoglycemia and requires ICU admission. Which legal concept BEST applies?
A. Assault
B. Malpractice
C. False imprisonment
D. Battery
Malpractice
Which ethical principle means telling the truth?
Veracity
Which answer choice should make you pause during an NCLEX exam?
A. Assess the patient
B. Notify the provider
C. Always
D. Reassess the patient
Always
What are the three components of Evidence-Based Practice (EBP)?
A. Research, physician preference, hospital policy
B. Best research evidence, nursing expertise, patient values
C. Nursing experience, textbooks, physician orders
D. Tradition, policy, patient preference
Best research evidence, nursing expertise, patient values
A client tells the nurse, "I don't agree with this treatment plan. "What is the nurse's BEST response?
A. "The physician knows what is best."
B. "I'll let the healthcare team know your concerns so your preferences can be discussed."
C. "You should follow the treatment plan."
D. "We'll discuss it after discharge."
"I'll let the healthcare team know your concerns so your preferences can be discussed."
A nurse witnesses a patient signing a consent form but notices the patient says, "I don't understand what this surgery is for." What should the nurse do FIRST?
A. Explain the surgery.
B. Have the family explain it.
C. Stop the process and notify the provider.
D. Witness the signature anyway.
Stop the process and notify the provider
A nurse spends extra time teaching a newly diagnosed diabetic patient how to administer insulin safely.
Which ethical principle is BEST demonstrated?
Beneficence
Four patients arrive to the emergency department. Which patient should the nurse assess FIRST?
A. A patient requesting a refill of blood pressure medication.
B. A patient with a sore throat for three days.
C. A patient with chest pain and shortness of breath.
D. A patient asking for discharge paperwork.
A patient with chest pain and shortness of breath
A nurse reviews several research articles before changing a nursing intervention.
Which Evidence-Based Practice step is the nurse completing?
A. Considering patient values
B. Finding and evaluating evidence
C. Evaluating outcomes
D. Implementing the intervention
Finding and evaluating evidence
The RN asks the LPN to develop the nursing care plan for a newly admitted unstable client. What is the BEST response?
A. Accept the assignment
B. Complete the care plan interdependently with the RN and other members of the interdisciplinary team
C. Explain that developing the nursing care plan is the RN's responsibility
D. Ask the CNA to complete the assessment first
Explain that developing the nursing care plan is the RN's responsibility
A nurse writes: "Patient was lazy and refused to cooperate. "What is wrong with this documentation?
It is subjective/opinion-based. Documentation should include only objective, factual observations.
A nurse notices another nurse documenting assessments that were never completed.
What is the MOST ethical action?
Report the concern through the appropriate chain of command
Which patient should the nurse see FIRST?
A. A patient crying because they miss their family.
B. A patient requesting pain medication rated 5/10.
C. A patient whose oxygen saturation has fallen to 82%.
D. A patient asking when dinner will arrive.
A patient whose oxygen saturation has fallen to 82%
A hospital has always used alcohol for mouth care in chemotherapy patients.
A nurse discovers newer evidence showing another product decreases oral ulcers more effectively.
What should the nurse do?
A. Continue using alcohol because it has always been done that way.
B. Share the evidence and follow the facility's process for reviewing practice changes.
C. Ignore the research.
D. Change hospital policy independently.
Share the evidence and follow the facility's process for reviewing practice changes.
A long-term care facility experiences severe staffing shortages. The charge nurse assigns one nursing assistant to obtain all morning vital signs while another assistant provides hygiene care to every resident. Which nursing care delivery model is being used?
A. Team nursing
B. Functional nursing
C. Primary nursing
D. Client-centered care
Functional nursing
To prove malpractice, the plaintiff must establish these four elements:
A patient asks, "What would you do if you were me?" What is the nurse's BEST response?
Let's discuss your values and concerns so you can make the decision that's best for you
A nursing student narrows an NCLEX question down to two answers. Both are correct nursing interventions. How should the student decide?
A. Choose the intervention that fixes the problem permanently.
B. Choose the intervention requiring the least nursing judgment.
C. Choose the answer that addresses the patient's immediate safety or physiologic need.
D. Choose whichever intervention can be completed first.
Choose the answer that addresses the patient's immediate safety or physiologic need.