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EXAM 4; BHS 2120 questions with
answers
What are the elements of evidence-based practice? - .... ๐ฐ VERIFIED ANSWERS.... โโ Best Research Evidence Clinical Expertise Pt. Vlaues and Preferences Best Research Evidence - .... ๐ฐ VERIFIED ANSWERS.... โโ Looking at literature, finding out what clinical studies have been done, effectiveness of various techniques Clinical Expertise - .... ๐ฐ VERIFIED ANSWERS.... โโ More knowledge as time goes on and in the field. With different populations Will develop overtime and can use with those who have more experience Pt. Values and Preferences - .... ๐ฐ VERIFIED ANSWERS.... โโ Need to find out their preferences, affordability, and preference on meds Where is evidence-based practice addressed by the ANA? - .... ๐ฐ VERIFIED ANSWERS.... โโ Addressed in ANA Standard of Professional Performance specifically in the Scholarly Inquiry
Scholarly Inquiry: Evidence Based Practice - .... ๐ฐ VERIFIED ANSWERS.... โโ Uses current information Uses peer reviewed evidence-based findings Used to expand, knowledge, skills, abilities Incorporates evidence and nursing research when initiating changes and improving quality in nursing practice QSEN - .... ๐ฐ VERIFIED ANSWERS.... โโ Quality and Safety Education for Nurses How does QSEN provide direction in the development of evidence-based practice? - .... ๐ฐ VERIFIED ANSWERS.... โโ Further elaborates on evidence-based practice for entry-level nurses with the definition of EBO as "integrating best current evidence with clinical expertise and patient. family preferences and values for delivery of optimal health care Competencies entry nurses should have; knowledge levels, skill levels and attitudes developed Knowledge - .... ๐ฐ VERIFIED ANSWERS.... โโ Demonstrate knowledge of basic scientific methods and processes Describe EBP to include the components of research evidence, clinical expertise, and patient/family values Differentiate clinical opinion from research and evidence summaries
Participate in structuring the work environment to facilitate integration of new evidence into standards of practice Question rationale for routine approaches to care that result in less-than-desired outcomes or adverse events Consult with clinical experts before deciding to deviate from evidence-based protocols Attitudes - .... ๐ฐ VERIFIED ANSWERS.... โโ Appreciate strengths and weaknesses of scientific bases for practice Value the need for ethical conduct of research and quality improvement Value the concept of EBO as integral to determining the best clinical practice Appreciate the importance of regularly reading relevant professional journals Value the need for continuous improvement in clinical practice based on new knowledge Acknowledge own limitations in knowledge and clinical expertise before determining when to deviate from evidence-based best practices
What is the purpose of a PICOT question? - .... ๐ฐ VERIFIED ANSWERS.... โโ Helps us formulate what our goals are What is PICOT - .... ๐ฐ VERIFIED ANSWERS.... โโ Is an organization for our thoughts and goals for a research question allows use to find appropriate literature "This is what we're trying to investigate" PICOT - .... ๐ฐ VERIFIED ANSWERS.... โโ P: Population I: Intervention C: Comparison O: Outcome T: Time What are types of research sources? - .... ๐ฐ VERIFIED ANSWERS.... โโ Quantitative studies Qualitative studies Meta Analysis Studies Primary Source Secondary Source Quantitative studies - .... ๐ฐ VERIFIED ANSWERS.... โโ Studies provide objective data by using number values to explain outcomes
Describe the process of Prioritization - .... ๐ฐ VERIFIED ANSWERS.... โโ 1st start with the two lower levels of Maslows Hierarchy of Needs; Physiology and Safety Are there any basic physiological needs not being met? Any safety needs? Essential needs? 2nd ABCs (Airway, Breathing, Circulation) 3rd Actual vs potential problems 4th Acute vs chronic problems Acute; sudden onset, high impact, short duration 5th least invasive option -relax methods first vs meds 6th safety Prioritization - .... ๐ฐ VERIFIED ANSWERS.... โโ Looking at a way to help us identify where we need to focus our attention/amt. of time/urgency, make adjustments to our day as things happen CURE - .... ๐ฐ VERIFIED ANSWERS.... โโ C-critical u-urgent R-routine E-extras
Critical - .... ๐ฐ VERIFIED ANSWERS.... โโ Immediate action, acute vs chronic , ABCS, Maslows physiological needs- respiratory distress, chest pain, airway compromised Urgent - .... ๐ฐ VERIFIED ANSWERS.... โโ Needs that cause pt. Discomfort/safety risk Routine - .... ๐ฐ VERIFIED ANSWERS.... โโ Typical daily nursing care Meds and physical assessment Extras - .... ๐ฐ VERIFIED ANSWERS.... โโ Activities performed in care settings to facilitate pt. Comfort Massage/hair wash Describe the structure and use of organizational tools - .... ๐ฐ VERIFIED ANSWERS.... โโ Important to guide a nurses daily task progression developed individually by the nurse or may be recommended by the organization Helpful to provide structure and guide progression toward task achievement Increase ability to manage time
Administer high-risk medications, including heparin and chemotherapeutic agents Establish intravenous (IV) access Initiate IV fluids and IV medications Administer IV push medications Titrate medications per provider order Perform any tasks that may be performed by a LPN/VN or AP LPN/VN scope of practice - .... ๐ฐ VERIFIED ANSWERS.... โโ Assist the RN by performing routine, basic nursing care with predictable outcomes Assist the RN with collecting data and monitoring client findings on stable clients Implement interventions outlined in the nursing care plan, as appropriate Reinforce client education as outlined in the nursing care plan
Delegate tasks to AP LPN/VN Common Tasks - .... ๐ฐ VERIFIED ANSWERS.... โโ Provide basic nursing care Assist with the collection of patient assessment data Assist the RN with development and revision of a nursing care plan Reinforce teaching provided by an RN Administer medications that are not high-risk Administer enteral feeding Perform routine dressing changes Perform tracheostomy care on stable clients Perform suctioning on stable or routine clients Insert a urinary catheter Perform any of the tasks that APs are permitted to perform
Restock supplies Report to the RN if a change in clients status is observed. Example "Client is now complaining of pain at 9/10 when repositioned. Last time client was repositioned no pain was reported." Assessment; RN role - .... ๐ฐ VERIFIED ANSWERS.... โโ Complete patient assessment Assessment; LPN role - .... ๐ฐ VERIFIED ANSWERS.... โโ Assist with the collection of data for stable patients Assessment; CNA rolฤ - .... ๐ฐ VERIFIED ANSWERS.... โโ Collect measurements such as weight, input/output, and vital signs in stable patients Diagnosis; RN role - .... ๐ฐ VERIFIED ANSWERS.... โโ Analyze assessment data and create nursing diagnosis Diagnosis; LPN role - .... ๐ฐ VERIFIED ANSWERS.... โโ not applicable Diagnosis; CNA rolฤ - .... ๐ฐ VERIFIED ANSWERS.... โโ Not applicable
Outcome identification; rn role - .... ๐ฐ VERIFIED ANSWERS.... โโ Identify SMART patient outcomes Outcome identification; LNP role - .... ๐ฐ VERIFIED ANSWERS.... โโ Not applicable Outcome identification; CNA role - .... ๐ฐ VERIFIED ANSWERS.... โโ Not applicable Planning; RN role - .... ๐ฐ VERIFIED ANSWERS.... โโ Planning nursing interventions Planning; LPN role - .... ๐ฐ VERIFIED ANSWERS.... โโ Assist with the development of a nursing care plan Planning; CNA rolฤ - .... ๐ฐ VERIFIED ANSWERS.... โโ Not applicable Implementing interventions; rn role - .... ๐ฐ VERIFIED ANSWERS.... โโ Implement independent, dependent, and collaborative nursing interventions; delegate interventions as appropriate, with supervision Implementing interventions; LPN role - .... ๐ฐ VERIFIED ANSWERS.... โโ Participate with other health team members in meeting basic patient needs
