A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?
"Identifying the problem is the first step of the EBP process."
"Reviewing the effectiveness of the findings is the last step of the EBP process."
"Reliance on personal experiences is important to the process of EBP."
"There are four steps in the process of EBP."
The Correct Answer is A
A. Identifying the problem or clinical question is indeed the initial step in the EBP process, as it involves recognizing an issue or a gap in current knowledge or practice.
B. Reviewing effectiveness typically falls within the implementation phase of EBP, not necessarily the final step.
C. EBP emphasizes using research evidence over personal experiences to guide practice.
D. EBP involves multiple steps that typically include more than four distinct phases, such as identifying the problem, gathering evidence, implementing interventions, and evaluating
outcomes.
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Related Questions
Correct Answer is C
Explanation
Rationale for A: Inviting a family member to be present may hinder communication, especially if the family member is involved in the abuse or the client feels unsafe speaking in their presence. Privacy is crucial for encouraging open communication.
Rationale for B: Providing basic wound care is important for physical injuries, but it does not directly address promoting communication. The nurse should focus on creating a safe environment for the client to talk.
Rationale for C: Being direct and honest when speaking with the client promotes trust and open communication. Clients who are suspected of being abused may be fearful or reluctant to share information, so clear, respectful communication helps create a supportive environment.
Rationale for D: Probing the client for a factual account of the abuse may make the client feel pressured or overwhelmed. The nurse should allow the client to share information at their own pace without feeling forced to disclose details.
Correct Answer is B
Explanation
A. Clinical algorithms help in standardizing certain processes but might not specifically integrate evidence-based practice guidelines for evaluating therapy plans.
B. Clinical practice guidelines offer evidence-based recommendations, aiding healthcare providers in decision-making for specific conditions or treatments.
C. While the internet may provide information, it might lack the vetting and credibility of evidence-based practice guidelines provided by reputable sources.
D. Clinical pathways provide a structured approach to care delivery but might not inherently integrate evidence-based practice guidelines unless these are explicitly incorporated into the pathway.
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