The nurse is updating a patient care policy based on current literature. Which action by the nurse ensures that the best available evidence is being used to update the policy?

Searching online for similar policies from other local hospitals.

Using Google Scholar, CINAHL, or PubMed to locate appropriate journal articles.

Collecting an opinion poll from the individuals who will be impacted by the policy.

Using Wikipedia since multiple experts can contribute and fact-check information.

Answer and Explanation

The Correct Answer is B

A. Searching for similar policies online may provide information, but it does not ensure that the best available evidence is being used.

B. Using databases like Google Scholar, CINAHL, or PubMed ensures access to peer-reviewed, high-quality research articles, which is essential for evidence-based practice.

C. Collecting an opinion poll does not provide the best available evidence or focus on current research literature for policy updates.

D. Wikipedia is not a reliable or scholarly source for evidence-based practice.

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Correct Answer is C

Explanation

A. This does not directly address the specific situation or request.

B. This explains the reason for the request but does not make the request itself.

C. The "S" in DESC stands for “State” the situation clearly and specifically. This statement makes a clear request.

D. Offering to return a favor is not a direct and clear request; it is more of a negotiation.

A. The nurse is able to resolve conflict and identify appropriate and attainable goals. B. The nurse experiences energy and excitement when providing nursing care. C. The nurse realizes that there is hope when caring for patients who are dying. D. The nurse is frustrated because of time constraints that were not experienced as a student.

Correct Answer is D

Explanation

A. Resolving conflicts and setting goals indicates adjustment, not reality shock.

B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.

C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.

D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.

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The nurse is updating a patient care policy based on current literature. Which action by the nurse ensures that the best available evidence is being used to update the policy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements made by the nurse best demonstrates the "S" in the DESC script?

Correct Answer is C

Explanation

A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

Correct Answer is D

Explanation

A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

The nurse needs to obtain a health history from a Spanish-speaking patient. Which action by the nurse is best?

The nurse evaluates care provided by a licensed practical/vocational nurse (LPN/LVN). The nurse determines that the LPN/LVN has high evaluation anxiety if which is observed?

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A nurse is preparing a poster presentation for a group of staff nurses about factors influencing communication. Which of the following factors should the nurse include when discussing cognitive factors?

A student nurse is not able to start an IV after two attempts. Two staff nurses laugh and call the student nurse "stupid." The student nurse reports the staff nurses' behavior to the charge nurse. Which response by the charge nurse is best?