When providing patient care, the nurse identifies a problem and formulates a related clinical querry The nurse then plans to gather evidence to ensure that the decision-making process in response to the problem and clinical s evidence-based.
Which consideration is most important when gathering evidence?
Frequency that the problem occurs.
Related personal values.
Relevance to the situation.
Past experience with similar problems.
The Correct Answer is C
Choice A rationale
While the frequency of a problem can provide some context, it is not the most important consideration when gathering evidence for evidence-based decision-making. The frequency of a problem does not necessarily correlate with the quality or relevance of the evidence available.
Choice B rationale
Personal values are important in decision-making processes, but they are subjective and can vary greatly among individuals. Therefore, they are not the most important consideration when gathering objective, scientific evidence for evidence-based practice.
Choice C rationale
Relevance to the situation is the most important consideration when gathering evidence. Evidence must be directly applicable to the specific problem and context in order to be useful in informing decision-making. This includes considering the specific characteristics of the patient population, the nature of the problem, and the setting in which care is being provided.
Choice D rationale
Past experience with similar problems can provide valuable insights and context, but it is not the most important consideration. Past experiences are individual and subjective, and what worked in one situation may not work in another. Evidence-based practice requires the use of current, high-quality research evidence, which may or may not align with past experiences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Fresh or frozen vegetables without sauce are a great choice for someone with hypertension. Vegetables are high in fiber and low in sodium, which can help lower blood pressure. They also contain potassium, which can help balance out the negative effects of sodium.
Choice B rationale
Fruits without sauce are also a good option. Like vegetables, fruits are high in fiber and potassium and low in sodium. They also contain other heart-healthy nutrients like antioxidants.
Choice C rationale
Cottage cheese is typically high in sodium, which can raise blood pressure. Therefore, it’s not the best choice for someone with hypertension.
Choice D rationale
Pickled olives are also high in sodium, making them a poor choice for someone with hypertension.
Choice E rationale
Canned soup is another food that’s typically high in sodium. While low-sodium versions are available, fresh soup made with low-sodium broth and plenty of vegetables would be a healthier choice.
Correct Answer is A
Explanation
Choice A rationale
Instructing the patient that it is important to reduce the dose of the medication gradually is the best course of action. Temazepam is a benzodiazepine, and abrupt discontinuation can lead to withdrawal symptoms, which can be severe and include seizures. Therefore, it’s crucial to taper off the medication under the supervision of a healthcare provider.
Choice B rationale
Advising the patient to stop taking the medication immediately is not recommended due to the risk of withdrawal symptoms.
Choice C rationale
Encouraging the patient to obtain a prescription for a benzodiazepine antagonist is not typically the first line of action when discontinuing temazepam.
Choice D rationale
Discussing with the patient that there may be a need for additional sleep if the feeling of fatigue is present the next day is not directly addressing the issue. The patient’s feelings of being “hungover” are likely due to the effects of the medication, not a lack of sleep.
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