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Which of the following is most accurate regarding evidence-based practice?

Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines.

Evidence-based practice replaces continuous quality improvement.

Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions.

Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice.

Answer and Explanation

The Correct Answer is C

A. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines: Evidence-based practice involves a multidisciplinary approach to improve patient outcomes, not limited to nursing alone.
B. Evidence-based practice replaces continuous quality improvement: Evidence-based practice complements continuous quality improvement rather than replacing it, as both aim to enhance patient care and outcomes.
C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions: This definition accurately describes evidence-based practice, highlighting the integration of research, clinical expertise, and patient preferences.
D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice: While evidence-based practice has roots in medicine, it has evolved to be a fundamental aspect of nursing and other healthcare disciplines, emphasizing a broader application beyond medical models.

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Correct Answer is C

Explanation

A. Restrain patients at risk for falls: Restraining patients can lead to physical and psychological harm and is not an evidence-based intervention for fall prevention.
B. Recognize that errors are solely the result of the actions of individual people: This approach ignores systemic issues and does not address the root causes of falls, making it an ineffective strategy.
C. Provide an in-service that informs nurses of the current, best practices of fall prevention: Educating staff on best practices for fall prevention is an evidence-based intervention that can help reduce the number of falls.
D. Punish the staff who are caring for the patients who fall: Punishment creates a blame culture, which can reduce staff morale and does not effectively address the factors contributing to falls.

A. Review the correct procedure with staff members who use the mechanical lifts incorrectly. B. Remind employees who sustain back injuries that they are solely responsible for their actions. C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts. D. File a grievance about inadequate funding and an unsafe work environment.

Correct Answer is A

Explanation

A. Review the correct procedure with staff members who use the mechanical lifts incorrectly: Reviewing and reinforcing proper use of equipment is a direct and practical approach to improving safety and reducing injuries.
B. Remind employees who sustain back injuries that they are solely responsible for their actions: Placing sole responsibility on employees ignores potential systemic issues and does not address the root cause of the problem.
C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts: Using Wikipedia as a source for developing procedures is inappropriate; reliable, evidence-based sources should be used for developing safety procedures.
D. File a grievance about inadequate funding and an unsafe work environment: While addressing funding and safety concerns is important, the immediate step should be to address procedural and equipment issues directly related to the injuries.

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Which of the following is most accurate regarding evidence-based practice?

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Naxlex Comprehensive Predictor Exams

The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?

Correct Answer is C

Explanation

During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:

Correct Answer is A

Explanation

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