Author Question: The nurse manager is evaluating the use of evidence-based practice guidelines to guide care on a ... (Read 122 times)

jace · **on:** Jun 25, 2018

The nurse manager is evaluating the use of evidence-based practice guidelines to guide care on a patient care area. Which observations indicate that these guidelines are being used appropriately?

1. Guidelines are posted on the staff bulletin board in the break room.
2. A guideline was quoted in a narrative note in a patient's medical record.
3. A guideline is placed in the Kardex to support the use of a nursing diagnosis for a patient's health problem.
4. Guidelines are accessed through the clinical documentation system by nurses prior to writing patient care plans.
5. A guideline was referenced prior to implementing skin care interventions for a patient prone to pressure ulcer formation.

Question 2

The nurse is hired to coordinate care in a community health clinic that opened after the implementation of the Affordable Care Act. Which types of care should the nurse expect to provide?

1. Health promotion
2. Disease prevention
3. Chronic disease management
4. Rehabilitation
5. Palliative care

orangecrush · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 4, 5

Evidence-based practice guidelines are collections of practical information used to help guide decisions related to specific circumstances. These guidelines help identify appropriate interventions for a given nursing care problem or diagnosis. Quoting a guideline in a nurse's note, placing a copy of a guideline in a Kardex, accessing guidelines through the clinical documentation system, and referencing a guideline before planning skin care interventions indicate appropriate use of the guidelines. Posting a guideline on a bulletin board is not an appropriate use of a guideline.

Answer to Question 2

Correct Answer: 1, 2, 3

The ACA will provide access to health care services for more Americans and create new models of care. The profession is well positioned to respond to new demands that emphasize health promotion, disease prevention, and management of chronic disease. Rehabilitation and palliative care are not new models of care that will be provided through a community health clinic.