A nurse routinely uses therapeutic touch when caring for ...

[cagreen833]

A nurse routinely uses therapeutic touch when caring for postoperative clients with incisional pain. Occasionally a client will show reluctance when the intervention is offered. The nurse's best response in such a situation is to:
 
  1. Research for alternative interventions that will be better received by the client
  2. Suggest that the client allow the intervention just once before making a final deci-sion
  3. Respect the client's wishes and rely on pain medication to help with managing the pain
  4. Inform the client that the intervention has been found to be effective during sev-eral research projects

Question 2

An example of a predictive type of question that a nurse might use for research is which of the following?
 
  1. What creates an increase in stress levels?
  2. How often does the stress reaction occur?
  3. What does guided imagery mean to clients?
  4. If guided imagery is used, will stress levels be reduced?

[tsternbergh47]

Answer to Question 1

ANS: 1
Evidence-based practice is a problem-solving approach to clinical practice that integrates the conscientious use of best evidence in combination with a clinician's expertise and client prefer-ences and values in making decisions about client care. If the client is not receptive to an inter-vention, the best nursing response is to search for an alternative evidence-based therapy that the client will accept.
Suggesting the client allow intervention once before making a decision may be considered as long as there is no pressure placed on the client to accept the intervention, but it is not the best option provided because there is no guarantee that the client will be receptive to the intervention, and the problem regarding incisional pain would then go unaddressed.
While requesting the client's wishes is not inappropriate, it does not address the issue of best ev-idence-based practice and so is not the best option available.
Informing the client that intervention has been effective in research may be considered as long as there is no pressure placed on the client to accept the intervention, but it is not the best option provided because there is no guarantee that the client will be receptive to the intervention, and the problem regarding incisional pain would then go unaddressed.

Answer to Question 2

ANS: 4
Questioning whether stress will be reduced is an example of a predictive type of question be-cause it connects stress reduction with the use of guided imagery.
Asking what increases stress explores factors that impact a phenomenon. It is not a predictive type of question.
Asking how often stress increases does not predict any outcome, but rather focuses on frequency of a response, which could be used in data collection.
Asking what guided imagery means does not predict any type of outcome, but rather explores meaning in order to gain understanding.