Author Question: A nurse plans evidence-based care for a client on a medical-surgical unit. Which elements should the ... (Read 14 times)

sammy · **on:** Jun 25, 2018

A nurse plans evidence-based care for a client on a medical-surgical unit. Which elements should the nurse assess when developing this plan of care? (Select all that apply.)

a. Client values
b. Nurse's experiences
c. Organizational budget
d. Staffing ratios
e. Best available evidence

Question 2

A nurse manager educates staff nurses in the use of clinical practice guidelines. Which statement should the nurse include in this teaching?

a. Clinical practice guidelines are implemented by The Joint Commission.
b. Practice guidelines are based on hospital management staff's expertise.
c. Clinical practice guidelines are official recommendations based on evidence.
d. Practice guidelines allow for greater reimbursement from insurance companies.

Qarqy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, E
Evidence-based practice incorporates best current evidence with the expertise of the clinician and the client's values.

Answer to Question 2

ANS: C
Clinical practice guidelines are based on evidence and provide an official recommendation for the diagnosis and/or management of health problems. These are usually developed from high-quality evidence. Although The Joint Commission publishes guidelines, clinical practice guidelines are not implemented by The Joint Commission. The hospital's management staff may be involved in the development and implementation of clinical practice guidelines, but these guidelines should not be based solely on management expertise. Clinical guidelines provide for better client outcomes. These guidelines are not focused on reimbursement.