Which of the following practices characterize the basic ...

[NguyenJ]

Which of the following practices characterize the basic competencies related to evidence-based practice? Select all that apply.
 
  1. Clinical practice supported by good evidence
  2. Clinical practice supported by intuitive evidence
  3. Clinical practice supported by data
  4. Clinical practice that promotes quality
  5. Clinical practice that provides a useful approach to problem solving
  Correct

Question 2

The nurse is caring for a client who has delivered her first child. The client states, My mother said that I have to have a bowel movement before I can go home, but my girlfriend said that isn't true anymore.
 
  What caused this change? Which response by the nurse is best? 1. Doctors just want clients to go home sooner these days.
  2. It really doesn't matter. Don't worry about it.
  3. Research indicates it is normal for bowel function to slow for a few days.
  4. We used to give all clients laxatives, but now they cost too much.

[AaaA]

Answer to Question 1

,1, 3, 4, 5
Rationale:
1. Clinical practice supported by good evidence is one of the hallmark characteristics of the basic competencies related to evidence-based practice.
2. Clinical practice supported by intuitive evidence does not provide valid evidence and data for the proper actions.
3. Clinical practice supported by data is one of the hallmark characteristics of the basic competencies related to evidence-based practice.
4. Clinical practice that promotes quality is one of the hallmark characteristics of the basic competencies related to evidence-based practice.
5. Clinical practice that provides a useful approach to problem solving is one of the hallmark characteristics of the basic competencies related to evidence-based practice.

Answer to Question 2

3
Rationale:
1. Cost containment and managed care are the driving forces behind some changes in care compared to a generation ago, not physician preference.
2. Always address a client's questions; avoid saying don't worry about it to keep communication therapeutic.
3. Evidence-based practice is the use of research findings to guide nursing actions, policies, and procedures. Often research findings contradict care that used to be the norm, leading to changes in policies and procedures.
4. Although laxatives are low-cost medications, there is no evidence indicating that all patients should receive them after childbirth. The evidence indicates that bowel function slows slightly after birth, and normally resumes in a few days.