Answer to Question 1
B
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A The findings are not consistent with substance abuse. Indicators of substance abuse may include frequent missed appointments or emergency department visits, a history of changing doctors, a history of activities that place the patient at risk for human immunodeficiency virus infections, complaints of insomnia or chest pain, and a family history of addiction. The nurse should observe for homemade tattoos, as these may prevent detection of injection sites and could indicate possible cocaine or intravenous opioid abuse. Increased vascularity of the face is associated with alcohol abuse.
B Injuries and trauma that are inconsistent with the reported cause (multiple injuries including bruises, cuts, and burns; and behavioural findings of difficulty sleeping and appearing anxious) are all indicators of possible domestic violence.
C The findings are not indicative of vascular disease. Symptoms of vascular disease may include edema, colour changes of the lower extremities, and weakened pedal pulses.
D The findings are not indicative of mental illness. The patient is coherent.
Answer to Question 2
B
Evidence-based practice and quality improvement go hand in hand. When implementing an EBP project, it is important to review available QI data. Reliable QI data improve the relevance and scope of an EBP project. Performance improvement (PI) analyzes performance. QI analyzes processes.
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Nurses possess a wide variety of experiences which they take into each patient encounter.
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