A female patient is seen in the outpatient clinic for numerous ...

[maychende]

A female patient is seen in the outpatient clinic for numerous cuts, bruises, and apparent burns. In a discussion with the patient, the nurse finds that the injuries are inconsistent with the stated cause.
 
  The patient also states that she is having trouble sleeping, and she appears anxious. Based on these findings, which of the following does the nurse suspect the patient may be experiencing? a. Substance abuse
  b. Domestic violence
  c. Vascular disease
  d. Mental illness

Question 2

When evaluating quality improvement (QI) programs in relation to evidence-based practice (EBP), it is easy to note that
 
  a. Both are designed to improve performance.
  b. When implementing EBP projects, it is important to review QI data.
  c. EBP is not at all related to QI.
  d. Evaluation of processes is the realm of performance improvement (PI), not QI.

[InfiniteSteez]

Answer to Question 1

B

Feedback
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.

[maychende]

Thank you!

[InfiniteSteez]

Always glad to help...