Week 7

Question 1

Evidence based nursing practice involves making clinical decisions based on clinical experience, the needs and preferences of the patient and:-
Select one:
a. medical staff orders
b. what the tea leaves tell you to do
c. nursing tradition
d. the best available current research evidence
e. trial and error

Answer 1

Evidence based nursing practice involves making clinical decisions based on clinical experience, the needs and preferences of the patient and:-
Select one:
a. medical staff orders
b. what the tea leaves tell you to do
c. nursing tradition
d. the best available current research evidence*
e. trial and error

Question 2

Approximately what amount of nursing practice is based on tradition?
Select one:
a. 70-80%
b. about 50%
c. None of it
d. all of it
e. 10-20%

Answer 2

Approximately what amount of nursing practice is based on tradition?
Select one:
a. 70-80%*
b. about 50%
c. None of it
d. all of it
e. 10-20%

Question 3

The highest level of evidence is obtained from:-
Select one:
a. lots of well designed trials
b. at least one properly designed trial
c. well designed cohort studies
d. a systematic review of all relevant randomized controlled trials
e. the back of a cereal packet

Answer 3

The highest level of evidence is obtained from:-
Select one:
a. lots of well designed trials
b. at least one properly designed trial
c. well designed cohort studies
d. a systematic review of all relevant randomized controlled trials*
e. the back of a cereal packet

Question 4

The Joanna Briggs Institute supports:-
Select one:
a. nurses and the best ways to do things
b. Summarising data
c. systematic reviews
d. research proposals
e. the development of a range of reviews and guidelines relevant to nursing

Answer 4

The Joanna Briggs Institute supports:-
Select one:
a. nurses and the best ways to do things
b. Summarising data
c. systematic reviews
d. research proposals
e. the development of a range of reviews and guidelines relevant to nursing*

Question 5

The nurse most effectively addresses the protection of a terminally ill, incontinent patient’s skin from irritation and breakdown by:
Select one:
a. offering the patient frequent opportunities for toileting and responding promptly to toileting requests
b. using adult pads and changing them as soon as they become wet or otherwise soiled
c. providing a protective membrane over the patient’s skin
d. securing an order for an indwelling catheter and keeping the perineal area free of faecal matter
e. assessing the patient’s bed frequently for wetness and provide clean, dry sheets and clothing as required

Answer 5

The nurse most effectively addresses the protection of a terminally ill, incontinent patient’s skin from irritation and breakdown by:
Select one:
a. offering the patient frequent opportunities for toileting and responding promptly to toileting requests
b. using adult pads and changing them as soon as they become wet or otherwise soiled
c. providing a protective membrane over the patient’s skin
d. securing an order for an indwelling catheter and keeping the perineal area free of faecal matter
e. assessing the patient’s bed frequently for wetness and provide clean, dry sheets and clothing as required*

Question 6

A patient has a red, raised skin rash. During a bath, the priority action of the nurse is to:
Select one:
a. assess for further inflammatory reactions
b. moisturise the skin to prevent drying
c. discuss the body-image problems created by the presence of the rash
d. wash the skin thoroughly with hot water and soap
e. Ignore it, it will go away

Answer 6

A patient has a red, raised skin rash. During a bath, the priority action of the nurse is to:
Select one:
a. assess for further inflammatory reactions*
b. moisturise the skin to prevent drying
c. discuss the body-image problems created by the presence of the rash
d. wash the skin thoroughly with hot water and soap
e. Ignore it, it will go away

Question 7

A 61-year-old with diabetes mellitus has doctor’s orders for meticulous foot care. Which of the following is the best rationale for the order?
Select one:
a. Increased neuropathy occurs with this pathology and places the patient at risk.
b. The lower extremities are difficult to see and therefore hard to maintain with good hygiene.
c. The patient probably has a history of poor hygienic care.
d. Because their feet are ticklish.
e. The ageing process causes increased skin breakdown.

Answer 7

A 61-year-old with diabetes mellitus has doctor’s orders for meticulous foot care. Which of the following is the best rationale for the order?
Select one:
a. Increased neuropathy occurs with this pathology and places the patient at risk.*
b. The lower extremities are difficult to see and therefore hard to maintain with good hygiene.
c. The patient probably has a history of poor hygienic care.
d. Because their feet are ticklish.
e. The ageing process causes increased skin breakdown.

Question 8

A nurse is completing a bed bath for a dependent adult male patient. During the perineal care, the patient has an erection. The nurse should:
Select one:
a. defer the care until a little later in the bath
b. tell the patient it’s okay and just to relax
c. ask the patient to try and do the care as well as he can
d. Tell him to stop thinking dirty thoughts and walk away.
e. ignore it and continue with the perineal care

Answer 8

A nurse is completing a bed bath for a dependent adult male patient. During the perineal care, the patient has an erection. The nurse should:
Select one:
a. defer the care until a little later in the bath*
b. tell the patient it’s okay and just to relax
c. ask the patient to try and do the care as well as he can
d. Tell him to stop thinking dirty thoughts and walk away.
e. ignore it and continue with the perineal care