The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient’s input. The patient asks, “How is this different from what the doctor does?” Which response would be most appropriate for the nurse to make? N R I G B.C a. “The role of the nurse is to administer medications and other treatments prescribed by your doctor.” b. “In addition to caring for you while you are sick, the nurses will help you plan to maintain your health.” c. “The nurse’s job is to help the doctor by collecting information and communicating any problems that occur.” d. “Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor.” ANS: B The American Nurses Association (ANA) definition of nursing describes the role of nurses in promoting health. The other responses describe dependent and collaborative functions of the nursing role but do not accurately describe the nurse’s unique role in the health care system. DIF: Cognitive Level: Analyze (analysis) TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 2. The nurse describes to a student nurse how to use evidence-based practice (EBP) when caring for patients. Which statement bUy thSe nNurseTaccuraOtely describes the use of EBP? a. “Inferences from all published articles are used as a guide.” b. “Patient care is based on clinical judgment, experience, and traditions.” c. “Data are analyzed later to show that the patient outcomes are consistently met.” d. “Recommendations are based on research, clinical expertise, and patient preferences.” ANS: D Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician expertise and consideration of patient preferences. Clinical judgment based on the nurse’s clinical experience is part of EBP, but clinical decision making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes is important, but data analysis is not required to use EBP. All published articles do not provide research evidence; interventions should be based on credible research, preferably randomized controlled studies with a large number of subjects. DIF: Cognitive Level: Remember (knowledge) TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment 3. The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which statement by the student nurse indicates that teaching was successful?
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