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, b. Systematic review of randomized controlled trials
c. Nonexperimental descriptive study
d. Critical pathway ANS: B
Research findings are graded using a hierarchy of evidence. A systematic review of
randomized controlled trials is Level A and provides the strongest evidence for changing
practice. Expert committee recommendations and descriptive studies lend less powerful
and influential evidence. A critical pathway is not evidence; it incorporates research
findings after they have been analyzed.
DIF: Cognitive Level: Comprehension (Understanding) REF: 3
TOP: Nursing Process: Planning MSC: NCLEX: Safe, Effective Care Environment
A bill introduced in Congress would reduce funding for the care of people diagnosed with
mental illnesses.
A group of nurses write letters to their elected representatives in opposition to the
legislation. Which role have the nurses fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice ANS: A
An advocate defends or asserts anothers cause, particularly when the other person lacks
the ability to do that for himself or herself. Examples of individual advocacy include helping
patients understand their rights or make decisions. On a community scale, advocacy
includes political activity, public speaking, and publication in the interest of improving the
individuals with mental illness; the letter-writing campaign advocates for that cause on
behalf of patients who are unable to articulate their own needs.
DIF: Cognitive Level: Comprehension (Understanding) REF: 8
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, In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report
objective.
d. Our patients need our help to learn behaviors that will help them get along
insociety. ANS: D
Accepting patients needs for self-expression and seeking to teach skills that will contribute
to their well-being demonstrate respect and are important parts of advocacy. The on-
coming nurse needs to take action to ensure that others are not prejudiced against the
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a critical way will create
conflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A
nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the
world.
b. Tell me why you felt you had to be hospitalized to receive treatment for
yourdepression.
c. You will feel better after we get some antidepressant medication started for
you.
d. Id like to sit with you a while so you may feel more comfortable talking with
me.
ANS: D
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, b. Systematic review of randomized controlled trials
c. Nonexperimental descriptive study
d. Critical pathway ANS: B
Research findings are graded using a hierarchy of evidence. A systematic review of
randomized controlled trials is Level A and provides the strongest evidence for changing
practice. Expert committee recommendations and descriptive studies lend less powerful
and influential evidence. A critical pathway is not evidence; it incorporates research
findings after they have been analyzed.
DIF: Cognitive Level: Comprehension (Understanding) REF: 3
TOP: Nursing Process: Planning MSC: NCLEX: Safe, Effective Care Environment
A bill introduced in Congress would reduce funding for the care of people diagnosed with
mental illnesses.
A group of nurses write letters to their elected representatives in opposition to the
legislation. Which role have the nurses fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice ANS: A
An advocate defends or asserts anothers cause, particularly when the other person lacks
the ability to do that for himself or herself. Examples of individual advocacy include helping
patients understand their rights or make decisions. On a community scale, advocacy
includes political activity, public speaking, and publication in the interest of improving the
individuals with mental illness; the letter-writing campaign advocates for that cause on
behalf of patients who are unable to articulate their own needs.
DIF: Cognitive Level: Comprehension (Understanding) REF: 8
Elitestudyvault stuvia
, In the shift-change report, an off-going nurse criticizes a patient who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report
objective.
d. Our patients need our help to learn behaviors that will help them get along
insociety. ANS: D
Accepting patients needs for self-expression and seeking to teach skills that will contribute
to their well-being demonstrate respect and are important parts of advocacy. The on-
coming nurse needs to take action to ensure that others are not prejudiced against the
patient. Humor can be appropriate within the privacy of a shift report but not at the
expense of respect for patients. Judging the off-going nurse in a critical way will create
conflict.
Nurses must show compassion for each other.
DIF: Cognitive Level: Application (Applying) REF: 8
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A
nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the
world.
b. Tell me why you felt you had to be hospitalized to receive treatment for
yourdepression.
c. You will feel better after we get some antidepressant medication started for
you.
d. Id like to sit with you a while so you may feel more comfortable talking with
me.
ANS: D
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