Chapter 1

Question 1

5A’S of evidence based practice

ASK a Question

Answer 1

Identify a problem or need for change for a specific patient or situation.

Question 2

5A’S of evidence based practice

Acquire Literature

Answer 2

Search the literature for scientific studies and articles that address the issue of concern.

Question 3

5A’S of evidence based practice

Appraise the Literature

Answer 3

Evaluate and synthesis the research evidence Regarding it validate IT Relevance ,and applicability using criteria of scientific merit.

Question 4

5A’S of evidence based practice

Apply the evidence

Answer 4

Choose interventions that are based on the best available evidence with the understanding of the patient’s preference and needs.

Question 5

5A’S of evidence based practice

Assess the performance

Answer 5

Evaluate the outcomes using clearly defined criteria and reports and document results.

Question 6

In psychiatry the evidence base focus extends to

Answer 6

Treatment approaches in which there is scientific evidence for psychological social logical modalities as well as evidence related to the neurobiology of psychiatric disorders And psycho pharmacology.

Question 7

The strongest evidence on which to base clinical practice?

Answer 7

Systematic reviews or meta-analysis of randomized control studies an evidence-based clinical practice guidelines.

Question 8

The weakest level of evidence-based practice?

Answer 8

Expert committee reports opinions clinical experience or descriptive studies.

Question 9

Hierarchy rating system level one/I?

Answer 9

Systematic review of meta-analysis of a randomized controlled trial (RTC).

Question 10

Hierarchy rating system level two/II?

Answer 10

Well designed RTC.

Question 11

Hierarchy systematic rating system level three/ III?

Answer 11

Control trial with our randomization (quasi experimental study).

Question 12

Hierarchy systematic rating system level four /IV?

Answer 12

Single non-experimental study (case control correlational cohort study)

Question 13

Hierarchy systematic rating system level five/V?

Answer 13

Systematic reviews of descriptive or qualitative studies.

Question 14

Hierarchy systematic rating system level six/VI?

Answer 14

Single descriptive or qualitative study.

Question 15

Hierarchy systematic rating system level seven/VII?

Answer 15

Opinion of authorities or reports of expert committees.

Question 16

What are the four resources for clinical practice?

Answer 16

Internet resources clinical practice guidelines Clinical algorithms and Clinical critical pathways.

Question 17

Internet resources for clinical practice are?

Answer 17

Focus on sites maintained by professional societies librarians textbook pleasures or well-known organizations with a reputation for quality evidence-based information such as cumulative index to nursing and allied health literature Pubmed andCochran reviews

Question 18

Clinical practice guideline resources are?

Answer 18

These are systematically develop statements based on literature review that appraise and summarize best evidence to guide clinicians and making informed decisions about specific health problems. They identify practice questions and explicitly identify all the decision options and outcomes to identify the best evidence about prevention diagnosis prognosis therapy harm and cost-effectiveness and three provide a decision points for deciding on a course of action. Sample the APA the American psychiatric Association do you S department of health and human services are good resources

Question 19

Clinical our algorithm resources are?

Answer 19

Are you step-by-step guide lines prepare in a flow chart or decision tree format provide alternative diagnostic and treatment approaches are described based on decisional points using large database relevant for the systems diagnosis or treatment modalities.

Question 20

Clinical critical pathway resources are

Answer 20

They are pacific to the institution using them these clinical pathways serve as a map for specify treatment interventions to a car with the Pacific time frames that have been shown to improve clinical outcomes which can be test health teaching or medications which pathway list the expected outcome use a miserable time pacific for me in the documentation is on going clinical pathways are one-way evidence evidence-based practice can be integrated into clinical care.

Question 21

Does the research practice gas?

Answer 21

The gap between best evidence treatment and their effective translation into practice, meaning research should be free of jargon reported in alanguage that is understandable free of statistical and research jargon and appropriate dissemination of findings need to reach nursing practice practitioners.

Question 22

Explain recovery model as a major concept of evidence-based practice.

Answer 22

More of a social model of disability then a medical model of disability and the focuses on rehabilitation and recovery. Very this model or originate from AAA 12 step program the primary goal is managing Systems, reducing psycho social disabilities, and improving Rol performance. Holistic in avengers examples are encouraging supportive relationships designed to promote recovery as evidence by function and work engagement and community/social life and a reduction of symptoms.

Question 23

The three recovery model mandates are?

Answer 23

Mental health care is to be a consumer in family driving with patients being partners and our experts of care.

Care must focus on increasing consumer success and coping with life’s challenges in building three is aliens not just managing symptoms.

An individualized care plan is to be at the core of consumer center recovery.

Question 24

What is trauma informed care?

Answer 24

This is almost universally found in the history of mental health patients and as a contributor to mental health issues, substance-abuse, chronic health conditions, and contact with the criminal justice system. Examples include physical sexual emotional abuse war natural disasters and other harmful experiences. Guidelines focus on understanding how trauma impacts patients and asking “what has happened to you?”

Question 25

QSEN quality and safety education for nurses

Answer 25

A national initiative toward patient safety and quality. The goal is to prepare future nurses who would have the knowledge, skills and attitudes necessary to continuously improve quality and safety of healthcare systems

Question 26

Six standards of KSA’s define by QSEN?

Answer 26

``` Patient centered care. Teamwork and collaboration. Evidence-based practice. Quality improvement. Safety. Informatics ```

Question 27

Where is factors for clinical suspicion of suicide risk

Answer 27

``` Social isolation spiritual isolation male gender chronic medical illness chronic psychiatric illness substance abuse suicide plans ```

Question 28

Intervention for one or less positive suicide risk factors are

Answer 28

Attempt to reduce suffering initiate a medical management with close observation.

Question 29

Intervention for two or more positive suicide risk factors?

Answer 29

Immediate psychiatric consultation.

Question 30

The three areas of heart of nursing are?

Answer 30

Caring attending patient advocacy

Question 31

Caring

Answer 31

The most natural fundamental aspect of human existence three things our epic apathetic understanding, actions, and patience or another’s behalf. Caring for another through actions, words, and being present leads to happiness and touches the heart. Caring is giving of self while preserving the importance of self. Emperor is a part of caring which includes providing social emotional physical and spiritual support for a patient consistent with holistic nursing care. Listening to patients takes time but with practice and experience nurses can develop the ability to listen and care for emotional and spiritual needs and to get to know their patients.

Question 32

Attending?

Answer 32

Intensity of presents being there for and in tune with the patient well the patient knows that someone is there for them a human connection is Mi and the patient sense of isolation is minimize or illuminate it being present require entering the patient’s experience attending behaviors include active listening skills such as body posture and iContact, touching, or giving attentive physical care. Effective communication can lead to a true therapeutic relationship.

Question 33

Patient advocacy?

Answer 33

One who speaks up for another’s calls, who helps others by defense of actions, especially when the other person lacks knowledge, skills, ability or status to speak for himself or herself. nurses have an ethical obligation as a foundation of nursing to do this for their patients,it includes commitment to patient’s health, Well-being, and safety across the lifespan and the alleviation of suffering and promotion of a peaceful, comfortable, and dignified death it demonstrates respect and value for human life while saving lives or bringing comfort to those who are dying.