What are the three components of evidence-based practice?

Correct Answer: A

Rationale: The correct answer is A: research/client preference/nurse competency. Evidence-based practice involves integrating the best available research evidence with a patient's preferences and the nurse's clinical expertise. Research ensures interventions are based on proven effectiveness. Client preference acknowledges the importance of individual needs and values. Nurse competency ensures that care is delivered skillfully. Choice B (nurse experience/collaboration/teamwork) lacks the essential component of research evidence, which is crucial for evidence-based practice. While collaboration and teamwork are important, they do not encompass all three components. Choice C (research/client safety/client preference) includes client safety, which is essential but does not cover nurse competency, a key component of evidence-based practice. Choice D (nurse experience/client teaching/delegation) misses the mark by not including research evidence and client preference, which are integral to evidence-based practice. Delegation and client teaching are important but not part of the core components.

Correct Answer: B

Rationale: The correct answer is B because clarification involves seeking understanding by asking for more information or explaining a vague statement. In this case, the statement "I'm not sure what you mean when you use the word fragile" demonstrates the use of clarification by seeking clarity on the meaning of a term used by the client. This technique helps the client to express themselves more clearly and aids in effective communication. Choices A, C, and D are incorrect because they do not involve seeking clarification or further explanation from the client. Choice A focuses on exploring emotions related to a specific topic, choice C reflects an observation rather than seeking clarification, and choice D compares the client's mood without seeking clarification on any specific term or concept.

Correct Answer: B

Rationale: The correct answer is B: DSM-V. The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is the standard classification of mental disorders used by mental health professionals. It provides detailed diagnostic criteria for various mental disorders, including anxiety disorders. The DSM-V is updated regularly and provides the most comprehensive and up-to-date information on diagnostic criteria for anxiety disorders. Rationale for other choices: A: Nursing Outcomes Classification (NOC) does not provide diagnostic criteria for mental disorders, including anxiety disorders. It focuses on outcomes related to nursing care. C: The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice outlines the scope of practice for psychiatric-mental health nurses but does not provide detailed diagnostic criteria for anxiety disorders. D: ICD-10 is a classification system for diseases and health conditions, including mental disorders, but it does not provide detailed diagnostic criteria specific to anxiety disorders like the DSM-V does.

Correct Answer: A

Rationale: The correct answer is A because prohibiting a patient from using the telephone violates their right to communication. Patients have the right to contact others for support or assistance. Choice B is incorrect because opening a package in the patient's presence is not a violation of their rights. Choice C is incorrect because maintaining close supervision of a patient with homicidal ideation is necessary for safety. Choice D is incorrect because allowing a patient with psychosis to refuse medication respects their autonomy and right to make informed decisions about their treatment.

Correct Answer: C

Rationale: The correct answer is C because utilizing silence during patient interviews allows for meaningful moments of reflection, fostering a deeper connection and promoting patient introspection. This principle aligns with therapeutic communication techniques that encourage patients to explore their thoughts and feelings. Choice A is incorrect because nurses should respect and utilize silence when appropriate. Choice B is incorrect as prolonged silences can encourage patient self-reflection. Choice D is incorrect because silence is not solely about confirming understanding, but also about creating a space for patients to process their thoughts.