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: Identifying a clinical question. This is the first step in implementing evidence-based practice because it helps focus the research efforts on a specific issue or problem. By identifying a clinical question, the nurse can then conduct research to gather evidence that will guide decision-making. The other choices are incorrect: A: Conducting research - While conducting research is an essential part of evidence-based practice, it comes after identifying a clinical question. C: Determining outcomes - Determining outcomes is crucial for evaluating the effectiveness of interventions, but it is not the first step in developing evidence-based practice. D: Collaborating with the patient - Collaborating with the patient is important in providing individualized care, but it is not the initial step in implementing evidence-based practice.

Correct Answer: A

Rationale: The correct answer is A: Transaction. In King's model, the nurse-patient interaction is viewed as a transaction where both parties influence each other. This is correct as the nurse and patient exchange information, thoughts, and feelings during the interaction. Choice B, Adaptation, focuses more on the patient adapting to changes, not the interaction itself. Choice C, Transpersonal caring, emphasizes the nurse's caring relationship with the patient but doesn't capture the interactive nature of the model. Choice D, Self-system, refers to the patient's perception of self, which is not the main focus of King's model.

Correct Answer: D

Rationale: The correct answer is D, determining the trigger for the distorted thinking. This is important as it helps identify potential causes of the client's suspiciousness and delusional thinking, allowing for targeted interventions. Option A may increase client distress. Option B may lead to conflict. Option C may invalidate the client's experiences.

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.