May 30, | nursing, med, NURS, Paper
Evidence-based practice nursing essay examples
Evidence-based practice nursing essay examples
Course Project: Introduction to Course Project
Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice.
For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.
Before you begin, review the Course Project Overview document located in this week’s Learning Resources.
Course Project: Part 1—Identifying a Researchable Problem
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One of the most challenging aspects of EBP is to actually identify the answerable question.
Evidence-based practice nursing essay examples
Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.
In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.
Evidence-based practice nursing essay examples To prepare:
Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.
Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.
Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.
Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?
Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.
Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.
To complete:
Write a 3- to 4-page Evidence-based practice nursing essay examples paper that includes the following:
A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
The 5 questions you have generated and a description of how you analyzed them for feasibility
Your preliminary PICOT question and a description of each PICOT variable relevant to your question
At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections
By Day 7
WEEK 5
Course Project: Part 2—Literature Review
This is a continuation of the Course Project presented in Week 2. Before you begin, review the Course Project Overview document located in the Week 2 Resources area.
The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.
Evidence-based practice nursing essay examples To prepare:
Review the information in Chapter 5 of the course text, focusing on the steps for conducting a literature review and for compiling your findings.
Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.
Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary Table Template located in this week’s Learning Resources.
Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.
To complete:
Write a 3- to 4-page literature review that includes the following:
A synthesis of what the studies reveal about the current state of knowledge on the question that you developed
Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.
Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry
Your literature review summary table with all references formatted in correct APA style
wEEK 7
Assignment: Critiquing Quantitative, Qualitative, or Mixed Methods Studies
Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7 of Week 7, you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each.
Evidence-based practice nursing essay examples To prepare:
Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice.
Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic: 1) Select one article that utilizes a quantitative research design and 2) select a second article that utilizes either a qualitative OR a mixed methods design. These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.
Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:
Critique Template for a Qualitative Study
Critique Template for a Quantitative Study
Critique Template for a Mixed-Methods Study
Consider the fields in the templates as you review the information in each article. Begin to draft a paper in which you analyze the two research approaches as indicated below. Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond?
To complete this Assignment:
Complete the two critiques using the appropriate templates.
Write a 2- to 3-page paper that addresses the following:
Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.
Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.
Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.
As you complete this Assignment, remember to:
Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.
Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references. Submit this combined document.
week 10
Evidence-based practice nursing essay examples Course Project
By Day 7
Submit your Course Project. Reminder: You will combine Parts 1, 2, and 3 of your Course Project (assigned in Weeks 2, 4, and 8 respectively) into one cohesive and cogent paper.
Note: In addition, include a 1-page summary of your project.
For this final iteration you will need to:
Submit your Evidence-based practice nursing essay examples paper to Grammarly and SafeAssign through the Walden Writing Center. Based on then Grammarly and SafeAssign reports, revise your paper as necessary.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.
Note: The Course Project will be your Portfolio Assignment for this course.
Evidence-based practice nursing essay examples Submission and Grading Information
To submit your completed Evidence-based practice nursing essay examples Project for review and grading, do the following:
Please save your Project using the naming convention “WK10Proj+last name+first initial.(extension)” as the name.
Click the Week 10 Project Rubric to review the Grading Criteria for the Project.
Click the Week 10 Project link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Proj+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your Evidence-based practice nursing essay examples submission.
May 30, | nursing, med, NURS, Paper
NURS 6512C final exam question and answers quizlet
NURS 6512C final exam question and answers quizlet
User
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Course
NURS-6512N-47-Advanced Health Assessment-2022-Fall-QTR-Term-wks-1-thru-11-(08/29/2022-11/13/2022)-PT27 NURS 6512C final exam question and answers quizlet
Test
Exam – Week 11
Started
11/09/22 10:01 PM
Submitted
11/09/22 11:55 PM
Due Date
11/14/22 1:59 AM
Status
Completed
Attempt Score
98 out of 100 points
Time Elapsed
1 hour, 53 minutes out of 2 hours
Instructions
Please answer each question below and click Submit when you have completed the Exam.
Results Displayed
Submitted Answers
Question 1
You are reviewing an ECG of a 43 year old new patient. The patient has a history of second-degree heart block. The ECG shows the PR interval is increases with each beat until a QRS is dropped. What is this type of block called?
Selected Answer:
Second degree heart block, type 1: Wenckebach/Mobitz 1
Question 2
Which cranial nerves are usually evaluated during the examination of the eyes?
Selected Answer:
III and VI
NURS 6512C final exam question and answers quizlet Question 3
The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg.
Selected Answer:
10
Question 4
The adnexa of the uterus are composed of the:
Selected Answer:
fallopian tubes and ovaries.
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Question 5
You order an ECG on a patient that c/o feeling heart palpitations, chest pain, shortness of breath. Your ECG shows irregular heart rate and you determine that you need to call EMS immediately because this rhythm can cause death. What rhythm would you suspect the ECG is showing? NURS 6512C final exam question and answers quizlet
Selected Answer:
Ventricular Fibrillation
Question 6
When palpating breast tissue, the examiner should use the _____ at each site.
Selected Answer:
finger pads, gliding
Question 7
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
Selected Answer:
P wave.
Question 8
Darian is a 14-year-old adolescent who states his right testicle has a soft swollen mass. The testicle is not painful upon palpation. The right inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with:
Selected Answer:
hydrocele
Question 9
Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:
Selected Answer:
menstrual cycles.
Question 10
At your first meeting with a patient, it is usually best to say:
Selected Answer:
“Tell me about yourself.”
Question 11
Which one of the following techniques is used to detect a torn meniscus?
Selected Answer:
McMurray test
Question 12
Facial muscle or tongue weakness may result in:
Selected Answer:
aphasia.
Question 13
The finger-to-nose test allows assessment of:
Selected Answer:
coordination and fine motor function.
Question 14
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
Selected Answer:
presence and form of body parts.
Question 15
When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign.
Selected Answer:
Kernig
Question 16
Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings.
Selected Answer:
systolic pressure drop of more than 15 mm Hg with a pulse rate increase
Question 17
One of the most important aspects to consider in the orthopedic screening examination is:
Selected Answer:
Question 18
The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
Selected Answer:
coordination of follow-ups is reviewed.
Question 19
Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
Selected Answer:
Question 20
You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion?
Selected Answer:
Question 21
Throughout the history and physical examination, the clinician should:
Selected Answer:
Question 22
Functional assessment is most important during the examination of a(n):
Selected Answer:
Question 23
To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with:
Selected Answer:
Question 24
A 56-year-old male presents to the clinic to see the nurse practitioner with complaints of shortness of breath for 1 months, 15-pound weight gain and lower extremity edema. Vitals are as follows: HR: 120, Respirations 30, Blood Pressure: 138/90, BMI: 40; Oxygen saturation of 90%. On examination patient is noted to have jugular venous distention, enlarged liver, and crackles are noted on examination. A chest x-ray is completed and shows findings consistent with which diagnosis? Based on this scenario and imaging what is the most likely diagnosis?
Selected Answer:
Question 25
Recent unilateral inversion of a previously everted nipple suggests:
Selected Answer:
.
Question 26
A common finding in markedly obese and pregnant women is:
Selected Answer:
Question 27
If your patient has nipple discharge, you will most likely need a:
Selected Answer:
Question 28
Normal changes of the aging brain include:
Selected Answer:
Question 29
A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.
Selected Answer:
Question 30
The physical assessment technique most frequently used to assess joint symmetry is:
Selected Answer:
.
Question 31
Nerves that arise from the brain rather than the spinal cord are called:
Selected Answer:
.
Question 32
The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
Selected Answer:
Question 33
Examination of the patient in the lithotomy, or knee-chest, position includes:
Selected Answer:
Question 34
A 40 yr old female presents to the clinic with complaints of low back and buttock pain. Pt states the buttock pain radiates from one side to the other. On examination, the patient is noted to have limited ROM of the shoulders, chest wall, hips, and knees. Upon xray, you find gross postural changes and there is a severe deformity of the vertebral column.
What is the most likely diagnosis for this patient?
Selected Answer:
Question 35
A pulsation that is diminished to the point of being barely palpable would be graded as:
Selected Answer:
Question 36
The family history for a patient with joint pain should include information about siblings with:
Selected Answer:
.
Question 37
Anterior cruciate ligament integrity is assessed via the _____ test.
Selected Answer:
Question 38
During chest assessment, you note the patient’s voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e’s sound like a s. This sound is indicative of:
Selected Answer:
Question 39
A positive straight leg raise test usually indicates:
Selected Answer:
Question 40
The musculoskeletal examination should begin when:
Selected Answer:
Question 41
A 25 yo AA female has come to the clinic because she has missed her menstrual period this month and 2 months before. She says her cycles are irregular and she wants to be on birth control to help regulate them. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to:
Selected Answer:
Question 42
To hear diastolic heart sounds, you should ask patients to:
Selected Answer:
Question 43
As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:
Selected Answer:
Question 44
For purposes of examination and communication of physical findings, the breast is divided into:
Selected Answer:
Question 45
The goals of preparticipation sports evaluation include:
Selected Answer:
Question 46
The strength of the trapezius muscle is evaluated by having the patient:
Selected Answer:
Question 47
Assessing orientation to person, place, and time helps determine:
Selected Answer:
Question 48
During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:
Selected Answer:
Question 49
When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
Selected Answer:
Question 50
The rectal past medical history of all patients should include inquiry about:
Selected Answer:
Question 51
You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:
Selected Answer:
Question 52
Loss of immediate and recent memory with retention of remote memory suggests:
Selected Answer:
Question 53
Cranial nerve XII may be assessed in an infant by:
Selected Answer:
Question 54
While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:
Selected Answer:
Question 55
A cervical polyp usually appears as a:
Selected Answer:
Question 56
A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:
Selected Answer:
NURS 6512C final exam question and answers quizlet
Question 57
A finding that is indicative of osteoarthritis is:
Selected Answer:
Question 58
Inspection of the scrotum should reveal:
Selected Answer:
Question 59
In the adult, the apical impulse should be most visible when the patient is in what position?
Selected Answer:
Question 60
A grade IV mitral regurgitation murmur would:
Selected Answer:
Question 61
Adrian Thompson is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Andrian, apart from occasional sinus infections, Andrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian’s current problem?
Selected Answer:
Question 62
An apical PMI palpated beyond the left fifth intercostal space may indicate:
Selected Answer:
Question 63
A chest radiography is performed on your patient that complains of having dyspnea, coughing productive sputum and chest pain. The image results shows consolidation and infiltrates. You compare this to your physical exam findings of distant or absent breath sounds and absent vocal fremitus. What is the most likely diagnosis? NURS 6512C final exam question and answers quizlet
Selected Answer:
Question 64
An ophthalmoscopic eye examination involves:
Selected Answer:
Question 65
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
Selected Answer:
Question 66
When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to:
Selected Answer:
Question 67
You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:
Selected Answer:
Question 68
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
Selected Answer:
Question 69
When is the mental status portion of the neurologic system examination performed?
Selected Answer:
Question 70
Which portion of the physical examination is best done with the patient standing? NURS 6512C final exam question and answers quizlet
Selected Answer:
Question 71
The foramen ovale should close:
Selected Answer:
Question 72
You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her?
Selected Answer:
Question 73
In the most effective percussion technique of the posterior lung fields, the patient cooperates by:
Selected Answer:
Question 74
Breath sounds normally heard over the trachea are called:
Selected Answer:
Question 75
You are assessing Mr. Z.’s fluid volume status as a result of heart failure. If your finger depresses a patient’s edematous ankle to a depth of 6 mm, you should record this pitting as:
Selected Answer:
Question 76
Ulnar deviation and boutonniere deformities are characteristic of:
Selected Answer:
Question 77
You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
Selected Answer:
Question 78
Diabetic peripheral neuropathy will likely produce:
Selected Answer:
Question 79
Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:
Selected Answer:
Question 80
NURS 6512C final exam question and answers quizlet
While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should:
Selected Answer:
Question 81
If pitting edema is unilateral, you would suspect occlusion of a:
Selected Answer:
Question 82
Which medical condition would exclude a person from sports participation?
Selected Answer:
Question 83
Which of the following statements is true regarding the examination of peripheral arteries?
Selected Answer:
Question 84
You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:
Selected Answer:
Question 85
A 62 year old female presents to the clinic with complains of chest pain and heart palpitations that started 3 days ago. Patient states she is healthy and only has a history of hypertension and tachycardia. Patient is currently taking Norvasc 10mg daily and Coreg 6.25 mg BID. You order an EKG and it shows heart rate above 200 beats/min and the ECG may look like a sawtooth cog.
What is the most likely diagnosis of this patient?
Selected Answer:
Question 86
Temporalis and masseter muscles are evaluated by:
Selected Answer:
Question 87
Which condition is considered progressive rather than reversible?
Selected Answer:
NURS 6512C final exam question and answers quizlet Question 88
It is especially important to test for ankle clonus if:
Selected Answer:
Question 89
Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by:
Selected Answer:
Question 90
Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
Selected Answer:
Question 91
Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:
Selected Answer:
Question 92
An idiopathic spasm of arterioles in the digits is termed:
Selected Answer:
NURS 6512C final exam question and answers quizlet Question 93
You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient’s neurologic status, you would:
Selected Answer:
Question 94
Adrian Thomas is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her father reports that Adrian, apart from occasional sinus infections, Adrian is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Adrian’s current problem?
Selected Answer:
Question 95
To assess a cremasteric reflex, the examiner strokes the:
Selected Answer:
inner thigh and observes whether the testicle and scrotum rise on the stroked side.
Question 96
An elderly female was recently diagnosed with osteoporosis 2 weeks ago. What is the hallmark appearance of a patient with this diagnosis?
Selected Answer:
Question 97
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Palpation of epitrochlear nodes is part of the:
Selected Answer:
Question 98
Bimanual examination of the uterus includes:
Selected Answer:
grasping the cervix between the examining fingers.
Question 99
An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection?
Selected Answer:
Cytology smear
Question 100
You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with: NURS 6512C final exam question and answers quizlet
Selected Answer:
fibrocystic changes.
Question 101
When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Selected Answer:
Yes
NURS 6512C final exam question and answers quizlet
