Evidence-Based Practice Change Process 2025

Purpose The purpose of this assignment is: To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue. The information from the ‘Illustration’ part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project. Course Outcomes This assignment enables the student to meet the following course outcomes: CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO#2) CO8: Selects evidence for best practices when planning professional nursing care involving systems, processes, and devices for individuals, families, aggregates and communities. (PO#8) Directions Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process. transcript : NR451 Transcript for EBP Change Process assignment (Week 6): September 2019 Hi Class. This is Diane Parry, NR451 Course Leader and I would like to welcome you to a short tutorial to assist you in completing your Week 6 EBP Change Process assignment. You will be prompted in Week 1 to download the EBP Change Process form and view the tutorial. You will use this form to follow Nurse Daniel in the lessons each week (Weeks 1-6) and progressively complete the information on the form. This form is due at the end of Week 6. For more information and details on this assignment, click on the link indicated to view assignment guidelines, tutorial, and rubric. The assignment guidelines and rubric are located under the Week 6 module and this specific form is required and due at the end of Week 6. As you can see, the form contains prompts to assist you in your descriptions. Use this form to follow Nurse Daniel in the lessons each week (Weeks 1-6) and progressively complete the information. Your writing is not limited to the space provided and the boxes should expand as needed. You should be succinct in your writing but very clear with many details and complete sentences. No quotes are permitted in this assignment and paraphrasing and your own wording is required. Please cite any sources in APA format. The purpose of this assignment is: To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue. The information from the ‘Illustration’ part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project. You are encouraged to work through the sections of the form each week starting in Week 1 by following Nurse Daniel as he works through this same process. Find a systematic review on your topic from any database in the Chamberlain Library. Be sure this involves nursing actions. If you need assistance or want to check on the value of your chosen review, please consult your instructor by calling or sending an email. To find out more about the use of systematic reviews, in general, please refer to the required article reading in Week 2. The EBP Change Process assignment rubric is located in the guidelines area. It is a good final step to check the rubric prior to submission to assure you have included all vital parts of the assignment. There are prompts under each listed Criteria on the rubric to assist you when completing this form. This assignment is worth 225 points. Please read through the directions carefully and reach out to your instructor with any questions. As always, please contact your 451 instructor with questions. Consulting with your instructor early on the choice of: your topic, the systematic review, and the PICOT question will help ensure your success with this assignment. EBP Change Process (form) Download the EBP Change Process form (Links to an external site.) during Week 1. The use of this specific form is REQUIRED and is due at the end of Week 6. A short tutorial with tips for completing this assignment may be viewed in the short video above. Identify a clinical topic and related nursing practice issue you think needs to be changed. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review). Work on a portion of the process each week, as the illustration unfolds. Please reach out to your instructor for feedback or assistance with your PICOT question as needed. Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews. Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed. Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please! For questions about this assignment, please contact your instructor. Use the grading rubric as a final way to check that all components of the form have been completed. The rubric is the tool your instructor will use to assess your content. references: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author. American Nursing Association [ANA]. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: American Nurses Publishing.

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Week 6 Assignment: Reading Research Literature (RRL) Worksheet (graded) 2025

This assignment provides a learning activity for students to read an original research study and complete a worksheet to demonstrate understanding of the study purpose, design, sample, data collection, analysis, limitations, conclusions, and the importance of reading research literature. Course Outcomes This assignment enables the student to meet the following Course Outcomes. CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7) CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8) CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4, 8) CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

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Walden NURS6521 Week 10 Quiz 2017 2025

Question 1 A nurse is working in a women’s hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following? A) Bradycardia B) Hypertension C) Hypotension D) Decreased salivation Question 2 A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as A) common adverse effects of magnesium sulfate B) magnesium sulfate toxicity C) a hypersensitivity reaction to magnesium sulfate D) an idiosyncratic reaction from the magnesium sulfate Question 3 A male patient is taking finasteride for BPH.Which of the following will the nurse evaluate at each clinic visit? A) Serum cholesterol levels B) Bone growth C) Hemoglobin levels D) Urinary elimination patterns Question 4 A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug? A) “My urine is extremely concentrated lately and it smells strong.” B) “To be honest, I find that I can’t get an erection for the past few months.” C) “My urine’s been cloudy for the last little while and it burns when I go to the bathroom.” D) “Lately, I have to get up three or four times a night to go to the bathroom.” Question 5 After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from A) clomiphene B) conjugated estrogen C) progesterone D) mifepristone Question 6 A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? A) “You might find that your face becomes flushed or you get a headache after you take Viagra.” B) “You should take your Viagra at the same time each morning, ideally on an empty stomach.” C) “Make sure that you don’t take any other prescription medications while you’re using Viagra.” D) “If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time.” Question 7 A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? A) The patient takes allopurinol for the treatment of gout B) The patient has a family history of osteoporosis and has undergone bone density testing C) The patient has unstable angina and uses a nitroglycerin patch D) The patient often takes ginseng when he gets a common cold Question 8 A pregnant patient who has diabetes has been admitted to the hospital to begin labor.Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include A) metabolic alkalosis B) uterine tachysystole C) electrolyte imbalances D) water intoxication Question 9 A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also A) include adequate amounts of vitamin C in the diet B) drink at least 6 to 8 oz of milk daily C) stop using artificial sweeteners while taking alendronate D) perform light-weight exercises and go for walks Question 10 A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? A) Injury, Risk to the fetus related to adverse effects of maternal drug therapy B) Injury, Risk to the patient related to failure to receive needed drug therapy C) Anxiety related to perceived danger of drug therapy to fetus or infant D) Noncompliance with Drug Therapy Question 11 The nurse practitioner has recommended that a breast-feeding woman take her prescribed medications just before her infant takes his longest nap of the day. The woman does not understand and asks the nurse to explain. The nurse will tell the woman that the recommendation was made to A) increase the blood concentrations of the drug in the breast-feeding infant B) reduce neonatal drug exposure C) reduce the half-life of the drug D) evaluate the drug’s potential adverse effects on the neonate Question 12 A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to A) take an antiemetic or antidiarrheal for adverse GI effects B) use an alternative form of birth control, if taking an oral contraceptive C) use an aspirin for relief of minor discomforts D) take the drug with food Question 13 A pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommend A) aspirin B) advil C) tylenol D) motrin Question 14 A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with A) a high-pitched cry B) microcephaly. C) an electrolyte imbalance D) thrombocytopenia Question 15 A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? A) The patient will remain free of sexual side effects related to drug therapy B) The patient will experience complete bladder emptying C) The patient will remain free of urethral pain D) The patient will not experience hematuria Question 16 A male patient with a medical background tells the nurse that he is not satisfied with the oral synthetic testosterone that has been prescribed for him and he would like to try a natural form of oral testosterone. Which of the following would be an appropriate response by the nurse? A) “Natural testosterone undergoes a high first-pass effect and is not used orally.” B) “Natural testosterone poses a higher risk of gynecomastia.” C) “Natural testosterone undergoes a short first-past effect and is less extensively metabolized than what has been prescribed for you.” D) “Natural testosterone would be more effective for you.” Question 17 A nurse is caring for a patient who is at 28 weeks’ gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? A) Maternal body temperature B) Fetal heart rate (FHR) C) Correct fetal position D) Fetal blood pressure Question 18 A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to A) avoid taking the drug with a high-protein meal B) avoid taking the drug with a high-fat meal C) drink plenty of fluids D) take a double dose of the drug Question 19 A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication A) that will be provided in pill form and which may cause lightheadedness B) that will be administered as a weekly IM injection in an outpatient setting C) that may be prescribed as a patch and which may cause dry mouth D) that can be inhaled and that may cause occasional heart palpitations Question 20 A nurse is discussing with a 58-year-old male patient the causes of erectile dysfunction in men over 50 years of age. Which of the following will the nurse inform the patient is the primary physical cause of erectile dysfunction of men in this age group? A) Emotional stress B) Atherosclerosis of the penile artery C) Diabetes mellitus D) Decrease in testosterone levels Question 21 A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is A) whether the pregnant woman uses illegal substances B) whether the pregnant woman has health insurance C) the pregnant woman’s exercise habits D) the pregnant woman’s dietary habits Question 22 A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient’s erectile dysfunction (ED)? A) Sildenafil (Viagra) B) Tamsulosin (Flomax) C) Exogenous testosterone D) Tadalafil (Cialis) Question 23 Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? A) Cholestatic jaundice B) Amenorrhea C) Headaches and chest pain D) Breast tenderness Question 24 A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant. During the initial assessment, the nurse learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications? A) Insulin B) Ibuprofen (Advil) C) Phenytoin (Dilantin) D) Furosemide (Lasix) Question 25 A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sure A) that serum levels of the drug are being monitored B) that the FDA is informed that the woman is receiving drug therapy C) to check the drug’s FDA pregnancy category to determine safety D) that only nonpharmacologic alternatives are being used Question 26 A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman? A) “It’s good to measure your heart rate before you take your Detrol each day, and withhold it if your heart rate is below 60 beats/minute.” B) “You’ll probably need to stop taking your hormone replacement therapy when you’re taking Detrol.” C) “You’ll likely find that you have scant amounts of blood in your urine for the first few days, but this is not unusual or problematic.” D) “You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued.” Question 27 The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient’s physician to order magnesium sulfate for this patient? A) Decreased level of consciousness with a sudden onset B) The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air C) Maternal bradycardia accompanied by a prolonged QT interval D) Systolic blood pressure readings in excess of 190 mmHg Question 28 The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during A) breast-feeding of the neonate B) the first 2 months of pregnancy. C) the two to 3 weeks prior to delivery D) the second trimester Question 29 Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to A) stand or sit upright for at least 30 minutes after taking alendronate.. B) avoid drinking water with the drug C) lift weights in the gym at least five times a week D) take calcium and vitamin D supplements Question 30 A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following? A) Drink a lot of water B) Limit fluid intake C) Take the medication at bedtime D) Increase the protein in her diet Question 31 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? A) Chronic diarrhea B) Dental hygiene practices C) Headaches D) Diet Question 32 Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? A) Low blood pressure B) Vaginal burning C) Increased heart rate D) Reduced desire for sexual activity Question 33 A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy? A) Excess fluid volume related to potential effects of drug therapy B) Hypercalcemia related to drug therapy, immobility, and breast cancer C) Sexual dysfunction related to erectile dysfunction D) Prostatic neoplasia Question 34 A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following? A) Lack of secondary sexual characteristics B) Cardiovascular complications C) Early epiphyseal closure D) Decreased libido Question 35 A nurse is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? A) Acetaminophen B) Salicylates C) Furosemide D) Digoxin Question 36 A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? A) Decreased heart rate B) Increased serum drug levels of etoposide C) Elevated prothrombin time D) Lower liver enzymes Question 37 A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? A) Cardiotoxicity B) Constipation C) Neurotoxicity D) Asthma Question 38 A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman’s care provider to prescribe a bisphosphonate? A) Height in the lowest quartile of the population and a history of joint pain B) Low bone density and a family history of osteoporosis C) Complaints of cold intolerance, recurrent constipation, and evidence of diverticular disease D) Labile moods and short-term memory deficits Question 39 A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because A) there is a 40% increase in blood volume during pregnancy B) the mother’s heart rate is 10 to 15 beats per minute faster during pregnancy C) drugs compete with the hormones of pregnancy for albumin-binding sites D) hemodilution of plasma albumin occurs Question 40 A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, which she will be receiving by the intramuscular route. The nurse participating in the woman’s care should prioritize which of the following potential nursing diagnoses? A) Incontinence, Functional, related to neurosensory and musculoskeletal changes B) Fluid Volume Deficit related to metabolic changes secondary to drug therapy C) Confusion, Chronic, related to CNS changes resulting from adverse drug effects D) Risk for Injury related to loss of vision or thrombotic events 5

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General Awareness and Attitudes Scale 2025

Each person has his or her own personal history; that is, his or her collected experiences. Everything you have ever seen, heard, felt, learned, or experienced has lead to the development of this personal history. Factors that affect this history include your gender, race, age, ethnicity, culture, education, native language, and religion, to name a few. Collectively, these factors create the sum total of who you are as a person. Bias occurs when a person has a tendency towards a particular perspective or ideology (i.e. your personal history); after all, you see the world through your own eyes. To some extent, every person has a natural bias. However, if or when your personal bias interferes with your ability to be unprejudiced or objective – especially in your nursing practice – your biases can become problematic. In this discussion, you will have the opportunity to determine how strong your biases are. You should post your original message by 23:59 PM Wednesday. You should also reply to posts by two of your peers by 23:59 PM, Saturday of Module 3. GUIDELINES In the professional nursing practice, nurses must provide unbiased care, even in situations where the person/s being treated have different backgrounds (language, religion, culture, ethnicity, etc.) than you. The first step in overcoming and minimizing personal biases is to recognize them. In this discussion, you will assess your personal biases. Answer the questions honestly and to the best of your ability, noting that there are no right or wrong answers. · Complete the General Awareness and Attitudes Scale o The General Awareness and Attitudes Scale is adapted from the Cultural Awareness Scale by Catterson, Cookston, Martinez, & Rew (1998). Answer the question as honestly as possible. There are no right or wrong answers. · Once you complete and score the General Awareness and Attitudes Scale , answer the following questions: · What does the scale say about you? · How strong are your biases? · NOTE : Do NOT post your individual scores. This discussion is not about how you score, but about personal discovery. In other words, the focus of this discussion is about what you learn about yourself. You also do NOT need to share your score with your academic coach. · How can you address these personal biases in your professional nursing practice? Your original post should consist of complete sentences and should be at least two complete paragraphs but no more than three paragraphs.

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