Test IBank IFor IClinical INursing ISkills Iand ITechniques I9th IEdition
FULL ITESTBANK
,Chapter I01: IUsing IEvidence Iin IPractice
Perry Iet Ial.: IClinical INursing ISkills I& ITechniques, I9th IEdition
MULTIPLE ICHOICE
1. Evidence-based Ipractice Iis Ia Iproblem-solving Iapproach Ito Imaking Idecisions Iabout
Ipatient Icare Ithat I is Igrounded I in:
a. the Ilatest Iinformation Ifound Iin Itextbooks.
b. systematically Iconducted Iresearch Istudies.
c. tradition Iin Iclinical Ipractice.
d. quality Iimprovement Iand Irisk-management Idata.
ANS: I I B
The Ibest Ievidence Icomes Ifrom Iwell-designed, Isystematically Iconducted Iresearch Istudies
Idescribed I in I scientific I journals. IPortions Iof Ia Itextbook Ioften I become Ioutdated Iby Ithe
Itime I it I is Ipublished. IMany I health I care Isettings Ido Inot Ihave Ia Iprocess Ito Ihelp I staff
Iadopt Inew I evidence I in Ipractice, Iand I nurses I in Ipractice Isettings I lack I easy Iaccess Ito
Irisk-management Idata, Irelying Iinstead Ion Itradition Ior Iconvenience. ISome Isources Iof
Ievidence Ido Inot Ioriginate I from Iresearch. IThese I include Iquality I improvement Iand Irisk-
management Idata; Iinfection Icontrol Idata; Iretrospective Ior Iconcurrent Ichart Ireviews; Iand
Iclinicians’ Iexpertise. IAlthough I non–research-based Ievidence I is Ioften I very I valuable, I it I is
I important Ithat Iyou I learn Ito Irely I more Ion Iresearch-based Ievidence.
2. When Ievidence-based Ipractice Iis Iused, Ipatient Icare Iwill Ibe:
a. standardized Ifor Iall.
b. unhampered Iby Ipatient Iculture.
c. variable Iaccording Ito Ithe Isituation.
d. safe Ifrom Ithe Ihazards Iof Icritical Ithinking.
ANS: I I C
Using Iyour Iclinical Iexpertise Iand Iconsidering Ipatients’ Icultures, Ivalues, Iand Ipreferences
Iensures Ithat Iyou Iwill Iapply Iavailable Ievidence Iin Ipractice Iethically Iand Iappropriately.
IEven Iwhen I you Iuse Ithe I best Ievidence Iavailable, Iapplication Iand Ioutcomes Iwill Idiffer;
Ias Ia I nurse, I you Iwill Idevelop Icritical Ithinking I skills Ito Idetermine Iwhether Ievidence I is
Irelevant Iand Iappropriate.
3. When Ia IPICOT Iquestion Iis Ideveloped, Ithe Iletter Ithat Icorresponds Iwith Ithe Iusual
Istandard Iof Icare I is:
a. P.
,
, b. I.
c. C.
d. O.
ANS: I I C
C I= IComparison Iof Iinterest. IWhat Istandard Iof Icare Ior Icurrent Iintervention Ido Iyou
Iusually Iuse I now I in Ipractice?
P I= IPatient Ipopulation Iof Iinterest. IIdentify Iyour Ipatient Iby Iage, Igender, Iethnicity, Idisease,
Ior Ihealth Iproblem.
I I= IIntervention Iof Iinterest. IWhat Iintervention I(e.g., Itreatment, Idiagnostic Itest, Iand
Iprognostic I factor) Ido I you Ithink I is Iworthwhile Ito Iuse I in Ipractice?
O I= IOutcome. IWhat Iresult I(e.g., Ichange Iin Ipatient’s Ibehavior, Iphysical Ifinding, Iand
Ichange I in Ipatient’s Iperception) Ido I you Iwish Ito Iachieve Ior Iobserve Ias Ithe Iresult Iof Ian
I intervention?
DIF: Cognitive ILevel: IKnowledge REF: Text Ireference: Ip.
I3 IOBJ: Develop Ia IPICO
Iquestion. TOP: PICO
KEY: I Nursing IProcess IStep: IImplementation
MSC: I NCLEX: ISafe Iand IEffective ICare IEnvironment I(management Iof Icare)
4. A Iwell-developed IPICOT Iquestion Ihelps Ithe Inurse:
a. search Ifor Ievidence.
b. include Iall Ifive Ielements Iof Ithe Isequence.
c. find Ias Imany Iarticles Ias Ipossible Iin Ia Iliterature Isearch.
d. accept Istandard Iclinical Iroutines.
ANS: I I A
The Imore Ifocused Ia Iquestion Ithat Iyou Iask Iis, Ithe Ieasier Iit Iis Ito Isearch Ifor Ievidence Iin
Ithe Iscientific I literature. IA Iwell-designed IPICOT I question Idoes I not Ihave Ito Iinclude Iall
I five Ielements, I nor Idoes I it Ihave Ito Ifollow Ithe IPICOT Isequence. IDo Inot Ibe Isatisfied Iwith
Iclinical Iroutines. IAlways Iquestion Iand Iuse Icritical Ithinking Ito Iconsider Ibetter Iways Ito
Iprovide Ipatient Icare.
5. The Inurse Iis Inot Isure Ithat Ithe Iprocedure Ithe Ipatient Irequires Iis Ithe Ibest Ipossible Ifor
Ithe Isituation. IUtilizing Iwhich Iof Ithe Ifollowing Iresources Iwould Ibe Ithe Iquickest Iway
Ito Ireview Iresearch Ion Ithe Itopic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The ICochrane
IDatabase I ANS: I D
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