Test Bank For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter Chapter 1-43 Complete GuideTest Bank For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter Chapter 1-43 Complete GuideTest Bank For Clinical Nurs...
,Chapter 01: Using Evidence in Nursing Practice
IIl IIll IIl IIl IIl IIll
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
IIll IIl IIl IIll IIll IIll IIll IIll IIl
MULTIPLE CHOICE IIll
1. Evidence-based practice is a problem-solving approach to making decisions about patient care IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
that is grounded in:
IIll IIll IIll IIll
a. the latest information found in textbooks.IIll IIll IIll IIll IIll
b. systematically conducted research studies. Il IIll IIll
c. tradition in clinical practice. IIll IIll IIll
d. qualityimprovement and risk-management data. Il IIll IIll IIll
ANSWER: B IIll
The best evidence comes from well-designed, systematically conducted research studies
IIll IIll IIll IIll IIll IIll IIll IIll IIll
described in scientific journals. Portions of a textbook often become outdated by the time
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
it is published. Many health care settings do not have a process to help staff adopt new
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
evidence in practice, and nurses in practice settings lack easy access to risk-management
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
data, relying instead on tradition or convenience. Some sources of evidence do not
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
originate from research. These include quality improvement and risk-management data;
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
infection control data; retrospective or concurrent chart reviews; and clinicians‘ expertise.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Although
IIll
non–research-based evidence is often very valuable, it is important that you learn to rely more IIll IIll IIll IIll IIl IIll IIll IIll IIll IIll IIll IIll IIll IIl
on research-based evidence.
IIll IIll IIll
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice. IIll IIl IIll IIl IIll IIll Il
TOP: Evidence-Based Practice
IIll KEY: Nursing Process Step: Assessment
I I l l IIll IIll IIll IIll IIll
MSC: NCLEX: Safe and Effective Care Environment (management of care)
I I l l IIll Il IIll IIll IIll IIll IIll IIll
2. When evidence-based practice is used, patient care will be:
IIll IIll IIll IIll IIll IIll IIll IIll
a. standardized for all. IIll IIll
b. unhampered bypatient culture. IIll Il IIll
c. variable according to the situation. IIll IIll IIll IIll
d. safe from the hazards of critical thinking. IIll IIll IIll IIll IIll IIll
ANSWER: C IIll
Using your clinical expertise and considering patients‘ cultures, values, and preferences
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
ensures that you will apply available evidence in practice ethically and appropriately. Even
IIll IIll IIll IIll IIll Il IIll IIll IIll IIll Il IIll IIll
when you use the best evidence available, application and outcomes will differ; as a
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
nurse, you will develop critical thinking skills to determine whether evidence is
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
relevant and appropriate.
IIll IIll IIll
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice. IIll IIl IIll IIl IIll IIll Il
TOP: Evidence-Based Practice
IIll KEY: Nursing Process Step: Assessment
I I l l IIll IIll IIll IIll IIll
MSC: NCLEX: Safe and Effective Care Environment (management of care)
I I l l IIll Il IIll IIll IIll IIll IIll IIll
3. When a PICOT question is developed, the letter that corresponds with the usual standard
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
of care is:
IIll IIll IIll
a. P.
b. I.
c.
, c. CHOICE BLANK IIl
d. O.
ANSWER: C IIll
C = Comparison of interest. What standard of care or current intervention do you usually use
IIll IIll IIll IIll IIll IIll IIll Il IIll IIll IIll IIll IIll IIll Il
now in practice?
IIll IIll IIll
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or
IIll IIll IIll IIll IIll IIll IIll IIll IIll Il IIll IIll IIll IIll
health problem.
IIll IIll
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic
IIll IIll IIll IIll IIll IIll IIll Il IIll IIll IIll IIll
factor) do you think is worthwhile to use in practice?
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change in
IIll IIll IIll IIll IIll IIll IIll IIl IIll IIll IIll IIll IIll IIll
patient‘s perception) do you wish to achieve or observe as the result of an intervention?
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
DIF: CognitiveLevel: Knowledge OBJ: Develop a PICO question. IIll Il Il Il IIll
TOP: PICO
IIll KEY: Nursing Process Step: Implementation
I I l l IIll IIll IIll IIll
MSC: NCLEX: Safe and Effective Care Environment (management of care)
I I l l IIll Il IIll IIll IIll IIll IIll IIll
4. A well-developed PICOT question helps the nurse:
IIll IIll IIll IIll IIll IIll
a. search for evidence. IIll IIll
b. include all five elements of the sequence. IIll IIll IIll IIll IIll IIll
c. find as many articles as possible in a literature search. IIll IIll Il IIll IIll IIll IIll IIll IIll
d. accept standard clinical routines. IIll IIll IIll
ANSWER: A IIll
The more focused a question that you ask is, the easier it is to search for evidence in the
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
scientific literature. A well-designed PICOT question does not have to include all five
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
elements, nor does it have to follow the PICOT sequence. Do not be satisfied with
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
clinical routines. Always question and use critical thinking to consider better ways to
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
provide patient care.
IIll IIll IIll
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice. IIll IIll Il IIl IIll IIll IIll IIl
TOP: Evidence-Based Practice
IIll KEY: Nursing Process Step: Implementation
I I l l IIll IIll IIll IIll IIll
MSC: NCLEX: Safe and Effective Care Environment (management of care)
I I l l IIll Il IIll IIll IIll IIll IIll IIll
5. The nurse is not sure that the procedure the patient requires is the best possible for
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
the situation. Utilizing which of the following resources would be the quickest way to
IIll IIll IIll IIll IIll Il IIll IIll IIll IIll IIll IIll IIll Il
review research on the topic?
IIll IIll IIll IIll IIll
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database IIll IIll
ANSWER: D IIll
The Cochrane Community Database of Systematic Reviews is a valuable source of
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes the full
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
text of regularly updated systematic reviews and protocols for reviews currently
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
happening. MEDLINE, CINAHL, and PubMed are among the most comprehensive
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
databases and represent the scientific knowledge base of health care.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based practice. IIll IIll Il Il IIll IIll IIll IIl
TOP: Evidence-Based Practice
IIll KEY: Nursing Process Step: Implementation
I I l l IIll IIll IIll IIll IIll
MSC: NCLEX: Safe and Effective Care Environment (management of care)
I I l l IIll IIl IIll IIll IIll IIll IIll IIll
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller STUVATE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
