TEST BANK For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter, Verified Chapters 1 - 43, Complete Newest Version
TEST BANK For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter, Verified Chapters 1 - 43, Complete Newest Version
TEST BANK For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter, Verified Chapters 1 - 43, Complete Newest Version
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Test Bank for Clinical Nursing Skills and Techniques 11th Edition
by Perry, Potter, Ostendorf, and Laplante
,Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
MULTIPLE CHOICE
1. Evidence-based practice is a problem-solving approach to making decisions about hospital
patient care that is grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk-management data.
RIGHT CHOICE✔✔ B
The best evidence comes from well-designed, systematically conducted research studies
described in scientific journals. Portions of a textbook often become outdated by the time it is
published. Many health care settings do not have a process to help staff adopt new evidence in
practice, and professional nurses in practice settings lack easy access to risk-management
data, relying instead on tradition or convenience. Some sources of evidence do not originate
from research. These include quality improvement and risk-management data; infection
control data; retrospective or concurrent chart reviews; and clinicians‘ expertise. Although
non–research-based evidence is often very valuable, it is important that you learn to rely more
on research-based evidence.
COMPLEXITY- CL: Comprehension OBJ: Discuss the benefits of
evidence-based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2. When evidence-based practice is used, hospital patient care will be:
a. standardized for all.
b. unhampered by hospital patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
RIGHT CHOICE✔✔ C
Using your clinical expertise and considering hospital patients‘ cultures, values, and
preferences ensures that you will apply available evidence in practice ethically and
appropriately. Even when you use the best evidence available, application and outcomes
will differ; as a professional nurse, you will develop critical thinking skills to determine
whether evidence is relevant and appropriate.
COMPLEXITY- CL: Application OBJ: Discuss the benefits of
evidence-based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3. When a PICOT question is developed, the letter that corresponds with the usual standard of
care is:
a. P.
b. I.
c. CHOICE BLANK
d. O.
RIGHT CHOICE✔✔ C
C = Comparison of interest. What standard of care or current intervention do you usually use
now in practice?
P = Hospital patient population of interest. Identify your hospital patient by age, gender,
ethnicity, disease, or health problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic
, factor) do you think is worthwhile to use in practice?
O = Outcome. What result (e.g., change in hospital patient‘s behavior, physical finding, and change
in hospital patient‘s perception) do you wish to achieve or observe as the result of an intervention?
COMPLEXITY- CL: Knowledge OBJ: Develop a PICO question.
TOP: PICO KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4. A well-developed PICOT question helps the professional nurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
RIGHT CHOICE✔✔ A
The more focused a question that you ask is, the easier it is to search for evidence in the
scientific literature. A well-designed PICOT question does not have to include all five
elements, nor does it have to follow the PICOT sequence. Do not be satisfied with clinical
routines. Always question and use critical thinking to consider better ways to provide hospital
patient care.
COMPLEXITY- CL: Analysis OBJ: Describe the six steps of evidence-
based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
5. The nursing practitioner is not sure that the procedure the hospital patient requires is the
best possible for the situation. Utilizing which of these resources would be the quickest
way to review research on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
RIGHT CHOICE✔✔ D
The Cochrane Community Database of Systematic Reviews is a valuable source of
synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes the full
text of regularly updated systematic reviews and protocols for reviews currently happening.
MEDLINE, CINAHL, and PubMed are among the most comprehensive databases and
represent the scientific knowledge base of health care.
COMPLEXITY- CL: Synthesis OBJ: Describe the six steps of
evidence-based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
, 6. The nursing practitioner is getting ready to develop a plan of care for a hospital patient who
has a specific need. The best source for developing this plan of care would probably be:
a. The Cochrane Database.
b. MEDLINE.
c. NGC.
d. CINAHL.
RIGHT CHOICE✔✔ C
The National Guidelines Clearinghouse (NGC) is a database supported by the Agency for
Healthcare Research and Quality (AHRQ). It contains clinical guidelines—systematically
developed statements about a plan of care for a specific set of clinical circumstances involving
a specific hospital patient population. The NGC is a valuable source when you want to
develop a plan of care for a hospital patient. The Cochrane Community Database of
Systematic Reviews, MEDLINE, and CINAHL are all valuable sources of synthesized
evidence (i.e., pre-appraised evidence).
COMPLEXITY- CL: Synthesis OBJ: Describe the six steps of
evidence-based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
7. The nursing practitioner has done a literature search and found 25 possible articles on the
topic that she is studying. To determine which of those 25 best fit her inquiry, the nursing
practitioner first should look at:
a. the abstracts.
b. the literature reviews.
c. the ―Methods‖ sections.
d. the narrative sections.
RIGHT CHOICE✔✔ A
An abstract is a brief summary of an article that quickly tells you whether the article is
research based or clinically based. An abstract summarizes the purpose of the study or clinical
query, the major themes or findings, and the implications for nursing practice. The literature
review usually gives you a good idea of how past research led to the researcher‘s question.
The ―Methods‖ or ―Design‖ section explains how a research study is organized and conducted
to answer the research question or to test the hypothesis. The narrative of a manuscript differs
according to the type of evidence-based article—clinical or research.
COMPLEXITY- CL: Application
OBJ: Discuss elements to review when critiquing the scientific literature.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
8. The nursing practitioner wants to determine the effects of cardiac rehabilitation program
attendance on the level of postmyocardial depression for individuals who have had a
myocardial infarction. The type of study that would best capture this information would be a:
a. randomized controlled trial.
b. qualitative study.
c. case control study.
d. descriptive study.
RIGHT CHOICE✔✔ B
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