Test Bank For Canadian Clinical Nursing Skillsand Techniqu
e’ 2nd Edition by Perry
Patricia A. Potter
,
,Chapter 01: Using Evidence in Nursing Practice
lb
Perry et al.: Clinical Nursing Skills & Techniques, 2e Edition
MULTIPLE CHOICE
1. Evidence-based practice is a problem-
lb lb
solving approach to making decisions about PATIENT carethat 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.
ANS: 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a textbook often become outdated by the time it is published.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 nurses in practice settings lack
lb
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 clinicia
ns‘ expertise. Although
non–research-
based evidence is often very valuable, it is important that you learn to rely more on research-
based evidence.
DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: 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)
lb
2. When evidence-based practice is used, PATIENT care will be:
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a. standardized for all.
b. unhampered by PATIENT culture.
c. variable according to the situation.
lb
d. safe from the hazards of critical thinking.
ANS: C
Using your clinical expertise and considering PATIENTs‘ cultures, values, and preferenc
es ensures that you will apply available evidence in practice ethically and appropriately.
Evenwhen you use the best evidence available, application and outcomes will differ; as a
nurse,you will develop critical thinking skills to determine whether evidence is relevant a
nd appropriate.
DIFFERENCE: CognitiveLevel: Application OBJECTIVE: 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.
, c. CHOICE BLANK
d. O.
ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually use no
lb
w in practice?
P = PATIENT population of interest. Identify your PATIENT by age, gender, ethnicity, disease,
orhealth problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic fac
lb
tor)
?
DIFFERENCE: CognitiveLevel: Knowledge
OBJECTIVE: Develop a PICO question.TOP: P
ICO KEY: Nursing Process Step: Implementation
lb
MSC: NCLEX: Safe and Effective Care Environment (management of care)
lb
4. A well-developed PICOT question helps the nurse:
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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.
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in the scie
ntific literature. A well-
designed PICOT question does not have to include all five elements, nor does it have to follo
w the PICOT sequence. Do not be satisfied with clinical routines. Always question and use cr
itical thinking to consider better ways to provide PATIENTcare.
DIFFERENCE: CognitiveLevel: Analysis
OBJECTIVE: 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)
lb
5. The nurse is not sure that the procedure the PATIENT requires is the best possible for
the situation. Utilizing which of the following resources would be the quickest way to
lb
reviewresearch on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
ANS: D
The Cochrane Community Database of Systematic Reviews is a valuable source of synthesiz
ed evidence (i.e., pre-
appraised evidence). The Cochrane Database includes the full text of regularly updated system
atic reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubM
ed are among the most comprehensive databases and represent the scientific knowledge base
of health care.
DIFFERENCE: CognitiveLevel: Synthesis
OBJECTIVE: 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)
lb
e’ 2nd Edition by Perry
Patricia A. Potter
,
,Chapter 01: Using Evidence in Nursing Practice
lb
Perry et al.: Clinical Nursing Skills & Techniques, 2e Edition
MULTIPLE CHOICE
1. Evidence-based practice is a problem-
lb lb
solving approach to making decisions about PATIENT carethat 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.
ANS: 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 nurses in practice settings lack
lb
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 clinicia
ns‘ expertise. Although
non–research-
based evidence is often very valuable, it is important that you learn to rely more on research-
based evidence.
DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: 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)
lb
2. When evidence-based practice is used, PATIENT care will be:
lb
a. standardized for all.
b. unhampered by PATIENT culture.
c. variable according to the situation.
lb
d. safe from the hazards of critical thinking.
ANS: C
Using your clinical expertise and considering PATIENTs‘ cultures, values, and preferenc
es ensures that you will apply available evidence in practice ethically and appropriately.
Evenwhen you use the best evidence available, application and outcomes will differ; as a
nurse,you will develop critical thinking skills to determine whether evidence is relevant a
nd appropriate.
DIFFERENCE: CognitiveLevel: Application OBJECTIVE: 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.
, c. CHOICE BLANK
d. O.
ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually use no
lb
w in practice?
P = PATIENT population of interest. Identify your PATIENT by age, gender, ethnicity, disease,
orhealth problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic fac
lb
tor)
?
DIFFERENCE: CognitiveLevel: Knowledge
OBJECTIVE: Develop a PICO question.TOP: P
ICO KEY: Nursing Process Step: Implementation
lb
MSC: NCLEX: Safe and Effective Care Environment (management of care)
lb
4. A well-developed PICOT question helps the nurse:
lb
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.
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in the scie
ntific literature. A well-
designed PICOT question does not have to include all five elements, nor does it have to follo
w the PICOT sequence. Do not be satisfied with clinical routines. Always question and use cr
itical thinking to consider better ways to provide PATIENTcare.
DIFFERENCE: CognitiveLevel: Analysis
OBJECTIVE: 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)
lb
5. The nurse is not sure that the procedure the PATIENT requires is the best possible for
the situation. Utilizing which of the following resources would be the quickest way to
lb
reviewresearch on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
ANS: D
The Cochrane Community Database of Systematic Reviews is a valuable source of synthesiz
ed evidence (i.e., pre-
appraised evidence). The Cochrane Database includes the full text of regularly updated system
atic reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubM
ed are among the most comprehensive databases and represent the scientific knowledge base
of health care.
DIFFERENCE: CognitiveLevel: Synthesis
OBJECTIVE: 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)
lb
