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MULTIPLE CHOICE j 7
1. Evidence-based practice is a problem- j7 j7 j7 j7
solving approach to making decisions about patient care that is grounded in:
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a. the latest information found in textbooks.
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b. systematically conducted research studies. j7 j7 j7
c. tradition in clinical practice. fcj7 j7 j7
d. quality improvement and risk management data.
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ACCURATE ANSWER: B j7 j7
2. When evidence-based practice is used, patient care will be:
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a. standardized for all. j7 j7
b. unhampered by patient culture. j7 j7 j7
c. variable according to the situation.
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d. safe from the hazards of critical thinking.
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ACCURATE ANSWER: C j7 j7
3. When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
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a. P.
b. I.
c. C.
d. O.
ACCURATE ANSWER: C j7 j7
4. A well-developed PICOT question helps the nurse:
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a. search for evidence. j7 j7
b. include all five elements of the sequence.
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,c. find as many articles as possible in a literature search.
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d. accept standard clinical routines.
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ACCURATE ANSWER: A j7 j7
5. The nurse is not sure that the procedure the patient requires is the best possible for the situatio
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n. Utilizing which of the following resources would be the quickest way to review research on the top
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i c?j7
a. CINAHL
b. PubMed
c. MEDLINE
d. TheCochraneLibrary j7
ACCURATE ANSWER: D j7 j7
6. The nurse is getting ready to develop a plan of care for a patient who has a specific ne
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ed. Th e best source for developing this plan of care would probably be:
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a. The Cochrane Library.
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b. MEDLINE.
c. NGC.
d. CINAHL. ACCUR j7 j
ATE ANSWER: C
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7. The nurse has done a literature search and found 25 possible articles on the topic that she is s
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tud ying. To determine which of those 25 best fit her inquiry, the nurse first sho
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uld look at:
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a. the abstracts.
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b. literature reviews. j7
c. the Methods sections.
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d. the narrative sections.
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ACCURATE ANSWER: A j7 j7
, 8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on t
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he lev el of post-
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myocardial depression for individuals who have had a myocardial infarction. The type of study that wo ul
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d best capture this information would be a:
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a. randomized controlled trial. j7 j7
b. qualitative study. j7
c. case control study.
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d. descriptive study. j7
ACCURATE ANSWER: B j7 j7
9. Six months after an early mobility protocol was implemented, the incidence of deep vein thro
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mbo si s in patients was decreased. This is an example of what stage in the EBP p
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rocess?
a. Asking a clinical question j7 j7 j 7
b. Applying the evidence j7 j7
c. Evaluating the practice decision j7 j7 j7
d. Communicatingyourresults j7
ACCURATE ANSWER: C j7 j7
MULTIPLE RESPONSE j 7
1. To use evidence-
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based practice appropriately, you need to collect the most relevant and best evidence and to cr
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itical l y appraise the evidence you gather. This process also includes: (Select all th
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at apply.)
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a. asking a clinical question. j7 j7 j7
b. applying the evidence. j7 j7
c. evaluating the practice decision. j7 j7 j7
d. communicating your results. fc j7
ACCURATE ANSWER: A, B, C, D j7 j7 j7 j7 j7
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that apply.)
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a. the quality of care provided.
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