Test Bank for Clinical Nursing Skills and Techniques 9th Edition | Complete Guide A+

Test Bank For Clinical Nursing Skills and Techniques 9th Edition
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FULL TESTBANK
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, Chapter 01: Using Evidence in Practice
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Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition
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MULTIPLE CHOICE ff




1. Evidence-based practice is a problem-solving approach to making decisions about ff ff ff ff ff ff ff ff ff


patientcare that is grounded in:
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a. the latest information found in textbooks.
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b. systematically conducted research studies. ff ff ff


c. tradition in clinical practice. ff ff ff


d. quality improvement and risk-management data. ff ff ff ff




ANS: B f f


The best evidence comes from well-designed, systematically conducted research studies
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described in scientific journals. Portions of a textbook often become outdated by the time
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it is published. Many health care settings do not have a process to help staff adopt new
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evidence in practice, and nurses in practice settings lack easy access to risk-management
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data, relying instead on tradition or convenience. Some sources of evidence do not
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originatefrom research. These include quality improvement and risk-management data;
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infection control data; retrospective or concurrent chart reviews; and clinicians‘ expertise.
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Although non–research-based evidence is often very valuable, it is important that you
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learn to rely more on research-based evidence.
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DIF: Cognitive Level: Comprehension REF: Text reference: p. ff ff ff ff


2OBJ: Discuss the benefits of evidence-based practice.
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TOP: Evidence-Based Practice KEY: Nursing Process Step: ff ff ff ff


AssessmentMSC: NCLEX: Safe and Effective Care Environment (management of
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care)
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2. When evidence-based practice is used, patient care will be:
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a. standardized for all. ff ff


b. unhampered by patient culture. ff ff ff


c. variable according to the situation. ff ff ff ff


d. safe from the hazards of critical thinking.ff ff ff ff ff ff




ANS: C f f


Using your clinical expertise and considering patients‘ cultures, values, and preferences
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ensures that you will apply available evidence in practice ethically and appropriately.
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Evenwhen you use the best evidence available, application and outcomes will differ; as a
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nurse,you will develop critical thinking skills to determine whether evidence is relevant
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and appropriate.
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DIF: Cognitive Level: Application REF: Text reference: p. ff ff ff ff


2OBJ: Discuss the benefits of evidence-based practice.
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TOP: Evidence-Based Practice KEY: Nursing Process Step: ff ff ff ff


AssessmentMSC: NCLEX: Safe and Effective Care Environment (management of
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care)
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3. When a PICOT question is developed, the letter that corresponds with the usual standard
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ofcare is:
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a. P.


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, b. I.
c. C.
d. O.
ANS: C f f


C = Comparison of interest. What standard of care or current intervention do you
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usuallyuse now in practice?
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P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease,
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orhealth problem.
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I = Intervention of interest. What intervention (e.g., treatment, diagnostic test,
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andprognostic factor) do you think is worthwhile to use in practice?
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O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and
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changein patient‘s perception) do you wish to achieve or observe as the result of an
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intervention?
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DIF: Cognitive Level: Knowledge REF: Text reference: p. ff ff ff ff


3OBJ: Develop a PICO question.
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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4. A well-developed PICOT question helps the nurse:
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a. search for evidence. ff ff


b. include all five elements of the sequence. ff ff ff ff ff ff


c. find as many articles as possible in a literature search.
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d. accept standard clinical routines. ff ff ff




ANS: A f f


The more focused a question that you ask is, the easier it is to search for evidence in the
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scientific literature. A well-designed PICOT question does not have to include all five
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elements, nor does it have to follow the PICOT sequence. Do not be satisfied with clinical
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routines. Always question and use critical thinking to consider better ways to provide
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patientcare.
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DIF: Cognitive Level: Analysis REF: Text reference: p. ff ff ff ff


3OBJ: Describe the six steps of evidence-based practice.
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TOP: Evidence-Based Practice KEY: Nursing Process Step: ff f f ff ff


ImplementationMSC: NCLEX: Safe and Effective Care Environment (management of
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care)
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5. The nurse is not sure that the procedure the patient requires is the best possible for the
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situation. Utilizing which of the following resources would be the quickest way to
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reviewresearch on the topic?
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a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane ff




ff DatabaseANS: f f f D




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