Nursing Interventions and Clinical Skills 7th Edition Potter Test Bank 2

NursingInterventions an
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d Clinical Skills 7th Editio
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n Test Bank
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Anne Griffin Perry, Patricia A. Potter & Wendy Ost
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endorf

,Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
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MULTIPLEqCHOICE

1. Aqnursingqeducatorqisqexplainingqhowqtheqbestqclinicalqpracticesqareqdetermined.qWhichqs
tatementqbestqexplainsqtheqpurposeqofqevidence-basedqpractice?
a. Itqensuresqthatqallqpatientsqreceiveqholisticqcare.
b. Itqprovidesqaqdefiniteqreasonqforqprovidingqcareqinqaqspecificqmanner.
c. Itqpreventsqerrorsqwhenqcareqisqbeingqdelivered.
d. Itqguaranteesqthatqcareqdeliveredqisqbasedqonqresearch.
ANS:q B
Evidence-
basedqpracticeqisqthequseqofqtheqcurrentqbestqevidenceqinqmakingqpatientqcareqdecisions.qItqapplie
sqtoqallqtypesqofqhealthqcareqprofessionals.qCurrentlyqthereqisqnoqmethodqthatqcanqensureqthatqallqp
atientsqreceiveqholisticqcare,qthatqallqerrorsqcanqbeqprevented,qorqthatqaqguaranteeqexistsqthatqcareq
givenqisqbasedqonqresearch.

DIF: CognitiveqLevel:qUnderstanding
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qImplementati
on

2. Whichqquestionqisqaqproblem-focusedqtriggerqforqinitiatingqtheqevidence-
basedqpracticeqmethodqinqnursingqcare?
a. Whatqisqknownqaboutqreductionqofqurinaryqtractqinfectionsqinqtheqolderqadultqwithqd
iabetes?
b. Howqcanqchronicqpainqbestqbeqdescribedqwhenqtheqpatientqisqnonverbal?
c. Howqlongqcanqanq IVqcatheterqremainqinqplaceqinqaqpatientqwithqobesity?
d. Whatqmeasuresqcanqtheqnurseqtakeqtoqreduceqtheqrisingqincidenceqofqurinaryqtractqi
nfectionsqonqtheqolderqadultqcarequnit?
ANS:q D
Evidence-
basedqpracticeq(EBP)qquestionsqtendqtoqariseqfromqtwoqsources:qrecurrentqproblemsqorqnewqkno
wledge.qInqtheqcorrectqoption,qtheqincreaseqinqurinaryqtractqinfectionsqindicatesqaqtrendqorqrecurr
ingqproblemqinqaqspecificqgroupqofqpatients.qTheqotherqquestionsqareqgeneralqinformationqquesti
ons,qnotqbasedqonqwhatqisqhappeningqinqaqspecificqareaqorqtoqaqgroupqofqspecificqpatientsqinqanqar
eaqorqrelatingqtoqanqobservedqtrend.

DIF: CognitiveqLevel:qApplying
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qImplementati
on

3. Whatqdoesqtheq―I‖qindicateqinqaq―PICO‖qquestion?
a. Interventionqofqinterest
b. Incorporationqofqconcepts
c. Implementationqbyqnursing
d. Interestqofqpersonnel
ANS:q A
Theq―I‖qstandsqforqinterventionqofqinterest,qmeaningqwhatqtheqnurseqhopesqtoquseqinqpracticeqan
dqbelievesqisqworthwhileqorqvaluable.qThisqcouldqbeqaqtreatmentqforqaqspecificqtypeqofqwoundqorqa
nqapproachqonqhowqtoqteachqfoodqpreparationqforqaqpatientqwithqimpairedqsight.

, DIF: CognitiveqLevel:qRemembering
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qImplementati
on

4. Whoqwillqtheqclinicalqresearchqnurseqcontactqtoqsearchqrelevantqdatabasesqinqpreparationqforqanqu
pcomingqstudy?
a. Theqphysicianqwhoseqpatientsqmayqbeqinvolvedqinqtheqstudy
b. Theqmedicalqlibrarian
c. Theqnurseqmanagerqofqthequnitqwhereqtheqstudyqwillqbeqconducted
d. Theqdirectorqofqnursingqofqtheqfacility
ANS:q B
Theqmedicalqlibrarianqisqmostqknowledgeableqregardingqdatabasesqrelevantqtoqaqstudy.qTheqother
qindividualsqdoqnotqhaveqtheqknowledgeqregardingqrelevantqdatabases.




DIF: CognitiveqLevel:qUnderstanding
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qImplementati
on

5. Whichqdatabaseqcontainsqsummariesqofqclinicalqguidelinesqandqtheirqdevelopment?
a. MEDLINE
b. CINAHL
c. CochraneqDatabaseqofqSystematicqReviews
d. TheqNationalqGuidelineqClearinghouse
ANS:q D
TheqNationalqGuidelineqClearinghouseqisqaqdatabaseqsupportedqbyqtheqAgencyqforqHealthcareqResea
rchqandqQuality.qItqcontainsqsummariesqofqclinicalqguidelinesqforqpractice.qMEDLINEqis
aqdatabaseqforqstudiesqinqmediciNne, qnursing,qdentistry,qpsychiatry,qveterinaryqmedicine,qandqall
iedqhealth.qCINAHLq(CumulativeqIndexqofqNursingqandqAlliedqHealthqLiterature)qincludesqstudi
esqinqnursing,qalliedqhealth,qandqbiomedicine.qTheqCochraneqDatabaseqFullqtextqof
regularlyqupdatedqsystematicqreviewsqpreparedqbyqtheqCochraneqCollaborationqincludesqcomple
tedqreviewsqandqprotocols.

DIF: CognitiveqLevel:qRemembering
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qImplementati
on

6. Whichqdoesqtheqnurseqresearcherqidentifyqasqtheqstrongestqtypeqofqresearch?
a. Randomizedqcontrolledqtrials
b. Aqqualitativeqstudy
c. Aqdescriptiveqstudy
d. Aqcaseqcontrolledqstudy
ANS:q A
Individualqrandomizedqcontrolledqtrialsqareqcloseqtoqtheqtopqofqtheqresearchqpyramid.qOnlyqsyste
maticqreviewsqandqmeta-
analysesqareqhigher.qThisqtypeqofqstudyqtestsqanqinterventionqagainstqthequsualqstandardqofqcare.q
Theqotherqtypesqofqstudiesqarequsefulqbutqdoqnotqgiveqtheqsameqtypeqofqinformationqasqaqrandomi
zedqcontrolledqtrialqprovides.

DIF: CognitiveqLevel:qRemembering
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qAssessment

, 7. WhatqisqtheqnurseqattemptingqtoqdetermineqwhenqcritiquingqtheqevidenceqrelatedqtoqaqPICOTqq
uestion?
a. Theqethicalqconductqofqtheqresearchqtheqnurseqread
b. Theqstrengthqofqtheqevidenceqfoundqinqtheqliterature
c. Ifqthereqareqanyqexpertsqinqtheqclinicalqquestionqneedingqtoqbeqresearched
d. Ifqtheqstudyqdemonstratesqcost-effectivenessqifqaqchangeqinqpracticeqoccurs
ANS:q B
Onceqaqliteratureqsearchqisqcompleteqandqdataqareqgatheredqaboutqtheqquestion,qitqisqtimeqtoqcritiq
ueqtheqevidence.qCritiquingqtheqevidenceqinvolvesqaqsystematicqapproachqtoqlookingqatqtheqstrengt
hqofqtheqworkqreviewedqandqitsqrelevance.qTheqotherqquestionsqareqnotqapplicableqtoqcritiquingqth
eqevidence.

DIF: CognitiveqLevel:qUnderstanding
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qImplementati
on

8. Aqnurseqfindsqaqcohortqstudyqcomparingqoneqgroupqtakingqhormoneqtreatmentqwithqanotherqgro
upqnotqtakingqhormoneqtreatmentqtoqdetermineqtheqincidenceqofqchangesqinqboneqdensityqofqtheql
owerqspine.qWhatqcanqtheqnurseqimplyqfromqthisqstudy?
a. Lowqlevelqofqstrengthqmakesqtheqstudyqlimitedqinqvalue.
b. Moderateqlevelqofqstrengthqmakesqtheqstudyqprobablyquseful.
c. Opinionsqofqtheqindividualsqinqtheqcohortqareqnotqresearch.
d. ThisqcouldqbeqtheqbasisqforqaqQualityqImprovementqproject.
ANS:q B
AqcohortqstudyqisqLevelq4qevidenceqasqitqisqaqsingle,qnon-
experimentalqstudy.qThisqmoderateqlevelqofqevidenceqmakesqtheqstudyqprobablyqusefulqbutqtheqn
urseqshouldqstriveqtoqfindqstrongerqevidence. N
DIF: CognitiveqLevel:qApplying
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qEvaluation

9. Whichqquestionqwouldqbeqtheqbestqexampleqofqaqknowledge-
focusedqtriggerqforqconductingqanqevidence-basedqpracticeqproject?
a. Whatqisqtheqbestqmethodqforqtreatmentqofqlegqswellingqwhenqaqpatientqisqtakingqg
abapentinq(Neurontin)?
b. Howqcanqweqdecreaseqtheqincidenceqofqskinqcancerqinqadultsqoverqtheqageqofq65?
c. Whatqisqtheqcurrentqevidenceqforqimprovingqoralqintakeqforqcancerqpatientsqwithqs
tomatitis?
d. Whatqisqtheqmaximalqlengthqofqtimeqourqhospitalqallowsqirrigationqkitsqtoqbeqused?
ANS:q C
Evidence-
basedqpracticeq(EBP)qquestionsqtendqtoqariseqfromqtwoqsources:qrecurrentqproblemsqorqnewqkno
wledge.qInqthisqexample,qtheqnewqknowledgeqthatqdrivesqtheqquestionqisqtheqoneqlookingqatqcurre
ntqevidence.qTheqotherqquestionsqdoqnotqlookqatqtheqnewestqknowledgeqtoqformqaqquestionqtoqrese
arch.

DIF: CognitiveqLevel:qAnalyzing
OBJ:qNCLEX:qSafeqandqEffectiveqCareqEnvironmentqTOP:q NursingqProcess:qImplementati
on


MULTIPLEqRESPONSE