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h Edition by Anne Griffin Perry, Patricia A. Potter Chapte
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r 1-43 Complete Guide
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written by
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Complete Test Bank For Clinical Nursing Skills and Techniques 10th Edition by Anne Griff
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in Perry, Patricia A. Potter Chapter 1-43 Complete Guide
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Table Of Content b b
Chapter 1. Using Evidence in Nursing Practice Ch
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apter 2. Communication and Collaboration Chapt
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er 3. Admitting, Transfer, and Discharge Chapter
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4. Documentation and Informatics Chapter 5. Vita
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l Signs
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Chapter 6. Health Assessment Chap b b b b
ter 7. Specimen Collection Chapter
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8. Diagnostic Procedures Chapter 9.
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bMedical Asepsis Chapter 10. Steril b b b b
e Technique
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Chapter 11. Safe Patient Handling and Mobility (SPHM) Chapt
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er 12. Exercise and Mobility
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Chapter 13. Support Surfaces and Special Beds Ch
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apter 14. Patient Safetyb b b
Chapter 15. Disaster Preparedness b b b b
Chapter 16. Pain Management Cha b b b b
pter 17. End-of-Life Care
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Chapter 18. Personal Hygiene and Bed Making Ch
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apter 19. Care of the Eye and Ear
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Chapter 20. Safe Medication Preparation b b b b b
Chapter 21. Nonparenteral Medications C b b b b
hapter 22. Parenteral Medications Chapter
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b23. Oxygen Therapy
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Chapter 24. Performing Chest Physiotherapy Cha
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pter 25. Airway Management
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Chapter 26. Cardiac Care b b b
Chapter 27. Closed Chest Drainage Systems Chapter
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28. Emergency Measures for Life Support
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Chapter 29. Intravenous and Vascular Access Therapy Chapter
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b30. Blood Therapy
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Chapter 31. Oral Nutrition Chapter b b b b
b32. Enteral Nutrition Chapter 33.
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Parenteral Nutrition Chapter 34. U b b b b
rinary Elimination b
Chapter 35. Bowel Elimination and Gastric Intubation Chapter
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36. Ostomy Care b b
Chapter 37. Preoperative and Postoperative Care
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Chapter 38. Intraoperative Care b b b
Chapter 39. Wound Care and Irrigations b b b b b
Chapter 40. Impaired Skin Integrity Prevention and Care Chapt
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er 41. Dressings, Bandages, and Binders
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Chapter 42. Home Care Safety Cha b b b b b
pter 43. Home Care Teaching
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Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Clinical Nursing Skills & Techniques, 10th Edition
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MULMULTIPLE CHCE
TIPLE C
H
O
IE b
OI1. Evidence-based practice is a problem- b b b b
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. b b b
c. tradition in clinical practice. b b b
d. quality improvement and risk-management data. b b b b
ANS: B b
The best evidence comes from well-
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designed, systematically conducted research studies described in scientific journals. Portions of a t
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extbook often become outdated by the time it is published. Many health care settings do not have a
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process to help staff adopt new evidence in practice, and nurses in practice settings lack easy access
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to risk-
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management data, relying instead on tradition or convenience. Some sources of evidence do not ori
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ginate from research. These include quality improvement and risk-
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management data; infection control data; retrospective or concurrent chart reviews; and clinicians‘
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expertise. Although
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non–research-
based evidence is often very valuable, it is important that you learn to rely more on research-
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based evidence. b
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence- b b b b b b
based practice. TOP: Evidence-Based Practice
b KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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2. When evidence-based practice is used, patient care will be:
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a. standardized for all. b b
b. unhampered by patient culture. b b b
c. variable according to the situation. b b b b
d. safe from the hazards of critical thinking.
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ANS: C b
Using your clinical expertise and considering patients‘ cultures, values, and preferences ensures
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that you will apply available evidence in practice ethically and appropriately. Even when you use
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bthe best evidence available, application and outcomes will differ; as a nurse, you will develop cr
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itical thinking skills to determine whether evidence is relevant and appropriate.
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DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence- b b b b b b
based practice. TOP: Evidence-Based Practice
b KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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3. When a PICOT question is developed, the letter that corresponds with the usual standard of ca
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re is:
b
a. P.
b. I.
c.
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d. O.
ANS: C b
C = Comparison of interest. What standard of care or current intervention do you usually use now in
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practice?
b
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or health
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problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic factor
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) 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 change in patie
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nt‘s perception) do you wish to achieve or observe as the result of an intervention?
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DIF: CognitiveLevel: Knowledge b
OBJ: Develop a PICO question. TOP: PICO b b b b b b
KEY: Nursing Process Step: Implementation b b b b
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. b b
b. include all five elements of the sequence. b b b b b b
c. find as many articles as possible in a literature search.
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d. accept standard clinical routines. b b b
ANS: A b
The more focused a question that you ask is, the easier it is to search for evidence in the scientific
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bliterature. A well- b b
designed PICOT question does not have to include all five elements, nor does it have to follow th
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e PICOT sequence. Do not be satisfied with clinical routines. Always question and use critical th
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inking to consider better ways to provide patient care.
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DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence- b b b b b b b
based practice. TOP: Evidence-Based Practice
b KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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5. The nurse is not sure that the procedure the patient requires is the best possible for the situati
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on. Utilizing which of the following resources would be the quickest way to review research
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on the topic? b b
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database b b
ANS: D b
The Cochrane Community Database of Systematic Reviews is a valuable source of synthesized
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evidence (i.e., pre- b b
appraised evidence). The Cochrane Database includes the full text of regularly updated systemat
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ic reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubMed a
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re among the most comprehensive databases and represent the scientific knowledge base of heal
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th care. b
DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence- b b b b b b b
based practice. TOP: Evidence-Based Practice
b KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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