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MULTIPLEgCHOICE
1. Agnursinggeducatorgisgexplainingghowgthegbestgclinicalgpracticesgaregdetermined.gWhichgs
tatementgbestgexplainsgthegpurposegofgevidence-basedgpractice?
a. Itgensuresgthatgallgpatientsgreceivegholisticgcare.
b. Itgprovidesgagdefinitegreasongforgprovidinggcaregingagspecificgmanner.
c. Itgpreventsgerrorsgwhengcaregisgbeinggdelivered.
d. Itgguaranteesgthatgcaregdeliveredgisgbasedgongresearch.
ANS:g B
Evidence-
basedgpracticegisgthegusegofgthegcurrentgbestgevidencegingmakinggpatientgcaregdecisions.gItgapplie
sgtogallgtypesgofghealthgcaregprofessionals.gCurrentlygtheregisgnogmethodgthatgcangensuregthatgallgp
atientsgreceivegholisticgcare,gthatgallgerrorsgcangbegprevented,gorgthatgagguaranteegexistsgthatgcareg
givengisgbasedgongresearch.
DIF: CognitivegLevel:gUnderstanding
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
2. Whichgquestiongisgagproblem-focusedgtriggergforginitiatinggthegevidence-
basedgpracticegmethodgingnursinggcare?
a. Whatgisgknowngaboutgreductiongofgurinarygtractginfectionsgingthegoldergadultgwithgd
iabetes?
b. Howgcangchronicgpaingbestgbegdescribedgwhengthegpatientgisgnonverbal?
N
c. HowglonggcangangIVgcathetergremaingingplacegingagpatientgwithgobesity?
d. Whatgmeasuresgcangthegnursegtakegtogreducegthegrisinggincidencegofgurinarygtractgi
nfectionsgongthegoldergadultgcaregunit?
ANS:g D
Evidence-
basedgpracticeg(EBP)gquestionsgtendgtogarisegfromgtwogsources:grecurrentgproblemsgorgnewgkno
wledge.gIngthegcorrectgoption,gthegincreasegingurinarygtractginfectionsgindicatesgagtrendgorgrecurri
nggproblemgingagspecificggroupgofgpatients.gThegothergquestionsgareggeneralginformationgquestio
ns,gnotgbasedgongwhatgisghappeninggingagspecificgareagorgtogaggroupgofgspecificgpatientsgingangarea
gorgrelatinggtogangobservedgtrend.
DIF: CognitivegLevel:gApplying
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
3. Whatgdoesgtheg“I”gindicategingag“PICO”gquestion?
a. Interventiongofginterest
b. Incorporationgofgconcepts
c. Implementationgbygnursing
d. Interestgofgpersonnel
ANS:g A
Theg“I”gstandsgforginterventiongofginterest,gmeaninggwhatgthegnurseghopesgtogusegingpracticegandg
believesgisgworthwhilegorgvaluable.gThisgcouldgbegagtreatmentgforgagspecificgtypegofgwoundgorgang
approachgonghowgtogteachgfoodgpreparationgforgagpatientgwithgimpairedgsight.
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DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
4. Whogwillgthegclinicalgresearchgnursegcontactgtogsearchgrelevantgdatabasesgingpreparationgforgangu
pcominggstudy?
a. Thegphysiciangwhosegpatientsgmaygbeginvolvedgingthegstudy
b. Thegmedicalglibrarian
c. Thegnursegmanagergofgthegunitgwheregthegstudygwillgbegconducted
d. Thegdirectorgofgnursinggofgthegfacility
ANS:g B
Thegmedicalglibrariangisgmostgknowledgeablegregardinggdatabasesgrelevantgtogagstudy.gThegother
gindividualsgdognotghavegthegknowledgegregardinggrelevantgdatabases.
DIF: CognitivegLevel:gUnderstanding
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
5. Whichgdatabasegcontainsgsummariesgofgclinicalgguidelinesgandgtheirgdevelopment?
a. MEDLINE
b. CINAHL
c. CochranegDatabasegofgSystematicgReviews
d. ThegNationalgGuidelinegClearinghouse
ANS:g D
ThegNationalgGuidelinegClearinghousegisgagdatabasegsupportedgbygthegAgencygforgHealthcareg
ResearchgandgQuality.gItgcontainsgsummariesgofgclinicalgguidelinesgforgpractice.gMEDLINEgisga
N
gdatabasegforgstudiesgingmedici ne, gnursing,gdentistry,gpsychiatry,gveterinarygmedicine,gand
alliedghealth.gCINAHLg(CumulativegIndexgofgNursinggandgAlliedgHealthgLiterature)gincludes
studiesgingnursing,galliedghealth,gandgbiomedicine.gThegCochranegDatabasegFullgtextgofgregularl
ygupdatedgsystematicgreviewsgpreparedgbygthegCochranegCollaborationgincludesgcompletedgrevi
ewsgandgprotocols.
DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
6. Whichgdoesgthegnursegresearchergidentifygasgthegstrongestgtypegofgresearch?
a. Randomizedgcontrolledgtrials
b. Agqualitativegstudy
c. Agdescriptivegstudy
d. Agcasegcontrolledgstudy
ANS:g A
Individualgrandomizedgcontrolledgtrialsgaregclosegtogthegtopgofgthegresearchgpyramid.gOnlygsyste
maticgreviewsgandgmeta-
analysesgareghigher.gThisgtypegofgstudygtestsganginterventiongagainstgthegusualgstandardgofgcare.g
Thegothergtypesgofgstudiesgaregusefulgbutgdognotggivegthegsamegtypegofginformationgasgagrandomiz
edgcontrolledgtrialgprovides.
DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gAssessment
TESTBANKWORLD.ORG
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g g
NURSING INTERVENTI g
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NURSING INTERVENTIONS & CLINICAL SKI
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g
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Chapter 01: Using Evidence in Nursing Practice
g g g g g g
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
g g g g g g g g g
MULTIPLEgCHOICE
1. Agnursinggeducatorgisgexplainingghowgthegbestgclinicalgpracticesgaregdetermined.gWhichgs
tatementgbestgexplainsgthegpurposegofgevidence-basedgpractice?
a. Itgensuresgthatgallgpatientsgreceivegholisticgcare.
b. Itgprovidesgagdefinitegreasongforgprovidinggcaregingagspecificgmanner.
c. Itgpreventsgerrorsgwhengcaregisgbeinggdelivered.
d. Itgguaranteesgthatgcaregdeliveredgisgbasedgongresearch.
ANS:g B
Evidence-
basedgpracticegisgthegusegofgthegcurrentgbestgevidencegingmakinggpatientgcaregdecisions.gItgapplie
sgtogallgtypesgofghealthgcaregprofessionals.gCurrentlygtheregisgnogmethodgthatgcangensuregthatgallgp
atientsgreceivegholisticgcare,gthatgallgerrorsgcangbegprevented,gorgthatgagguaranteegexistsgthatgcareg
givengisgbasedgongresearch.
DIF: CognitivegLevel:gUnderstanding
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
2. Whichgquestiongisgagproblem-focusedgtriggergforginitiatinggthegevidence-
basedgpracticegmethodgingnursinggcare?
a. Whatgisgknowngaboutgreductiongofgurinarygtractginfectionsgingthegoldergadultgwithgd
iabetes?
b. Howgcangchronicgpaingbestgbegdescribedgwhengthegpatientgisgnonverbal?
N
c. HowglonggcangangIVgcathetergremaingingplacegingagpatientgwithgobesity?
d. Whatgmeasuresgcangthegnursegtakegtogreducegthegrisinggincidencegofgurinarygtractgi
nfectionsgongthegoldergadultgcaregunit?
ANS:g D
Evidence-
basedgpracticeg(EBP)gquestionsgtendgtogarisegfromgtwogsources:grecurrentgproblemsgorgnewgkno
wledge.gIngthegcorrectgoption,gthegincreasegingurinarygtractginfectionsgindicatesgagtrendgorgrecurri
nggproblemgingagspecificggroupgofgpatients.gThegothergquestionsgareggeneralginformationgquestio
ns,gnotgbasedgongwhatgisghappeninggingagspecificgareagorgtogaggroupgofgspecificgpatientsgingangarea
gorgrelatinggtogangobservedgtrend.
DIF: CognitivegLevel:gApplying
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
3. Whatgdoesgtheg“I”gindicategingag“PICO”gquestion?
a. Interventiongofginterest
b. Incorporationgofgconcepts
c. Implementationgbygnursing
d. Interestgofgpersonnel
ANS:g A
Theg“I”gstandsgforginterventiongofginterest,gmeaninggwhatgthegnurseghopesgtogusegingpracticegandg
believesgisgworthwhilegorgvaluable.gThisgcouldgbegagtreatmentgforgagspecificgtypegofgwoundgorgang
approachgonghowgtogteachgfoodgpreparationgforgagpatientgwithgimpairedgsight.
TESTBANKWORLD.ORG
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DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
4. Whogwillgthegclinicalgresearchgnursegcontactgtogsearchgrelevantgdatabasesgingpreparationgforgangu
pcominggstudy?
a. Thegphysiciangwhosegpatientsgmaygbeginvolvedgingthegstudy
b. Thegmedicalglibrarian
c. Thegnursegmanagergofgthegunitgwheregthegstudygwillgbegconducted
d. Thegdirectorgofgnursinggofgthegfacility
ANS:g B
Thegmedicalglibrariangisgmostgknowledgeablegregardinggdatabasesgrelevantgtogagstudy.gThegother
gindividualsgdognotghavegthegknowledgegregardinggrelevantgdatabases.
DIF: CognitivegLevel:gUnderstanding
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
5. Whichgdatabasegcontainsgsummariesgofgclinicalgguidelinesgandgtheirgdevelopment?
a. MEDLINE
b. CINAHL
c. CochranegDatabasegofgSystematicgReviews
d. ThegNationalgGuidelinegClearinghouse
ANS:g D
ThegNationalgGuidelinegClearinghousegisgagdatabasegsupportedgbygthegAgencygforgHealthcareg
ResearchgandgQuality.gItgcontainsgsummariesgofgclinicalgguidelinesgforgpractice.gMEDLINEgisga
N
gdatabasegforgstudiesgingmedici ne, gnursing,gdentistry,gpsychiatry,gveterinarygmedicine,gand
alliedghealth.gCINAHLg(CumulativegIndexgofgNursinggandgAlliedgHealthgLiterature)gincludes
studiesgingnursing,galliedghealth,gandgbiomedicine.gThegCochranegDatabasegFullgtextgofgregularl
ygupdatedgsystematicgreviewsgpreparedgbygthegCochranegCollaborationgincludesgcompletedgrevi
ewsgandgprotocols.
DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementat
ion
6. Whichgdoesgthegnursegresearchergidentifygasgthegstrongestgtypegofgresearch?
a. Randomizedgcontrolledgtrials
b. Agqualitativegstudy
c. Agdescriptivegstudy
d. Agcasegcontrolledgstudy
ANS:g A
Individualgrandomizedgcontrolledgtrialsgaregclosegtogthegtopgofgthegresearchgpyramid.gOnlygsyste
maticgreviewsgandgmeta-
analysesgareghigher.gThisgtypegofgstudygtestsganginterventiongagainstgthegusualgstandardgofgcare.g
Thegothergtypesgofgstudiesgaregusefulgbutgdognotggivegthegsamegtypegofginformationgasgagrandomiz
edgcontrolledgtrialgprovides.
DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gAssessment
TESTBANKWORLD.ORG
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