,
, Chapter 01: Using Evidence in Nursing Practice
a a a a a a
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
a a a a a a a a a
MULTIPLEa CHOICE
1. Evidence-basedapracticea isaaaproblem-
solvingaapproachatoa makingadecisionsaabouta patientacarea thata isa groundeda in:
a. thea latesta informationa founda ina textbooks.
b. systematicallyaconducteda researcha studies.
c. traditiona ina clinicala practice.
d. qualityaimprovementa anda risk-managementa data.
ANSWER:aiiB
Thea besta evidencea comesa froma well-
designed,a systematicallya conducteda researcha studiesadescribeda ina scientifica journals.a Portio
nsa ofa aa textbookaoftena becomea outdateda bya theatimea ita isa published.a Manyahealthacareasettin
gsa doa nota havea aa processatoa helpa staffaadoptanewaevidencea ina practice,a anda nursesa ina practic
ea settingsa lacka easya accessa toa risk-
amanagementa data,a relyinga insteada onatraditiona ora convenience.a Somea sourcesa ofaevidence
doa notaoriginatea fromaresearch.a Thesea includea qualitya improvementa anda risk-
managementadata;a infectiona controla data;a retrospectivea ora concurrenta charta reviews;a anda cli
nicians‘aexpertise.a Although
non–research-
baseda evidencea isaoftenaveryavaluable,a ita isa importanta thata youa learnatoa relyamorea ona research
-baseda evidence.
DIF: CognitiveLevel:a Comprehension OBJ:aDiscussatheabenefitsaofaevidence-
basedapractice.a TOP: Evidence-
Baseda PracticeaKEY:a Nursinga Processa Step:a AssessmentaMSC:
NCLEX:aSafeaandaEffectiveaCareaEnvironmenta (managementa ofa care)
2. Whenaevidence-baseda practicea isa used,a patienta carea willa be:
a. standardizeda fora all.
b. unhampereda byapatienta culture.
c. variablea accordinga toa thea situation.
d. safea fromathea hazardsa ofacriticala thinking.
ANSWER:aiiC
Usinga youra clinicala expertisea anda consideringa patients‘a cultures,a values,a anda preferences
a ensuresathata youawillaapplyaavailableaevidenceainapracticea ethicallyaandaappropriately.a Eve
na whena youa usea thea besta evidencea available,a applicationa andaoutcomesa willa differ;a asa aa n
urse,a youa willa developa criticala thinkinga skillsa toa determineawhethera evidencea isa relevant
a anda appropriate.
DIF: CognitiveLevel:a Application OBJ:aDiscussatheabenefitsaofaevidence-
basedapractice.a TOP: Evidence-
Baseda PracticeaKEY:a Nursinga Processa Step:a AssessmentaMSC:
NCLEX:aSafeaandaEffectiveaCareaEnvironmenta (managementa ofa care)
3. WhenaaaPICOTaquestionaisadeveloped,a thea letterathata correspondsawithatheausualasta
ndardaofa carea is:
a. P.
b. I.
c.