Test Bank For Clinical Nursing Skills and Techniques 9th Edition by Anne Griffin Perry, Patricia A. Potter Chapter 1-43 Latest Updated 100%

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Chaptere01:eUsingeEvidenceeinePractice
Perryeeteal.:eClinicaleNursingeSkillse&eTechniques,e9theEdition


MULTIPLEeCHOICE

1. Evidence-basedepracticeeiseaeproblem-
solvingeapproachetoemakingedecisionseaboutepatientecareethateisegroundedein:
a. theelatesteinformationefoundeinetextbooks.
b. systematicallyeconductederesearchestudies.
c. traditioneineclinicalepractice.
d. qualityeimprovementeanderisk-managementedata.
ANS:e e B
Theebesteevidenceecomesefromewell-
designed,esystematicallyeconductederesearchestudiesedescribedeinescientificejournals.ePortionse
ofeaetextbookeoftenebecomeeoutdatedebyetheetimeeiteisepublished.eManyehealthecareesettingsedoe
notehaveeaeprocessetoehelpestaffeadopteneweevidenceeinepractice,eandenurseseinepracticeesettingse
lackeeasyeaccessetoerisk-
managementedata,erelyingeinsteadeonetraditioneoreconvenience.eSomeesourceseofeevidenceedoen
oteoriginateefromeresearch.eTheseeincludeequalityeimprovementeanderisk-
managementedata;einfectionecontroledata;eretrospectiveeoreconcurrentechartereviews;eandeclinic
ians’eexpertise.eAlthoughenon–research-
basedeevidenceeiseofteneveryevaluable,eiteiseimportantethateyouelearnetoerelyemoreeoneresearch-
basedeevidence.

DIF: CognitiveeLevel:eComprehension REF:
Textereference:ep.e2eOBJ:
Discussetheebenefitseofeevidence-basedepractice.
TOP: Evidence-BasedePractice
KEY:e NursingeProcesseStep:eAssessmenteMSC:e NCLEX:eSafeeandeEffectiveeC
areeEnvironmente(managementeofecare)

2. Wheneevidence-basedepracticeeiseused,epatientecareewillebe:
a. standardizedeforeall.
b. unhamperedebyepatienteculture.
c. variableeaccordingetoetheesituation.
d. safeefrometheehazardseofecriticalethinking.
ANS:e e C
Usingeyoureclinicaleexpertiseeandeconsideringepatients’ecultures,evalues,eandepreferenceseensure
sethateyouewilleapplyeavailableeevidenceeinepracticeeethicallyeandeappropriately.eEvenewheneyoue
useetheebesteevidenceeavailable,eapplicationeandeoutcomesewillediffer;easeaenurse,eyouewilledevel
opecriticalethinkingeskillsetoedetermineewhethereevidenceeiserelevanteandeappropriate.

DIF: CognitiveeLevel:eApplication REF:
Textereference:ep.e2eOBJ:
Discussetheebenefitseofeevidence-basedepractice.
TOP: Evidence-BasedePractice
KEY:e NursingeProcesseStep:eAssessmenteMSC:e NCLEX:eSafeeandeEffectiveeC
areeEnvironmente(managementeofecare)

3. WheneaePICOTequestioneisedeveloped,etheeletterethatecorrespondsewithetheeusualestandardeofeca
reeis:
a. P.


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b. I.
c. C.
d. O.
ANS:e e C
Ce=eComparisoneofeinterest.eWhatestandardeofecareeorecurrenteinterventionedoeyoueusuallyeusee
noweinepractice?
Pe=ePatientepopulationeofeinterest.eIdentifyeyourepatientebyeage,egender,eethnicity,edisease,eorehea
ltheproblem.
Ie=eInterventioneofeinterest.eWhateinterventione(e.g.,etreatment,ediagnosticetest,eandeprog
nosticefactor)edoeyouethinkeiseworthwhileetoeuseeinepractice?
Oe=eOutcome.eWhateresulte(e.g.,echangeeinepatient’sebehavior,ephysicalefinding,eandechangeeine
patient’seperception)edoeyouewishetoeachieveeoreobserveeasetheeresulteofeaneintervention?

DIF: CognitiveeLevel:eKnowledge REF:
Textereference:ep.e3eOBJ: DevelopeaePICOequestion.
TOP: PICO
KEY:e NursingeProcesseStep:eImplementation
MSC:e NCLEX:eSafeeandeEffectiveeCareeEnvironmente(managementeofecare)

4. Aewell-developedePICOTequestionehelpsetheenurse:
a. searcheforeevidence.
b. includeeallefiveeelementseofetheesequence.
c. findeasemanyearticleseasepossibleeineaeliteratureesearch.
d. acceptestandardeclinicaleroutines.
ANS:e e A
Theemoreefocusedeaequestionethateyoueaskeis,etheeeasiereiteisetoesearcheforeevidenceeinetheescientif
iceliterature.eAewell-
designedePICOTequestionedoesenotehaveetoeincludeeallefiveeelements,enoredoeseitehaveetoefollowe
theePICOTesequence.eDoenotebeesatisfiedewitheclinicaleroutines.eAlwaysequestioneandeuseecritica
lethinkingetoeconsiderebetterewaysetoeprovideepatientecare.

DIF: CognitiveeLevel:eAnalysis REF:
Textereference:ep.e3eOBJ:
Describeetheesixestepseofeevidence-basedepractice.
TOP: Evidence-BasedePractice
KEY:e NursingeProcesseStep:eImplementationeMSC:e NCLEX:eSafeeandeEffectiveeC
areeEnvironmente(managementeofecare)

5. Theenurseeisenotesureethatetheeprocedureetheepatienterequireseisetheebestepossibleeforetheesituat
ion.eUtilizingewhicheofetheefollowingeresourcesewouldebeetheequickestewayetoerevieweresearc
heonetheetopic?
a. CINAHL
b. PubMed
c. MEDLINE
d. TheeCochraneeDatabasee
ANS:e D




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TheeCochraneeCommunityeDatabaseeofeSystematiceReviewseiseaevaluableesourceeofesynthesize
deevidencee(i.e.,epre-
appraisedeevidence).eTheeCochraneeDatabaseeincludesetheefulletexteoferegularlyeupdatedesystem
aticereviewseandeprotocolseforereviewsecurrentlyehappening.eMEDLINE,eCINAHL,eandePubMe
deareeamongetheemostecomprehensiveedatabaseseanderepresentetheescientificeknowledgeebaseeofe
healthecare.

DIF: CognitiveeLevel:eSynthesis REF:
Textereference:ep.e4eOBJ:
Describeetheesixestepseofeevidence-basedepractice.
TOP: Evidence-BasedePractice
KEY:e NursingeProcesseStep:eImplementationeMSC:e NCLEX:eSafeeandeEffectiveeC
areeEnvironmente(managementeofecare)

6. Theenurseeisegettingereadyetoedevelopeaeplaneofecareeforeaepatientewhoehaseaespecificeneed.eTh
eebestesourceeforedevelopingethiseplaneofecareewouldeprobablyebe:
a. TheeCochraneeDatabase.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANS:e e C
TheeNationaleGuidelineseClearinghousee(NGC)eiseaedatabaseesupportedebyetheeAgencyeforeH
ealthcareeResearcheandeQualitye(AHRQ).eItecontainseclinicaleguidelines—
systematicallyedevelopedestatementseabouteaeplaneofecareeforeaespecificeseteofeclinicalecircum
stanceseinvolvingeaespecificepatientepopulation.eTheeNGCeiseaevaluableesourceewheneyouewa
ntetoedevelopeaeplaneofecareeforeaepatient.eTheeCochraneeCommunityeDatabaseeofeSystematic
eReviews,eMEDLINE,eandeCINAHLeareeallevaluableesourceseofesynthesizedeevidencee(i.e.,ep

re-appraisedeevidence).

DIF: CognitiveeLevel:eSynthesis REF:
Textereference:ep.e4eOBJ:
Describeetheesixestepseofeevidence-basedepractice.
TOP: Evidence-BasedePractice
KEY:e NursingeProcesseStep:eImplementationeMSC:e NCLEX:eSafeeandeEffectiveeC
areeEnvironmente(managementeofecare)

7. Theenurseehasedoneeaeliteratureesearcheandefounde25epossibleearticleseonetheetopicethatesheeisest
udying.eToedetermineewhicheofethosee25ebestefitehereinquiry,etheenurseefirsteshouldelookeat:
a. theeabstracts.
b. theeliteratureereviews.
c. thee“Methods”esections.
d. theenarrativeesections.
ANS:e e A
Aneabstracteiseaebriefesummaryeofeanearticleethatequicklyetellseyouewhetheretheearticleeiseresearc
hebasedeoreclinicallyebased.eAneabstractesummarizesetheepurposeeofetheestudyeoreclinicalequery,e
theemajorethemeseorefindings,eandetheeimplicationseforenursingepractice.eTheeliteratureerevieweu
suallyegiveseyoueaegoodeideaeofehowepasteresearcheledetoetheeresearcher’sequestion.eThee“Metho
ds”eore“Design”esectioneexplainsehoweaeresearchestudyeiseorganizedeandeconductedetoeansweret
heeresearchequestioneoretoetestetheehypothesis.eTheenarrativeeofeaemanuscriptedifferseaccordinge
toetheetypeeofeevidence-basedearticle—clinicaleoreresearch.

DIF: CognitiveeLevel:eApplication REF:
Textereference:ep.e7eOBJ:
Discusseelementsetoereviewewhenecritiquingetheescientificeliterature.
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