issue within the legal system is the question of access to justice. In many jurisdictions, legal representation is
prohibitively expensive for large segments of the population. This raises concerns about fairness and
whether individuals from lower socioeconomic backgrounds are disadvantaged by the high cost of legal
services. Legal aid programs and pro bono work attempt to address these disparities, but challenges remain
in ensuring equal access to justice for all.### 6. **Conclusion**Ethical and legal issues are deeply
intertwined and pervasive across all sectors of society. The need to balance moral considerations with legal
obligations is a constant challenge in fields such as healthcare, business, technology, and law. As society
continues to evolve, new ethical and legal questions will inevitably arise, particularly in the face of
technological advancements and shifting social norms. The development of robust ethical frameworks and
legal structures that can adapt to these changes is critical for ensuring that human rights, fairness, and justice
are upheld in an
Test Bank For
Complete Clinical Nursing Skills and Techniques 10th Edition by AnnerGriffi n Perry,rPatricia A. Potter
--
Chapter 1-43
Table Of Content
Chapter 1. UsingrEvidencein Nursing Practice Ch
apter 2. Communication andrCollaboration Chapt
er 3. Admitting, Transfer, and DischargerChapter 4
. Documentationrand InformaticsrChapter 5. Vitalr
Signs
Chapter 6. Health Assessment Chap
ter 7. Specimen Collection Chapter
8. Diagnostic Procedures Chapter 9.
Medical Asepsis Chapter 10. Sterile
Technique
Chapter 11. Safe PatientrHandlingand Mobility(SPHM) Chapt
er 12. Exercise and Mobility
Chapter 13. SupportrSurfaces and Special Beds Ch
apter 14. PatientrSafety
Chapter15. DisasterPreparedness C
hapter 16. PainrManagement Chapte
r 17. End-of-LiferCare
Chapter 18. Personal Hygieneand Bed Making Ch
apter 19. Care of the Eye and Ear
Chapter 20. SaferMedication Preparation C
hapter 21. Nonparenteral Medications Cha
pter 22. Parenteral Medications Chapter 2
3. OxygenrTherapy
Chapter 24. Performing Chest Physiotherapy Chap
ter 25. Airway Management
Chapter 26. Cardiac Care
Chapter 27. Closed Chest Drainage Systems Chapter
28. Emergency Measuresfor Life Support
Chapter29.Intravenousand VascularAccess Therapy Chapter
30. Blood Therapy
Chapter 31. Oral Nutrition Chapter
32. Enteral Nutrition Chapter 33. P
arenteral NutritionrChapter 34. Uri
nary Elimination
Chapter 35. Bowel Eliminationand GastricrIntubation Chapter
36. Ostomy Care
Chapter 37.Preoperativeand Postoperative Care C
hapter 38. IntraoperativerCare
Chapter 39. Wound Careand Irrigations
Chapter 40. Impaired Skin Integrity Prevention and Care Chapt
,er 41. Dressings, Bandages, andrBinders
Chapter 42. Home Care Safety Chap
ter43.HomeCarerTeaching
issue within the legal system is the question of access to justice. In many jurisdictions, legal representation
is prohibitively expensive for large segments of the population. This raises concerns about fairness and
whether individuals from lower socioeconomic backgrounds are disadvantaged by the high cost of legal
services. Legal aid programs and pro bono work attempt to address these disparities, but challenges remain
in ensuring equal access to justice for all.### 6. **Conclusion**Ethical and legal issues are deeply
intertwined and pervasive across all sectors of society. The need to balance moral considerations with legal
obligations is a constant challenge in fields such as healthcare, business, technology, and law. As society
continues to evolve, new ethical and legal questions will inevitably arise, particularly in the face of
technological advancements and shifting social norms. The development of robust ethical frameworks and
legal structures that can adapt to these changes is critical for ensuring that human rights, fairness, and
justice are upheld in an
Chapter 01: Using Evidence in Nursing Practice
r
Perry et al.: Clinical Nursing Skills & Techniques, 10th Edition
MUL MULTIPLETIPL CE r
1. Evidence-basedrpracticeis aproblem-
solvingapproach to makingrdecisions about patientcare that is grounded in:
a. the latest informationrfound in textbooks.
b. systematicallyconductedresearch studies.
c. tradition in clinical practice.
d. qualityimprovement and risk-management data.
ANS: B
The best evidencercomes from well-
designed, systematically conducted research studies described in scientific journals. Portions of a
textbookroften become outdated bythe time it is published. Manyhealth caresettings dornotrhaver
a process to helprstaff adoptrnew evidence in practice, and nurses in practice settings lack easy acc
ess torrisk-
management data,rrelyingrinstead on tradition or convenience. Some sources of evidencerdo not o
riginate from research. These include qualityimprovement and risk-
management data; infection control data; retrospectiveror concurrent chart reviews; andrclinician
s‘ expertise. Although
non–research-
based evidence is often veryvaluable, it isrimportantrthat you learn torrelymore on research-
based evidence.
DIF: CognitiveLevel: Comprehension OBJ: Discussthebenefits ofevidence-
basedpractice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
2. Whenevidence-based practice isrused, patient carewill be:
a. standardized for all.
b. unhampered bypatient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ANS: C
Usingryour clinical expertise and consideringrpatients‘ cultures, values, and preferencesrensur
es that youwill applyavailable evidenceinpracticeethicallyandrappropriately. Even when you
use the best evidence available, application and outcomes willrdiffer; as arnurse, you will devel
op criticalrthinkingrskills to determine whether evidenceris relevant and appropriate.
, DIF: CognitiveLevel: Application OBJ: Discussthebenefits ofevidence-
based practice. TOP: Evidence-BasedrPractice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
3. When a PICOTquestion is developed, theletter thatrcorrespondsrwithrtherusualrstandard of car
e is:
a. P.
b. I.
c.
c. CHOICE BLANK
d. O.
ANS: C
C =Comparison ofrinterest. What standard of careor current intervention do yourusuallyuse now i
n practice?
P=Patient populationrofinterest. Identifyyourpatient byage, gender, ethnicity, disease, or healthr
problem.
Ir= Intervention of interest. What interventionr(e.g., treatment, diagnostic test, and prognostic factor)r
do you think isrworthwhile to userinrpractice?
O= Outcome. Whatrresultr(e.g., change inrpatient‘srbehavior, physical finding, and change inrpatient
‘s perception)rdo you wish torachieve or observeras the resultrof anrintervention?
DIF: CognitiveLevel: Knowledge
OBJ: Developa PICOquestion. TOP: PICO
KEY: Nursing ProcessrStep: Implementation
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
Justice**One of the key ethical issues in environmental law is the concept of environmental justice, which
addresses the disproportionate burden that certain populations (particularly low-income and minority
communities) face from environmental hazards. These groups often live in areas with higher levels of pollution,
waste, and other environmental risks. The ethical concern here is about fairness—whether it is just for these
communities to bear a larger share of the negative impacts of industrial development and environmental
degradation.Legally, environmental regulations such as the Clean Air Act or the Clean Water Act are designed to
curb pollution and protect public health. However, enforcement of these laws is often inadequate, and the legal
system may not always provide sufficient redress for communities that suffer from environmental harm. This
raises questions about the effectiveness of current legal structures in promoting environmental justice.#### 7.2
**Climate
4. Awell-developed PICOT question helps thenurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find asrmany articles asrpossiblerinra literature search.
d. acceptstandard clinical routines.
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in therscientific li
terature. Awell-
designed PICOT question does not have to include all five elements, nor does it havertorfollow the
PICOT sequence. Do not be satisfied with clinical routines. Always question and usercritical think
ingto consider better ways toprovide patient care.
DIF: CognitiveLevel: Analysis OBJ: Describethersixsteps of evidence-
based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
5. The nurse is not surerthat the procedure the patient requires is the best possible for the situatio
n. Utilizing whichrof therfollowingresources wouldbertherquickest wayto review research o
n the topic?
a. CINAHL
, b. PubMed
c. MEDLINE
d. The Cochrane Database
ANS: D
The Cochrane Community Databaserof SystematicrReviewsris a valuable sourcerof synthesized e
vidence (i.e., pre-
appraised evidence). The Cochrane Database includes the full text of regularly updated systemati
c reviews and protocols for reviews currentlyhappening. MEDLINE, CINAHL, andrPubMed are
among the most comprehensive databasesrand represent therscientific knowledgerbaserof health c
are.
DIF: CognitiveLevel: Synthesis OBJ: Describethesixsteps of evidence-
based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
6. The nurseis getting readyto develop a plan of care for a patient who has a specific need. The best s
ource for developing this plan of carerwould probablybe:
a. The CochranerDatabase.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANS: C
The National Guidelines Clearinghouse (NGC) is a databasersupported bythe Agencyfor Health
carerResearch and Quality (AHRQ). Itrcontains clinical guidelines—
systematically developed statementsrabout arplanrof carerfor a specific setrof clinical circumstance
s involving a specific patient population. TherNGC is a valuablersource when you want to developr
a plan of care for a patient. The CochranerCommunity Database of Systematic Reviews, MEDLI
NE, and CINAHLrare all valuable sourcesrof synthesized evidence (i.e., pre-appraised evidence).
DIF: CognitiveLevel: Synthesis OBJ: Describethesixsteps of evidence-
based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
Justice**One of the key ethical issues in environmental law is the concept of environmental justice, which
addresses the disproportionate burden that certain populations (particularly low-income and minority
communities) face from environmental hazards. These groups often live in areas with higher levels of pollution,
waste, and other environmental risks. The ethical concern here is about fairness—whether it is just for these
communities to bear a larger share of the negative impacts of industrial development and environmental
degradation.Legally, environmental regulations such as the Clean Air Act or the Clean Water Act are designed to
curb pollution and protect public health. However, enforcement of these laws is often inadequate, and the legal
system may not always provide sufficient redress for communities that suffer from environmental harm. This
raises questions about the effectiveness of current legal structures in promoting environmental justice.#### 7.2
**Climate
7. The nursehas done a literature search and found 25 possible articles onrthe topic that sheris stud
ying. To determine whichof thoser25 best fit herinquiry, the nurserfirst shouldlook at:
a. the abstracts.
b. the literature reviews.
c. the ―Methods‖ sections.
d. the narrativersections.
ANS: A
An abstract is a brief summaryof an article thatrquickly tells yourwhether the article isrresearch bas
ed or clinicallybased. An abstract summarizes the purposeof the studyor clinical query, the major
themes or findings, and the implications for nursing practice. The literature review usuallygivesry
ou a good idea of how past research led to therresearcher‘s question.
The ―Methods‖ror ―Design‖ section explains how a researchr study is organized and
conducted to answer the researchrquestion or tortest therhypothesis. Thernarrative ofra
manuscriptrdiffers acc ording to the typerof evidence-based article—clinical or research.
prohibitively expensive for large segments of the population. This raises concerns about fairness and
whether individuals from lower socioeconomic backgrounds are disadvantaged by the high cost of legal
services. Legal aid programs and pro bono work attempt to address these disparities, but challenges remain
in ensuring equal access to justice for all.### 6. **Conclusion**Ethical and legal issues are deeply
intertwined and pervasive across all sectors of society. The need to balance moral considerations with legal
obligations is a constant challenge in fields such as healthcare, business, technology, and law. As society
continues to evolve, new ethical and legal questions will inevitably arise, particularly in the face of
technological advancements and shifting social norms. The development of robust ethical frameworks and
legal structures that can adapt to these changes is critical for ensuring that human rights, fairness, and justice
are upheld in an
Test Bank For
Complete Clinical Nursing Skills and Techniques 10th Edition by AnnerGriffi n Perry,rPatricia A. Potter
--
Chapter 1-43
Table Of Content
Chapter 1. UsingrEvidencein Nursing Practice Ch
apter 2. Communication andrCollaboration Chapt
er 3. Admitting, Transfer, and DischargerChapter 4
. Documentationrand InformaticsrChapter 5. Vitalr
Signs
Chapter 6. Health Assessment Chap
ter 7. Specimen Collection Chapter
8. Diagnostic Procedures Chapter 9.
Medical Asepsis Chapter 10. Sterile
Technique
Chapter 11. Safe PatientrHandlingand Mobility(SPHM) Chapt
er 12. Exercise and Mobility
Chapter 13. SupportrSurfaces and Special Beds Ch
apter 14. PatientrSafety
Chapter15. DisasterPreparedness C
hapter 16. PainrManagement Chapte
r 17. End-of-LiferCare
Chapter 18. Personal Hygieneand Bed Making Ch
apter 19. Care of the Eye and Ear
Chapter 20. SaferMedication Preparation C
hapter 21. Nonparenteral Medications Cha
pter 22. Parenteral Medications Chapter 2
3. OxygenrTherapy
Chapter 24. Performing Chest Physiotherapy Chap
ter 25. Airway Management
Chapter 26. Cardiac Care
Chapter 27. Closed Chest Drainage Systems Chapter
28. Emergency Measuresfor Life Support
Chapter29.Intravenousand VascularAccess Therapy Chapter
30. Blood Therapy
Chapter 31. Oral Nutrition Chapter
32. Enteral Nutrition Chapter 33. P
arenteral NutritionrChapter 34. Uri
nary Elimination
Chapter 35. Bowel Eliminationand GastricrIntubation Chapter
36. Ostomy Care
Chapter 37.Preoperativeand Postoperative Care C
hapter 38. IntraoperativerCare
Chapter 39. Wound Careand Irrigations
Chapter 40. Impaired Skin Integrity Prevention and Care Chapt
,er 41. Dressings, Bandages, andrBinders
Chapter 42. Home Care Safety Chap
ter43.HomeCarerTeaching
issue within the legal system is the question of access to justice. In many jurisdictions, legal representation
is prohibitively expensive for large segments of the population. This raises concerns about fairness and
whether individuals from lower socioeconomic backgrounds are disadvantaged by the high cost of legal
services. Legal aid programs and pro bono work attempt to address these disparities, but challenges remain
in ensuring equal access to justice for all.### 6. **Conclusion**Ethical and legal issues are deeply
intertwined and pervasive across all sectors of society. The need to balance moral considerations with legal
obligations is a constant challenge in fields such as healthcare, business, technology, and law. As society
continues to evolve, new ethical and legal questions will inevitably arise, particularly in the face of
technological advancements and shifting social norms. The development of robust ethical frameworks and
legal structures that can adapt to these changes is critical for ensuring that human rights, fairness, and
justice are upheld in an
Chapter 01: Using Evidence in Nursing Practice
r
Perry et al.: Clinical Nursing Skills & Techniques, 10th Edition
MUL MULTIPLETIPL CE r
1. Evidence-basedrpracticeis aproblem-
solvingapproach to makingrdecisions about patientcare that is grounded in:
a. the latest informationrfound in textbooks.
b. systematicallyconductedresearch studies.
c. tradition in clinical practice.
d. qualityimprovement and risk-management data.
ANS: B
The best evidencercomes from well-
designed, systematically conducted research studies described in scientific journals. Portions of a
textbookroften become outdated bythe time it is published. Manyhealth caresettings dornotrhaver
a process to helprstaff adoptrnew evidence in practice, and nurses in practice settings lack easy acc
ess torrisk-
management data,rrelyingrinstead on tradition or convenience. Some sources of evidencerdo not o
riginate from research. These include qualityimprovement and risk-
management data; infection control data; retrospectiveror concurrent chart reviews; andrclinician
s‘ expertise. Although
non–research-
based evidence is often veryvaluable, it isrimportantrthat you learn torrelymore on research-
based evidence.
DIF: CognitiveLevel: Comprehension OBJ: Discussthebenefits ofevidence-
basedpractice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
2. Whenevidence-based practice isrused, patient carewill be:
a. standardized for all.
b. unhampered bypatient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ANS: C
Usingryour clinical expertise and consideringrpatients‘ cultures, values, and preferencesrensur
es that youwill applyavailable evidenceinpracticeethicallyandrappropriately. Even when you
use the best evidence available, application and outcomes willrdiffer; as arnurse, you will devel
op criticalrthinkingrskills to determine whether evidenceris relevant and appropriate.
, DIF: CognitiveLevel: Application OBJ: Discussthebenefits ofevidence-
based practice. TOP: Evidence-BasedrPractice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
3. When a PICOTquestion is developed, theletter thatrcorrespondsrwithrtherusualrstandard of car
e is:
a. P.
b. I.
c.
c. CHOICE BLANK
d. O.
ANS: C
C =Comparison ofrinterest. What standard of careor current intervention do yourusuallyuse now i
n practice?
P=Patient populationrofinterest. Identifyyourpatient byage, gender, ethnicity, disease, or healthr
problem.
Ir= Intervention of interest. What interventionr(e.g., treatment, diagnostic test, and prognostic factor)r
do you think isrworthwhile to userinrpractice?
O= Outcome. Whatrresultr(e.g., change inrpatient‘srbehavior, physical finding, and change inrpatient
‘s perception)rdo you wish torachieve or observeras the resultrof anrintervention?
DIF: CognitiveLevel: Knowledge
OBJ: Developa PICOquestion. TOP: PICO
KEY: Nursing ProcessrStep: Implementation
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
Justice**One of the key ethical issues in environmental law is the concept of environmental justice, which
addresses the disproportionate burden that certain populations (particularly low-income and minority
communities) face from environmental hazards. These groups often live in areas with higher levels of pollution,
waste, and other environmental risks. The ethical concern here is about fairness—whether it is just for these
communities to bear a larger share of the negative impacts of industrial development and environmental
degradation.Legally, environmental regulations such as the Clean Air Act or the Clean Water Act are designed to
curb pollution and protect public health. However, enforcement of these laws is often inadequate, and the legal
system may not always provide sufficient redress for communities that suffer from environmental harm. This
raises questions about the effectiveness of current legal structures in promoting environmental justice.#### 7.2
**Climate
4. Awell-developed PICOT question helps thenurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find asrmany articles asrpossiblerinra literature search.
d. acceptstandard clinical routines.
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in therscientific li
terature. Awell-
designed PICOT question does not have to include all five elements, nor does it havertorfollow the
PICOT sequence. Do not be satisfied with clinical routines. Always question and usercritical think
ingto consider better ways toprovide patient care.
DIF: CognitiveLevel: Analysis OBJ: Describethersixsteps of evidence-
based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
5. The nurse is not surerthat the procedure the patient requires is the best possible for the situatio
n. Utilizing whichrof therfollowingresources wouldbertherquickest wayto review research o
n the topic?
a. CINAHL
, b. PubMed
c. MEDLINE
d. The Cochrane Database
ANS: D
The Cochrane Community Databaserof SystematicrReviewsris a valuable sourcerof synthesized e
vidence (i.e., pre-
appraised evidence). The Cochrane Database includes the full text of regularly updated systemati
c reviews and protocols for reviews currentlyhappening. MEDLINE, CINAHL, andrPubMed are
among the most comprehensive databasesrand represent therscientific knowledgerbaserof health c
are.
DIF: CognitiveLevel: Synthesis OBJ: Describethesixsteps of evidence-
based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
6. The nurseis getting readyto develop a plan of care for a patient who has a specific need. The best s
ource for developing this plan of carerwould probablybe:
a. The CochranerDatabase.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANS: C
The National Guidelines Clearinghouse (NGC) is a databasersupported bythe Agencyfor Health
carerResearch and Quality (AHRQ). Itrcontains clinical guidelines—
systematically developed statementsrabout arplanrof carerfor a specific setrof clinical circumstance
s involving a specific patient population. TherNGC is a valuablersource when you want to developr
a plan of care for a patient. The CochranerCommunity Database of Systematic Reviews, MEDLI
NE, and CINAHLrare all valuable sourcesrof synthesized evidence (i.e., pre-appraised evidence).
DIF: CognitiveLevel: Synthesis OBJ: Describethesixsteps of evidence-
based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Saferand EffectiverCare Environment (management of care)
Justice**One of the key ethical issues in environmental law is the concept of environmental justice, which
addresses the disproportionate burden that certain populations (particularly low-income and minority
communities) face from environmental hazards. These groups often live in areas with higher levels of pollution,
waste, and other environmental risks. The ethical concern here is about fairness—whether it is just for these
communities to bear a larger share of the negative impacts of industrial development and environmental
degradation.Legally, environmental regulations such as the Clean Air Act or the Clean Water Act are designed to
curb pollution and protect public health. However, enforcement of these laws is often inadequate, and the legal
system may not always provide sufficient redress for communities that suffer from environmental harm. This
raises questions about the effectiveness of current legal structures in promoting environmental justice.#### 7.2
**Climate
7. The nursehas done a literature search and found 25 possible articles onrthe topic that sheris stud
ying. To determine whichof thoser25 best fit herinquiry, the nurserfirst shouldlook at:
a. the abstracts.
b. the literature reviews.
c. the ―Methods‖ sections.
d. the narrativersections.
ANS: A
An abstract is a brief summaryof an article thatrquickly tells yourwhether the article isrresearch bas
ed or clinicallybased. An abstract summarizes the purposeof the studyor clinical query, the major
themes or findings, and the implications for nursing practice. The literature review usuallygivesry
ou a good idea of how past research led to therresearcher‘s question.
The ―Methods‖ror ―Design‖ section explains how a researchr study is organized and
conducted to answer the researchrquestion or tortest therhypothesis. Thernarrative ofra
manuscriptrdiffers acc ording to the typerof evidence-based article—clinical or research.
