,0#
,Chapter01:UsingEvidenceinNursingPractice pf pf pf
Perryet al.: Clinical Nursing Skills & Techniques, 2nd Edition
pf 0# 0 # 0# 0# 0# 0# 0#
MULTIPLECHOICE 0#
1. Evidence-based practice isaproblem- 0# 0# 0#
solvingapproachtomaking decisions aboutPATIENT carethat is grounded in: pf pf 0# 0# 0# pf 0# 0#
a. thelatest information found intextbooks. pf v0 # pf
b. systematicallyconducted research studies. pf 0#
c. traditioninclinical practice. 0#
d. qualityimprovement and risk-management data. 0# 0# 0#
ANS: B 0 #
Thebest evidencecomesfrom well- pf 0# 0#
designed, systematicallyconductedresearch studies described in scientificjournals. Portions of a te
0# 0# pf pf 0# 0# pf pf 0# 0#
xtbook often become outdatedby thetimeit ispublished.Many health caresettings do not have apro
0# pf 0# 0# 0# 0# v0# 0# 0# 0# 0 # 0
cess to helpstaffadopt newevidencein practice, and nurses in practice settings lack easy acc ess to r
# 0# 0# v0# 0# 0# 0# pf 0# 0# 0# pf 0# 0# 0# 0# 0#
isk-
management data, relying instead on tradition or convenience. Some sources of evidence do not o ri
0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0#
ginate from research. These include quality improvement and risk-
0# 0# 0# 0# 0# 0# 0# 0#
managementdata; infection controldata; retrospectiveorconcurrent chart reviews; and clinician s‘ 0# 0# 0# pf v0 # 0# pf 0 #
expertise. Although
0# 0#
non–research-
based evidenceisoften veryvaluable,it isimportant that youlearn to relymore on research-
pf 0# 0# v0# 0# v pf 0# 0# 0# 0#
based evidence. 0#
DIFFERENCE:CognitiveLevel:Comprehension OBJECTIVE:Discussthebenefits ofevidence- 0# 0# 0# 0# 0# 0#
based practice.TOP: Evidence-Based Practice
0# pf
KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe and Effective Care Environment (manag
0# 0# 0# 0# 0 # 0# 0# 0# 0# 0# 0# 0#
ement of care) 0# 0#
2. Whenevidence-based practiceisused,PATIENTcarewill be: 0# 0#
a. standardized forall. 0#
b. unhamperedbyPATIENTculture. 0# 0#
c. variableaccording to thesituation. 0# 0#
d. safefrom thehazards ofcritical thinking. pf pf 0#
ANS: C 0 #
Using your clinical expertise and considering PATIENTs‘ cultures, values, and preference s
0# 0# 0# 0# pf 0# 0# 0# pf pf 0# pf0 #
ensuresthat you will applyavailableevidencein practiceethicallyand appropriately. Eve nwh
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en you use the best evidence available, application and outcomes will differ; as a nurse, you wi
# 0# pf 0# 0# 0# pf 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0#
lldevelop critical thinking skills todetermine whetherevidence is relevant and appr opriate.
0# 0# pf 0# pf 0# pf pf 0# 0#
DIFFERENCE: CognitiveLevel: Application OBJECTIVE:Discussthe benefits ofevidence- 0# 0# pf pf 0#
based practice.TOP: Evidence-Based Practice
0# pf
KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe and Effective Care Environment (manag
0# 0# 0# 0# 0 # 0# 0# 0# 0# 0# 0# 0#
ement of care) 0# 0#
3. When aPICOTquestion isdeveloped, theletterthat corresponds withtheusual standard of ca re i
pf pf pf pf pf v 0# 0# pf 0# 0# 0# 0#
s:
a. P.
b. I.
c.
, c. CHOICEBLANK
d. O.
ANS: C 0 #
C=Comparisonofinterest.Whatstandardofcareorcurrent interventiondo youusuallyuse now i n pra pf pf 0# pf pf pf 0# 0# 0# 0#
ctice?
P=PATIENTpopulation ofinterest.IdentifyyourPATIENTbyage,gender,ethnicity,disease, or hea lt 0# pf pf 0# 0# 0#
h problem.
0#
I =Interventionofinterest. Whatintervention(e.g.,treatment,diagnostic test, andprognostic facto r) d
v 0# pf 0# 0# pf pf 0# 0# 0# 0#
o you think is worthwhile to use in practice?
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O=Outcome.What result (e.g.,changein PATIENT‘s behavior,physical finding,and changeinP ATIENT‘ s pf 0# pf pf pf pf 0# 0# 0# 0#
perception) do you wish to achieve or observe as the result of an intervention?
0# 0# 0# 0# v0 # 0# 0# 0# 0# 0# 0# 0# 0# 0#
DIFFERENCE: CognitiveLevel: Knowledge 0#
OBJECTIVE: Develop a PICO question.TOP: PI 0# 0# 0# 0#
CO KEY:Nursing ProcessStep: Implementation 0# 0#
MSC: NCLEX: Safeand Effective Care Environment (management of care)
0# 0# pf 0# 0# 0# 0# 0#
4. Awell-developed PICOT questionhelps thenurse: 0# 0# pf
a. search forevidence. pf
b. includeall fiveelements ofthesequence. pf 0# 0#
c. find as many articles as possible inaliteraturesearch.
pf pf 0# 0# pf 0# 0# pf
d. accept standard clinical routines. 0# v 0#
ANS: A 0 #
Themorefocuseda questionthat you ask is,theeasieritisto search forevidencein thescientifi c lit pf 0# pf 0# pf 0# v0 # 0# 0# pf 0# 0# 0#
erature. A well- 0# 0#
designedPICOTquestion doesnot havetoinclude all fiveelements,nordoesit haveto followt he
0# 0# v0 # 0# pf pf pf 0# 0# 0# pf 0# pf 0#
PICOTsequence.Do not be satisfied with clinicalroutines.Always question and use critical think i 0# 0# pf pf pf 0# 0# pf pf pf pf 0# 0#
ng to consider better ways to provide PATIENTcare.
0# 0# 0# 0# 0# 0# 0#
DIFFERENCE:
CognitiveLevel: Analysis OBJECTIVE: 0# 0# pf
Describe thesixsteps of evidence- 0# 0# 0#
based practice.TOP: Evidence-Based Practice
0# 0#
KEY:NursingProcess Step:Implementation MS C 0# 0# pf 0# 0# 0#
: NCLEX: Safe and Effective Care Environment (management of care)
0# 0# 0# 0# 0# 0# pf 0# 0#
5. The nurse is not sure that the procedure the PATIENT requires is the best possible for th e s i
pf 0# 0# 0# 0# 0# 0# pf 0# 0# 0# 0# 0# 0# 0# 0# pf 0# 0#
tuation. Utilizingwhich of thefollowingresources would be thequickest way to revi ewre
0# 0# 0# 0# pf 0# 0# 0# 0# 0# 0#
search on the topic? 0# 0# 0#
a. CINAHL
b. PubMed
c. MEDLINE
d. TheCochrane Database pf v
ANS: D 0 #
TheCochrane Community Databaseof SystematicReviews is a valuablesourceofsynthesized ev
0# 0# 0# 0# pf 0# 0#
idence (i.e.,pre- pf 0#
appraised evidence). TheCochrane Database includesthefull text of regularly updated systemat ic r
0# 0# pf 0# 0# 0# 0# 0# 0# pf 0#
eviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubMed are
pf 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# pf0 #
among themost comprehensivedatabases and representthescientificknowledgebaseofhe alth ca
0# pf 0# 0# 0 # 0# 0#
re.
DIFFERENCE:
CognitiveLevel: Synthesis OBJECTIVE: 0# 0# pf
Describe thesixsteps of evidence- 0# 0# 0#
based practice.TOP: Evidence-Based Practice
0# 0#
KEY:Nursing ProcessStep:Implementation MS C 0# 0# 0# 0# 0#
: NCLEX: Safe and Effective Care Environment (management of care)
0# 0# 0# 0# 0# 0# 0# 0# 0#
,Chapter01:UsingEvidenceinNursingPractice pf pf pf
Perryet al.: Clinical Nursing Skills & Techniques, 2nd Edition
pf 0# 0 # 0# 0# 0# 0# 0#
MULTIPLECHOICE 0#
1. Evidence-based practice isaproblem- 0# 0# 0#
solvingapproachtomaking decisions aboutPATIENT carethat is grounded in: pf pf 0# 0# 0# pf 0# 0#
a. thelatest information found intextbooks. pf v0 # pf
b. systematicallyconducted research studies. pf 0#
c. traditioninclinical practice. 0#
d. qualityimprovement and risk-management data. 0# 0# 0#
ANS: B 0 #
Thebest evidencecomesfrom well- pf 0# 0#
designed, systematicallyconductedresearch studies described in scientificjournals. Portions of a te
0# 0# pf pf 0# 0# pf pf 0# 0#
xtbook often become outdatedby thetimeit ispublished.Many health caresettings do not have apro
0# pf 0# 0# 0# 0# v0# 0# 0# 0# 0 # 0
cess to helpstaffadopt newevidencein practice, and nurses in practice settings lack easy acc ess to r
# 0# 0# v0# 0# 0# 0# pf 0# 0# 0# pf 0# 0# 0# 0# 0#
isk-
management data, relying instead on tradition or convenience. Some sources of evidence do not o ri
0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0#
ginate from research. These include quality improvement and risk-
0# 0# 0# 0# 0# 0# 0# 0#
managementdata; infection controldata; retrospectiveorconcurrent chart reviews; and clinician s‘ 0# 0# 0# pf v0 # 0# pf 0 #
expertise. Although
0# 0#
non–research-
based evidenceisoften veryvaluable,it isimportant that youlearn to relymore on research-
pf 0# 0# v0# 0# v pf 0# 0# 0# 0#
based evidence. 0#
DIFFERENCE:CognitiveLevel:Comprehension OBJECTIVE:Discussthebenefits ofevidence- 0# 0# 0# 0# 0# 0#
based practice.TOP: Evidence-Based Practice
0# pf
KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe and Effective Care Environment (manag
0# 0# 0# 0# 0 # 0# 0# 0# 0# 0# 0# 0#
ement of care) 0# 0#
2. Whenevidence-based practiceisused,PATIENTcarewill be: 0# 0#
a. standardized forall. 0#
b. unhamperedbyPATIENTculture. 0# 0#
c. variableaccording to thesituation. 0# 0#
d. safefrom thehazards ofcritical thinking. pf pf 0#
ANS: C 0 #
Using your clinical expertise and considering PATIENTs‘ cultures, values, and preference s
0# 0# 0# 0# pf 0# 0# 0# pf pf 0# pf0 #
ensuresthat you will applyavailableevidencein practiceethicallyand appropriately. Eve nwh
pf pf 0# 0# 0# 0# 0 # 0
en you use the best evidence available, application and outcomes will differ; as a nurse, you wi
# 0# pf 0# 0# 0# pf 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# 0#
lldevelop critical thinking skills todetermine whetherevidence is relevant and appr opriate.
0# 0# pf 0# pf 0# pf pf 0# 0#
DIFFERENCE: CognitiveLevel: Application OBJECTIVE:Discussthe benefits ofevidence- 0# 0# pf pf 0#
based practice.TOP: Evidence-Based Practice
0# pf
KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe and Effective Care Environment (manag
0# 0# 0# 0# 0 # 0# 0# 0# 0# 0# 0# 0#
ement of care) 0# 0#
3. When aPICOTquestion isdeveloped, theletterthat corresponds withtheusual standard of ca re i
pf pf pf pf pf v 0# 0# pf 0# 0# 0# 0#
s:
a. P.
b. I.
c.
, c. CHOICEBLANK
d. O.
ANS: C 0 #
C=Comparisonofinterest.Whatstandardofcareorcurrent interventiondo youusuallyuse now i n pra pf pf 0# pf pf pf 0# 0# 0# 0#
ctice?
P=PATIENTpopulation ofinterest.IdentifyyourPATIENTbyage,gender,ethnicity,disease, or hea lt 0# pf pf 0# 0# 0#
h problem.
0#
I =Interventionofinterest. Whatintervention(e.g.,treatment,diagnostic test, andprognostic facto r) d
v 0# pf 0# 0# pf pf 0# 0# 0# 0#
o you think is worthwhile to use in practice?
0# 0# 0# 0# 0# 0# 0# 0#
O=Outcome.What result (e.g.,changein PATIENT‘s behavior,physical finding,and changeinP ATIENT‘ s pf 0# pf pf pf pf 0# 0# 0# 0#
perception) do you wish to achieve or observe as the result of an intervention?
0# 0# 0# 0# v0 # 0# 0# 0# 0# 0# 0# 0# 0# 0#
DIFFERENCE: CognitiveLevel: Knowledge 0#
OBJECTIVE: Develop a PICO question.TOP: PI 0# 0# 0# 0#
CO KEY:Nursing ProcessStep: Implementation 0# 0#
MSC: NCLEX: Safeand Effective Care Environment (management of care)
0# 0# pf 0# 0# 0# 0# 0#
4. Awell-developed PICOT questionhelps thenurse: 0# 0# pf
a. search forevidence. pf
b. includeall fiveelements ofthesequence. pf 0# 0#
c. find as many articles as possible inaliteraturesearch.
pf pf 0# 0# pf 0# 0# pf
d. accept standard clinical routines. 0# v 0#
ANS: A 0 #
Themorefocuseda questionthat you ask is,theeasieritisto search forevidencein thescientifi c lit pf 0# pf 0# pf 0# v0 # 0# 0# pf 0# 0# 0#
erature. A well- 0# 0#
designedPICOTquestion doesnot havetoinclude all fiveelements,nordoesit haveto followt he
0# 0# v0 # 0# pf pf pf 0# 0# 0# pf 0# pf 0#
PICOTsequence.Do not be satisfied with clinicalroutines.Always question and use critical think i 0# 0# pf pf pf 0# 0# pf pf pf pf 0# 0#
ng to consider better ways to provide PATIENTcare.
0# 0# 0# 0# 0# 0# 0#
DIFFERENCE:
CognitiveLevel: Analysis OBJECTIVE: 0# 0# pf
Describe thesixsteps of evidence- 0# 0# 0#
based practice.TOP: Evidence-Based Practice
0# 0#
KEY:NursingProcess Step:Implementation MS C 0# 0# pf 0# 0# 0#
: NCLEX: Safe and Effective Care Environment (management of care)
0# 0# 0# 0# 0# 0# pf 0# 0#
5. The nurse is not sure that the procedure the PATIENT requires is the best possible for th e s i
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tuation. Utilizingwhich of thefollowingresources would be thequickest way to revi ewre
0# 0# 0# 0# pf 0# 0# 0# 0# 0# 0#
search on the topic? 0# 0# 0#
a. CINAHL
b. PubMed
c. MEDLINE
d. TheCochrane Database pf v
ANS: D 0 #
TheCochrane Community Databaseof SystematicReviews is a valuablesourceofsynthesized ev
0# 0# 0# 0# pf 0# 0#
idence (i.e.,pre- pf 0#
appraised evidence). TheCochrane Database includesthefull text of regularly updated systemat ic r
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eviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubMed are
pf 0# 0# 0# 0# 0# 0# 0# 0# 0# 0# pf0 #
among themost comprehensivedatabases and representthescientificknowledgebaseofhe alth ca
0# pf 0# 0# 0 # 0# 0#
re.
DIFFERENCE:
CognitiveLevel: Synthesis OBJECTIVE: 0# 0# pf
Describe thesixsteps of evidence- 0# 0# 0#
based practice.TOP: Evidence-Based Practice
0# 0#
KEY:Nursing ProcessStep:Implementation MS C 0# 0# 0# 0# 0#
: NCLEX: Safe and Effective Care Environment (management of care)
0# 0# 0# 0# 0# 0# 0# 0# 0#
