TEST BANK FOR Perry & Potter's Canadian Clinical Nursing Skills and Techniques, 2nd Edition by Shelley Cobbett ISBN:9780323827447 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!!NEW LATEST UPDATE!!!!!

,
,Chapter 01: Using Evidencein Nursing Practice
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Perryet al.: Clinical Nursing Skills & Techniques, 2nd Edition
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MULTIPLE CHOICE tj




1. Evidence-based practice is a problem- tj tj tj dx



solvingapproach tomakingdecisionsaboutPATIENT carethat is grounded in: dx tj tj tj tj tj tj tj


a. thelatest information found in textbooks.
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b. systematically conducted research studies. tj dx tj


c. traditioninclinical practice. tj tj


d. qualityimprovement andrisk-management data. tj tj tj




ANS: B t j


The best evidence comes from well-
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designed, systematically conducted research studies described in scientific journals. Portions of a t
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extbook often become outdated by the time it is published. Many health care settings do not h ave a
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process to help staff adopt new evidence in practice, and nurses in practice settings lack ea s y access t
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o risk-
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management data, relying instead on tradition or convenience. Some sources of evidence do not ori
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ginate from research. These include quality improvement and risk-
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management data; infection control data; retrospective or concurrent chart reviews; and clinicia ns
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‘ expertise. Although
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non–research-
basedevidenceis oftenveryvaluable,it isimportantthat youlearntorely more on research-
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based evidence. tj




DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: Discuss the benefits of evidence- tj tj t j tj tj tj tj tj


based practice.TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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2. Whenevidence-basedpracticeisused,PATIENT care will be: tj tj tj dx tj


a. standardized forall. tj tj


b. unhampered byPATIENT culture. tj tj tj


c. variable according to the situation. tj tj tj tj


d. safe from the hazards of critical thinking.
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ANS: C t j


Using your clinical expertise and considering PATIENTs‘ cultures, values, and preferenc es
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ensures that you will apply available evidence in practice ethically and appropriately. Even
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when you use the best evidence available, application and outcomes will differ; as a nurse,yo
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u will develop critical thinking skills to determine whether evidence is relevant a nd appropri
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ate.

DIFFERENCE: CognitiveLevel: Application OBJECTIVE: Discuss thebenefits of evidence- tj tj tj tj tj dx tj


based practice.TOP: Evidence-
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Based Practice KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe and Effective Ca
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re Environment (management of care)
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3. WhenaPICOT question is developed,the letterthatcorresponds with theusual standard of c are
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is:
a. P.
b. I.
c.

, c. CHOICEBLANK tj


d. O.

ANS: C t j


C=Comparison of interest. What standard of careorcurrent intervention do youusuallyuse no w in p
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ractice?
P=PATIENTpopulation ofinterest.IdentifyyourPATIENTbyage,gender,ethnicity,disease, or heal
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th problem. tj


I =Interventionof interest.What intervention (e.g.,treatment,diagnostictest, andprognostic fac to r)
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do you think is worthwhile to use in practice?
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O=Outcome. What result (e.g.,changeinPATIENT‘s behavior, physical finding, and change in PATIEN T‘
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s perception) do you wish to achieve or observe as the result of an intervention?
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DIFFERENCE: CognitiveLevel: Knowledge tj


OBJECTIVE: Develop a PICO question.TOP: P tj tj tj tj


ICO KEY:Nursing ProcessStep: Implementation tj dx tj tj


MSC: NCLEX: Safe and Effective Care Environment (management of care)
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4. Awell-developedPICOT questionhelps thenurse: tj tj tj tj tj


a. search for evidence. dx tj


b. includeall fiveelements ofthesequence. tj tj tj tj tj


c. findas many articles as possible in aliteraturesearch.
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d. acceptstandardclinical routines. tj tj




ANS: A t j


The more focused a question that you ask is, the easier it is to search for evidence in the scien tifi
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c literature. A well-
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designed PICOT question does not have to include all five elements, nor does it have to follo w t
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he PICOT sequence. Do not be satisfied with clinical routines. Always question and use cri tical th
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inking to consider better ways to provide PATIENTcare.
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DIFFERENCE: CognitiveLevel: Analysis tj


OBJECTIVE:Describe the six steps of evidence- tj tj tj tj tj tj


based practice.TOP: Evidence-Based Practice
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KEY: Nursing Process Step: Implementation MS tj tj tj tj tj tj


C: NCLEX: Safe and Effective Care Environment (management of care)
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5. The nurse is not sure that the procedure the PATIENT requires is the best possible for t he si
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tuation. Utilizing which of the following resources would be the quickest way to r eviewre
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search on the topic? tj tj tj


a. CINAHL
b. PubMed
c. MEDLINE
d. TheCochrane Database tj tj




ANS: D t j


The Cochrane Community Database of Systematic Reviews is a valuable source of synthesiz ed
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evidence (i.e., pre- tj tj


appraised evidence). TheCochrane Database includes the full text of regularly updated system a tic
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reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubM e d are
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among the most comprehensive databases and represent the scientific knowledge base o f healt
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h care.
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DIFFERENCE: CognitiveLevel: Synthesis tj


OBJECTIVE:Describe the six steps of evidence- tj tj tj tj tj tj


based practice.TOP: Evidence-Based Practice
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KEY: Nursing Process Step: Implementation MS tj tj tj tj tj tj


C: NCLEX: Safe and Effective Care Environment (management of care)
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