,Complete Test Bank For Canadian Clinical Nursing Skills and Techniques 2nd Edition
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by P erry, Patricia A. Potter Chapter 1-43 Complete Guide
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Table Of Content t 7 t 7
Chapter 1. Using Evidence in Nursing Practice Ch
t7 t7 t7 t7 t7 b3 t7 t7
apter 2. Communication and Collaboration Chapt
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7er 3. Admitting, Transfer, and Discharge Chapt
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er
4. Documentation and Informatics Chapter 5. Vit
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7a l Signst7 t7
Chapter 6. Health Assessment C t7 t7 t7 t7 t7
h apter 7. Specimen Collection C
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ha pter 8. Diagnostic Procedures
t 7 t7 t7 k
t7Cha pter 9. Medical Asepsis Ch
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7apter
10. Sterile Technique
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Chapter11.Safe PATIENT HandlingandMobility(SPHM) C ha t7 b3 t7 t7 t7 t7 t7 t7
pter 12. Exercise and Mobility
t7 t7 t7 t7
Chapter13.SupportSurfaces and Special Beds Ch a t7 k t7 t7 t7 t7
pter 14. PATIENT Safety t7 t7 t7
Chapter 15. Disaster Preparednes t7 t7 t7 t7
s Chapter 16. Pain Management
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7C hapter 17. End-of-Life Care
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Chapter 18. Personal Hygiene and Bed Making C t7 t7 t7 t7 kt7 t7 t7 t
7h apter 19. Care of the Eye and Ear
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Chapter 20. Safe Medication Preparation t7 t7 t7 t7 t7
C hapter 21. Nonparenteral Medications C
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ha pter 22. Parenteral Medications Chapt
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er 2 t7
3. Oxygen Therapy Chapter24.PerformingChest P hysioth
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erapy Chapt e r 25. Airway Management Chapter26. Car
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diac Care t7
Chapter 27. Closed Chest Drainage Systems Cha t7 t7 t7 t7 t7 t7 t7
p ter 28. Emergency Measures for Life Suppo
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rt
Chapter29.Intravenous and VascularAccess Therapy Chapte r t7 t7 kx t7 t7 t 7
30. Blood Therapy t7 t7
Chapter 31. Oral Nutrition Chapt t7 t7 t7 t7 t
7e r 32. Enteral Nutrition Chapter
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3
3. Parenteral Nutrition Chapter34
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.Urinary Elimination t7
Chapter35.Bowel Elimination and Gastric Intubation Chapte r t7 t7 t7 t7 b3 t 7
36. Ostomy Care Chapter37.Preoperative andPos
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toperativeCareC h apter 38. Intraoperative Care t7 t7 t7 t7 t7 t7
Chapter39. Wound Care and Irrigations t7 t7 t7 t7
Chapter40. Impaired Skin IntegrityPrevention and Care Cha p t e t7 t7 t7 b3 t7 t7 t7 t7 t7
r 41. Dressings, Bandages, and Binders
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Chapter 42. Home Care Safety C h t7 t7 t7 t7 t7 t7 t7
apter 43. Home Care Teaching t7 t7 t7 t7
,Chapter 01: Using Evidence in Nursing Practice
t7 t7 t7 b3 t7 t7
Perry et al.: Clinical Nursing Skills & Techniques, 2nd Edition
t7 t7 t7 t7 t7 t7 t7 t7 t7
MULTIPLE CHOICE t7
1. Evidence-based practice is a problem- t7 t7 t7 t7
solvingapproach tomaking decisions aboutPATIENT carethat is grounded in: t7 t7 t7 t7 t 7 t7 t7
a. thelatest information found in textbooks. t 7 t7 t7 t7
b. systematically conducted research studies. t7 t7 t7
c. tradition in clinical practice. t7 t7 t7
d. qualityimprovement and risk-management data. t7 t7 t7
ANS: B
The best evidence comes from well-
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designed, systematically conducted research studies described in scientific journals. Portions
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of a textbook often become outdated by the time it is published. Many health care setting
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s d o not have a process to help staff adopt new evidence in practice, and nurses in practice s
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etti ngs lack easy access to risk-
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management data, relying instead on tradition or convenience. Some sources of evidence do n
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ot originate from research. These include quality improvement and risk-
t7 t7 t7 t7 t7 t7 t7 t7 t7
management data; infection control data; retrospective or concurrent chart reviews; and clinic
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
t 7i ans‘ expertise. Although
t7 t7 t7
non–research-
based evidence is often very valuable, it is important that you learn to rely more on research
b3 b3 t7 t7 t7 t7 t7 t7 t7 t7 k t7 t7 t7 t7 t7
-based evidence. t7
DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: Discuss the benefits of evidencet7 t7 t7 t7 t7 t7 t7
- based practice.TOP: Evidence-
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Based Practice KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe and Effect
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iv e Care Environment (management of care)
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2. Whenevidence-based practice isused, PATIENT carewill be: lt 7 t 7 t7 t7 t7 t 7
a. standardized for all. t7 t7
b. unhampered by PATIENT culture. t7 t7 t7
c. variable according to the situation. t7 t 7 t7 t7
d. safefrom the hazards of critical thinking. t7 t7 t7 t7 t 7
ANS: C
Using your clinical expertise and considering PATIENTs‘ cultures, values, and preferen
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7 c es ensures that you will apply available evidence in practice ethically and appropri
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atel
y. E venwhen you use the best evidence available, application and outcomes will differ
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; as a n urse,you will develop critical thinking skills to determine whether evidence is r ele
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vant a n d appropriate. t7 kt 7 t7 t7
DIFFERENCE: CognitiveLevel: Application t7 t7
OBJECTIVE: Discuss the benefits of evidence- t7 t7 b3 t7 t7
based practice.TOP: Evidence- t7 t7
Based Practice KEY: Nursing Process Step: Assessment
t7 t7 t7 t7 t7
MSC: NCLEX: Safe and Effecti ve Care Environment (management of care) t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
3. When a PICOT question is developed, the letter that corresponds with theusual standard of
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c are is:
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a. P.
b. I.
c.
, c. CHOICE BLANK t7
d. O.
ANS: C
C =Comparison ofinterest. What standardof care orcurrent intervention do you usually use no
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w in practice?
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P=PATIENT population of interest. IdentifyyourPATIENT by age, gender, ethnicity,disease, or
t7 t7 b3 t7 t7 t7 t7 t7 b3 t7 t7
health problem. t7
I = Interventionofinterest. What intervention (e.g., treatment, diagnostic test, and prognostic fac t
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or) do you think is worthwhile to use in practice?
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O=Outcome. What result (e.g., change in PATIENT‘s behavior, physical finding, and change i nPATIE N
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T‘s perception) do you wish to achieve or observe as the result of an intervention?
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DIFFERENCE: CognitiveLevel: Knowledge t7
OBJECTIVE: Develop a PICO question.TOP: P t7 t7 t7 t7 t 7 t 7
ICO KEY: Nursing Process Step: Implementation t7 t7 t7 t 7
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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4. Awell-developed PICOT question helps the nurse: lt 7 t7 b3 t7 t7
a. search for evidence. b3 t7
b. includeall fiveelements of the sequence. t 7 t 7 t7 t7
c. find as many articles as possible in a literature search.
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d. acceptstandard clinical routines. t7 t7
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in the s
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cie ntific literature. A well-
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designed PICOT question does not have to include all five elements, nor does it have to fo
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t 7
llo w the PICOT sequence. Do not be satisfied with clinical routines. Always question and u
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se cr itical thinking to consider better ways to provide PATIENTcare.
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DIFFERENCE: CognitiveLevel: Analysis t7
OBJECTIVE:Describe the six steps of evidence t7 t7 t7 t7 t7
-based practice.TOP: Evidence-Based Practice
t7 t 7 t7
KEY: Nursing Process Step: Implementation t7 t7 t7 t7 t7
MSC: 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 f
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or the situation. Utilizing which of the following resources would be the quickest
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way t o reviewresearch on the topic?
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a. CINAHL
b. PubMed
c. MEDLINE
d. TheCochrane Database t7
ANS: D
The Cochrane Community Database of Systematic Reviews is a valuable source of synthes
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
iz ed evidence (i.e., pre-
t7 t7 t7 t7
appraised evidence). The Cochrane Database includesthefull text of regularly updated syst
lt 7 t7 t 7 t7 t7 t7 t7 t7 t7 t7
e m atic reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
P ubM ed are among the most comprehensive databases and represent the scientific knowle
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
d ge base of health care.
t 7 t7 t7 t7 t7
DIFFERENCE:
CognitiveLevel: Synthesis OBJECTIVE:D t7 t7
escribe the six steps of evidence t7 t7 t7 t7 t7
-based practice.TOP: Evidence-Based Practice
t7 t 7 t7
KEY: Nursing Process Step: Implementation t7 t7 t7 t7 t7
MSC: NCLEX: Safe and Effective Care Environment (management of care)
t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7
t7 t7 7t t7 t7 lt 7 t 7 kt7 t7 t7 t7 t7 t7
by P erry, Patricia A. Potter Chapter 1-43 Complete Guide
t7 t7 t7 t7 t7 t7 t7 t7 t7
Table Of Content t 7 t 7
Chapter 1. Using Evidence in Nursing Practice Ch
t7 t7 t7 t7 t7 b3 t7 t7
apter 2. Communication and Collaboration Chapt
t7 t7 t7 t7 t7 t
7er 3. Admitting, Transfer, and Discharge Chapt
t7 t7 t7 t7 t7 t7
er
4. Documentation and Informatics Chapter 5. Vit
t7 t7 t7 t7 t7 t7 t
7a l Signst7 t7
Chapter 6. Health Assessment C t7 t7 t7 t7 t7
h apter 7. Specimen Collection C
t7 t7 t7 t7 t7 t7
ha pter 8. Diagnostic Procedures
t 7 t7 t7 k
t7Cha pter 9. Medical Asepsis Ch
t7 t7 t7 t7 t7 t
7apter
10. Sterile Technique
t7 t7
Chapter11.Safe PATIENT HandlingandMobility(SPHM) C ha t7 b3 t7 t7 t7 t7 t7 t7
pter 12. Exercise and Mobility
t7 t7 t7 t7
Chapter13.SupportSurfaces and Special Beds Ch a t7 k t7 t7 t7 t7
pter 14. PATIENT Safety t7 t7 t7
Chapter 15. Disaster Preparednes t7 t7 t7 t7
s Chapter 16. Pain Management
t7 t7 t7 t7 t
7C hapter 17. End-of-Life Care
t7 t7 t7 t7
Chapter 18. Personal Hygiene and Bed Making C t7 t7 t7 t7 kt7 t7 t7 t
7h apter 19. Care of the Eye and Ear
t7 t7 t7 t7 t7 t7 t7 t7
Chapter 20. Safe Medication Preparation t7 t7 t7 t7 t7
C hapter 21. Nonparenteral Medications C
t7 t7 t7 t7 t7 t7
ha pter 22. Parenteral Medications Chapt
t7 t7 t7 t7 t7 t7
er 2 t7
3. Oxygen Therapy Chapter24.PerformingChest P hysioth
t7 t7 t7 kx t7
erapy Chapt e r 25. Airway Management Chapter26. Car
t7 t7 t7 t7 t7 t7 t7 t7
diac Care t7
Chapter 27. Closed Chest Drainage Systems Cha t7 t7 t7 t7 t7 t7 t7
p ter 28. Emergency Measures for Life Suppo
t7 t7 t7 t7 t7 t7 t7
rt
Chapter29.Intravenous and VascularAccess Therapy Chapte r t7 t7 kx t7 t7 t 7
30. Blood Therapy t7 t7
Chapter 31. Oral Nutrition Chapt t7 t7 t7 t7 t
7e r 32. Enteral Nutrition Chapter
t7 t7 t7 t7 t7
3
3. Parenteral Nutrition Chapter34
t7 t7 t7
.Urinary Elimination t7
Chapter35.Bowel Elimination and Gastric Intubation Chapte r t7 t7 t7 t7 b3 t 7
36. Ostomy Care Chapter37.Preoperative andPos
t7 t7 t7 b3
toperativeCareC h apter 38. Intraoperative Care t7 t7 t7 t7 t7 t7
Chapter39. Wound Care and Irrigations t7 t7 t7 t7
Chapter40. Impaired Skin IntegrityPrevention and Care Cha p t e t7 t7 t7 b3 t7 t7 t7 t7 t7
r 41. Dressings, Bandages, and Binders
t7 t7 t7 t7 t7
Chapter 42. Home Care Safety C h t7 t7 t7 t7 t7 t7 t7
apter 43. Home Care Teaching t7 t7 t7 t7
,Chapter 01: Using Evidence in Nursing Practice
t7 t7 t7 b3 t7 t7
Perry et al.: Clinical Nursing Skills & Techniques, 2nd Edition
t7 t7 t7 t7 t7 t7 t7 t7 t7
MULTIPLE CHOICE t7
1. Evidence-based practice is a problem- t7 t7 t7 t7
solvingapproach tomaking decisions aboutPATIENT carethat is grounded in: t7 t7 t7 t7 t 7 t7 t7
a. thelatest information found in textbooks. t 7 t7 t7 t7
b. systematically conducted research studies. t7 t7 t7
c. tradition in clinical practice. t7 t7 t7
d. qualityimprovement and risk-management data. t7 t7 t7
ANS: B
The best evidence comes from well-
t7 t7 t7 t7 t7
designed, systematically conducted research studies described in scientific journals. Portions
t7 t7 t7 t7 t7 kx t7 t7 t7 t 7
of a textbook often become outdated by the time it is published. Many health care setting
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
s d o not have a process to help staff adopt new evidence in practice, and nurses in practice s
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
etti ngs lack easy access to risk-
t7 t7 t7 t7 t7 t7
management data, relying instead on tradition or convenience. Some sources of evidence do n
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
ot originate from research. These include quality improvement and risk-
t7 t7 t7 t7 t7 t7 t7 t7 t7
management data; infection control data; retrospective or concurrent chart reviews; and clinic
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
t 7i ans‘ expertise. Although
t7 t7 t7
non–research-
based evidence is often very valuable, it is important that you learn to rely more on research
b3 b3 t7 t7 t7 t7 t7 t7 t7 t7 k t7 t7 t7 t7 t7
-based evidence. t7
DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: Discuss the benefits of evidencet7 t7 t7 t7 t7 t7 t7
- based practice.TOP: Evidence-
t 7 kx
Based Practice KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe and Effect
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
iv e Care Environment (management of care)
t 7 t7 t7 t7 t7 t7 t7
2. Whenevidence-based practice isused, PATIENT carewill be: lt 7 t 7 t7 t7 t7 t 7
a. standardized for all. t7 t7
b. unhampered by PATIENT culture. t7 t7 t7
c. variable according to the situation. t7 t 7 t7 t7
d. safefrom the hazards of critical thinking. t7 t7 t7 t7 t 7
ANS: C
Using your clinical expertise and considering PATIENTs‘ cultures, values, and preferen
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t
7 c es ensures that you will apply available evidence in practice ethically and appropri
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
atel
y. E venwhen you use the best evidence available, application and outcomes will differ
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
; as a n urse,you will develop critical thinking skills to determine whether evidence is r ele
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t 7
vant a n d appropriate. t7 kt 7 t7 t7
DIFFERENCE: CognitiveLevel: Application t7 t7
OBJECTIVE: Discuss the benefits of evidence- t7 t7 b3 t7 t7
based practice.TOP: Evidence- t7 t7
Based Practice KEY: Nursing Process Step: Assessment
t7 t7 t7 t7 t7
MSC: NCLEX: Safe and Effecti ve Care Environment (management of care) t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
3. When a PICOT question is developed, the letter that corresponds with theusual standard of
b3 b3 t7 t7 t7 t7 b3 t7 kt7 t7 t7 t7 t7 kx t7
c are is:
t7 t7
a. P.
b. I.
c.
, c. CHOICE BLANK t7
d. O.
ANS: C
C =Comparison ofinterest. What standardof care orcurrent intervention do you usually use no
t7 t7 t7 lt 7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
w in practice?
t7 t7
P=PATIENT population of interest. IdentifyyourPATIENT by age, gender, ethnicity,disease, or
t7 t7 b3 t7 t7 t7 t7 t7 b3 t7 t7
health problem. t7
I = Interventionofinterest. What intervention (e.g., treatment, diagnostic test, and prognostic fac t
t7 t7 t7 t7 t7 b3 t7 k t7 kx t7 t7 t7
or) do you think is worthwhile to use in practice?
t7 t7 t7 t7 t7 t7 t7 t7 t7
O=Outcome. What result (e.g., change in PATIENT‘s behavior, physical finding, and change i nPATIE N
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
T‘s perception) do you wish to achieve or observe as the result of an intervention?
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
DIFFERENCE: CognitiveLevel: Knowledge t7
OBJECTIVE: Develop a PICO question.TOP: P t7 t7 t7 t7 t 7 t 7
ICO KEY: Nursing Process Step: Implementation t7 t7 t7 t 7
MSC: NCLEX: Safe and Effective Care Environment (management of care)
t7 t7 t7 b3 t7 t7 t7 t7 t7
4. Awell-developed PICOT question helps the nurse: lt 7 t7 b3 t7 t7
a. search for evidence. b3 t7
b. includeall fiveelements of the sequence. t 7 t 7 t7 t7
c. find as many articles as possible in a literature search.
t7 t7 t7 t7 t7 t7 t7 t7 t7
d. acceptstandard clinical routines. t7 t7
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in the s
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
cie ntific literature. A well-
t7 t7 t7 t7
designed PICOT question does not have to include all five elements, nor does it have to fo
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t 7
llo w the PICOT sequence. Do not be satisfied with clinical routines. Always question and u
t7 t7 t7 t7 t7 t7 t7 b3 t7 t7 t7 t7 t7 t7 t7
se cr itical thinking to consider better ways to provide PATIENTcare.
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
DIFFERENCE: CognitiveLevel: Analysis t7
OBJECTIVE:Describe the six steps of evidence t7 t7 t7 t7 t7
-based practice.TOP: Evidence-Based Practice
t7 t 7 t7
KEY: Nursing Process Step: Implementation t7 t7 t7 t7 t7
MSC: NCLEX: Safe and Effective Care Environment (management of care)
t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7
5. The nurse is not sure that the procedure the PATIENT requires is the best possible f
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
or the situation. Utilizing which of the following resources would be the quickest
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
way t o reviewresearch on the topic?
t7 t7 t7 t7 t7 t7
a. CINAHL
b. PubMed
c. MEDLINE
d. TheCochrane Database t7
ANS: D
The Cochrane Community Database of Systematic Reviews is a valuable source of synthes
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
iz ed evidence (i.e., pre-
t7 t7 t7 t7
appraised evidence). The Cochrane Database includesthefull text of regularly updated syst
lt 7 t7 t 7 t7 t7 t7 t7 t7 t7 t7
e m atic reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
P ubM ed are among the most comprehensive databases and represent the scientific knowle
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
d ge base of health care.
t 7 t7 t7 t7 t7
DIFFERENCE:
CognitiveLevel: Synthesis OBJECTIVE:D t7 t7
escribe the six steps of evidence t7 t7 t7 t7 t7
-based practice.TOP: Evidence-Based Practice
t7 t 7 t7
KEY: Nursing Process Step: Implementation t7 t7 t7 t7 t7
MSC: NCLEX: Safe and Effective Care Environment (management of care)
t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7