z z z z z z z zz
th Edition by Anne Griffin Perry, Patricia A. Potter Cha
z z z z z z z z z
pter 1 - 43 Complete
z z z z
,TestzBankzForzClinicalzNursingzSkillszandzTechniquesz11thzEditionzbyzAnnezGriffinzzPerr
y,zPatriciazA.zPotterzChapterz1-43zCompletezGuide
TablezOfzContent
Chapterz1.zUsingzEvidencezinzNursingzPracticezCha
pterz2.zCommunicationzandzCollaborationzChapterz
3.zAdmitting,zTransfer,zandzDischargezChapterz4.z
DocumentationzandzInformaticszChapterz5.zVitalzS
igns
Chapterz6.zHealthzAssessmentzC
hapterz7.zSpecimenzCollectionzC
hapterz8.zDiagnosticzProceduresz
Chapterz9.zMedicalzAsepsiszChap
terz10.zSterilezTechnique
Chapterz11.zSafezPatientzHandlingzandzMobilityz(SPHM)zCha
pterz12.zExercisezandzMobility
Chapterz13.zSupportzSurfaceszandzSpecialzBedszCh
apterz14.zPatientzSafety
Chapterz15.zDisasterzPreparedness
zChapterz16.zPainzManagementzC
hapterz17.zEnd-of-LifezCare
Chapterz18.zPersonalzHygienezandzBedzMakingzCh
apterz19.zCarezofzthezEyezandzEar
Chapterz20.zSafezMedicationzPreparationz
Chapterz21.zNonparenteralzMedicationsz
Chapterz22.zParenteralzMedicationszChap
terz23.zOxygenzTherapy
Chapterz24.zPerformingzChestzPhysiotherapyzChap
terz25.zAirwayzManagement
Chapterz26.zCardiaczCare
Chapterz27.zClosedzChestzDrainagezSystemszChap
terz28.zEmergencyzMeasureszforzLifezSupport
Chapterz29.zIntravenouszandzVascularzAccesszTherapyzChapte
rz30.zBloodzTherapy
Chapterz31.zOralzNutritionzChap
terz32.zEnteralzNutritionzChapte
rz33.zParenteralzNutritionzChapte
rz34.zUrinaryzElimination
Chapterz35.zBowelzEliminationzandzGastriczIntubationzChapte
rz36.zOstomyzCare
Chapterz37.zPreoperativezandzPostoperativezCarezC
hapterz38.zIntraoperativezCare
Chapterz39.zWoundzCarezandzIrrigations
Chapterz40.zImpairedzSkinzIntegrityzPreventionzandzCarezCha
pterz41.zDressings,zBandages,zandzBinders
Chapterz42.zHomezCarezSafetyzC
hapterz43.zHomezCarezTeaching
,Chapterz01:zUsingzEvidencezinzNursingzPractice
Perryzetzal.:zClinicalzNursingzSkillsz&zTechniques,z11thzEdition
MULTIPLEzCHOICE
1. Evidence-basedzpracticeziszazproblem-
solvingzapproachztozmakingzdecisionszaboutzpatientzcarezthatziszgroundedzin:
a. thezlatestzinformationzfoundzinztextbooks.
b. systematicallyzconductedzresearchzstudies.
c. traditionzinzclinicalzpractice.
d. qualityzimprovementzandzrisk-managementzdata.
ANSWER:zB
Thezbestzevidencezcomeszfromzwell-
designed,zsystematicallyzconductedzresearchzstudieszdescribedzinzscientificzjournals.zPortionszo
fzaztextbookzoftenzbecomezoutdatedzbyztheztimezitziszpublished.zManyzhealthzcarezsettingszdoznot
zhavezazprocess ztozhelpzstaffzadoptznewzevidencezinzpractice,zandznurseszinzpracticezsettingszlack
zeasyzaccessztozrisk-
managementzdata,zrelyingzinsteadzonztraditionzorzconvenience.zSomezsourceszofzevidencezdozno
tzoriginatezfromzresearch.zThesezincludezqualityzimprovementzandzrisk-
managementzdata;zinfectionzcontrolzdata;zretrospectivezorzconcurrentzchartzreviews;zandzclinici
ans‘zexpertise.zAlthough
non–research-
basedzevidenceziszoftenzveryzvaluable,zitziszimportantzthatzyouzlearnztozrelyzmorezonzresearch-
basedzevidence.
DIF: CognitiveLevel:zComprehension OBJ:zDiscusszthezbenefitszofzevidence-
basedzpractice.zTOP:z Evidence-BasedzPractice KEY:zNursingzProcesszStep:zAssessment
MSC:z NCLEX:zSafezandzEffectivezCarezEnvironmentz(managementzofzcare)
2. Whenzevidence-basedzpracticeziszused,zpatientzcarezwillzbe:
a. standardizedzforzall.
b. unhamperedzbyzpatientzculture.
c. variablezaccordingztozthezsituation.
d. safezfromzthezhazardszofzcriticalzthinking.
ANSWER:zC
Usingzyourzclinicalzexpertisezandzconsideringzpatients‘zcultures,zvalues,zandzpreferenceszens
ureszthatzyouzwillzapplyzavailablezevidencezinzpracticezethicallyzandzappropriately.zEvenzwhe
nzyouzusezthezbestzevidencezavailable,zapplicationzandzoutcomeszwillzdiffer;zaszaznurse,zyouz
willzdevelopzcriticalzthinkingzskillsztozdeterminezwhetherzevidenceziszrelevantzandzappropriat
e.
DIF: CognitiveLevel:zApplication OBJ:zDiscusszthezbenefitszofzevidence-
basedzpractice.zTOP:z Evidence-BasedzPractice KEY:zNursingzProcesszStep:zAssessment
MSC:z NCLEX:zSafezandzEffectivezCarezEnvironmentz(managementzofzcare)
3. WhenzazPICOTzquestionziszdeveloped,zthezletterzthatzcorrespondszwithzthezusualzstandardzofz
carezis:
a. P.
b. I.
c.
, c. CHOICEzBLANK
d. O.
ANSWER:zC
Cz=zComparisonzofzinterest.zWhatzstandardzofzcarezorzcurrentzinterventionzdozyouzusuallyzusezno
wzinzpractice?
Pz=zPatientzpopulationzofzinterest.zIdentifyzyourzpatientzbyzage,zgender,zethnicity,zdisease,zorzhea
lthzproblem.
Iz=zInterventionzofzinterest.zWhatzinterventionz(e.g.,ztreatment,zdiagnosticztest,zandzprognosticzfa
ctor)zdozyouzthinkziszworthwhileztozusezinzpractice?
Oz=zOutcome.zWhatzresultz(e.g.,zchangezinzpatient‘szbehavior,zphysicalzfinding,zandzchangezinzp
atient‘szperception)zdozyouzwishztozachievezorzobservezaszthezresultzofzanzintervention?
DIF: CognitiveLevel:zKnowledge
OBJ:zDevelopzazPICOzquestion.zTOP:z PICO
KEY:zNursingzProcesszStep:zImplementation
MSC:z NCLEX:zSafezandzEffectivezCarezEnvironmentz(managementzofzcare)
4. Azwell-developedzPICOTzquestionzhelpsztheznurse:
a. searchzforzevidence.
b. includezallzfivezelementszofzthezsequence.
c. findzaszmanyzarticleszaszpossiblezinzazliteraturezsearch.
d. acceptzstandardzclinicalzroutines.
ANSWER:zA
Thezmorezfocusedzazquestionzthatzyouzaskzis,zthezeasierzitzisztozsearchzforzevidencezinzthezscienti
ficzliterature.zAzwell-
designedzPICOTzquestionzdoesznotzhaveztozincludezallzfivezelements,znorzdoeszitzhaveztozfollowz
thezPICOTzsequence.zDoznotzbezsatisfiedzwithzclinicalzroutines.zAlwayszquestionzandzusezcritic
alzthinkingztozconsiderzbetterzwaysztozprovidezpatientzcare.
DIF: CognitiveLevel:zAnalysis OBJ:zDescribezthezsixzstepszofzevidence-
basedzpractice.zTOP:z Evidence-BasedzPractice KEY:zNursingzProcesszStep:zImplementation
MSC:z NCLEX:zSafezandzEffectivezCarezEnvironmentz(managementzofzcare)
5. Theznursezisznotzsurezthatzthezprocedurezthezpatientzrequiresziszthezbestzpossiblezforzthezsitu
ation.zUtilizingzwhichzofzthezfollowingzresourceszwouldzbezthezquickestzwayztozreviewzrese
archzonztheztopic?
a. CINAHL
b. PubMed
c. MEDLINE
d. ThezCochranezDatabase
ANSWER:zD
ThezCochranezCommunityzDatabasezofzSystematiczReviewsziszazvaluablezsourcezofzsynthesize
dzevidencez(i.e.,zpre-
appraisedzevidence).zThezCochranezDatabasezincludeszthezfullztextzofzregularlyzupdatedzsystem
aticzreviewszandzprotocolszforzreviewszcurrentlyzhappening.zMEDLINE,zCINAHL,zandzPubMe
dzarezamongzthezmostzcomprehensivezdatabaseszandzrepresentzthezscientificzknowledgezbasezofz
healthzcare.
DIF: CognitiveLevel:zSynthesis OBJ:zDescribezthezsixzstepszofzevidence-
basedzpractice.zTOP:z Evidence-BasedzPractice KEY:zNursingzProcesszStep:zImplementation
MSC:z NCLEX:zSafezandzEffectivezCarezEnvironmentz(managementzofzcare)