Chapter 01: Using Evidence in Nursing Practice
n n n n n n
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition.
n n n n n n n n n
MULTIPLEnCHOICE
1. Annursingneducatornisnexplainingnhownthenbestnclinicalnpracticesnarendetermined.nWhic
hnstatementnbestnexplainsnthenpurposenofnevidence-basednpractice?
a. Itnensuresnthatnallnpatientsnreceivenholisticncare.
b. Itnprovidesnandefinitenreasonnfornprovidingncareninnanspecificnmanner.
c. Itnpreventsnerrorsnwhenncarenisnbeingndelivered.
d. Itnguaranteesnthatncarendeliverednisnbasednonnresearch.
ANS:n B
Evidence-
basednpracticenisnthenusenofnthencurrentnbestnevidenceninnmakingnpatientncarendecisions.nItnapplie
sntonallntypesnofnhealthncarenprofessionals.nCurrentlyntherenisnnonmethodnthatncannensurenthatnallnp
atientsnreceivenholisticncare,nthatnallnerrorsncannbenprevented,nornthatnanguaranteenexistsnthatncaren
givennisnbasednonnresearch.
DIF: CognitivenLevel:nUnderstanding
OBJ:n NCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementation
2. Whichnquestionnisnanproblem-focusedntriggernforninitiatingnthenevidence-
basednpracticenmethodninnnursingncare?
a. Whatnisnknownnaboutnreductionnofnurinaryntractninfectionsninnthenoldernadultnwit
hndiabetes?
b. Howncannchronicnpainnbestnbendescribednwhennthenpatientnisnnonverbal?
N
c. HownlongncannannIVncatheternremainninnplaceninnanpatientnwithnobesity?
d. Whatnmeasuresncannthennursentakentonreducenthenrisingnincidencenofnurinaryntra
ctninfectionsnonnthenoldernadultncarenunit?
ANS:n D
Evidence-
basednpracticen(EBP)nquestionsntendntonarisenfromntwonsources:nrecurrentnproblemsnornnewnkno
wledge.nInnthencorrectnoption,nthenincreaseninnurinaryntractninfectionsnindicatesnantrendnornrecur
ringnproblemninnanspecificngroupnofnpatients.nThenothernquestionsnarengeneralninformationnques
tions,nnotnbasednonnwhatnisnhappeningninnanspecificnareanorntonangroupnofnspecificnpatientsninnann
areanornrelatingntonannobservedntrend.
TESTBANKWORLD.ORG
,2
DIF: CognitivenLevel:nApplying
OBJ:n NCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementation
3. Whatndoesnthen“I”nindicateninnan“PICO”nquestion?
a. Interventionnofninterest
b. Incorporationnofnconcepts
c. Implementationnbynnursing
d. Interestnofnpersonnel
ANS:n A
Then“I”nstandsnforninterventionnofninterest,nmeaningnwhatnthennursenhopesntonuseninnpracticenandn
believesnisnworthwhilenornvaluable.nThisncouldnbenantreatmentnfornanspecificntypenofnwoundnornann
approachnonnhowntonteachnfoodnpreparationnfornanpatientnwithnimpairednsight.
TESTBANKWORLD.ORG
,3
DIF: CognitivenLevel:nRemembering
OBJ:n NCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementation
4. Whonwillnthenclinicalnresearchnnursencontactntonsearchnrelevantndatabasesninnpreparationnforn
annupcomingnstudy?
a. Thenphysiciannwhosenpatientsnmaynbeninvolvedninnthenstudy
b. Thenmedicalnlibrarian
c. Thennursenmanagernofnthenunitnwherenthenstudynwillnbenconducted
d. Thendirectornofnnursingnofnthenfacility
ANS:n B
Thenmedicalnlibrariannisnmostnknowledgeablenregardingndatabasesnrelevantntonanstudy.nTheno
thernindividualsndonnotnhaventhenknowledgenregardingnrelevantndatabases.
DIF: CognitivenLevel:nUnderstanding
OBJ:n NCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementation
5. Whichndatabasencontainsnsummariesnofnclinicalnguidelinesnandntheirndevelopment?
a. MEDLINE
b. CINAHL
c. CochranenDatabasenofnSystematicnReviews
d. ThenNationalnGuidelinenClearinghouse
ANS:n D
ThenNationalnGuidelinenClearinghousenisnandatabasensupportednbynthenAgencynfornHealthcarenR
esearchnandnQuality.nItncontainsnsummariesnofnclinicalnguidelinesnfornpractice.nMEDLINEnisnand
atabasenfornstudiesninnmedicN
ine,nnursing,ndentistry,npsychiatry,nveterinarynmedicine,nand
alliednhealth.nCINAHLn(CumulativenIndexnofnNursingnandnAlliednHealthnLiterature)nincludes
studiesninnnursing,nalliednhealth,nandnbiomedicine.nThenCochranenDatabasenFullntextnofnr
egularlynupdatednsystematicnreviewsnpreparednbynthenCochranenCollaborationnincludesnc
ompletednreviewsnandnprotocols.
DIF: CognitivenLevel:nRemembering
OBJ:n NCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementation
6. Whichndoesnthennursenresearchernidentifynasnthenstrongestntypenofnresearch?
TESTBANKWORLD.ORG
, a. Randomizedncontrolledntrials
4
b. Anqualitativenstudy
c. Andescriptivenstudy
d. Ancasencontrollednstudy
ANS:n A
Individualnrandomizedncontrolledntrialsnarenclosentonthentopnofnthenresearchnpyramid.nOnlyns
ystematicnreviewsnandnmeta-
analysesnarenhigher.nThisntypenofnstudyntestsnanninterventionnagainstnthenusualnstandardnofnca
re.nThenotherntypesnofnstudiesnarenusefulnbutndonnotngiventhensamentypenofninformationnasnanra
ndomizedncontrolledntrialnprovides.
DIF: CognitivenLevel:nRemembering
OBJ:n NCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nAssessment
TESTBANKWORLD.ORG