Complete Test Bank For Clinical Nursing Skills and Techniques 10th Edition by Anne
Griffin Perry, Patricia A. Potter Chapter 1-43 Complete Guide
Table Of Content
Chapter 1. Using Evidence in Nursing Practice
Chapter 2. Communication and Collaboration
Chapter 3. Admitting, Transfer, and Discharge
Chapter 4. Documentation and Informatics
Chapter 5. Vital Signs
Chapter 6. Health Assessment
Test Bank For Clinical Chapter 7. Specimen Collection
Chapter 8. Diagnostic Procedures
Chapter 9. Medical Asepsis
Chapter 10. Sterile Technique
Nursing Skills and Chapter 11. Safe Patient Handling and Mobility (SPHM)
Chapter 12. Exercise and Mobility
Chapter 13. Support Surfaces and Special Beds
Chapter 14. Patient Safety
Techniques Chapter 15. Disaster Preparedness
Chapter 16. Pain Management
Chapter 17. End-of-Life Care
Chapter 18. Personal Hygiene and Bed Making
10th Edition by Anne Chapter 19. Care of the Eye and Ear
Chapter 20. Safe Medication Preparation
Chapter 21. Nonparenteral Medications
Griffin Perry, Patricia A. Chapter 22. Parenteral Medications
Chapter 23. Oxygen Therapy
Chapter 24. Performing Chest Physiotherapy
Chapter 25. Airway Management
Potter Chapter 26. Cardiac Care
Chapter 27. Closed Chest Drainage Systems
Chapter 28. Emergency Measures for Life Support
Chapter 29. Intravenous and Vascular Access Therapy
Chapter 1-43 Complete Chapter 30. Blood Therapy
Chapter 31. Oral Nutrition
Chapter 32. Enteral Nutrition
Chapter 33. Parenteral Nutrition
Guide Chapter 34. Urinary Elimination
Chapter 35. Bowel Elimination and Gastric Intubation
Chapter 36. Ostomy Care
Chapter 37. Preoperative and Postoperative Care
Chapter 38. Intraoperative Care
Chapter 39. Wound Care and Irrigations
Chapter 40. Impaired Skin Integrity Prevention and Care
Chapter 41. Dressings, Bandages, and Binders
Chapter 42. Home Care Safety
Chapter 43. Home Care Teaching
, c. CHOICE BLANK
Chapter 01: Using Evidence in Nursing Practice d. O.
Perry et al.: Clinical Nursing Skills & Techniques, 10th Edition ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually use
now in practice?
MULTIPLE CHOICE P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or
health problem.
1. Evidence-based practice is a problem-solving approach to making decisions about patient care
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic
that is grounded in: factor) do you think is worthwhile to use in practice?
a. the latest information found in textbooks. O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change in
b. systematically conducted research studies. patient‘s perception) do you wish to achieve or observe as the result of an intervention?
c. tradition in clinical practice.
d. quality improvement and risk-management data. DIF: CognitiveLevel: Knowledge OBJ: Develop a PICO question.
ANS: B TOP: PICO KEY: Nursing Process Step: Implementation
The best evidence comes from well-designed, systematically conducted research studies MSC: NCLEX: Safe and Effective Care Environment (management of care)
described in scientific journals. Portions of a textbook often become outdated by the time it is
4. A well-developed PICOT question helps the nurse:
published. Many health care settings do not have a process to help staff adopt new evidence in
a. search for evidence.
practice, and nurses in practice settings lack easy access to risk-management data, relying
b. include all five elements of the sequence.
instead on tradition or convenience. Some sources of evidence do not originate from research.
c. find as many articles as possible in a literature search.
These include quality improvement and risk-management data; infection control data;
d. accept standard clinical routines.
retrospective or concurrent chart reviews; and clinicians‘ expertise. Although
non–research-based evidence is often very valuable, it is important that you learn to rely more ANS: A
on research-based evidence. The more focused a question that you ask is, the easier it is to search for evidence in the
scientific literature. A well-designed PICOT question does not have to include all five
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice. elements, nor does it have to follow the PICOT sequence. Do not be satisfied with clinical
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment routines. Always question and use critical thinking to consider better ways to provide patient
MSC: NCLEX: Safe and Effective Care Environment (management of care) care.
2. When evidence-based practice is used, patient care will be: DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
a. standardized for all. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
b. unhampered by patient culture. MSC: NCLEX: Safe and Effective Care Environment (management of care)
c. variable according to the situation.
d. safe from the hazards of critical thinking. 5. The nurse is not sure that the procedure the patient requires is the best possible for the
situation. Utilizing which of the following resources would be the quickest way to review
ANS: C
research on the topic?
Using your clinical expertise and considering patients‘ cultures, values, and preferences a. CINAHL
ensures that you will apply available evidence in practice ethically and appropriately. Even b. PubMed
when you use the best evidence available, application and outcomes will differ; as a nurse,
c. MEDLINE
you will develop critical thinking skills to determine whether evidence is relevant and
d. The Cochrane Database
appropriate.
ANS: D
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice. The Cochrane Community Database of Systematic Reviews is a valuable source of
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes the full
MSC: NCLEX: Safe and Effective Care Environment (management of care) text of regularly updated systematic reviews and protocols for reviews currently happening.
MEDLINE, CINAHL, and PubMed are among the most comprehensive databases and
3. When a PICOT question is developed, the letter that corresponds with the usual standard of
represent the scientific knowledge base of health care.
care is:
a. P. DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based practice.
b. I. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
c. MSC: NCLEX: Safe and Effective Care Environment (management of care)
, Qualitative studies examine individuals‘ experiences with health problems and the contexts in
6. The nurse is getting ready to develop a plan of care for a patient who has a specific need. The which these experiences occur. A qualitative study is best in this case of an individual nurse
best source for developing this plan of care would probably be: who wants to examine the effectiveness of a local program. Randomized controlled trials
a. The Cochrane Database. involve close monitoring of control groups and treatment groups to test an intervention against
b. MEDLINE. the usual standard of care. Case control studies typically compare one group of subjects with a
c. NGC. certain condition against another group without the condition, to look for associations between
d. CINAHL. the condition and predictor variables. Descriptive studies focus mainly on describing the
concepts under study.
ANS: C
The National Guidelines Clearinghouse (NGC) is a database supported by the Agency for
DIF: CognitiveLevel: Synthesis
Healthcare Research and Quality (AHRQ). It contains clinical guidelines—systematically OBJ: Discuss ways to apply evidence in nursing practice.
developed statements about a plan of care for a specific set of clinical circumstances involving TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
a specific patient population. The NGC is a valuable source when you want to develop a plan MSC: NCLEX: Safe and Effective Care Environment (management of care)
of care for a patient. The Cochrane Community Database of Systematic Reviews, MEDLINE,
and CINAHL are all valuable sources of synthesized evidence (i.e., pre-appraised evidence). 9. Six months after an early mobility protocol was implemented, the incidence of deep vein
thrombosis in patients was decreased. This is an example of what stage in the EBP process?
DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based practice. a. Asking a clinical question
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation b. Applying the evidence
MSC: NCLEX: Safe and Effective Care Environment (management of care) c. Evaluating the practice decision
d. Communicating your results
7. The nurse has done a literature search and found 25 possible articles on the topic that she is
studying. To determine which of those 25 best fit her inquiry, the nurse first should look at: ANS: C
a. the abstracts. After implementing a practice change, your next step is to evaluate the effect. You do this by
b. the literature reviews. analyzing the outcomes data that you collected during the pilot project. Outcomes evaluation
c. the ―Methods‖ sections. tells you whether your practice change improved conditions, created no change, or worsened
d. the narrative sections. conditions.
ANS: A DIF: CognitiveLevel: Application
An abstract is a brief summary of an article that quickly tells you whether the article is OBJ: Discuss ways to apply evidence in nursing practice. TOP: Evidence-Based Practice
research based or clinically based. An abstract summarizes the purpose of the study or clinical KEY: Nursing Process Step: Evaluation
query, the major themes or findings, and the implications for nursing practice. The literature MSC: NCLEX: Safe and Effective Care Environment (safety and infection control)
review usually gives you a good idea of how past research led to the researcher‘s question.
The ―Methods‖ or ―Design‖ section explains how a research study is organized and conducted
MULTIPLE RESPONSE
to answer the research question or to test the hypothesis. The narrative of a manuscript differs
according to the type of evidence-based article—clinical or research. 1. To use evidence-based practice appropriately, you need to collect the most relevant and best
evidence and to critically appraise the evidence you gather. This process also includes: (Select
DIF: CognitiveLevel: Application
OBJ: Discuss elements to review when critiquing the scientific literature.
all that apply.)
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation a. asking a clinical question.
MSC: NCLEX: Safe and Effective Care Environment (management of care) b. applying the evidence.
c. evaluating the practice decision.
8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on the d. communicating your results.
level of postmyocardial depression for individuals who have had a myocardial infarction. The
ANS: A, B, C, D
type of study that would best capture this information would be a:
EBP comprises six steps (Melnyk and Fineout-Overholt, 2010):
a. randomized controlled trial.
1. Ask a clinical question.
b. qualitative study.
2. Search for the most relevant and best evidence that applies to the question.
c. case control study.
3. Critically appraise the evidence you gather.
d. descriptive study.
4. Apply or integrate evidence along with one‘s clinical expertise and patient preferences and
ANS: B values in making a practice decision or change.
5. Evaluate the practice decision or change.
6. Communicate your results.
, DIF: CognitiveLevel: Knowledge OBJ: Define the key terms listed.
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe and Effective Care Environment (management of care)
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2. Evidence-based practice requires good .
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that
apply.) ANS:
a. the quality of care provided. nursing judgment
b. patient outcomes.
c. clinician satisfaction. Evidence-based practice requires good nursing judgment; it does not consist of finding
d. patients‘ perceptions. research evidence and blindly applying it.
ANS: A, B, C, D DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice.
EBP has the potential to improve the quality of care that nurses provide, patient outcomes, and TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
clinicians‘ satisfaction with their practice. Your patients expect nursing professionals to be MSC: NCLEX: Safe and Effective Care Environment (management of care)
informed and to use the safest and most appropriate interventions. Use of evidence enhances
nursing, thereby improving patients‘ perceptions of excellent nursing care. 3. While caring for patients, the professional nurse must question .
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice. ANS:
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation what does not make sense
MSC: NCLEX: Safe and Effective Care Environment (management of care)
Always think about your practice when caring for patients. Question what does not make
3. During the application stage of evidence-based practice change, it is important to consider: sense to you, and question what you think needs clarification.
(Select all that apply.)
a. cost. DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
b. the need for new equipment. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
c. management support. MSC: NCLEX: Safe and Effective Care Environment (management of care)
d. adequate staff.
4. A systematic review explains whether the evidence that you are searching for exists and
ANS: A, B, C, D whether there is good cause to change practice. In , all entries include
One important step for an individual or an interdisciplinary EBP committee is to consider the information on systematic reviews.
resources needed for a practice change project. Are added costs or new equipment involved
with a practice change? Do you have adequate staff to make the practice change work as ANS:
planned? Do management and medical staff support you in the change? If the barriers to The Cochrane Database
practice change are excessive, adopting a practice change can be difficult, if not impossible.
A systematic review explains whether the evidence that you are searching for exists and
DIF: CognitiveLevel: Application OBJ: Describe the six steps of evidence-based practice. whether there is good cause to change practice. In The Cochrane Database, all entries include
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation information on systematic reviews.
MSC: NCLEX: Safe and Effective Care Environment (management of care)
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
COMPLETION TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
1. is a guide for making accurate, timely, and appropriate clinical
decisions. 5. The researcher explains how to apply findings in a practice setting for the types of subjects
studied in the section of a research article.
ANS:
Evidence-based practice ANS:
―Clinical Implications‖
Evidence-based practice is a guide for making accurate, timely, and appropriate clinical Clinical Implications
decisions.
Griffin Perry, Patricia A. Potter Chapter 1-43 Complete Guide
Table Of Content
Chapter 1. Using Evidence in Nursing Practice
Chapter 2. Communication and Collaboration
Chapter 3. Admitting, Transfer, and Discharge
Chapter 4. Documentation and Informatics
Chapter 5. Vital Signs
Chapter 6. Health Assessment
Test Bank For Clinical Chapter 7. Specimen Collection
Chapter 8. Diagnostic Procedures
Chapter 9. Medical Asepsis
Chapter 10. Sterile Technique
Nursing Skills and Chapter 11. Safe Patient Handling and Mobility (SPHM)
Chapter 12. Exercise and Mobility
Chapter 13. Support Surfaces and Special Beds
Chapter 14. Patient Safety
Techniques Chapter 15. Disaster Preparedness
Chapter 16. Pain Management
Chapter 17. End-of-Life Care
Chapter 18. Personal Hygiene and Bed Making
10th Edition by Anne Chapter 19. Care of the Eye and Ear
Chapter 20. Safe Medication Preparation
Chapter 21. Nonparenteral Medications
Griffin Perry, Patricia A. Chapter 22. Parenteral Medications
Chapter 23. Oxygen Therapy
Chapter 24. Performing Chest Physiotherapy
Chapter 25. Airway Management
Potter Chapter 26. Cardiac Care
Chapter 27. Closed Chest Drainage Systems
Chapter 28. Emergency Measures for Life Support
Chapter 29. Intravenous and Vascular Access Therapy
Chapter 1-43 Complete Chapter 30. Blood Therapy
Chapter 31. Oral Nutrition
Chapter 32. Enteral Nutrition
Chapter 33. Parenteral Nutrition
Guide Chapter 34. Urinary Elimination
Chapter 35. Bowel Elimination and Gastric Intubation
Chapter 36. Ostomy Care
Chapter 37. Preoperative and Postoperative Care
Chapter 38. Intraoperative Care
Chapter 39. Wound Care and Irrigations
Chapter 40. Impaired Skin Integrity Prevention and Care
Chapter 41. Dressings, Bandages, and Binders
Chapter 42. Home Care Safety
Chapter 43. Home Care Teaching
, c. CHOICE BLANK
Chapter 01: Using Evidence in Nursing Practice d. O.
Perry et al.: Clinical Nursing Skills & Techniques, 10th Edition ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually use
now in practice?
MULTIPLE CHOICE P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or
health problem.
1. Evidence-based practice is a problem-solving approach to making decisions about patient care
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic
that is grounded in: factor) do you think is worthwhile to use in practice?
a. the latest information found in textbooks. O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change in
b. systematically conducted research studies. patient‘s perception) do you wish to achieve or observe as the result of an intervention?
c. tradition in clinical practice.
d. quality improvement and risk-management data. DIF: CognitiveLevel: Knowledge OBJ: Develop a PICO question.
ANS: B TOP: PICO KEY: Nursing Process Step: Implementation
The best evidence comes from well-designed, systematically conducted research studies MSC: NCLEX: Safe and Effective Care Environment (management of care)
described in scientific journals. Portions of a textbook often become outdated by the time it is
4. A well-developed PICOT question helps the nurse:
published. Many health care settings do not have a process to help staff adopt new evidence in
a. search for evidence.
practice, and nurses in practice settings lack easy access to risk-management data, relying
b. include all five elements of the sequence.
instead on tradition or convenience. Some sources of evidence do not originate from research.
c. find as many articles as possible in a literature search.
These include quality improvement and risk-management data; infection control data;
d. accept standard clinical routines.
retrospective or concurrent chart reviews; and clinicians‘ expertise. Although
non–research-based evidence is often very valuable, it is important that you learn to rely more ANS: A
on research-based evidence. The more focused a question that you ask is, the easier it is to search for evidence in the
scientific literature. A well-designed PICOT question does not have to include all five
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice. elements, nor does it have to follow the PICOT sequence. Do not be satisfied with clinical
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment routines. Always question and use critical thinking to consider better ways to provide patient
MSC: NCLEX: Safe and Effective Care Environment (management of care) care.
2. When evidence-based practice is used, patient care will be: DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
a. standardized for all. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
b. unhampered by patient culture. MSC: NCLEX: Safe and Effective Care Environment (management of care)
c. variable according to the situation.
d. safe from the hazards of critical thinking. 5. The nurse is not sure that the procedure the patient requires is the best possible for the
situation. Utilizing which of the following resources would be the quickest way to review
ANS: C
research on the topic?
Using your clinical expertise and considering patients‘ cultures, values, and preferences a. CINAHL
ensures that you will apply available evidence in practice ethically and appropriately. Even b. PubMed
when you use the best evidence available, application and outcomes will differ; as a nurse,
c. MEDLINE
you will develop critical thinking skills to determine whether evidence is relevant and
d. The Cochrane Database
appropriate.
ANS: D
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice. The Cochrane Community Database of Systematic Reviews is a valuable source of
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes the full
MSC: NCLEX: Safe and Effective Care Environment (management of care) text of regularly updated systematic reviews and protocols for reviews currently happening.
MEDLINE, CINAHL, and PubMed are among the most comprehensive databases and
3. When a PICOT question is developed, the letter that corresponds with the usual standard of
represent the scientific knowledge base of health care.
care is:
a. P. DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based practice.
b. I. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
c. MSC: NCLEX: Safe and Effective Care Environment (management of care)
, Qualitative studies examine individuals‘ experiences with health problems and the contexts in
6. The nurse is getting ready to develop a plan of care for a patient who has a specific need. The which these experiences occur. A qualitative study is best in this case of an individual nurse
best source for developing this plan of care would probably be: who wants to examine the effectiveness of a local program. Randomized controlled trials
a. The Cochrane Database. involve close monitoring of control groups and treatment groups to test an intervention against
b. MEDLINE. the usual standard of care. Case control studies typically compare one group of subjects with a
c. NGC. certain condition against another group without the condition, to look for associations between
d. CINAHL. the condition and predictor variables. Descriptive studies focus mainly on describing the
concepts under study.
ANS: C
The National Guidelines Clearinghouse (NGC) is a database supported by the Agency for
DIF: CognitiveLevel: Synthesis
Healthcare Research and Quality (AHRQ). It contains clinical guidelines—systematically OBJ: Discuss ways to apply evidence in nursing practice.
developed statements about a plan of care for a specific set of clinical circumstances involving TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
a specific patient population. The NGC is a valuable source when you want to develop a plan MSC: NCLEX: Safe and Effective Care Environment (management of care)
of care for a patient. The Cochrane Community Database of Systematic Reviews, MEDLINE,
and CINAHL are all valuable sources of synthesized evidence (i.e., pre-appraised evidence). 9. Six months after an early mobility protocol was implemented, the incidence of deep vein
thrombosis in patients was decreased. This is an example of what stage in the EBP process?
DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based practice. a. Asking a clinical question
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation b. Applying the evidence
MSC: NCLEX: Safe and Effective Care Environment (management of care) c. Evaluating the practice decision
d. Communicating your results
7. The nurse has done a literature search and found 25 possible articles on the topic that she is
studying. To determine which of those 25 best fit her inquiry, the nurse first should look at: ANS: C
a. the abstracts. After implementing a practice change, your next step is to evaluate the effect. You do this by
b. the literature reviews. analyzing the outcomes data that you collected during the pilot project. Outcomes evaluation
c. the ―Methods‖ sections. tells you whether your practice change improved conditions, created no change, or worsened
d. the narrative sections. conditions.
ANS: A DIF: CognitiveLevel: Application
An abstract is a brief summary of an article that quickly tells you whether the article is OBJ: Discuss ways to apply evidence in nursing practice. TOP: Evidence-Based Practice
research based or clinically based. An abstract summarizes the purpose of the study or clinical KEY: Nursing Process Step: Evaluation
query, the major themes or findings, and the implications for nursing practice. The literature MSC: NCLEX: Safe and Effective Care Environment (safety and infection control)
review usually gives you a good idea of how past research led to the researcher‘s question.
The ―Methods‖ or ―Design‖ section explains how a research study is organized and conducted
MULTIPLE RESPONSE
to answer the research question or to test the hypothesis. The narrative of a manuscript differs
according to the type of evidence-based article—clinical or research. 1. To use evidence-based practice appropriately, you need to collect the most relevant and best
evidence and to critically appraise the evidence you gather. This process also includes: (Select
DIF: CognitiveLevel: Application
OBJ: Discuss elements to review when critiquing the scientific literature.
all that apply.)
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation a. asking a clinical question.
MSC: NCLEX: Safe and Effective Care Environment (management of care) b. applying the evidence.
c. evaluating the practice decision.
8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on the d. communicating your results.
level of postmyocardial depression for individuals who have had a myocardial infarction. The
ANS: A, B, C, D
type of study that would best capture this information would be a:
EBP comprises six steps (Melnyk and Fineout-Overholt, 2010):
a. randomized controlled trial.
1. Ask a clinical question.
b. qualitative study.
2. Search for the most relevant and best evidence that applies to the question.
c. case control study.
3. Critically appraise the evidence you gather.
d. descriptive study.
4. Apply or integrate evidence along with one‘s clinical expertise and patient preferences and
ANS: B values in making a practice decision or change.
5. Evaluate the practice decision or change.
6. Communicate your results.
, DIF: CognitiveLevel: Knowledge OBJ: Define the key terms listed.
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe and Effective Care Environment (management of care)
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2. Evidence-based practice requires good .
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that
apply.) ANS:
a. the quality of care provided. nursing judgment
b. patient outcomes.
c. clinician satisfaction. Evidence-based practice requires good nursing judgment; it does not consist of finding
d. patients‘ perceptions. research evidence and blindly applying it.
ANS: A, B, C, D DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice.
EBP has the potential to improve the quality of care that nurses provide, patient outcomes, and TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
clinicians‘ satisfaction with their practice. Your patients expect nursing professionals to be MSC: NCLEX: Safe and Effective Care Environment (management of care)
informed and to use the safest and most appropriate interventions. Use of evidence enhances
nursing, thereby improving patients‘ perceptions of excellent nursing care. 3. While caring for patients, the professional nurse must question .
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice. ANS:
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation what does not make sense
MSC: NCLEX: Safe and Effective Care Environment (management of care)
Always think about your practice when caring for patients. Question what does not make
3. During the application stage of evidence-based practice change, it is important to consider: sense to you, and question what you think needs clarification.
(Select all that apply.)
a. cost. DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
b. the need for new equipment. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
c. management support. MSC: NCLEX: Safe and Effective Care Environment (management of care)
d. adequate staff.
4. A systematic review explains whether the evidence that you are searching for exists and
ANS: A, B, C, D whether there is good cause to change practice. In , all entries include
One important step for an individual or an interdisciplinary EBP committee is to consider the information on systematic reviews.
resources needed for a practice change project. Are added costs or new equipment involved
with a practice change? Do you have adequate staff to make the practice change work as ANS:
planned? Do management and medical staff support you in the change? If the barriers to The Cochrane Database
practice change are excessive, adopting a practice change can be difficult, if not impossible.
A systematic review explains whether the evidence that you are searching for exists and
DIF: CognitiveLevel: Application OBJ: Describe the six steps of evidence-based practice. whether there is good cause to change practice. In The Cochrane Database, all entries include
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation information on systematic reviews.
MSC: NCLEX: Safe and Effective Care Environment (management of care)
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
COMPLETION TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
1. is a guide for making accurate, timely, and appropriate clinical
decisions. 5. The researcher explains how to apply findings in a practice setting for the types of subjects
studied in the section of a research article.
ANS:
Evidence-based practice ANS:
―Clinical Implications‖
Evidence-based practice is a guide for making accurate, timely, and appropriate clinical Clinical Implications
decisions.
