Chapter A1. AUsing AEvidence Ain ANursing
APractice AChapter A2. ACommunication Aand
ACollaboration AChapter A3. AAdmitting,
ATransfer, Aand ADischarge AChapter A4.
ADocumentation Aand AInformatics AChapter A5.
AVital ASigns
Chapter A6. AHealth AAssessment
AChapter A7. ASpecimen ACollection
AChapter A8. ADiagnostic AProcedures
AChapter A9. AMedical AAsepsis
AChapter A10. ASterile ATechnique
Chapter A11. ASafe APatient AHandling Aand AMobility A(SPHM)
AChapter A12. AExercise Aand AMobility
Chapter A13. ASupport ASurfaces Aand ASpecial
ABeds AChapter A14. APatient ASafety
Chapter A15. ADisaster APreparedness
AChapter A16. APain AManagement
AChapter A17. AEnd-of-Life ACare
Chapter A18. APersonal AHygiene Aand ABed
AMaking AChapter A19. ACare Aof Athe AEye Aand
AEar
Chapter A20. ASafe AMedication
APreparation AChapter A21. ANonparenteral
AMedications AChapter A22. AParenteral
AMedications AChapter A23. AOxygen
ATherapy
Chapter A24. APerforming AChest APhysiotherapy
AChapter A25. AAirway AManagement
Chapter A26. ACardiac ACare
Chapter A27. AClosed AChest ADrainage ASystems
AChapter A28. AEmergency AMeasures Afor ALife
ASupport
Chapter A29. AIntravenous Aand AVascular AAccess ATherapy
AChapter A30. ABlood ATherapy
Chapter A31. AOral ANutrition
AChapter A32. AEnteral ANutrition
AChapter A33. AParenteral
ANutrition AChapter A34. AUrinary
AElimination
Chapter A35. ABowel AElimination Aand AGastric AIntubation
AChapter A36. AOstomy ACare
Chapter A37. APreoperative Aand APostoperative
ACare AChapter A38. AIntraoperative ACare
Chapter A39. AWound ACare Aand AIrrigations
Chapter A40. AImpaired ASkin AIntegrity APrevention Aand ACare
AChapter A41. ADressings, ABandages, Aand ABinders
Chapter A42. AHome ACare ASafety
AChapter A43. AHome ACare
ATeaching
,Chapter 01:using evidence in nursing practice
A A A A A A
Perry ET AI: CLINICAL NURSING SKILLS &TECHNIQUES 11 TH EDITION
A A A A A A A A A
MULTIPLTEIPLE CE
MUL
1. Evidence-based Apractice Ais Aa Aproblem-solving Aapproach Ato Amaking Adecisions Aabout
patient Acare Athat Ais Agrounded Ain:
A
a. the Alatest Ainformation Afound Ain Atextbooks.
b. systematically Aconducted Aresearch Astudies.
c. tradition Ain Aclinical Apractice.
d. quality Aimprovement Aand Arisk-management Adata.
ANS: A B
The Abest Aevidence Acomes Afrom Awell-designed, Asystematically Aconducted Aresearch Astudies
Adescribed Ain Ascientific Ajournals. APortions Aof Aa Atextbook Aoften Abecome Aoutdated Aby Athe
Atime Ait Ais Apublished. AMany Ahealth Acare Asettings Ado Anot Ahave Aa Aprocess Ato Ahelp Astaff
Aadopt Anew Aevidence Ain Apractice, Aand Anurses Ain Apractice Asettings Alack Aeasy Aaccess Ato
Arisk-management Adata, Arelying Ainstead Aon Atradition Aor Aconvenience. ASome Asources Aof
Aevidence Ado Anot Aoriginate Afrom Aresearch. AThese Ainclude Aquality Aimprovement Aand Arisk-
management Adata; Ainfection Acontrol Adata; Aretrospective Aor Aconcurrent Achart Areviews; Aand
Aclinicians‘ Aexpertise. AAlthough
non–research-based Aevidence Ais Aoften Avery Avaluable, Ait Ais Aimportant Athat Ayou Alearn Ato
Arely Amore Aon Aresearch-based Aevidence.
DIF: CognitiveLevel: AComprehension OBJ: ADiscuss Athe Abenefits Aof Aevidence-based
Apractice. ATOP: A Evidence-Based APractice KEY: ANursing AProcess AStep: AAssessment
MSC: A NCLEX: ASafe Aand AEffective ACare AEnvironment A(management Aof Acare)
2. When Aevidence-based Apractice Ais Aused, Apatient Acare Awill Abe:
a. standardized Afor Aall.
b. unhampered Aby Apatient Aculture.
c. variable Aaccording Ato Athe Asituation.
d. safe Afrom Athe Ahazards Aof Acritical Athinking.
ANS: A C
Using Ayour Aclinical Aexpertise Aand Aconsidering Apatients‘ Acultures, Avalues, Aand
Apreferences Aensures Athat Ayou Awill Aapply Aavailable Aevidence Ain Apractice Aethically Aand
Aappropriately. AEven Awhen Ayou Ause Athe Abest Aevidence Aavailable, Aapplication Aand
Aoutcomes Awill Adiffer; Aas Aa Anurse, Ayou Awill Adevelop Acritical Athinking Askills Ato
Adetermine Awhether Aevidence Ais Arelevant Aand Aappropriate.
DIF: CognitiveLevel: AApplication OBJ: ADiscuss Athe Abenefits Aof Aevidence-based
Apractice. ATOP: A Evidence-Based APractice KEY: ANursing AProcess AStep: AAssessment
MSC: A NCLEX: ASafe Aand AEffective ACare AEnvironment A(management Aof Acare)
3. When Aa APICOT Aquestion Ais Adeveloped, Athe Aletter Athat Acorresponds Awith Athe Ausual
standard Aof Acare Ais:
A
a. P.
b. I.
c.
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d. O.
ANS: A C
C A= AComparison Aof Ainterest. AWhat Astandard Aof Acare Aor Acurrent Aintervention Ado Ayou
Ausually Ause Anow Ain Apractice?
P A= APatient Apopulation Aof Ainterest. AIdentify Ayour Apatient Aby Aage, Agender, Aethnicity, Adisease,
Aor Ahealth Aproblem.
I A= AIntervention Aof Ainterest. AWhat Aintervention A(e.g., Atreatment, Adiagnostic Atest, Aand
Aprognostic Afactor) Ado Ayou Athink Ais Aworthwhile Ato Ause Ain Apractice?
O A= AOutcome. AWhat Aresult A(e.g., Achange Ain Apatient‘s Abehavior, Aphysical Afinding, Aand
Achange Ain Apatient‘s Aperception) Ado Ayou Awish Ato Aachieve Aor Aobserve Aas Athe Aresult Aof Aan
Aintervention?
DIF: CognitiveLevel: AKnowledge OBJ: ADevelop Aa APICO
Aquestion. ATOP: A PICO KEY: ANursing AProcess AStep:
AImplementation
MSC: A NCLEX: ASafe Aand AEffective ACare AEnvironment A(management Aof Acare)
4. A Awell-developed APICOT Aquestion Ahelps Athe Anurse:
a. search Afor Aevidence.
b. include Aall Afive Aelements Aof Athe Asequence.
c. find Aas Amany Aarticles Aas Apossible Ain Aa Aliterature Asearch.
d. accept Astandard Aclinical Aroutines.
ANS: A A
The Amore Afocused Aa Aquestion Athat Ayou Aask Ais, Athe Aeasier Ait Ais Ato Asearch Afor Aevidence
Ain Athe Ascientific Aliterature. AA Awell-designed APICOT Aquestion Adoes Anot Ahave Ato Ainclude
Aall Afive Aelements, Anor Adoes Ait Ahave Ato Afollow Athe APICOT Asequence. ADo Anot Abe
Asatisfied Awith Aclinical Aroutines. AAlways Aquestion Aand Ause Acritical Athinking Ato Aconsider
Abetter Aways Ato Aprovide Apatient Acare.
DIF: CognitiveLevel: AAnalysis OBJ: A Describe Athe Asix Asteps Aof Aevidence-based
Apractice. ATOP: A Evidence-Based APractice KEY: ANursing AProcess AStep: AImplementation
MSC: A NCLEX: ASafe Aand AEffective ACare AEnvironment A(management Aof Acare)
5. The Anurse Ais Anot Asure Athat Athe Aprocedure Athe Apatient Arequires Ais Athe Abest Apossible
Afor Athe Asituation. AUtilizing Awhich Aof Athe Afollowing Aresources Awould Abe Athe Aquickest
Away Ato Areview Aresearch Aon Athe Atopic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The ACochrane ADatabase
ANS: A D
The ACochrane ACommunity ADatabase Aof ASystematic AReviews Ais Aa Avaluable Asource Aof
Asynthesized Aevidence A(i.e., Apre-appraised Aevidence). AThe ACochrane ADatabase Aincludes Athe
Afull Atext Aof Aregularly Aupdated Asystematic Areviews Aand Aprotocols Afor Areviews Acurrently
Ahappening. AMEDLINE, ACINAHL, Aand APubMed Aare Aamong Athe Amost Acomprehensive
Adatabases Aand Arepresent Athe Ascientific Aknowledge Abase Aof Ahealth Acare.
DIF: CognitiveLevel: ASynthesis OBJ: A Describe Athe Asix Asteps Aof Aevidence-based
Apractice. ATOP: A Evidence-Based APractice KEY: ANursing AProcess AStep: AImplementation
MSC: A NCLEX: ASafe Aand AEffective ACare AEnvironment A(management Aof Acare)