Using Evidence in Nursing Practice Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition

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Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Nursing Interventions & Clinical Skills, 7th
Edition
MULTIPLE CHOICE


1. A nursing educator is explaining how the best clinical practices
are determined. Which statement best explains the purpose of
evidence-based practice?
a. It ensures that all patients receive holistic care.
b. It provides a definite reason for providing care in a specific manner.
c. It prevents errors when care is being delivered.
d. It guarantees that care delivered is based on research.

ANS: B
Evidence-based practice is the use of the current best evidence in
making patient care decisions. It applies to all types of health care
professionals. Currently there is no method that can ensure that all
patients receive holistic care, that all errors can be prevented, or that
a guarantee exists that care given is based on research.


DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and
Effective Care Environment TOP: Nursing Process:
Implementation


2. Which question is a problem-focused trigger for initiating the
evidence-based practice method in nursing care?

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a. What is known about reduction of urinary tract infections
in the older adult with diabetes?
b. How can chronic pain best be described when the patient is

nonverbal?
c. How long can an IV catheter remain in place in a patient with
obesity?
d. What measures can the nurse take to reduce the rising
incidence of urinary tract infections on the older adult
care unit?
ANS: D
Evidence-based practice (EBP) questions tend to arise from two
sources: recurrent problems or new knowledge. In the correct option,
the increase in urinary tract infections indicates a trend or recurring
problem in a specific group of patients. The other questions are
general information questions, not based on what is happening in a
specific area or to a group of specific patients in an area or relating to
an observed trend.


DIF: Cognitive Level: Applying OBJ: NCLEX: Safe and Effective Care
Environment TOP: Nursing Process: Implementation


3. What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. Implementation by nursing
d. Interest of personnel

ANS: A
The “I” stands for intervention of interest, meaning what the nurse
hopes to use in practice and believes is worthwhile or valuable. This
could be a treatment for a specific type of woundor an approach on how
to teach food preparation for a patient with impaired sight.

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DIF: Cognitive Level: Remembering OBJ: NCLEX: Safe and
Effective Care Environment TOP: Nursing Process:
Implementation


4. Who will the clinical research nurse contact to search relevant
databases in preparation for an upcoming study?
a. The physician whose patients may be involved in the study
b. The medical librarian
c. The nurse manager of the unit where the study will be conducted
d. The director of nursing of the facility

ANS: B
The medical librarian is most knowledgeable regarding databases
relevant to a study. The other individuals do not have the knowledge
regarding relevant databases.


DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and
Effective Care Environment TOP: Nursing Process:
Implementation


5. Which database contains summaries of clinical guidelines and their
development?
a. MEDLINE
b. CINAHL
c. Cochrane Database of Systematic Reviews
d. The National Guideline Clearinghouse

ANS: D

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The National Guideline Clearinghouse is a database supported by the
Agency for Healthcare Research and Quality. It contains summaries of
clinical guidelines for practice. MEDLINE isa
database for studies in medicNine, nursing, dentistry, psychiatry,
veterinary medicine, and allied health. CINAHL (Cumulative Index
of Nursing and Allied Health Literature) includes studies in nursing,
allied health, and biomedicine. The Cochrane Database Full text of
regularly updated systematic reviews prepared by the Cochrane
Collaboration includes completed reviews and protocols.


DIF: Cognitive dLevel: dRemembering OBJ: d NCLEX: dSafe dand
dEffective dCare dEnvironmentdTOP: d Nursing dProcess:

dImplementation




6. Which ddoes dthe dnurse dresearcher didentify das dthe dstrongest dtype dof
dresearch?
a. Randomized dcontrolled dtrials
b. A dqualitative dstudy
c. A ddescriptive dstudy
d. A dcase dcontrolled dstudy

ANS: d A
Individual drandomized dcontrolled dtrials dare dclose dto dthe dtop dof
dthe dresearch dpyramid. dOnlydsystematic dreviews dand dmeta-

analyses dare dhigher. dThis dtype dof dstudy dtests dan dintervention
dagainst dthe dusual dstandard dof dcare. dThe dother dtypes dof dstudies dare

duseful dbut ddo dnot dgive dthe dsame dtype dof dinformation das da

drandomized dcontrolled dtrial dprovides.




DIF: Cognitive dLevel: dRemembering OBJ: d NCLEX: dSafe dand
dEffective dCare dEnvironmentdTOP: d Nursing dProcess: dAssessment