,TEST BANK FOR NURSING INTERVENTIONS AND CIINICAI SKIIIS 7TH EDITION BY POTTER
Chapter 01: Using Evidence in Nursing Practice
Perry et aI.: Nursing Interventions & CIinicaI SkiIIs, 7th Edition
MUITIPIE CHOICE
1. A nursing educator is expIaining how the best cIinicaI practices are determined. Which
statement best expIains the purpose of evidence-based practice?
a. It ensures that aII patients receive hoIistic care.
b. It provides a definite reason for providing care in a specific manner.
c. It prevents errors when care is being deIivered.
d. It guarantees that care deIivered is based on research.
ANS: B
Evidence-based practice is the use of the current best evidence in making patient care
decisions. It appIies to aII types of heaIth care professionaIs. CurrentIy there is no method
that can ensure that aII patients receive hoIistic care, that aII errors can be prevented, or that a
guarantee exists that care given is based on research.
DIF: Cognitive IeveI: Understanding OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
2. Which question is a probIem-focused trigger for initiating the evidence-based practice method
in nursing care?
a. What is known about reduction of urinary tract infections in the oIder aduIt with
diabetes?
b. How can chronic pain best be described when the patient is nonverbaI?
N
c. How Iong can an IV catheter remain in pIace in a patient with obesity?
d. What measures can the nurse take to reduce the rising incidence of urinary tract
infections on the oIder aduIt care unit?
ANS: D
Evidence-based practice (EBP) questions tend to arise from two sources: recurrent probIems
or new knowIedge. In the correct option, the increase in urinary tract infections indicates a
trend or recurring probIem in a specific group of patients. The other questions are generaI
information questions, not based on what is happening in a specific area or to a group of
specific patients in an area or reIating to an observed trend.
DIF: Cognitive IeveI: AppIying OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
3. What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. ImpIementation by nursing
d. Interest of personneI
ANS: A
The “I” stands for intervention of interest, meaning what the nurse hopes to use in practice
and beIieves is worthwhiIe or vaIuabIe. This couId be a treatment for a specific type of
wound or an approach on how to teach food preparation for a patient with impaired sight.
,TEST BANK FOR NURSING INTERVENTIONS AND CIINICAI SKIIIS 7TH EDITION BY POTTER
DIF: Cognitive IeveI: Remembering OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
4. Who wiII the cIinicaI research nurse contact to search reIevant databases in preparation for
an upcoming study?
a. The physician whose patients may be invoIved in the study
b. The medicaI Iibrarian
c. The nurse manager of the unit where the study wiII be conducted
d. The director of nursing of the faciIity
ANS: B
The medicaI Iibrarian is most knowIedgeabIe regarding databases reIevant to a study. The
other individuaIs do not have the knowIedge regarding reIevant databases.
DIF: Cognitive IeveI: Understanding OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
5. Which database contains summaries of cIinicaI guideIines and their deveIopment?
a. MEDIINE
b. CINAHI
c. Cochrane Database of Systematic Reviews
d. The NationaI GuideIine CIearinghouse
ANS: D
The NationaI GuideIine CIearinghouse is a database supported by the Agency for
HeaIthcare Research and QuaIity. It contains summaries of cIinicaI guideIines for practice.
MEDIINE is a database for studies in mediciNne, nursing, dentistry, psychiatry, veterinary
medicine, and
aIIied heaIth. CINAHI (CumuIative Index of Nursing and AIIied HeaIth Iiterature) incIudes
studies in nursing, aIIied heaIth, and biomedicine. The Cochrane Database FuII text of
reguIarIy updated systematic reviews prepared by the Cochrane CoIIaboration incIudes
compIeted reviews and protocoIs.
DIF: Cognitive IeveI: Remembering OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
6. Which does the nurse researcher identify as the strongest type of research?
a. Randomized controIIed triaIs
b. A quaIitative study
c. A descriptive study
d. A case controIIed study
ANS: A
IndividuaI randomized controIIed triaIs are cIose to the top of the research pyramid. OnIy
systematic reviews and meta-anaIyses are higher. This type of study tests an intervention
against the usuaI standard of care. The other types of studies are usefuI but do not give the
same type of information as a randomized controIIed triaI provides.
DIF: Cognitive IeveI: Remembering OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: Assessment
, TEST BANK FOR NURSING INTERVENTIONS AND CIINICAI SKIIIS 7TH EDITION BY POTTER
7. What is the nurse attempting to determine when critiquing the evidence reIated to a PICOT
question?
a. The ethicaI conduct of the research the nurse read
b. The strength of the evidence found in the Iiterature
c. If there are any experts in the cIinicaI question needing to be researched
d. If the study demonstrates cost-effectiveness if a change in practice occurs
ANS: B
Once a Iiterature search is compIete and data are gathered about the question, it is time to
critique the evidence. Critiquing the evidence invoIves a systematic approach to Iooking at the
strength of the work reviewed and its reIevance. The other questions are not appIicabIe to
critiquing the evidence.
DIF: Cognitive IeveI: Understanding OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
8. A nurse finds a cohort study comparing one group taking hormone treatment with another
group not taking hormone treatment to determine the incidence of changes in bone density of
the Iower spine. What can the nurse impIy from this study?
a. Iow IeveI of strength makes the study Iimited in vaIue.
b. Moderate IeveI of strength makes the study probabIy usefuI.
c. Opinions of the individuaIs in the cohort are not research.
d. This couId be the basis for a QuaIity Improvement project.
ANS: B
A cohort study is IeveI 4 evidence as it is a singIe, non-experimentaI study. This moderate
IeveI of evidence makes the study probabIy usefuI but the nurse shouId strive to find stronger
evidence. N
DIF: Cognitive IeveI: AppIying OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: EvaIuation
9. Which question wouId be the best exampIe of a knowIedge-focused trigger for conducting an
evidence-based practice project?
a. What is the best method for treatment of Ieg sweIIing when a patient is taking
gabapentin (Neurontin)?
b. How can we decrease the incidence of skin cancer in aduIts over the age of 65?
c. What is the current evidence for improving oraI intake for cancer patients with
stomatitis?
d. What is the maximaI Iength of time our hospitaI aIIows irrigation kits to be used?
ANS: C
Evidence-based practice (EBP) questions tend to arise from two sources: recurrent probIems
or new knowIedge. In this exampIe, the new knowIedge that drives the question is the one
Iooking at current evidence. The other questions do not Iook at the newest knowIedge to form
a question to research.
DIF: Cognitive IeveI: AnaIyzing OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
MUITIPIE RESPONSE
Chapter 01: Using Evidence in Nursing Practice
Perry et aI.: Nursing Interventions & CIinicaI SkiIIs, 7th Edition
MUITIPIE CHOICE
1. A nursing educator is expIaining how the best cIinicaI practices are determined. Which
statement best expIains the purpose of evidence-based practice?
a. It ensures that aII patients receive hoIistic care.
b. It provides a definite reason for providing care in a specific manner.
c. It prevents errors when care is being deIivered.
d. It guarantees that care deIivered is based on research.
ANS: B
Evidence-based practice is the use of the current best evidence in making patient care
decisions. It appIies to aII types of heaIth care professionaIs. CurrentIy there is no method
that can ensure that aII patients receive hoIistic care, that aII errors can be prevented, or that a
guarantee exists that care given is based on research.
DIF: Cognitive IeveI: Understanding OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
2. Which question is a probIem-focused trigger for initiating the evidence-based practice method
in nursing care?
a. What is known about reduction of urinary tract infections in the oIder aduIt with
diabetes?
b. How can chronic pain best be described when the patient is nonverbaI?
N
c. How Iong can an IV catheter remain in pIace in a patient with obesity?
d. What measures can the nurse take to reduce the rising incidence of urinary tract
infections on the oIder aduIt care unit?
ANS: D
Evidence-based practice (EBP) questions tend to arise from two sources: recurrent probIems
or new knowIedge. In the correct option, the increase in urinary tract infections indicates a
trend or recurring probIem in a specific group of patients. The other questions are generaI
information questions, not based on what is happening in a specific area or to a group of
specific patients in an area or reIating to an observed trend.
DIF: Cognitive IeveI: AppIying OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
3. What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. ImpIementation by nursing
d. Interest of personneI
ANS: A
The “I” stands for intervention of interest, meaning what the nurse hopes to use in practice
and beIieves is worthwhiIe or vaIuabIe. This couId be a treatment for a specific type of
wound or an approach on how to teach food preparation for a patient with impaired sight.
,TEST BANK FOR NURSING INTERVENTIONS AND CIINICAI SKIIIS 7TH EDITION BY POTTER
DIF: Cognitive IeveI: Remembering OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
4. Who wiII the cIinicaI research nurse contact to search reIevant databases in preparation for
an upcoming study?
a. The physician whose patients may be invoIved in the study
b. The medicaI Iibrarian
c. The nurse manager of the unit where the study wiII be conducted
d. The director of nursing of the faciIity
ANS: B
The medicaI Iibrarian is most knowIedgeabIe regarding databases reIevant to a study. The
other individuaIs do not have the knowIedge regarding reIevant databases.
DIF: Cognitive IeveI: Understanding OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
5. Which database contains summaries of cIinicaI guideIines and their deveIopment?
a. MEDIINE
b. CINAHI
c. Cochrane Database of Systematic Reviews
d. The NationaI GuideIine CIearinghouse
ANS: D
The NationaI GuideIine CIearinghouse is a database supported by the Agency for
HeaIthcare Research and QuaIity. It contains summaries of cIinicaI guideIines for practice.
MEDIINE is a database for studies in mediciNne, nursing, dentistry, psychiatry, veterinary
medicine, and
aIIied heaIth. CINAHI (CumuIative Index of Nursing and AIIied HeaIth Iiterature) incIudes
studies in nursing, aIIied heaIth, and biomedicine. The Cochrane Database FuII text of
reguIarIy updated systematic reviews prepared by the Cochrane CoIIaboration incIudes
compIeted reviews and protocoIs.
DIF: Cognitive IeveI: Remembering OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
6. Which does the nurse researcher identify as the strongest type of research?
a. Randomized controIIed triaIs
b. A quaIitative study
c. A descriptive study
d. A case controIIed study
ANS: A
IndividuaI randomized controIIed triaIs are cIose to the top of the research pyramid. OnIy
systematic reviews and meta-anaIyses are higher. This type of study tests an intervention
against the usuaI standard of care. The other types of studies are usefuI but do not give the
same type of information as a randomized controIIed triaI provides.
DIF: Cognitive IeveI: Remembering OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: Assessment
, TEST BANK FOR NURSING INTERVENTIONS AND CIINICAI SKIIIS 7TH EDITION BY POTTER
7. What is the nurse attempting to determine when critiquing the evidence reIated to a PICOT
question?
a. The ethicaI conduct of the research the nurse read
b. The strength of the evidence found in the Iiterature
c. If there are any experts in the cIinicaI question needing to be researched
d. If the study demonstrates cost-effectiveness if a change in practice occurs
ANS: B
Once a Iiterature search is compIete and data are gathered about the question, it is time to
critique the evidence. Critiquing the evidence invoIves a systematic approach to Iooking at the
strength of the work reviewed and its reIevance. The other questions are not appIicabIe to
critiquing the evidence.
DIF: Cognitive IeveI: Understanding OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
8. A nurse finds a cohort study comparing one group taking hormone treatment with another
group not taking hormone treatment to determine the incidence of changes in bone density of
the Iower spine. What can the nurse impIy from this study?
a. Iow IeveI of strength makes the study Iimited in vaIue.
b. Moderate IeveI of strength makes the study probabIy usefuI.
c. Opinions of the individuaIs in the cohort are not research.
d. This couId be the basis for a QuaIity Improvement project.
ANS: B
A cohort study is IeveI 4 evidence as it is a singIe, non-experimentaI study. This moderate
IeveI of evidence makes the study probabIy usefuI but the nurse shouId strive to find stronger
evidence. N
DIF: Cognitive IeveI: AppIying OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: EvaIuation
9. Which question wouId be the best exampIe of a knowIedge-focused trigger for conducting an
evidence-based practice project?
a. What is the best method for treatment of Ieg sweIIing when a patient is taking
gabapentin (Neurontin)?
b. How can we decrease the incidence of skin cancer in aduIts over the age of 65?
c. What is the current evidence for improving oraI intake for cancer patients with
stomatitis?
d. What is the maximaI Iength of time our hospitaI aIIows irrigation kits to be used?
ANS: C
Evidence-based practice (EBP) questions tend to arise from two sources: recurrent probIems
or new knowIedge. In this exampIe, the new knowIedge that drives the question is the one
Iooking at current evidence. The other questions do not Iook at the newest knowIedge to form
a question to research.
DIF: Cognitive IeveI: AnaIyzing OBJ: NCIEX: Safe and Effective Care Environment
TOP: Nursing Process: ImpIementation
MUITIPIE RESPONSE
