Test Bank For Nursing interventions and
clinical skills 7th edition by potter
All Chapters Complete Questions And Answers|A+ Graded
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Chapter 01: Using Evidence in Nursing Practice
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
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that all patients receive holistic care, that all errors can be prevented, or that a guarantee exists
that care given is based on research.
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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.
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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 wound or an
approach on how to teach food preparation for a patient with impaired sight.
4.Who will the clinical research nurse contact to search relevant databases in preparation for an
upcoming study?
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a. The physician whose patients may be involved in the study
b. The medical librarian
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c. The nurse manager of the unit where the study will be conducted
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d. The director of nursing of the facility
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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.
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
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 is a
database for studies in medicNine, nursing, dentistry, psychiatry, veterinary medicine, and
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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.
6.Which does the nurse researcher identify as the strongest type of research?
a. Randomized controlled trials
b. A qualitative study
c. A descriptive study
d. A case controlled study
ANS: A
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Individual randomized controlled trials are close to the top of the research pyramid. Only
systematic reviews and meta-analyses are higher. This type of study tests an intervention against
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the usual standard of care. The other types of studies are useful but do not give the same type of
information as a randomized controlled trial provides.
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7.What is the nurse attempting to determine when critiquing the evidence related to a PICOT
question?
a. The ethical conduct of the research the nurse read
b. The strength of the evidence found in the literature
c. If there are any experts in the clinical question needing to be researched
d. If the study demonstrates cost-effectiveness if a change in practice occurs
ANS: B
Once a literature search is complete and data are gathered about the question, it is time to critique
the evidence. Critiquing the evidence involves a systematic approach to looking at the strength of
the work reviewed and its relevance. The other questions are not applicable to critiquing the
evidence.
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