Test Bank for Nursing Interventions and Clinical Skills 7th Edition by Perry

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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.
Whichstatement 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
methodin nursing care?
a. What is known about reduction of urinary tract infections in the older adult
withdiabetes?
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
tractinfections on the older adult care unit?
ANS: D
Evidence-based practice (EBP) questions tend to arise from two sources: recurrent
problemsor 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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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

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


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



6. Which,does,the,nurse,researcher,identify,as,the,strongest,type,of,research?
a. Randomized,controlled,trials

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b. A,qualitative,study
c. A,descriptive,study
d. A,case,controlled,study

ANS:, A

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,the,usual,standard,
of,care.,The,other,types,of,studies,are,useful,but,do,not,give,the,same,type,of,informatio
n,as,a,randomized,controlled,trial,provides.


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