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iques, 1st - 2020 All Chapters Included
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Chaptered01:edEvidence-InformededNursingedPractice
Perryedetedal.:edCanadianedClinicaledNursingedSkillsed&edTechniques,ed1stedEdition
MULTIPLEedCHOICE
1. Evidence-informededpracticeedisedaedproblem-
solvingedapproachedtoedmakingeddecisionsedaboutedpatientedcareedthatedisedgroundededin
a. theedlatestedinformationedfoundedinedtextbooks.
b. systematicallyedconductededresearchedstudies.
c. traditionedinedclinicaledpractice.
d. qualityedimprovementedandedrisk-managementeddata.
ANS:e d B
Theedbestedevidenceedcomesedfromedwell-
designed,edsystematicallyedconductededresearchedstudieseddescribededinedscientificedjournals.edPortio
nsedofedaedtextbookedoftenedbecomeedoutdatededbyedtheedtimeeditedisedpublished.edManyedhealthedcareedse
ttingseddoednotedhaveedaedprocessedtoedhelpedstaffedadoptednewedevidenceedinedpractice,edandednursesedined
practiceedsettingsedlackedeasyedaccessedtoedrisk-
managementeddata,edrelyingedinsteadedonedtraditionedoredconvenience.edSomeedsourcesedofedevidenceed
doednotedoriginateedfromedresearch.edTheseedincludeedqualityedimprovementedandedrisk-
managementeddata,edinfectionedcontroleddata,edretrospectiveedoredconcurrentedchartedreviews,edandedcl
inicians’edexpertise.edAlthough
non–research-
basededevidenceedisedoftenedveryedvaluable,editedisedimportantedthatedyouedlearnedtoedrelyedmoreedonedre
search-basededevidence.
DIF: CognitiveedLevel:edComprehension REF:e d e d Purpose
OBJ:e d e d Differentiateedbetweenedevidence-basededandedevidence-informededpractice.
TOP:e d Evidence-BasededPractice
KEY:e d NursingedProcessedStep:edAssessm
entedMSC:e d NCLEX:edSafeedandedEffectiveedCareedEnvironmented(managementedofedcar
e)
2. Whenedevidence-informededpracticeedisedused,edpatientedcareedwilledbe
a. standardizededforedall.
b. unhamperededbyedpatientedculture.
c. variableedaccordingedtoedtheedsituation.
d. safeedfromedtheedhazardsedofedcriticaledthinking.
ANS:e d C
Usingedyouredclinicaledexpertiseedandedconsideringedpatients’edcultures,edvalues,edandedpreferencese
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densuresedthatedyouedwilledapplyedavailableedevidenceedinedpracticeedethicallyedandedappropriately.edE
venedwhenedyoueduseedtheedbestedevidenceedavailable,edapplicationedandedoutcomesedwilleddiffer;edas
edaednurse,edyouedwilleddevelopedcriticaledthinkingedskillsedtoeddetermineedwhetheredevidenceedisedrele
vantedandedappropriate.
DIF: CognitiveedLevel:edApplication REF:e d e d Purpose
OBJ:e d e d Differentiateedbetweenedevidence-basededandedevidence-informededpractice.
TOP:e d Evidence-BasededPractice
KEY:e d NursingedProcessedStep:edAssessm
entedMSC:e d NCLEX:edSafeedandedEffectiveedCareedEnvironmented(managementedofedcar
e)
3. WhenedaedPICO(TS)edquestionediseddeveloped,edtheedletteredthatedcorrespondsedwithedtheedusualedstan
dardedofedcareedis
a. P.
b. I.
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c. C.
d. O.
ANS:e d C
Ced=edComparisonedofedinterest.edWhatedstandardedofedcareedoredcurrentedinterventioneddoedyouedusually
eduseednowedinedpractice?
Ped=edPatientedpopulationedofedinterest.edIdentifyedyouredpatientedbyedage,edgender,edethnicity,eddisease,e
doredhealthedproblem.
Ied=edInterventionedofedinterest.edWhatedinterventioned(e.g.,edtreatment,eddiagnosticedtest,edandedprogno
sticedfactor)eddoedyouedthinkedisedworthwhileedtoeduseedinedpractice?
Oed=edOutcome.edWhatedresulted(e.g.,edchangeedinedpatient’sedbehaviour,edphysicaledfinding,edandedc
hangeedinedpatient’sedperception)eddoedyouedwishedtoedachieveedoredobserveedasedtheedresultedofedanedi
ntervention?
DIF: CognitiveedLevel:edUnderstanding
REF:e d AskedaedClinicaledQuestionedOBJ:e d Explainedtheedcomponentsedo
fedaedPICO(TS)edquestion.
TOP:e d PICOedKEY:e d NursingedProcessedStep:edImplementation
MSC:e d NCLEX:edSafeedandedEffectiveedCareedEnvironmented(managementedofedcare)
4. Aedwell-developededPICO(TS)edquestionedhelpsedtheednurse
a. searchedforedevidence.
b. includeedalledfiveedelementsedofedtheedsequence.
c. findedasedmanyedarticlesedasedpossibleedinedaedliteratureedsearch.
d. acceptedstandardedclinicaledroutines.
ANS:e d A
Theedmoreedfocusededaedquestionedthatedyouedaskedis,edtheedeasiereditedisedtoedsearchedforedevidenceedine
dtheedscientificedliterature.edAedwell-
designededPICOTedquestioneddoesednotedhaveedtoedincludeedalledfiveedelements,ednoreddoeseditedhaveed
toedfollowedtheedPICOTedsequence.edDoednotedbeedsatisfiededwithedclinicaledroutines.edAlwaysedquest
ionedandeduseedcriticaledthinkingedtoedconsideredbetteredwaysedtoedprovideedpatientedcare.
DIF: CognitiveedLevel:edAnalysis REF:e d e d AskedaedClinicaledQuestion
OBJ:e d ExplainedtheedcomponentsedofedaedPICO(TS)edquestion. TOP:e d Evidence-
BasededPracticeedKEY:e d NursingedProcessedStep:edImplementation
MSC:e d NCLEX:edSafeedandedEffectiveedCareedEnvironmented(managementedofedcare)
5. Theednurseedisednotedsureedthatedtheedprocedureedtheedpatientedrequiresedisedtheedbestedpossible
foredtheedsituation.edUsingedwhichedofedtheedfollowingedresourcesedwouldedbeedtheedquickeste
ed
dwayedtoedreviewedresearchedonedtheedtopic?
a. CINAHL
b. PubMed
c. MEDLINE
d. TheedCochraneedDatabase
ANS:e d D
TheedCochraneedCommunityedDatabaseedofedSystematicedReviewsedisedaedvaluableedsourceedofedsynt
hesizededevidenceed(i.e.,edpreappraisededevidence).edTheedCochraneedDatabaseedincludesedtheedfulledt
extedofedregularlyedupdatededsystematicedreviewsedandedprotocolsedforedreviewsedcurrentlyedhappeni
ng.edMEDLINE,edCINAHL,edandedPubMededareedamongedtheedmostedcomprehensiveeddatabaseseda
ndedrepresentedtheedscientificedknowledgeedbaseedofedhealthedcare.
DIF: CognitiveedLevel:edSynthesis REF:e d e d SearchedforedtheedBestedEvidence
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