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7th Edition
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 01: Using Evidence in Nursing Practice
y y y y y y
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
y y y y y y y y y
MULTIPLE yCHOICE
1. A ynursing yeducator yis yexplaining yhow ythe ybest yclinical ypractices yare ydetermined.
Which ystatement ybest yexplains ythe ypurpose yof yevidence-based ypractice?
y
a.It yensures ythat yall ypatients yreceive yholistic ycare.
b.It yprovides ya ydefinite yreason yfor yproviding ycare yin ya yspecific ymanner.
c.It yprevents yerrors ywhen ycare yis ybeing ydelivered.
d.It yguarantees ythat ycare ydelivered yis ybased yon yresearch.
ANS: y B
Evidence-based ypractice yis ythe yuse yof ythe ycurrent ybest yevidence yin ymaking ypatient ycare
ydecisions. yIt yapplies yto yall ytypes yof yhealth ycare yprofessionals. yCurrently ythere yis yno ymethod
ythat ycan yensure ythat yall ypatients yreceive yholistic ycare, ythat yall yerrors ycan ybe yprevented, yor
ythat ya yguarantee yexists ythat ycare ygiven yis ybased yon yresearch.
DIF: Cognitive yLevel: yUnderstanding OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yImplementation
2. Which yquestion yis ya yproblem-focused ytrigger yfor yinitiating ythe yevidence-based ypractice
method yin ynursing ycare?
y
a. What yis yknown yabout yreduction yof yurinary ytract yinfections yin ythe yolder yadult
with ydiabetes?
y
b. How ycan ychronic ypain ybest ybe ydescribed ywhen ythe ypatient yis ynonverbal?
N
c. How ylong ycan yan yIV ycatheter yremain yin yplace yin ya ypatient ywith yobesity?
d. What ymeasures ycan ythe ynurse ytake yto yreduce ythe yrising yincidence yof yurinary
tract yinfections yon ythe yolder yadult ycare yunit?
y
ANS: y D
Evidence-based ypractice y(EBP) yquestions ytend yto yarise yfrom ytwo ysources: yrecurrent yproblems
yor ynew yknowledge. yIn ythe ycorrect yoption, ythe yincrease yin yurinary ytract yinfections yindicates ya
ytrend yor yrecurring yproblem yin ya yspecific ygroup yof ypatients. yThe yother yquestions yare ygeneral
yinformation yquestions, ynot ybased yon ywhat yis yhappening yin ya yspecific yarea yor yto ya ygroup yof
yspecific ypatients yin yan yarea yor yrelating yto yan yobserved ytrend.
DIF: Cognitive yLevel: yApplying OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yImplementation
3. What ydoes ythe y―I‖ yindicate yin ya y―PICO‖ yquestion?
a. Intervention yof yinterest
b. Incorporation yof yconcepts
c. Implementation yby ynursing
d. Interest yof ypersonnel
ANS: y A
The y―I‖ ystands yfor yintervention yof yinterest, ymeaning ywhat ythe ynurse yhopes yto yuse yin ypractice
yand ybelieves yis yworthwhile yor yvaluable. yThis ycould ybe ya ytreatment yfor ya yspecific ytype yof
ywound yor yan yapproach yon yhow yto yteach yfood ypreparation yfor ya ypatient ywith yimpaired ysight.
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DIF: Cognitive yLevel: yRemembering OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yImplementation
4. Who ywill ythe yclinical yresearch ynurse ycontact yto ysearch yrelevant ydatabases yin ypreparation yfor
an yupcoming ystudy?
y
a. The yphysician ywhose ypatients ymay ybe yinvolved yin ythe ystudy
b. The ymedical ylibrarian
c. The ynurse ymanager yof ythe yunit ywhere ythe ystudy ywill ybe yconducted
d. The ydirector yof ynursing yof ythe yfacility
ANS: y B
The ymedical ylibrarian yis ymost yknowledgeable yregarding ydatabases yrelevant yto ya ystudy. yThe
yother yindividuals ydo ynot yhave ythe yknowledge yregarding yrelevant ydatabases.
DIF: Cognitive yLevel: yUnderstanding OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yImplementation
5. Which ydatabase ycontains ysummaries yof yclinical yguidelines yand ytheir ydevelopment?
a. MEDLINE
b. CINAHL
c. Cochrane yDatabase yof ySystematic yReviews
d. The yNational yGuideline yClearinghouse
ANS: y D
The yNational yGuideline yClearinghouse yis ya ydatabase ysupported yby ythe yAgency yfor
yHealthcare yResearch yand yQuality. yIt ycontains ysummaries yof yclinical yguidelines yfor ypractice.
yMEDLINE yis ya ydatabase yfor ystudies yin ymediciN ne, ynursing, ydentistry, ypsychiatry,
yveterinary ymedicine, yand
allied yhealth. yCINAHL y(Cumulative yIndex yof yNursing yand yAllied yHealth yLiterature) yincludes
studies yin ynursing, yallied yhealth, yand ybiomedicine. yThe yCochrane yDatabase yFull ytext yof
yregularly yupdated ysystematic yreviews yprepared yby ythe yCochrane yCollaboration yincludes
ycompleted yreviews yand yprotocols.
DIF: Cognitive yLevel: yRemembering OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yImplementation
6. Which ydoes ythe ynurse yresearcher yidentify yas ythe ystrongest ytype yof yresearch?
a. Randomized ycontrolled ytrials
b. A yqualitative ystudy
c. A ydescriptive ystudy
d. A ycase ycontrolled ystudy
ANS: y A
Individual yrandomized ycontrolled ytrials yare yclose yto ythe ytop yof ythe yresearch ypyramid. yOnly
ysystematic yreviews yand ymeta-analyses yare yhigher. yThis ytype yof ystudy ytests yan yintervention
yagainst ythe yusual ystandard yof ycare. yThe yother ytypes yof ystudies yare yuseful ybut ydo ynot ygive ythe
ysame ytype yof yinformation yas ya yrandomized ycontrolled ytrial yprovides.
DIF: Cognitive yLevel: yRemembering OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yAssessment
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, TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
7. What yis ythe ynurse yattempting yto ydetermine ywhen ycritiquing ythe yevidence yrelated yto ya
PICOT yquestion?
y
a. The yethical yconduct yof ythe yresearch ythe ynurse yread
b. The ystrength yof ythe yevidence yfound yin ythe yliterature
c. If ythere yare yany yexperts yin ythe yclinical yquestion yneeding yto ybe yresearched
d. If ythe ystudy ydemonstrates ycost-effectiveness yif ya ychange yin ypractice yoccurs
ANS: y B
Once ya yliterature ysearch yis ycomplete yand ydata yare ygathered yabout ythe yquestion, yit yis ytime yto
ycritique ythe yevidence. yCritiquing ythe yevidence yinvolves ya ysystematic yapproach yto ylooking yat
ythe ystrength yof ythe ywork yreviewed yand yits yrelevance. yThe yother yquestions yare ynot yapplicable
yto ycritiquing ythe yevidence.
DIF: Cognitive yLevel: yUnderstanding OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yImplementation
8. A ynurse yfinds ya ycohort ystudy ycomparing yone ygroup ytaking yhormone ytreatment ywith yanother
group ynot ytaking yhormone ytreatment yto ydetermine ythe yincidence yof ychanges yin ybone ydensity
y
of ythe ylower yspine. yWhat ycan ythe ynurse yimply yfrom ythis ystudy?
y
a. Low ylevel yof ystrength ymakes ythe ystudy ylimited yin yvalue.
b. Moderate ylevel yof ystrength ymakes ythe ystudy yprobably yuseful.
c. Opinions yof ythe yindividuals yin ythe ycohort yare ynot yresearch.
d. This ycould ybe ythe ybasis yfor ya yQuality yImprovement yproject.
ANS: y B
A ycohort ystudy yis yLevel y4 yevidence yas yit yis ya ysingle, ynon-experimental ystudy. yThis ymoderate
ylevel yof yevidence ymakes ythe ystudy yprobably yuseful ybut ythe ynurse yshould ystrive yto yfind
ystronger
evidence. N
DIF: Cognitive yLevel: yApplying OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yEvaluation
9. Which yquestion ywould ybe ythe ybest yexample yof ya yknowledge-focused ytrigger yfor yconducting
an yevidence-based ypractice yproject?
y
a. What yis ythe ybest ymethod yfor ytreatment yof yleg yswelling ywhen ya ypatient yis
taking ygabapentin y(Neurontin)?
y
b. How ycan ywe ydecrease ythe yincidence yof yskin ycancer yin yadults yover ythe yage yof y65?
c. What yis ythe ycurrent yevidence yfor yimproving yoral yintake yfor ycancer ypatients
with ystomatitis?
y
d. What yis ythe ymaximal ylength yof ytime your yhospital yallows yirrigation ykits yto ybe yused?
ANS: y C
Evidence-based ypractice y(EBP) yquestions ytend yto yarise yfrom ytwo ysources: yrecurrent
yproblems yor ynew yknowledge. yIn ythis yexample, ythe ynew yknowledge ythat ydrives ythe yquestion
yis ythe yone ylooking yat ycurrent yevidence. yThe yother yquestions ydo ynot ylook yat ythe ynewest
yknowledge yto yform ya yquestion yto yresearch.
DIF: Cognitive yLevel: yAnalyzing OBJ: y NCLEX: ySafe yand yEffective yCare
yEnvironment yTOP: y Nursing yProcess: yImplementation
MULTIPLE yRESPONSE
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