TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER

Nursing Interventions an
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d Clinical Skills 7th Editio
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n Test Bank
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Anne Griffin Perry, Patricia A. Potter & Wendy Ost
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endorf

,Chapterg01:gUsinggEvidencegingNursinggPractice
Perrygetgal.:gNursinggInterventionsg&gClinicalgSkills,g7thgEdition


MULTIPLEgCHOICE

1. Agnursinggeducatorgisgexplainingghowgthegbestgclinicalgpracticesgaregdetermined.gWhic
hgstatementgbestgexplainsgthegpurposegofgevidence-basedgpractice?
a. Itgensuresgthatgallgpatientsgreceivegholisticgcare.
b. Itgprovidesgagdefinitegreasongforgprovidinggcaregingagspecificgmanner.
c. Itgpreventsgerrorsgwhengcaregisgbeinggdelivered.
d. Itgguaranteesgthatgcaregdeliveredgisgbasedgongresearch.
ANS:g B
Evidence-
basedgpracticegisgthegusegofgthegcurrentgbestgevidencegingmakinggpatientgcaregdecisions.gItgap
pliesgtogallgtypesgofghealthgcaregprofessionals.gCurrentlygtheregisgnogmethodgthatgcangensuregt
hatgallgpatientsgreceivegholisticgcare,gthatgallgerrorsgcangbegprevented,gorgthatgagguaranteegexis
tsgthatgcareggivengisgbasedgongresearch.

DIF: CognitivegLevel:gUnderstanding
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplement
ation

2. Whichgquestiongisgagproblem-focusedgtriggergforginitiatinggthegevidence-
basedgpracticegmethodgingnursinggcare?
a. Whatgisgknowngaboutgreductiongofgurinarygtractginfectionsgingthegoldergadultgwit
hgdiabetes?
b. Howgcangchronicgpaingbestgbegdescribedgwhengthegpatientgisgnonverbal?
c. HowglonggcangangIVgcathetergremaingingplacegingagpatientgwithgobesity?
d. Whatgmeasuresgcangthegnursegtakegtogreducegthegrisinggincidencegofgurinarygtra
ctginfectionsgongthegoldergadultgcaregunit?
ANS:g D
Evidence-
basedgpracticeg(EBP)gquestionsgtendgtogarisegfromgtwogsources:grecurrentgproblemsgorgnewgk
nowledge.gIngthegcorrectgoption,gthegincreasegingurinarygtractginfectionsgindicatesgagtrendgorg
recurringgproblemgingagspecificggroupgofgpatients.gThegothergquestionsgareggeneralginformati
ongquestions,gnotgbasedgongwhatgisghappeninggingagspecificgareagorgtogaggroupgofgspecificgpat
ientsgingangareagorgrelatinggtogangobservedgtrend.

DIF: CognitivegLevel:gApplying
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplement
ation

3. Whatgdoesgtheg―I‖gindicategingag―PICO‖gquestion?
a. Interventiongofginterest
b. Incorporationgofgconcepts
c. Implementationgbygnursing
d. Interestgofgpersonnel
ANS:g A
Theg―I‖gstandsgforginterventiongofginterest,gmeaninggwhatgthegnurseghopesgtogusegingpractice
gandgbelievesgisgworthwhilegorgvaluable.gThisgcouldgbegagtreatmentgforgagspecificgtypegofgwou
ndgorgangapproachgonghowgtogteachgfoodgpreparationgforgagpatientgwithgimpairedgsight.

, DIF: CognitivegLevel:gRemembering
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplement
ation

4. Whogwillgthegclinicalgresearchgnursegcontactgtogsearchgrelevantgdatabasesgingpreparationgforga
ngupcominggstudy?
a. Thegphysiciangwhosegpatientsgmaygbeginvolvedgingthegstudy
b. Thegmedicalglibrarian
c. Thegnursegmanagergofgthegunitgwheregthegstudygwillgbegconducted
d. Thegdirectorgofgnursinggofgthegfacility
ANS:g B
Thegmedicalglibrariangisgmostgknowledgeablegregardinggdatabasesgrelevantgtogagstudy.gThegot
hergindividualsgdognotghavegthegknowledgegregardinggrelevantgdatabases.

DIF: CognitivegLevel:gUnderstanding
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplement
ation

5. Whichgdatabasegcontainsgsummariesgofgclinicalgguidelinesgandgtheirgdevelopment?
a. MEDLINE
b. CINAHL
c. CochranegDatabasegofgSystematicgReviews
d. ThegNationalgGuidelinegClearinghouse
ANS:g D
ThegNationalgGuidelinegClearinghousegisgagdatabasegsupportedgbygthegAgencygforgHealthcaregRes
earchgandgQuality.gItgcontainsgsummariesgofgclinicalgguidelinesgforgpractice.gMEDLINEgis
agdatabasegforgstudiesgingmediciNne, gnursing,gdentistry,gpsychiatry,gveterinarygmedicine,gandg
alliedghealth.gCINAHLg(CumulativegIndexgofgNursinggandgAlliedgHealthgLiterature)gincludes
gstudiesgingnursing,galliedghealth,gandgbiomedicine.gThegCochranegDatabasegFullgtextgof

regularlygupdatedgsystematicgreviewsgpreparedgbygthegCochranegCollaborationgincludesgcomp
letedgreviewsgandgprotocols.

DIF: CognitivegLevel:gRemembering
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplement
ation

6. Whichgdoesgthegnursegresearchergidentifygasgthegstrongestgtypegofgresearch?
a. Randomizedgcontrolledgtrials
b. Agqualitativegstudy
c. Agdescriptivegstudy
d. Agcasegcontrolledgstudy
ANS:g A
Individualgrandomizedgcontrolledgtrialsgaregclosegtogthegtopgofgthegresearchgpyramid.gOnlygsy
stematicgreviewsgandgmeta-
analysesgareghigher.gThisgtypegofgstudygtestsganginterventiongagainstgthegusualgstandardgofgcar
e.gThegothergtypesgofgstudiesgaregusefulgbutgdognotggivegthegsamegtypegofginformationgasgagran
domizedgcontrolledgtrialgprovides.

DIF: CognitivegLevel:gRemembering
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gAssessmen
t

, 7. WhatgisgthegnursegattemptinggtogdeterminegwhengcritiquinggthegevidencegrelatedgtogagPICO
Tgquestion?
a. Thegethicalgconductgofgthegresearchgthegnursegread
b. Thegstrengthgofgthegevidencegfoundgingthegliterature
c. Ifgtheregareganygexpertsgingthegclinicalgquestiongneedinggtogbegresearched
d. Ifgthegstudygdemonstratesgcost-effectivenessgifgagchangegingpracticegoccurs
ANS:g B
Oncegagliteraturegsearchgisgcompletegandgdatagareggatheredgaboutgthegquestion,gitgisgtimegtogcri
tiquegthegevidence.gCritiquinggthegevidenceginvolvesgagsystematicgapproachgtoglookinggatgthegs
trengthgofgthegworkgreviewedgandgitsgrelevance.gThegothergquestionsgaregnotgapplicablegtogcrit
iquinggthegevidence.

DIF: CognitivegLevel:gUnderstanding
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplement
ation

8. Agnursegfindsgagcohortgstudygcomparinggoneggroupgtakingghormonegtreatmentgwithganotherg
groupgnotgtakingghormonegtreatmentgtogdeterminegthegincidencegofgchangesgingbonegdensityg
ofgtheglowergspine.gWhatgcangthegnursegimplygfromgthisgstudy?
a. Lowglevelgofgstrengthgmakesgthegstudyglimitedgingvalue.
b. Moderateglevelgofgstrengthgmakesgthegstudygprobablyguseful.
c. Opinionsgofgthegindividualsgingthegcohortgaregnotgresearch.
d. ThisgcouldgbegthegbasisgforgagQualitygImprovementgproject.
ANS:g B
AgcohortgstudygisgLevelg4gevidencegasgitgisgagsingle,gnon-
experimentalgstudy.gThisgmoderateglevelgofgevidencegmakesgthegstudygprobablygusefulgbutgth
egnursegshouldgstrivegtogfindgstrongergevidence. N

DIF: CognitivegLevel:gApplying
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gEvaluation

9. Whichgquestiongwouldgbegthegbestgexamplegofgagknowledge-
focusedgtriggergforgconductinggangevidence-basedgpracticegproject?
a. Whatgisgthegbestgmethodgforgtreatmentgofgleggswellinggwhengagpatientgisgtakin
gggabapenting(Neurontin)?
b. Howgcangwegdecreasegthegincidencegofgskingcancergingadultsgovergthegagegofg65?
c. Whatgisgthegcurrentgevidencegforgimprovinggoralgintakegforgcancergpatientsgwit
hgstomatitis?
d. Whatgisgthegmaximalglengthgofgtimegourghospitalgallowsgirrigationgkitsgtogbegused?
ANS:g C
Evidence-
basedgpracticeg(EBP)gquestionsgtendgtogarisegfromgtwogsources:grecurrentgproblemsgorgnewgk
nowledge.gIngthisgexample,gthegnewgknowledgegthatgdrivesgthegquestiongisgthegoneglookinggat
gcurrentgevidence.gThegothergquestionsgdognotglookgatgthegnewestgknowledgegtogformgagquesti
ongtogresearch.

DIF: CognitivegLevel:gAnalyzing
OBJ:gNCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplement
ation


MULTIPLEgRESPONSE