,
, Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Clinical Nursing Skills & Techniques, 10th Edition
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MULTIPLE CHOICE zz
1. Evidence-based practice is a problem-solving approach to making decisions about patient care zz zz zz zz zz zz zz zz zz zz zz
that is grounded in:
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a. the latest information found in textbooks.
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b. systematically conducted research studies. zz zz zz
c. tradition in clinical practice. zz zz zz
d. quality improvement and risk-management data. zz zz zz zz
ANS: B zz
The best evidence comes from well-designed, systematically conducted research studies
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described in scientific journals. Portions of a textbook often become outdated by the time it is
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published. Many health care settings do not have a process to help staff adopt new evidence in
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practice, and nurses in practice settings lack easy access to risk-management data, relying
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instead on tradition or convenience. Some sources of evidence do not originate from research.
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These include quality improvement and risk-management data; infection control data;
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retrospective or concurrent chart reviews; and clinicians‘ expertise. Although
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non–research-based evidence is often very valuable, it is important that you learn to rely more zz zz zz zz zz zz zz zz zz zz zz zz zz zz
on research-based evidence.
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DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice. zz zz zz zz zz zz zz
TOP: Evidence-Based Practice
zz z KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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2. When evidence-based practice is used, patient care will be:
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a. standardized for all. zz zz
b. unhampered by patient culture. zz zz zz
c. variable according to the situation. zz zz zz zz
d. safe from the hazards of critical thinking.
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ANS: C zz
Using your clinical expertise and considering patients‘ cultures, values, and preferences
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ensures that you will apply available evidence in practice ethically and appropriately. Even
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when you use the best evidence available, application and outcomes will differ; as a nurse,
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you will develop critical thinking skills to determine whether evidence is relevant and
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appropriate.
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DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice. zz zz zz zz zz zz zz
TOP: Evidence-Based Practice
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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3. When a PICOT question is developed, the letter that corresponds with the usual standard of
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zz care is: zz
a. P.
b. I.
c.