TEST BANK FOR
m m
Nursing Interventions & Clinical Skills, 7th
m m m m m m
Edition
Authors:mAnnemGriffinmPerry m&mPatriciamA.mPotterm&mWendymOsten
dorf
Chapterm1:mUsingmEvidencemin mNursingmPracticem
Chapterm2:mCommunication m&mCollaborationmCha
pterm3:mDocumentationmandmInformaticsmChapterm
4:mPatientmSafetym&mQuality mImprovementmChapte
rm5:mInfection mControl
Chapterm6:mDisastermPreparednessmCh
apterm7:mVitalmSigns
Chapterm8:mHealthmAssessmentmChapt
erm9:mSpecimenmCollectionmChapterm1
0:mDiagnostic mProcedures
Chapterm11:mBathingmandmPersonalmHygien
emChapterm12:mCaremofmthemEyemandmEarmC
hapterm13:mPromotingmNutrition
Chapterm14:mParenteralmNutrition mCh
apterm15:mPain mManagementmChapterm
16:mPromotingmOxygenationmChapterm
17:mSafemPatientmHandling
Chapterm18:mExercise,mMobility m&mImmobilizationmDevice
smChapterm19:mUrinary mElimination
Chapterm20:mBowelmEliminationm
21:mOstomy mCare
Chapterm22:mPreparation mformSafemMedicationmAdministration mCha
pterm23:mNonparenteralmMedications
Chapterm24:mParenteralmMedicationsmChapt
erm25:mWound mCaremand mIrrigation
Chapterm26:mPressuremInjurymPreventionmand mCare
mChapterm27:mDressings mBandages mandmBinders mC
hapterm28:mIntravenousmTherapy
Chapterm29:mPre-Operative mand mPost-
Operative mCaremChapterm30:mEmergency mMeasuresmformLi
femSupportmChapterm31:mEnd-of-LifemCare
Chapterm32:mHome mCaremSafety
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Chapter m01:mUsing mEvidence minmNursing mPractice
Perry metmal.:mNursing mInterventions m&mClinicalmSkills,m7thmEdition
MULTIPLEmCHOICE
1. A mnursingmeducatormismexplainingmhow mthembest mclinicalmpracticesmaremdetermined.mWhi
chmstatement mbest mexplainsmthempurposemof mevidence-based mpractice?
a. It mensuresmthat mallmpatientsmreceivemholisticmcare.
b. It mprovidesmamdefinitemreasonmformprovidingmcareminmamspecificmmanner.
c. It mpreventsmerrorsmwhenmcaremismbeingmdelivered.
d. It mguaranteesmthat mcaremdelivered mismbased monmresearch.
ANS:mB
Evidence-
based mpracticemismthemusemof mthemcurrent mbest mevidenceminmmakingmpatient mcaremdecisions.mIt ma
ppliesmtomallmtypesmof mhealthmcaremprofessionals.mCurrentlymtheremismnommethod mthat mcanmensure
mthat mallmpatientsmreceivemholisticmcare,mthat mallmerrorsmcanmbemprevented,mormthat mamguaranteeme
xistsmthat mcaremgivenmismbased monmresearch.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mImplement
ation
2. Whichmquestionmismamproblem-focused mtriggermforminitiatingmthemevidence-
based mpracticemmethod minmnursingmcare?
a. What mismknownmabout mreductionmof murinarymtract minfectionsminmthemoldermadult mwi
thmdiabetes?
b. How mcanmchronicmpainmbest mbemdescribed mwhenmthempatient mismnonverbal?
c. How mlongmcanmanmIV mcathetermremainminmplaceminmampatient mwithmobesity?
d. What mmeasuresmcanmthemnursemtakemtomreducemthemrisingmincidencemof murinarymtr
act minfectionsmonmthemoldermadult mcaremunit?
ANS:mD
Evidence-
based mpracticem(EBP)mquestionsmtend mtomarisemfrommtwomsources:mrecurrent mproblemsmormnew m
knowledge.mInmthemcorrect moption,mthemincreaseminmurinarymtract minfectionsmindicatesmamtrend mo
rmrecurringmproblemminmamspecificmgroupmof mpatients.m Themothermquestions maremgeneral minform
ationmquestions,mnot mbased monmwhat mismhappeningminmamspecificmareamormtomamgroupmof mspecific
mpatientsminmanmareamormrelatingmtomanmobserved mtrend.
DIF: CognitivemLevel:mApplying
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mImplement
ation
3. What mdoesmthem“I”mindicateminmam“PICO”mquestion?
a. Interventionmof minterest
b. Incorporationmof mconcepts
c. Implementationmbymnursing
d. Interest mof mpersonnel
ANS:mA
Them“I”mstandsmforminterventionmof minterest,mmeaningmwhat mthemnursemhopesmtomuseminmpractice
mand mbelievesmismworthwhilemormvaluable.mThismcould mbemamtreatment mformamspecificmtypemof mwo
und mormanmapproachmonmhow mtomteachmfood mpreparationmformampatient mwithmimpaired msight.
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DIF: CognitivemLevel:mRemembering
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mImplement
ation
4. Whomwillmthemclinicalmresearchmnursemcontact mtomsearchmrelevant mdatabasesminmpreparationmform
anmupcomingmstudy?
a. Themphysicianmwhosempatientsmmaymbeminvolved minmthemstudy
b. Themmedicalmlibrarian
c. Themnursemmanagermof mthemunit mwheremthemstudymwillmbemconducted
d. Themdirectormof mnursingmof mthemfacility
ANS:mB
Themmedicalmlibrarianmismmost mknowledgeablemregardingmdatabasesmrelevant mtomamstudy.mThemo
thermindividualsmdomnot mhavemthemknowledgemregardingmrelevant mdatabases.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mImplement
ation
5. Whichmdatabasemcontainsmsummariesmof mclinicalmguidelinesmand mtheirmdevelopment?
a. MEDLINE
b. CINAHL
c. CochranemDatabasemof mSystematicmReviews
d. ThemNationalmGuidelinemClearinghouse
ANS:mD
ThemNationalmGuidelinemClearinghousemismamdatabasemsupported mbymthemAgencymformHealthca
remResearchmand mQuality.mIt mcontainsmsummariesmof mclinicalmguidelinesmformpractice.mMEDLI
NEmismamdatabasemformstudiesminmmed iciNne, mnursing,mdentistry,mpsychiatry,mveterinarymmedici
ne,mand
allied mhealth.mCINAHLm(CumulativemIndexmof mNursingmand mAllied mHealthmLiterature)mincludes
studiesminmnursing,mallied mhealth,mand mbiomedicine.mThemCochranemDatabasemFull mtext mof mregu
larlymupdated msystematicmreviewsmprepared mbymthemCochranemCollaborationmincludesmcomplete
d mreviewsmand mprotocols.
DIF: CognitivemLevel:mRemembering
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mImplement
ation
6. Whichmdoesmthemnursemresearchermidentifymasmthemstrongest mtypemof mresearch?
a. Randomized mcontrolled mtrials
b. Amqualitativemstudy
c. Amdescriptivemstudy
d. Amcasemcontrolled mstudy
ANS:mA
Individualmrandomized mcontrolled mtrialsmaremclosemtomthemtopmof mthemresearchmpyramid.mOnlyms
ystematicmreviewsmand mmeta-
analysesmaremhigher.mThismtypemof mstudymtestsmanminterventionmagainst mthemusualmstandard mof mca
re.mThemothermtypesmof mstudiesmaremusefulmbut mdomnot mgivemthemsamemtypemof minformationmasmamr
andomized mcontrolled mtrialmprovides.
DIF: CognitivemLevel:mRemembering
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mAssessme
nt
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7. What mismthemnursemattemptingmtomdeterminemwhenmcritiquingmthemevidencemrelated mtomamPIC
OTmquestion?
a. Themethicalmconduct mof mthemresearchmthemnursemread
b. Themstrengthmof mthemevidencemfound minmthemliterature
c. If mtheremaremanymexpertsminmthemclinicalmquestionmneedingmtombemresearched
d. If mthemstudymdemonstratesmcost-effectivenessmif mamchangeminmpracticemoccurs
ANS:mB
Oncemamliteraturemsearchmismcompletemand mdatamaremgathered mabout mthemquestion,mit mismtimemtomc
ritiquemthemevidence.mCritiquingmthemevidenceminvolvesmamsystematicmapproachmtomlookingmat mth
emstrengthmof mthemworkmreviewed mand mitsmrelevance.mThemothermquestionsmaremnot mapplicablemto
mcritiquingmthemevidence.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mImplement
ation
8. A mnursemfindsmamcohort mstudymcomparingmonemgroupmtakingmhormonemtreatment mwithmanotherm
groupmnot mtakingmhormonemtreatment mtomdeterminemthemincidencemof mchangesminmbonemdensity
mof mthemlowermspine.mWhat mcanmthemnursemimplymfrommthismstudy?
a. Low mlevelmof mstrengthmmakesmthemstudymlimited minmvalue.
b. Moderatemlevelmof mstrengthmmakesmthemstudymprobablymuseful.
c. Opinionsmof mthemindividualsminmthemcohort maremnot mresearch.
d. Thismcould mbemthembasismformamQualitymImprovement mproject.
ANS:mB
A mcohort mstudymismLevelm4mevidencemasmit mismamsingle,mnon-
experimentalmstudy.mThismmoderatemlevelmof mevidencemmakesmthemstudymprobablymusefulmbut mt
hemnursemshould mstrivemtomfind mstrongermevidence. N
DIF: CognitivemLevel:mApplying
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mEvaluation
9. Whichmquestionmwould mbemthembest mexamplemof mamknowledge-
focused mtriggermformconductingmanmevidence-based mpracticemproject?
a. What mismthembest mmethod mformtreatment mof mlegmswellingmwhenmampatient mismtaki
ngmgabapentinm(Neurontin)?
b. How mcanmwemdecreasemthemincidencemof mskinmcancerminmadultsmovermthemagemof m65?
c. What mismthemcurrent mevidencemformimprovingmoralmintakemformcancermpatientsmwi
thmstomatitis?
d. What mismthemmaximalmlengthmof mtimemourmhospitalmallowsmirrigationmkitsmtombemused?
ANS:mC
Evidence-
based mpracticem(EBP)mquestionsmtend mtomarisemfrommtwomsources:mrecurrent mproblemsmor mnew m
knowledge.mInmthismexample,mthemnew mknowledgemthat mdrivesmthemquestionmismthemonemlooking
mat mcurrent mevidence.mThemothermquestionsmdomnot mlookmat mthemnewest mknowledgemtomformmamqu
estionmtomresearch.
DIF: CognitivemLevel:mAnalyzing
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:mNursingmProcess:mImplement
ation
MULTIPLEmRESPONSE