NursingInterventions an
k k
d Clinical Skills 7th Editio
k k k k
n Test Bank
k k
Anne Griffin Perry, Patricia A. Potter & Wendy Oste
k k k k k k k k
ndorf
,Chapter 01: Using Evidence in Nursing Practice
k k k k k k
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
k k k k k k k k k
MULTIPLEkCHOICE
1. Aknursingkeducatorkiskexplainingkhowkthekbestkclinicalkpracticeskarekdetermined.kWhichks
tatementkbestkexplainskthekpurposekofkevidence-basedkpractice?
a. Itkensureskthatkallkpatientskreceivekholistickcare.
b. Itkprovideskakdefinitekreasonkforkprovidingkcarekinkakspecifickmanner.
c. Itkpreventskerrorskwhenkcarekiskbeingkdelivered.
d. Itkguaranteeskthatkcarekdeliveredkiskbasedkonkresearch.
ANS:k B
Evidence-
basedkpracticekiskthekusekofkthekcurrentkbestkevidencekinkmakingkpatientkcarekdecisions.kItkapplie
sktokallktypeskofkhealthkcarekprofessionals.kCurrentlyktherekisknokmethodkthatkcankensurekthatkallkp
atientskreceivekholistickcare,kthatkallkerrorskcankbekprevented,korkthatkakguaranteekexistskthatkcarek
givenkiskbasedkonkresearch.
DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
2. Whichkquestionkiskakproblem-focusedktriggerkforkinitiatingkthekevidence-
basedkpracticekmethodkinknursingkcare?
a. Whatkiskknownkaboutkreductionkofkurinaryktractkinfectionskinkthekolderkadultkwithkd
iabetes?
b. Howkcankchronickpainkbestkbekdescribedkwhenkthekpatientkisknonverbal?
c. Howklongkcankank IVkcatheterkremainkinkplacekinkakpatientkwithkobesity?
d. Whatkmeasureskcanktheknursektakektokreducekthekrisingkincidencekofkurinaryktractki
nfectionskonkthekolderkadultkcarekunit?
ANS:k D
Evidence-
basedkpracticek(EBP)kquestionsktendktokarisekfromktwoksources:krecurrentkproblemskorknewkkno
wledge.kInkthekcorrectkoption,kthekincreasekinkurinaryktractkinfectionskindicateskaktrendkorkrecurr
ingkproblemkinkakspecifickgroupkofkpatients.kThekotherkquestionskarekgeneralkinformationkquesti
ons,knotkbasedkonkwhatkiskhappeningkinkakspecifickareakorktokakgroupkofkspecifickpatientskinkankar
eakorkrelatingktokankobservedktrend.
DIF: CognitivekLevel:kApplying
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
3. Whatkdoeskthek―I‖kindicatekinkak―PICO‖kquestion?
a. Interventionkofkinterest
b. Incorporationkofkconcepts
c. Implementationkbyknursing
d. Interestkofkpersonnel
ANS:k A
Thek―I‖kstandskforkinterventionkofkinterest,kmeaningkwhatktheknursekhopesktokusekinkpracticekan
dkbelieveskiskworthwhilekorkvaluable.kThiskcouldkbekaktreatmentkforkakspecificktypekofkwoundkorka
nkapproachkonkhowktokteachkfoodkpreparationkforkakpatientkwithkimpairedksight.
, DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
4. Whokwillkthekclinicalkresearchknursekcontactktoksearchkrelevantkdatabaseskinkpreparationkforkanku
pcomingkstudy?
a. Thekphysiciankwhosekpatientskmaykbekinvolvedkinkthekstudy
b. Thekmedicalklibrarian
c. Theknursekmanagerkofkthekunitkwherekthekstudykwillkbekconducted
d. Thekdirectorkofknursingkofkthekfacility
ANS:k B
Thekmedicalklibrariankiskmostkknowledgeablekregardingkdatabaseskrelevantktokakstudy.kThekother
kindividualskdoknotkhavekthekknowledgekregardingkrelevantkdatabases.
DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
5. Whichkdatabasekcontainsksummarieskofkclinicalkguidelineskandktheirkdevelopment?
a. MEDLINE
b. CINAHL
c. CochranekDatabasekofkSystematickReviews
d. ThekNationalkGuidelinekClearinghouse
ANS:k D
ThekNationalkGuidelinekClearinghousekiskakdatabaseksupportedkbykthekAgencykforkHealthcarekResea
rchkandkQuality.kItkcontainsksummarieskofkclinicalkguidelineskforkpractice.kMEDLINEkis
akdatabasekforkstudieskinkmediciNne, knursing,kdentistry,kpsychiatry,kveterinarykmedicine,kandkall
iedkhealth.kCINAHLk(CumulativekIndexkofkNursingkandkAlliedkHealthkLiterature)kincludeskstudi
eskinknursing,kalliedkhealth,kandkbiomedicine.kThekCochranekDatabasekFullktextkof
regularlykupdatedksystematickreviewskpreparedkbykthekCochranekCollaborationkincludeskcomple
tedkreviewskandkprotocols.
DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
6. Whichkdoesktheknursekresearcherkidentifykaskthekstrongestktypekofkresearch?
a. Randomizedkcontrolledktrials
b. Akqualitativekstudy
c. Akdescriptivekstudy
d. Akcasekcontrolledkstudy
ANS:k A
Individualkrandomizedkcontrolledktrialskarekclosektokthektopkofkthekresearchkpyramid.kOnlyksyste
matickreviewskandkmeta-
analyseskarekhigher.kThisktypekofkstudyktestskankinterventionkagainstkthekusualkstandardkofkcare.k
Thekotherktypeskofkstudieskarekusefulkbutkdoknotkgivektheksamektypekofkinformationkaskakrandomi
zedkcontrolledktrialkprovides.
DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kAssessment
, 7. WhatkisktheknursekattemptingktokdeterminekwhenkcritiquingkthekevidencekrelatedktokakPICOTkq
uestion?
a. Thekethicalkconductkofkthekresearchktheknursekread
b. Thekstrengthkofkthekevidencekfoundkinkthekliterature
c. Ifktherekarekanykexpertskinkthekclinicalkquestionkneedingktokbekresearched
d. Ifkthekstudykdemonstrateskcost-effectivenesskifkakchangekinkpracticekoccurs
ANS:k B
Oncekakliteratureksearchkiskcompletekandkdatakarekgatheredkaboutkthekquestion,kitkisktimektokcritiq
uekthekevidence.kCritiquingkthekevidencekinvolveskaksystematickapproachktoklookingkatkthekstrengt
hkofkthekworkkreviewedkandkitskrelevance.kThekotherkquestionskareknotkapplicablektokcritiquingkth
ekevidence.
DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
8. Aknursekfindskakcohortkstudykcomparingkonekgroupktakingkhormonektreatmentkwithkanotherkgro
upknotktakingkhormonektreatmentktokdeterminekthekincidencekofkchangeskinkbonekdensitykofkthekl
owerkspine.kWhatkcanktheknursekimplykfromkthiskstudy?
a. Lowklevelkofkstrengthkmakeskthekstudyklimitedkinkvalue.
b. Moderateklevelkofkstrengthkmakeskthekstudykprobablykuseful.
c. Opinionskofkthekindividualskinkthekcohortkareknotkresearch.
d. ThiskcouldkbekthekbasiskforkakQualitykImprovementkproject.
ANS:k B
AkcohortkstudykiskLevelk4kevidencekaskitkiskaksingle,knon-
experimentalkstudy.kThiskmoderateklevelkofkevidencekmakeskthekstudykprobablykusefulkbutkthekn
ursekshouldkstrivektokfindkstrongerkevidence. N
DIF: CognitivekLevel:kApplying
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kEvaluation
9. Whichkquestionkwouldkbekthekbestkexamplekofkakknowledge-
focusedktriggerkforkconductingkankevidence-basedkpracticekproject?
a. Whatkiskthekbestkmethodkforktreatmentkofklegkswellingkwhenkakpatientkisktakingkg
abapentink(Neurontin)?
b. Howkcankwekdecreasekthekincidencekofkskinkcancerkinkadultskoverkthekagekofk65?
c. Whatkiskthekcurrentkevidencekforkimprovingkoralkintakekforkcancerkpatientskwithks
tomatitis?
d. Whatkiskthekmaximalklengthkofktimekourkhospitalkallowskirrigationkkitsktokbekused?
ANS:k C
Evidence-
basedkpracticek(EBP)kquestionsktendktokarisekfromktwoksources:krecurrentkproblemskorknewkkno
wledge.kInkthiskexample,ktheknewkknowledgekthatkdriveskthekquestionkiskthekoneklookingkatkcurre
ntkevidence.kThekotherkquestionskdoknotklookkatktheknewestkknowledgektokformkakquestionktokrese
arch.
DIF: CognitivekLevel:kAnalyzing
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
MULTIPLEkRESPONSE
k k
d Clinical Skills 7th Editio
k k k k
n Test Bank
k k
Anne Griffin Perry, Patricia A. Potter & Wendy Oste
k k k k k k k k
ndorf
,Chapter 01: Using Evidence in Nursing Practice
k k k k k k
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
k k k k k k k k k
MULTIPLEkCHOICE
1. Aknursingkeducatorkiskexplainingkhowkthekbestkclinicalkpracticeskarekdetermined.kWhichks
tatementkbestkexplainskthekpurposekofkevidence-basedkpractice?
a. Itkensureskthatkallkpatientskreceivekholistickcare.
b. Itkprovideskakdefinitekreasonkforkprovidingkcarekinkakspecifickmanner.
c. Itkpreventskerrorskwhenkcarekiskbeingkdelivered.
d. Itkguaranteeskthatkcarekdeliveredkiskbasedkonkresearch.
ANS:k B
Evidence-
basedkpracticekiskthekusekofkthekcurrentkbestkevidencekinkmakingkpatientkcarekdecisions.kItkapplie
sktokallktypeskofkhealthkcarekprofessionals.kCurrentlyktherekisknokmethodkthatkcankensurekthatkallkp
atientskreceivekholistickcare,kthatkallkerrorskcankbekprevented,korkthatkakguaranteekexistskthatkcarek
givenkiskbasedkonkresearch.
DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
2. Whichkquestionkiskakproblem-focusedktriggerkforkinitiatingkthekevidence-
basedkpracticekmethodkinknursingkcare?
a. Whatkiskknownkaboutkreductionkofkurinaryktractkinfectionskinkthekolderkadultkwithkd
iabetes?
b. Howkcankchronickpainkbestkbekdescribedkwhenkthekpatientkisknonverbal?
c. Howklongkcankank IVkcatheterkremainkinkplacekinkakpatientkwithkobesity?
d. Whatkmeasureskcanktheknursektakektokreducekthekrisingkincidencekofkurinaryktractki
nfectionskonkthekolderkadultkcarekunit?
ANS:k D
Evidence-
basedkpracticek(EBP)kquestionsktendktokarisekfromktwoksources:krecurrentkproblemskorknewkkno
wledge.kInkthekcorrectkoption,kthekincreasekinkurinaryktractkinfectionskindicateskaktrendkorkrecurr
ingkproblemkinkakspecifickgroupkofkpatients.kThekotherkquestionskarekgeneralkinformationkquesti
ons,knotkbasedkonkwhatkiskhappeningkinkakspecifickareakorktokakgroupkofkspecifickpatientskinkankar
eakorkrelatingktokankobservedktrend.
DIF: CognitivekLevel:kApplying
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
3. Whatkdoeskthek―I‖kindicatekinkak―PICO‖kquestion?
a. Interventionkofkinterest
b. Incorporationkofkconcepts
c. Implementationkbyknursing
d. Interestkofkpersonnel
ANS:k A
Thek―I‖kstandskforkinterventionkofkinterest,kmeaningkwhatktheknursekhopesktokusekinkpracticekan
dkbelieveskiskworthwhilekorkvaluable.kThiskcouldkbekaktreatmentkforkakspecificktypekofkwoundkorka
nkapproachkonkhowktokteachkfoodkpreparationkforkakpatientkwithkimpairedksight.
, DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
4. Whokwillkthekclinicalkresearchknursekcontactktoksearchkrelevantkdatabaseskinkpreparationkforkanku
pcomingkstudy?
a. Thekphysiciankwhosekpatientskmaykbekinvolvedkinkthekstudy
b. Thekmedicalklibrarian
c. Theknursekmanagerkofkthekunitkwherekthekstudykwillkbekconducted
d. Thekdirectorkofknursingkofkthekfacility
ANS:k B
Thekmedicalklibrariankiskmostkknowledgeablekregardingkdatabaseskrelevantktokakstudy.kThekother
kindividualskdoknotkhavekthekknowledgekregardingkrelevantkdatabases.
DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
5. Whichkdatabasekcontainsksummarieskofkclinicalkguidelineskandktheirkdevelopment?
a. MEDLINE
b. CINAHL
c. CochranekDatabasekofkSystematickReviews
d. ThekNationalkGuidelinekClearinghouse
ANS:k D
ThekNationalkGuidelinekClearinghousekiskakdatabaseksupportedkbykthekAgencykforkHealthcarekResea
rchkandkQuality.kItkcontainsksummarieskofkclinicalkguidelineskforkpractice.kMEDLINEkis
akdatabasekforkstudieskinkmediciNne, knursing,kdentistry,kpsychiatry,kveterinarykmedicine,kandkall
iedkhealth.kCINAHLk(CumulativekIndexkofkNursingkandkAlliedkHealthkLiterature)kincludeskstudi
eskinknursing,kalliedkhealth,kandkbiomedicine.kThekCochranekDatabasekFullktextkof
regularlykupdatedksystematickreviewskpreparedkbykthekCochranekCollaborationkincludeskcomple
tedkreviewskandkprotocols.
DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
6. Whichkdoesktheknursekresearcherkidentifykaskthekstrongestktypekofkresearch?
a. Randomizedkcontrolledktrials
b. Akqualitativekstudy
c. Akdescriptivekstudy
d. Akcasekcontrolledkstudy
ANS:k A
Individualkrandomizedkcontrolledktrialskarekclosektokthektopkofkthekresearchkpyramid.kOnlyksyste
matickreviewskandkmeta-
analyseskarekhigher.kThisktypekofkstudyktestskankinterventionkagainstkthekusualkstandardkofkcare.k
Thekotherktypeskofkstudieskarekusefulkbutkdoknotkgivektheksamektypekofkinformationkaskakrandomi
zedkcontrolledktrialkprovides.
DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kAssessment
, 7. WhatkisktheknursekattemptingktokdeterminekwhenkcritiquingkthekevidencekrelatedktokakPICOTkq
uestion?
a. Thekethicalkconductkofkthekresearchktheknursekread
b. Thekstrengthkofkthekevidencekfoundkinkthekliterature
c. Ifktherekarekanykexpertskinkthekclinicalkquestionkneedingktokbekresearched
d. Ifkthekstudykdemonstrateskcost-effectivenesskifkakchangekinkpracticekoccurs
ANS:k B
Oncekakliteratureksearchkiskcompletekandkdatakarekgatheredkaboutkthekquestion,kitkisktimektokcritiq
uekthekevidence.kCritiquingkthekevidencekinvolveskaksystematickapproachktoklookingkatkthekstrengt
hkofkthekworkkreviewedkandkitskrelevance.kThekotherkquestionskareknotkapplicablektokcritiquingkth
ekevidence.
DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
8. Aknursekfindskakcohortkstudykcomparingkonekgroupktakingkhormonektreatmentkwithkanotherkgro
upknotktakingkhormonektreatmentktokdeterminekthekincidencekofkchangeskinkbonekdensitykofkthekl
owerkspine.kWhatkcanktheknursekimplykfromkthiskstudy?
a. Lowklevelkofkstrengthkmakeskthekstudyklimitedkinkvalue.
b. Moderateklevelkofkstrengthkmakeskthekstudykprobablykuseful.
c. Opinionskofkthekindividualskinkthekcohortkareknotkresearch.
d. ThiskcouldkbekthekbasiskforkakQualitykImprovementkproject.
ANS:k B
AkcohortkstudykiskLevelk4kevidencekaskitkiskaksingle,knon-
experimentalkstudy.kThiskmoderateklevelkofkevidencekmakeskthekstudykprobablykusefulkbutkthekn
ursekshouldkstrivektokfindkstrongerkevidence. N
DIF: CognitivekLevel:kApplying
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kEvaluation
9. Whichkquestionkwouldkbekthekbestkexamplekofkakknowledge-
focusedktriggerkforkconductingkankevidence-basedkpracticekproject?
a. Whatkiskthekbestkmethodkforktreatmentkofklegkswellingkwhenkakpatientkisktakingkg
abapentink(Neurontin)?
b. Howkcankwekdecreasekthekincidencekofkskinkcancerkinkadultskoverkthekagekofk65?
c. Whatkiskthekcurrentkevidencekforkimprovingkoralkintakekforkcancerkpatientskwithks
tomatitis?
d. Whatkiskthekmaximalklengthkofktimekourkhospitalkallowskirrigationkkitsktokbekused?
ANS:k C
Evidence-
basedkpracticek(EBP)kquestionsktendktokarisekfromktwoksources:krecurrentkproblemskorknewkkno
wledge.kInkthiskexample,ktheknewkknowledgekthatkdriveskthekquestionkiskthekoneklookingkatkcurre
ntkevidence.kThekotherkquestionskdoknotklookkatktheknewestkknowledgektokformkakquestionktokrese
arch.
DIF: CognitivekLevel:kAnalyzing
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on
MULTIPLEkRESPONSE
