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NURSING INTERVENTIONS AND CLINICAL SKILLS C C C C C
TH
7 EDITION BY POTTER C
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TEST BANK C
Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
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MULTIPLE CHOICE c
1. A nursing educator is explaining how the best clinical practices are determined.Whi
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chstatement best explains the purpose of evidence-based practice?
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a. It ensures that all patients receive holistic care.
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b. It provides a definite reason for providing care in a specific manner.
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c. It prevents errors when care is being delivered.
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d. It guarantees that care delivered is based on research.
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ANS: B c
Evidence-
based practice is the use of the current best evidence in making patient caredecisions. It ap
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plies to all types of health care professionals. Currently there is no method thatcan ensure t
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hat all patients receive holistic care, that all errors can be prevented, or that a guarantee exi
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sts that care given is based on research.
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DIF: Cognitive Level: Understanding
c c c OBJ: NCLEX: Safe and Effective Care
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EnvironmentTOP: Nursing Process: Implementation
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2. Which question is a problem-focused trigger for initiating the evidence-
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based practicemethodin nursing care?c c c c
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,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
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a. What is known about reduction of urinary tract infections in the olderadul
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t withdiabetes?
c
b. How can chronic pain best be described when the patient is nonverbal?
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c. How long can an IV catheter remain in place in a patient with obesity?
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d. What measures can the nurse take to reduce therising incidence ofurin
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ary tractinfections on the older adult care unit?
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ANS: D c
Evidence-
based practice (EBP) questions tend to arise from two sources: recurrent problemsor new
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knowledge. In the correct option, the increase in urinary tract infections indicates a trend
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or recurring problem in a specific group of patients. The other questions are general infor
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mation questions, not based on what is happening ina specific area or to a group of specific
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patients in an area or relating to an observed trend.
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DIF: Cognitive Level: Applying
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OBJ: NCLEX: Safe and Effective CareEc c c c c c
nvironmentTOP: Nursing Process: Implementation c c c
3. What does the “I” indicate in a “PICO” question?
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a. Intervention of interest c c
b. Incorporation of concepts c c
c. Implementation by nursing c c
d. Interest of personnel c c
ANS: A c
The “I” stands for intervention of interest, meaning what the nurse hopes to use in practice a
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nd believes is worthwhile or valuable. This could be a treatment for a specifictype of woundor
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an approach on how to teach food preparation for a patient with impaired sight.
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DIF: Cognitive Level: RememberingOBJ: NCLEX: Safe and Effective CareEnvironmentTO
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P: Nursing Process: Implementation
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4. Who will the clinical research nurse contact to search relevant databases inpre
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paration for anupcoming study? c c c
a. The physician whose patients may be involved in the study
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b. The medical librarian c c
c. The nurse manager of the unit where the study will be conducted
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d. The director of nursing of the facility
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ANS: B c
The medical librarian is most knowledgeable regarding databases relevant to astudy
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. Theother individuals do not have the knowledge regarding relevant databases.
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DIF: Cognitive Level: Understanding
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OBJ: NCLEX: Safe and Effective CareE c c c c c c
nvironmentTOP: Nursing Process: Implementation c c c
5. Which database contains summaries of clinical guidelines and their development?
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a. MEDLINE
b. CINAHL
c. Cochrane Database of Systematic Reviews c c c c
d. The National Guideline Clearinghouse c c c
ANS: D c
The National Guideline Clearinghouse is a database supported by the Agency for Healthc
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are Research and Quality. It contains summaries of clinical guidelines for practice. MED
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LINE is a database for studies in medicN
ccc ine, nursing, dentistry, psychiatry, veterinary m
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edicine, and c
allied health. CINAHL (Cumulative Index of Nursing and Allied Health Literature)inclu
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des
studies in nursing, allied health, and biomedicine. The Cochrane Database Fulltext o
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f regularly updated systematic reviews prepared by the Cochrane Collaboration incl
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udescompleted reviews and protocols. c c c
DIF: Cognitive Level: RememberingOBJ: NCLEX: Safe and Effective Care
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EnvironmentTOP: Nursing Process: Implementation c c c
6. Which does the nurse researcher identify as thestrongest type of research?
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a. Randomized controlled trials c c
b. A qualitative study c c
c. A descriptive study c c
d. A case controlled study c c c
ANS: A c
Individual randomized controlled trials are close to the top of the research pyramid.
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Only systematic reviews and meta-
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analyses are higher. This type of study tests an intervention against the usual standar
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d of care. The other types ofstudies are useful but do not give thesame type of informa
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tion as a randomized controlled trial provides.
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DIF: Cognitive Level: RememberingOBJ: NCLEX: Safe and Effective CareEnvironmentTO
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P: Nursing Process: Assessment
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