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

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Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition


MULTIPLE CHOICE



1. A nursing educator is explaining how the best clinical practices are determined.
Whichstatement best explains the purpose of evidence-based practice?
a.It ensures that all patients receive holistic care.
b.It provides a definite reason for providing care in a specific manner.
c.It prevents errors when care is being delivered.
d.It guarantees that care delivered is based on research.
ANS: B
Evidence-based practice is the use of the current best evidence in making patient care
decisions. It applies to all types of health care professionals. Currently there is no
method that can ensure that all patients receive holistic care, that all errors can be
prevented, or that a guarantee exists that care given is based on research.


DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation



2. Which question is a problem-focused trigger for initiating the evidence-based practice
methodin nursing care?
a. What is known about reduction of urinary tract infections in the older adult
withdiabetes?
b. How can chronic pain best be described when the patient is nonverbal?
c. How long can an IV catheter remain in place in a patient with obesity?
d. What measures can the nurse take to reduce the rising incidence of urinary
tractinfections on the older adult care unit?
ANS: D
Evidence-based practice (EBP) questions tend to arise from two sources: recurrent
problemsor new knowledge. In the correct option, the increase in urinary tract
infections indicates a trend or recurring problem in a specific group of patients. The
other questions are general information questions, not based on what is happening in
a specific area or to a group of specific patients in an area or relating to an observed
trend.

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DIF: Cognitive Level: Applying OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation



3. What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. Implementation by nursing
d. Interest of personnel

ANS: A
The “I” stands for intervention of interest, meaning what the nurse hopes to use in
practice and believes is worthwhile or valuable. This could be a treatment for a specific
type of woundor an approach on how to teach food preparation for a patient with
impaired sight.

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DIF: Cognitivey4Level:y4Remembering
OBJ:y 4 NCLEX:y4Safey4andy4Effectivey4Carey4Environmenty4TOP:y 4 Nursingy4Process:y4Imp
lementation



4. Whoy4willy4they4clinicaly4researchy4nursey4contacty4toy4searchy4relevanty4databasesy4iny4pr
eparationy4fory4any4upcomingy4study?
a. They4physiciany4whosey4patientsy4mayy4bey4involvedy4iny4they4study
b. They4medicaly4librarian
c. They4nursey4managery4ofy4they4unity4wherey4they4studyy4willy4bey4conducted
d. They4directory4ofy4nursingy4ofy4they4facility

ANS:y 4 B

They4medicaly4librariany4isy4mosty4knowledgeabley4regardingy4databasesy4relevanty4toy4a
y4study.y4They4othery4individualsy4doy4noty4havey4they4knowledgey4regardingy4relevanty4d
atabases.


DIF: Cognitivey4Level:y4Understanding
OBJ:y 4 NCLEX:y4Safey4andy4Effectivey4Carey4Environmenty4TOP:y 4 Nursingy4Process:y4Imp
lementation


5. Whichy4databasey4containsy4summariesy4ofy4clinicaly4guidelinesy4andy4theiry4development?
a. MEDLINE
b. CINAHL
c. Cochraney4Databasey4ofy4Systematicy4Reviews
d. They4Nationaly4Guideliney4Clearinghouse

ANS:y 4 D

They4Nationaly4Guideliney4Clearinghousey4 isy4ay4databasey4supportedy4byy4they4Agencyy4f
ory4Healthcarey4Researchy4andy4Quality.y4Ity4containsy4summariesy4ofy4clinicaly4guidelinesy4f
ory4practice.y4MEDLINEy4isa
databasey4fory4studiesy4iny4medicN ine,y4nursing,y4dentistry,y4psychiatry,y4veterinaryy4med
icine,y4andy4alliedy4health.y4CINAHLy4(Cumulativey4Indexy4ofy4Nursingy4andy4Alliedy4He
althy4Literature)y4includesy4studiesy4iny4nursing,y4alliedy4health,y4andy4biomedicine.y4The
y4Cochraney4Databasey4Fully4texty4of

regularlyy4updatedy4systematicy4reviewsy4preparedy4byy4they4Cochraney4Collaborationy4in
cludesy4completedy4reviewsy4andy4protocols.

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DIF: Cognitivey4Level:y4Remembering
OBJ:y 4 NCLEX:y4Safey4andy4Effectivey4Carey4Environmenty4TOP:y 4 Nursingy4Process:y4Imp
lementation



6. Whichy4doesy4they4nursey4researchery4identifyy4asy4they4strongesty4typey4ofy4research?
a. Randomizedy4controlledy4trials
b. Ay4qualitativey4study
c. Ay4descriptivey4study
d. Ay4casey4controlledy4study

ANS:y 4 A

Individualy4randomizedy4controlledy4trialsy4arey4closey4toy4they4topy4ofy4they4researc
hy4pyramid.y4Onlyy4systematicy4reviewsy4andy4meta-
analysesy4arey4higher.y4Thisy4typey4ofy4studyy4testsy4any4interventiony4againsty4they4u
sualy4standardy4ofy4care.y4They4othery4typesy4ofy4studiesy4arey4usefuly4buty4doy4noty4gi
vey4they4samey4typey4ofy4informationy4asy4ay4randomizedy4controlledy4trialy4provides.


DIF: Cognitivey4Level:y4Remembering
OBJ:y 4 NCLEX:y4Safey4andy4Effectivey4Carey4Environmenty4TOP:y 4 Nursingy4Process:y4Ass
essment