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, Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Clinical Nursing Skills & Techniques, 2nd Edition
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MULTIPLE CHOICE Kw




1. Evidence-based practice is a problem- Kw Kw Kw Kw


solving approach to making decisions about PATIENT carethat is grounded in:
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a. the latest information found in textbooks.
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b. systematically conducted research studies. Kw Kw Kw


c. tradition in clinical practice. Kw Kw Kw


d. quality improvement and risk-management data.
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ANS: B Kw


The best evidence comes from well-
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designed, systematically conducted research studies described in scientific journals. Portio
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ns of a textbook often become outdated by the time it is published. Many health care s
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ettings do not have a process to help staff adopt new evidence in practice, and nurses in
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Kwpractice settings lack easy access to risk-
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management data, relying instead on tradition or convenience. Some sources of evidence
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wdo not originate from research. These include quality improvement and risk-
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management data; infection control data; retrospective or concurrent chart reviews; and c
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linicians‘ expertise. Although Kw Kw


non–research-
based evidence is often very valuable, it is important that you learn to rely more on re
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search-based evidence. Kw




DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: Discuss the benefits of evid
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ence- based practice.TOP: Evidence-Based Practice
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KEY: Nursing Process Step: Assessment Kw Kw Kw Kw


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. Kw Kw


b. unhampered by PATIENT culture. Kw Kw Kw


c. variable according to the situation. Kw Kw Kw Kw


d. safe from the hazards of critical thinking.
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ANS: C Kw


Using your clinical expertise and considering PATIENTs‘ cultures, values, and pref
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erences ensures that you will apply available evidence in practice ethically and ap
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propriately. Evenwhen you use the best evidence available, application and outcome
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s will differ; as a nurse,you will develop critical thinking skills to determine whet
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her evidence is relevant and appropriate.
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DIFFERENCE: CognitiveLevel: Application Kw Kw


OBJECTIVE: Discuss the benefits of eviden Kw Kw Kw Kw Kw


ce- based practice.TOP:
Kw Evidence-Based Practice
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KEY: Nursing Process Step: Assessment Kw Kw Kw Kw


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 stan
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dard of care is:
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a. P.
b. I.
c.