Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf

Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf




Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf

,Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf

Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Nursing Interventions & Clinical Skills, 6th Edition
MULTIPLE CHOICE

1. A nursing educator is explaining how the best clinical practices are determined. Which
statement 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: Remember REF: Page 1
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation

2. Which question is a problem-focused trigger?
a. What is known about reduction of urinary tract infections in the older adult with
diabetes?
b. How can chronic pain best be described when the patient is nonverbal?
c. How long can an intravenous catheter remain in place in an obese patient?
d. What measures can the nurse take to reduce the rising incidence of urinary tract
infections on the elder care unit?
ANS: D
A problem-focused trigger is a question faced when caring for a patient or a trend seen in a
practice setting. In this example there is a problem (urinary tract infections) and a trend (on
the elder care unit). 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.

DIF: Cognitive Level: Apply REF: Page 3
OBJ: NCLEX: Safe and Effective Care 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 wound
or an approach on how to teach food preparation for a patient with impaired sight.

Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf

,Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf

DIF: Cognitive Level: Remember REF: Page 4, Box 1-2
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation

4. The nurse is conducting clinical research and needs to obtain relevant databases. Whom
should the nurse contact?
a. The physician whose patients may be involved in the study
b. The medical librarian
c. The nurse manager of the unit where the study will be conducted
d. The director of nursing of the facility

ANS: B
The medical librarian is most knowledgeable regarding databases relevant to a study. The
other individuals will know about the study but do not have the knowledge regarding relevant
databases.

DIF: Cognitive Level: Remember REF: Page 4
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation

5. Which database contains clinical guidelines systematically developed for a specific set of
circumstances involving a specific patient population?
a. MEDLINE
b. CINAHL
c. Cochrane Data of Systematic Reviews
d. The National Guideline Clearinghouse

ANS: D
The National Guideline Clearinghouse is a database supported by the Agency for Healthcare
Research and Quality. It contaiN
nsUcRliSniIcaNl GgT
u iB
de.liCn O
e sMsystematically developed about a plan of
care for a specific set of clinical circumstances involving a specific patient population. The
others are not as specific and have broader application and references.

DIF: Cognitive Level: Remember REF: Page 5
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation

6. The nurse researcher is trying to determine the strongest type of research. Which type of
research would the nurse choose?
a. Randomized controlled trials
b. A qualitative study
c. A descriptive study
d. A case-controlled study

ANS: A
Individual randomized controlled trials are close to the top of the research pyramid. Only
systematic reviews and meta-analyses are higher. This type of study tests an intervention
against the usual standard of care. The other types of studies are useful but do not give the
same type of information as a randomized controlled trial provides.

DIF: Cognitive Level: Remember REF: Page 5-6
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation

Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf

, Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf

7. What is the nurse attempting to determine when critiquing the evidence?
a. If the potential study is ethical to conduct




Test Bank for Nursing Interventions & Clinical Skills 6th Edition by Griffin Perry, Potter, & Ostendorf