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Examen

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

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

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Publié le
28 mars 2025
Nombre de pages
326
Écrit en
2024/2025
Type
Examen
Contient
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TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
k k k k k k k k k k k




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




MULTIPLE CHOICE k




1. A nursing educator is explaining how the best clinical practices are determined. Which st
k k k k k k k k k k k k k


atement best explains the purpose of evidence-based practice?
k k k k k k k


a. It ensures that all patients receive holistic care.
k k k k k k k


b. It provides a definite reason for providing care in a specific manner.
k k k k k k k k k k k


c. It prevents errors when care is being delivered.
k k k k k k k


d. It guarantees that care delivered is based on research.
k k k k k k k k




ANS: B k


Evidence-
based practice is the use of the current best evidence in making patient care decisions. It applies t
k k k k k k k k k k k k k k k k k


o all types of health care professionals. Currently there is no method that can ensure that all patie
k k k k k k k k k k k k k k k k k


nts receive holistic care, that all errors can be prevented, or that a guarantee exists that care given
k k k k k k k k k k k k k k k k k


is based on research.
k k k k




DIF: Cognitive Level: Understanding k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n

2. Which question is a problem-focused trigger for initiating the evidence-
k k k k k k k k k


based practice method in nursing care?
k k k k k


a. What is known about reduction of urinary tract infections in the older adult with di
k k k k k k k k k k k k k k


abetes?
b. How can chronic pain best be described when the patient is nonverbal?
N k k


c. How long can an IV catheter remain in place in a patient with obesity?
k k k k k k k k k


k k k k k k k k k k k k k


d. What measures can the nurse take to reduce the rising incidence of urinary tract inf
k k k k k k k k k k k k k k


ections on the older adult care unit? k k k k k k




ANS: D k


Evidence-
based practice (EBP) questions tend to arise from two sources: recurrent problems or new knowl
k k k k k k k k k k k k k k


edge. In the correct option, the increase in urinary tract infections indicates a trend or recurring
k k k k k k k k k k k k k k k k


problem in a specific group of patients. The other questions are general information questions, n
k k k k k k k k k k k k k k


ot based on what is happening in a specific area or to a group of specific patients in an area or rel
k k k k k k k k k k k k k k k k k k k k k


ating to an observed trend. k k k k




DIF: Cognitive Level: Applying k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n

3. What does the ―I‖ indicate in a ―PICO‖ question?
k k k k k k k k


a. Intervention of interest k k


b. Incorporation of concepts k k


c. Implementation by nursing k k


d. Interest of personnel k k




ANS: A k


The ―I‖ stands for intervention of interest, meaning what the nurse hopes to use in practice and b
k k k k k k k k k k k k k k k k k


elieves is worthwhile or valuable. This could be a treatment for a specific type of wound or an ap
k k k k k k k k k k k k k k k k k k


proach on how to teach food preparation for a patient with impaired sight.
k k k k k k k k k k k k




TESTBANKWORLD.ORG

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




DIF: Cognitive Level: Remembering k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n

4. Who will the clinical research nurse contact to search relevant databases in preparation for an up
k k k k k k k k k k k k k k k


coming study? k


a. The physician whose patients may be involved in the study
k k k k k k k k k


b. The medical librarian k k


c. The nurse manager of the unit where the study will be conducted
k k k k k k k k k k k


d. The director of nursing of the facility
k k k k k k




ANS: B k


The medical librarian is most knowledgeable regarding databases relevant to a study. The other i
k k k k k k k k k k k k k k


ndividuals do not have the knowledge regarding relevant databases.
k k k k k k k k




DIF: Cognitive Level: Understanding k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n

5. Which database contains summaries of clinical guidelines and their development?
k k k k k k k k k


a. MEDLINE
b. CINAHL
c. Cochrane Database of Systematic Reviews k k k k


d. The National Guideline Clearinghouse
k k k




ANS: D k


The National Guideline Clearinghouse is a database supported by the Agency for Healthcare R
k k k k k k k k k k k k k


esearch and Quality. It contains summaries of clinical guidelines for practice. MEDLINE is a da
k k k k k k k k k k k k k k


tabase for studies in mediciNne, nursing, dentistry, psychiatry, veterinary medicine, and
k k k k k k k k k k


allied health. CINAHL (Cumulative Index of Nursing and Allied Health Literature) includes
k k k k k k k k k k k


studies in nursing, allied health, and biomedicine. The Cochrane Database Full text of regularly
k k k k k k k k k k k k k k


updated systematic reviews prepared by the Cochrane Collaboration includes completed review
k k k k k k k k k k


s and protocols.
k k




DIF: Cognitive Level: Remembering k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n

6. Which does the nurse researcher identify as the strongest type of research?
k k k k k k k k k k k


a. Randomized controlled trials k k


b. A qualitative study
k k


c. A descriptive study
k k


d. A case controlled study
k k k




ANS: A k


Individual randomized controlled trials are close to the top of the research pyramid. Only system
k k k k k k k k k k k k k k


atic reviews and meta-
k k k


analyses are higher. This type of study tests an intervention against the usual standard of care. Th
k k k k k k k k k k k k k k k k


e other types of studies are useful but do not give the same type of information as a randomized c
k k k k k k k k k k k k k k k k k k k


ontrolled trial provides. k k




DIF: Cognitive Level: Remembering k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Assessment
k k k k k k k k k k




TESTBANKWORLD.ORG

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




7. What is the nurse attempting to determine when critiquing the evidence related to a PICOT qu
k k k k k k k k k k k k k k k


estion?
a. The ethical conduct of the research the nurse read
k k k k k k k k


b. The strength of the evidence found in the literature
k k k k k k k k


c. If there are any experts in the clinical question needing to be researched
k k k k k k k k k k k k


d. If the study demonstrates cost-effectiveness if a change in practice occurs
k k k k k k k k k k




ANS: B k


Once a literature search is complete and data are gathered about the question, it is time to critique
k k k k k k k k k k k k k k k k k k


the evidence. Critiquing the evidence involves a systematic approach to looking at the strength of
k k k k k k k k k k k k k k k


the work reviewed and its relevance. The other questions are not applicable to critiquing the evid
k k k k k k k k k k k k k k k


ence.

DIF: Cognitive Level: Understanding k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n

8. A nurse finds a cohort study comparing one group taking hormone treatment with another grou
k k k k k k k k k k k k k k


p not taking hormone treatment to determine the incidence of changes in bone density of the low
k k k k k k k k k k k k k k k k


er spine. What can the nurse imply from this study?
k k k k k k k k k


a. Low level of strength makes the study limited in value.
k k k k k k k k k


b. Moderate level of strength makes the study probably useful.
k k k k k k k k


c. Opinions of the individuals in the cohort are not research.
k k k k k k k k k


d. This could be the basis for a Quality Improvement project.
k k k k k k k k k




ANS: B k


A cohort study is Level 4 evidence as it is a single, non-
k k k k k k k k k k k k


experimental study. This moderate level of evidence makes the study probably useful but the nur
k k k k k k k k k k k k k k


se should strive to find stronger
k k k k k


evidence. N
DIF: Cognitive Level: Applying k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Evaluation
k k k k k k k k k k




9. Which question would be the best example of a knowledge-
k k k k k k k k k


focused trigger for conducting an evidence-based practice project?
k k k k k k k


a. What is the best method for treatment of leg swelling when a patient is taking ga
k k k k k k k k k k k k k k k


bapentin (Neurontin)? k


b. How can we decrease the incidence of skin cancer in adults over the age of 65?
k k k k k k k k k k k k k k k


c. What is the current evidence for improving oral intake for cancer patients with st
k k k k k k k k k k k k k


omatitis?
d. What is the maximal length of time our hospital allows irrigation kits to be used?
k k k k k k k k k k k k k k




ANS: C k


Evidence-
based practice (EBP) questions tend to arise from two sources: recurrent problems or new knowl
k k k k k k k k k k k k k k


edge. In this example, the new knowledge that drives the question is the one looking at current e
k k k k k k k k k k k k k k k k k


vidence. The other questions do not look at the newest knowledge to form a question to research.
k k k k k k k k k k k k k k k k




DIF: Cognitive Level: Analyzing k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n


MULTIPLE RESPONSE k




TESTBANKWORLD.ORG

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




1. When planning to implement an evidence-
k k k k k


based practice strategy, what factors are most important for the nurse to consider and inclu
k k k k k k k k k k k k k k


de? (Select all that apply.)
k k k k


a. Time required to perform the strategy k k k k k


b. Patient preferences and values k k k


c. Clinical expertise k


d. Scientific knowledge k


e. Historical practices k




ANS: B, C, D k k k


When implementing evidence- k k


based practice, the nurse considers and includes clinical expertise and patient preferences and va
k k k k k k k k k k k k k


lues in addition to the scientific knowledge. Time required to perform the new strategy and custo
k k k k k k k k k k k k k k k


mary practices are not vital to this approach. In fact, EBP seeks to ensure practices are based on e
k k k k k k k k k k k k k k k k k k


vidence and not just historical practice.
k k k k k




DIF: Cognitive Level: Remembering k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n

2. A new nurse wants to ensure practice is based on the best knowledge available. What actions are
k k k k k k k k k k k k k k k k


best for this nurse to be involved in evidence-based practice? (Select all that apply.)
k k k k k k k k k k k k k k


a. Design and conduct a study based on interest. k k k k k k k


b. Join the hospital’s policy review committee.
k k k k k


c. Remain vigilant for recurring problems. k k k k


d. Maintain a spirit of inquiry. k k k k


e. Read current literature appropriate to practice area.
k k k k k k




ANS: B, C, D, E k k k k


This novice nurse would best mNaintain an evidence-
k k k k k k k


based nursing practice by joining policy review committees, watching for and taking note of rec
k k k k k k k k k k k k k k


urring problems in the practice area, maintaining a spirit of inquiry, and staying current in the lite
k k k k k k k k k k k k k k k k


rature. The nurse would not need to design and conduct a study.
k k k k k k k k k k k




DIF: Cognitive Level: Applying k k


OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementatio
k k k k k k k k k k


n

3. When explaining the value of evidence-
k k k k k


based practice, what benefits does the nurse include? (Select all that apply.)
k k k k k k k k k k k


a. Improves quality of care. k k k


b. Improves patient outcomes. k k


c. Improves stakeholder satisfaction. k k


d. Incorporates near real-time data in practice. k k k k k


e. Helps nurses remain current in practice. k k k k k




ANS: A, B, D, E k k k k


There are five ways that EBP adds value to the health care system: helps clinicians remain curre
k k k k k k k k k k k k k k k k


nt on standardized, evidence-based protocols; uses near real-
k k k k k k k


time scientific data to make care decisions; improves transparency, accountability, and value (e.
k k k k k k k k k k k k


g. safe care); improves quality of care; and improves outcomes. One would hope all stakeholder
k k k k k k k k k k k k k k


s would be more satisfied with this method of determining care but that is not one of the specific
k k k k k k k k k k k k k k k k k k k


benefits.

DIF: Cognitive Level: Remembering k k



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