TESTmBANKmFORmNURSINGmINTERVENTIONSmANDmCLINICALmSKILLSm7THmEDITIONmBYmmPOTTER
Chapterm01:UsingmEvidenceminmNursingmPractice
Perrymetmal:NursingmInterventionsmandmClinicalmSkills,7thm Edition.
MULTIPLEmCHOICE
1. A mnursingmeducatormismexplainingmhow mthembest mclinicalmpracticesmaremdetermined.mWhi
chmstatement mbest mexplainsmthempurposemof mevidence-based mpractice?
a. It mensuresmthat mallmpatientsmreceivemholisticmcare.
b. It mprovidesmamdefinitemreasonmformprovidingmcareminmamspecificmmanner.
c. It mpreventsmerrorsmwhenmcaremismbeingmdelivered.
d. It mguaranteesmthat mcaremdelivered mismbased monmresearch.
ANS:m B
Evidence-
based mpracticemismthemusemof mthemcurrent mbest mevidenceminmmakingmpatient mcaremdecisions.mIt ma
ppliesmtomallmtypesmof mhealthmcaremprofessionals.mCurrentlymtheremismnommethod mthat mcanmensure
mthat mallmpatientsmreceivemholisticmcare,mthat mallmerrorsmcanmbemprevented,mormthat mamguaranteeme
xistsmthat mcaremgivenmismbased monmresearch.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
2. Whichmquestionmismamproblem-focused mtriggermforminitiatingmthemevidence-
based mpracticemmethod minmnursingmcare?
a. What mismknownmabout mreductionmof murinarymtract minfectionsminmthemoldermadult mwi
thmdiabetes?
b. How mcanmchronicmpainmbest mbemdescribed mwhenmthempatient mismnonverbal?
c. How mlongmcanmanmIV mcathetermremainminmplaceminmampatient mwithmobesity?
d. What mmeasuresmcanmthemnursemtakemtomreducemthemrisingmincidencemof murinarymtr
act minfectionsmonmthemoldermadult mcaremunit?
ANS:m D
Evidence-
based mpracticem(EBP)mquestionsmtend mtomarisemfrommtwomsources:mrecurrent mproblemsmormnew m
knowledge.mInmthemcorrect moption,mthemincreaseminmurinarymtract minfectionsmindicatesmamtrend m
ormrecurringmproblemminmamspecificmgroupmof mpatients.m Themothermquestions maremgeneral minfor
mationmquestions,mnot mbased monmwhat mismhappeningminmamspecificmareamormtomamgroup mof mspeci
ficmpatientsminmanmareamormrelatingmtomanmobserved mtrend.
DIF: CognitivemLevel:mApplying
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
3. What mdoesmthem“I”mindicateminmam“PICO”mquestion?
a. Interventionmof minterest
b. Incorporationmof mconcepts
c. Implementationmbymnursing
d. Interest mof mpersonnel
ANS:m A
Them“I”mstandsmforminterventionmof minterest,mmeaningmwhat mthemnursemhopesmtomuseminmpractice
mand mbelievesmismworthwhilemormvaluable.mThismcould mbemamtreatment mformamspecificmtypemof mwo
und mormanmapproachmonmhow mtomteachmfood mpreparationmformampatient mwithmimpaired msight.
,TESTmBANKmFORmNURSINGmINTERVENTIONSmANDmCLINICALmSKILLSm7THmEDITIONmBYmmPOTTER
Chapterm01:UsingmEvidenceminmNursingmPractice
Perrymetmal:NursingmInterventionsmandmClinicalmSkills,7thm Edition.
DIF: CognitivemLevel:mRemembering
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
4. Whomwillmthemclinicalmresearchmnursemcontact mtomsearchmrelevant mdatabasesminmpreparationmform
anmupcomingmstudy?
a. Themphysicianmwhosempatientsmmaymbeminvolved minmthemstudy
b. Themmedicalmlibrarian
c. Themnursemmanagermof mthemunit mwheremthemstudymwillmbemconducted
d. Themdirectormof mnursingmof mthemfacility
ANS:m B
Themmedicalmlibrarianmismmost mknowledgeablemregardingmdatabasesmrelevant mtomamstudy.mThemo
thermindividualsmdomnot mhavemthemknowledgemregardingmrelevant mdatabases.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
5. Whichmdatabasemcontainsmsummariesmof mclinicalmguidelinesmand mtheirmdevelopment?
a. MEDLINE
b. CINAHL
c. CochranemDatabasemof mSystematicmReviews
d. ThemNationalmGuidelinemClearinghouse
ANS:m D
ThemNationalmGuidelinemClearinghousemismamdatabasemsupported mbymthemAgencymformHealthcaremRe
searchmand mQuality.mIt mcontainsmsummariesmof mclinicalmguidelinesmformpractice.mMEDLINEmis
amdatabasemformstudiesminmmed iciNne, mnursing,mdentistry,mpsychiatry,mveterinarymmedicine,mand
mallied mhealth.mCINAHL m(CumulativemIndexmof mNursingmand mAllied mHealthmLiterature)minclud
esmstudiesminmnursing,mallied mhealth,mand mbiomedicine.mThemCochranemDatabasemFullmtext mof
regularlymupdated msystematicmreviewsmprepared mbymthemCochranemCollaborationmincludesmcom
pleted mreviewsmand mprotocols.
DIF: CognitivemLevel:mRemembering
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
6. Whichmdoesmthemnursemresearchermidentifymasmthemstrongest mtypemof mresearch?
a. Randomized mcontrolled mtrials
b. Amqualitativemstudy
c. Amdescriptivemstudy
d. Amcasemcontrolled mstudy
ANS:m A
Individualmrandomized mcontrolled mtrialsmaremclosemtomthemtopmof mthemresearchmpyramid.mOnlyms
ystematicmreviewsmand mmeta-
analysesmaremhigher.mThismtypemof mstudymtestsmanminterventionmagainst mthemusualmstandard mof mc
are.mThemothermtypesmof mstudiesmaremusefulmbut mdomnot mgivemthemsamemtypemof minformationmasma
mrandomized mcontrolled mtrialmprovides.
DIF: CognitivemLevel:mRemembering
,TESTmBANKmFORmNURSINGmINTERVENTIONSmANDmCLINICALmSKILLSm7THmEDITIONmBYmmPOTTER
Chapterm01:UsingmEvidenceminmNursingmPractice
Perrymetmal:NursingmInterventionsmandmClinicalmSkills,7thm Edition.
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mAssessme
nt
, TESTmBANKmFORmNURSINGmINTERVENTIONSmANDmCLINICALmSKILLSm7THmEDITIONmBYmmPOTTER
Chapterm01:UsingmEvidenceminmNursingmPractice
Perrymetmal:NursingmInterventionsmandmClinicalmSkills,7thm Edition.
7. What mismthemnursemattemptingmtomdeterminemwhenmcritiquingmthemevidencemrelated mtomamPIC
OTmquestion?
a. Themethicalmconduct mof mthemresearchmthemnursemread
b. Themstrengthmof mthemevidencemfound minmthemliterature
c. If mtheremaremanymexpertsminmthemclinicalmquestionmneedingmtombemresearched
d. If mthemstudymdemonstratesmcost-effectivenessmif mamchangeminmpracticemoccurs
ANS:m B
Oncemamliteraturemsearchmismcompletemand mdatamaremgathered mabout mthemquestion,mit mismtimemtomc
ritiquemthemevidence.mCritiquingmthemevidenceminvolvesmamsystematicmapproachmtomlookingmat mth
emstrengthmof mthemworkmreviewed mand mitsmrelevance.mThemothermquestionsmaremnot mapplicablemto
mcritiquingmthemevidence.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
8. A mnursemfindsmamcohort mstudymcomparingmonemgroupmtakingmhormonemtreatment mwithmanotherm
groupmnot mtakingmhormonemtreatment mtomdeterminemthemincidencemof mchangesminmbonemdensity
mof mthemlowermspine.mWhat mcanmthemnursemimplymfrommthismstudy?
a. Low mlevelmof mstrengthmmakesmthemstudymlimited minmvalue.
b. Moderatemlevelmof mstrengthmmakesmthemstudymprobablymuseful.
c. Opinionsmof mthemindividualsminmthemcohort maremnot mresearch.
d. Thismcould mbemthembasismformamQualitymImprovement mproject.
ANS:m B
A mcohort mstudymismLevelm4mevidencemasmit mismamsingle,mnon-
experimentalmstudy.mThismmoderatemlevelmof mevidencemmakesmthemstudymprobablymusefulmbut mt
hemnursemshould mstrivemtomfind mstrongermevidence. N
DIF: CognitivemLevel:mApplying
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:m NursingmProcess:mEvaluatio
n
9. Whichmquestionmwould mbemthembest mexamplemof mamknowledge-
focused mtriggermformconductingmanmevidence-based mpracticemproject?
a. What mismthembest mmethod mformtreatment mof mlegmswellingmwhenmampatient mismtaki
ngmgabapentinm(Neurontin)?
b. How mcanmwemdecreasemthemincidencemof mskinmcancerminmadultsmovermthemagemof m65?
c. What mismthemcurrent mevidencemformimprovingmoralmintakemformcancermpatientsmwi
thmstomatitis?
d. What mismthemmaximalmlengthmof mtimemourmhospitalmallowsmirrigationmkitsmtombemused?
ANS:m C
Evidence-
based mpracticem(EBP)mquestionsmtend mtomarisemfrommtwomsources:mrecurrent mproblemsmor mnew m
knowledge.mInmthismexample,mthemnew mknowledgemthat mdrivesmthemquestionmismthemonemlooking
mat mcurrent mevidence.mThemothermquestionsmdomnot mlookmat mthemnewest mknowledgemtomformmamqu
estionmtomresearch.
DIF: CognitivemLevel:mAnalyzing
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
Chapterm01:UsingmEvidenceminmNursingmPractice
Perrymetmal:NursingmInterventionsmandmClinicalmSkills,7thm Edition.
MULTIPLEmCHOICE
1. A mnursingmeducatormismexplainingmhow mthembest mclinicalmpracticesmaremdetermined.mWhi
chmstatement mbest mexplainsmthempurposemof mevidence-based mpractice?
a. It mensuresmthat mallmpatientsmreceivemholisticmcare.
b. It mprovidesmamdefinitemreasonmformprovidingmcareminmamspecificmmanner.
c. It mpreventsmerrorsmwhenmcaremismbeingmdelivered.
d. It mguaranteesmthat mcaremdelivered mismbased monmresearch.
ANS:m B
Evidence-
based mpracticemismthemusemof mthemcurrent mbest mevidenceminmmakingmpatient mcaremdecisions.mIt ma
ppliesmtomallmtypesmof mhealthmcaremprofessionals.mCurrentlymtheremismnommethod mthat mcanmensure
mthat mallmpatientsmreceivemholisticmcare,mthat mallmerrorsmcanmbemprevented,mormthat mamguaranteeme
xistsmthat mcaremgivenmismbased monmresearch.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
2. Whichmquestionmismamproblem-focused mtriggermforminitiatingmthemevidence-
based mpracticemmethod minmnursingmcare?
a. What mismknownmabout mreductionmof murinarymtract minfectionsminmthemoldermadult mwi
thmdiabetes?
b. How mcanmchronicmpainmbest mbemdescribed mwhenmthempatient mismnonverbal?
c. How mlongmcanmanmIV mcathetermremainminmplaceminmampatient mwithmobesity?
d. What mmeasuresmcanmthemnursemtakemtomreducemthemrisingmincidencemof murinarymtr
act minfectionsmonmthemoldermadult mcaremunit?
ANS:m D
Evidence-
based mpracticem(EBP)mquestionsmtend mtomarisemfrommtwomsources:mrecurrent mproblemsmormnew m
knowledge.mInmthemcorrect moption,mthemincreaseminmurinarymtract minfectionsmindicatesmamtrend m
ormrecurringmproblemminmamspecificmgroupmof mpatients.m Themothermquestions maremgeneral minfor
mationmquestions,mnot mbased monmwhat mismhappeningminmamspecificmareamormtomamgroup mof mspeci
ficmpatientsminmanmareamormrelatingmtomanmobserved mtrend.
DIF: CognitivemLevel:mApplying
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
3. What mdoesmthem“I”mindicateminmam“PICO”mquestion?
a. Interventionmof minterest
b. Incorporationmof mconcepts
c. Implementationmbymnursing
d. Interest mof mpersonnel
ANS:m A
Them“I”mstandsmforminterventionmof minterest,mmeaningmwhat mthemnursemhopesmtomuseminmpractice
mand mbelievesmismworthwhilemormvaluable.mThismcould mbemamtreatment mformamspecificmtypemof mwo
und mormanmapproachmonmhow mtomteachmfood mpreparationmformampatient mwithmimpaired msight.
,TESTmBANKmFORmNURSINGmINTERVENTIONSmANDmCLINICALmSKILLSm7THmEDITIONmBYmmPOTTER
Chapterm01:UsingmEvidenceminmNursingmPractice
Perrymetmal:NursingmInterventionsmandmClinicalmSkills,7thm Edition.
DIF: CognitivemLevel:mRemembering
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
4. Whomwillmthemclinicalmresearchmnursemcontact mtomsearchmrelevant mdatabasesminmpreparationmform
anmupcomingmstudy?
a. Themphysicianmwhosempatientsmmaymbeminvolved minmthemstudy
b. Themmedicalmlibrarian
c. Themnursemmanagermof mthemunit mwheremthemstudymwillmbemconducted
d. Themdirectormof mnursingmof mthemfacility
ANS:m B
Themmedicalmlibrarianmismmost mknowledgeablemregardingmdatabasesmrelevant mtomamstudy.mThemo
thermindividualsmdomnot mhavemthemknowledgemregardingmrelevant mdatabases.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
5. Whichmdatabasemcontainsmsummariesmof mclinicalmguidelinesmand mtheirmdevelopment?
a. MEDLINE
b. CINAHL
c. CochranemDatabasemof mSystematicmReviews
d. ThemNationalmGuidelinemClearinghouse
ANS:m D
ThemNationalmGuidelinemClearinghousemismamdatabasemsupported mbymthemAgencymformHealthcaremRe
searchmand mQuality.mIt mcontainsmsummariesmof mclinicalmguidelinesmformpractice.mMEDLINEmis
amdatabasemformstudiesminmmed iciNne, mnursing,mdentistry,mpsychiatry,mveterinarymmedicine,mand
mallied mhealth.mCINAHL m(CumulativemIndexmof mNursingmand mAllied mHealthmLiterature)minclud
esmstudiesminmnursing,mallied mhealth,mand mbiomedicine.mThemCochranemDatabasemFullmtext mof
regularlymupdated msystematicmreviewsmprepared mbymthemCochranemCollaborationmincludesmcom
pleted mreviewsmand mprotocols.
DIF: CognitivemLevel:mRemembering
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
6. Whichmdoesmthemnursemresearchermidentifymasmthemstrongest mtypemof mresearch?
a. Randomized mcontrolled mtrials
b. Amqualitativemstudy
c. Amdescriptivemstudy
d. Amcasemcontrolled mstudy
ANS:m A
Individualmrandomized mcontrolled mtrialsmaremclosemtomthemtopmof mthemresearchmpyramid.mOnlyms
ystematicmreviewsmand mmeta-
analysesmaremhigher.mThismtypemof mstudymtestsmanminterventionmagainst mthemusualmstandard mof mc
are.mThemothermtypesmof mstudiesmaremusefulmbut mdomnot mgivemthemsamemtypemof minformationmasma
mrandomized mcontrolled mtrialmprovides.
DIF: CognitivemLevel:mRemembering
,TESTmBANKmFORmNURSINGmINTERVENTIONSmANDmCLINICALmSKILLSm7THmEDITIONmBYmmPOTTER
Chapterm01:UsingmEvidenceminmNursingmPractice
Perrymetmal:NursingmInterventionsmandmClinicalmSkills,7thm Edition.
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mAssessme
nt
, TESTmBANKmFORmNURSINGmINTERVENTIONSmANDmCLINICALmSKILLSm7THmEDITIONmBYmmPOTTER
Chapterm01:UsingmEvidenceminmNursingmPractice
Perrymetmal:NursingmInterventionsmandmClinicalmSkills,7thm Edition.
7. What mismthemnursemattemptingmtomdeterminemwhenmcritiquingmthemevidencemrelated mtomamPIC
OTmquestion?
a. Themethicalmconduct mof mthemresearchmthemnursemread
b. Themstrengthmof mthemevidencemfound minmthemliterature
c. If mtheremaremanymexpertsminmthemclinicalmquestionmneedingmtombemresearched
d. If mthemstudymdemonstratesmcost-effectivenessmif mamchangeminmpracticemoccurs
ANS:m B
Oncemamliteraturemsearchmismcompletemand mdatamaremgathered mabout mthemquestion,mit mismtimemtomc
ritiquemthemevidence.mCritiquingmthemevidenceminvolvesmamsystematicmapproachmtomlookingmat mth
emstrengthmof mthemworkmreviewed mand mitsmrelevance.mThemothermquestionsmaremnot mapplicablemto
mcritiquingmthemevidence.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
8. A mnursemfindsmamcohort mstudymcomparingmonemgroupmtakingmhormonemtreatment mwithmanotherm
groupmnot mtakingmhormonemtreatment mtomdeterminemthemincidencemof mchangesminmbonemdensity
mof mthemlowermspine.mWhat mcanmthemnursemimplymfrommthismstudy?
a. Low mlevelmof mstrengthmmakesmthemstudymlimited minmvalue.
b. Moderatemlevelmof mstrengthmmakesmthemstudymprobablymuseful.
c. Opinionsmof mthemindividualsminmthemcohort maremnot mresearch.
d. Thismcould mbemthembasismformamQualitymImprovement mproject.
ANS:m B
A mcohort mstudymismLevelm4mevidencemasmit mismamsingle,mnon-
experimentalmstudy.mThismmoderatemlevelmof mevidencemmakesmthemstudymprobablymusefulmbut mt
hemnursemshould mstrivemtomfind mstrongermevidence. N
DIF: CognitivemLevel:mApplying
OBJ:mNCLEX:mSafemand mEffectivemCaremEnvironmentmTOP:m NursingmProcess:mEvaluatio
n
9. Whichmquestionmwould mbemthembest mexamplemof mamknowledge-
focused mtriggermformconductingmanmevidence-based mpracticemproject?
a. What mismthembest mmethod mformtreatment mof mlegmswellingmwhenmampatient mismtaki
ngmgabapentinm(Neurontin)?
b. How mcanmwemdecreasemthemincidencemof mskinmcancerminmadultsmovermthemagemof m65?
c. What mismthemcurrent mevidencemformimprovingmoralmintakemformcancermpatientsmwi
thmstomatitis?
d. What mismthemmaximalmlengthmof mtimemourmhospitalmallowsmirrigationmkitsmtombemused?
ANS:m C
Evidence-
based mpracticem(EBP)mquestionsmtend mtomarisemfrommtwomsources:mrecurrent mproblemsmor mnew m
knowledge.mInmthismexample,mthemnew mknowledgemthat mdrivesmthemquestionmismthemonemlooking
mat mcurrent mevidence.mThemothermquestionsmdomnot mlookmat mthemnewest mknowledgemtomformmamqu
estionmtomresearch.
DIF: CognitivemLevel:mAnalyzing
OBJ:mNCLEX:mSafemandmEffectivemCaremEnvironmentmTOP:m NursingmProcess:mImplemen
tation
