Nursing Interventions & Clinical Skills 7th Ed. (Potter) Test Bank | Practice Questions & Answers

Chapterj01:jUsingjEvidencejinjNursingjPractice
Perryjetjal.:jNursingjInterventionsj&jClinicaljSkills,j7thjEdition


MULTIPLEjCHOICE

1. Ajnursingjeducatorjisjexplainingjhowjthejbestjclinicaljpracticesjarejdetermined.jWhichjst
atementjbestjexplainsjthejpurposejofjevidence-basedjpractice?
a. Itjensuresjthatjalljpatientsjreceivejholisticjcare.
b. Itjprovidesjajdefinitejreasonjforjprovidingjcarejinjajspecificjmanner.
c. Itjpreventsjerrorsjwhenjcarejisjbeingjdelivered.
d. Itjguaranteesjthatjcarejdeliveredjisjbasedjonjresearch.
ANS:j B
Evidence-
basedjpracticejisjthejusejofjthejcurrentjbestjevidencejinjmakingjpatientjcarejdecisions.jItjappliesjt
ojalljtypesjofjhealthjcarejprofessionals.jCurrentlyjtherejisjnojmethodjthatjcanjensurejthatjalljpatie
ntsjreceivejholisticjcare,jthatjalljerrorsjcanjbejprevented,jorjthatjajguaranteejexistsjthatjcarejgiven
jisjbasedjonjresearch.


DIF: CognitivejLevel:jUnderstanding
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jImplementatio
n

2. Whichjquestionjisjajproblem-focusedjtriggerjforjinitiatingjthejevidence-
basedjpracticejmethodjinjnursingjcare?
a. Whatjisjknownjaboutjreductionjofjurinaryjtractjinfectionsjinjthejolderjadultjwithjdi
abetes?
b. Howjcanjchronicjpainjbestjbejdescribedjwhenjthejpatientjisjnonverbal?
c. Howjlongjcanjanj IVjcatheterjremainjinjplacejinjajpatientjwithjobesity?
d. Whatjmeasuresjcanjthejnursejtakejtojreducejthejrisingjincidencejofjurinaryjtractjinf
ectionsjonjthejolderjadultjcarejunit?
ANS:j D
Evidence-
basedjpracticej(EBP)jquestionsjtendjtojarisejfromjtwojsources:jrecurrentjproblemsjorjnewjknowl
edge.jInjthejcorrectjoption,jthejincreasejinjurinaryjtractjinfectionsjindicatesjajtrendjorjrecurringj
problemjinjajspecificjgroupjofjpatients.jThejotherjquestionsjarejgeneraljinformationjquestions,j
notjbasedjonjwhatjisjhappeningjinjajspecificjareajorjtojajgroupjofjspecificjpatientsjinjanjareajorjre
latingjtojanjobservedjtrend.

DIF: CognitivejLevel:jApplying
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jImplementatio
n

3. Whatjdoesjthej“I”jindicatejinjaj“PICO”jquestion?
a. Interventionjofjinterest
b. Incorporationjofjconcepts
c. Implementationjbyjnursing
d. Interestjofjpersonnel
ANS:j A
Thej“I”jstandsjforjinterventionjofjinterest,jmeaningjwhatjthejnursejhopesjtojusejinjpracticejandjb
elievesjisjworthwhilejorjvaluable.jThisjcouldjbejajtreatmentjforjajspecificjtypejofjwoundjorjanjap
proachjonjhowjtojteachjfoodjpreparationjforjajpatientjwithjimpairedjsight.

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, DIF: CognitivejLevel:jRemembering
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jImplementatio
n

4. Whojwilljthejclinicaljresearchjnursejcontactjtojsearchjrelevantjdatabasesjinjpreparationjforjanjup
comingjstudy?
a. Thejphysicianjwhosejpatientsjmayjbejinvolvedjinjthejstudy
b. Thejmedicaljlibrarian
c. Thejnursejmanagerjofjthejunitjwherejthejstudyjwilljbejconducted
d. Thejdirectorjofjnursingjofjthejfacility
ANS:j B
Thejmedicaljlibrarianjisjmostjknowledgeablejregardingjdatabasesjrelevantjtojajstudy.jThejotherji
ndividualsjdojnotjhavejthejknowledgejregardingjrelevantjdatabases.

DIF: CognitivejLevel:jUnderstanding
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jImplementatio
n

5. Whichjdatabasejcontainsjsummariesjofjclinicaljguidelinesjandjtheirjdevelopment?
a. MEDLINE
b. CINAHL
c. CochranejDatabasejofjSystematicjReviews
d. ThejNationaljGuidelinejClearinghouse
ANS:j D
ThejNationaljGuidelinejClearinghousejisjajdatabasejsupportedjbyjthejAgencyjforjHealthcarejResearc
hjandjQuality.jItjcontainsjsummariesjofjclinicaljguidelinesjforjpractice.jMEDLINEjis
ajdatabasejforjstudiesjinjmediciNne, jnursing,jdentistry,jpsychiatry,jveterinaryjmedicine,jandjalli
edjhealth.jCINAHLj(CumulativejIndexjofjNursingjandjAlliedjHealthjLiterature)jincludesjstudies
jinjnursing,jalliedjhealth,jandjbiomedicine.jThejCochranejDatabasejFulljtextjof

regularlyjupdatedjsystematicjreviewsjpreparedjbyjthejCochranejCollaborationjincludesjcomplet
edjreviewsjandjprotocols.

DIF: CognitivejLevel:jRemembering
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jImplementatio
n

6. Whichjdoesjthejnursejresearcherjidentifyjasjthejstrongestjtypejofjresearch?
a. Randomizedjcontrolledjtrials
b. Ajqualitativejstudy
c. Ajdescriptivejstudy
d. Ajcasejcontrolledjstudy
ANS:j A
Individualjrandomizedjcontrolledjtrialsjarejclosejtojthejtopjofjthejresearchjpyramid.jOnlyjsystem
aticjreviewsjandjmeta-
analysesjarejhigher.jThisjtypejofjstudyjtestsjanjinterventionjagainstjthejusualjstandardjofjcare.jTh
ejotherjtypesjofjstudiesjarejusefuljbutjdojnotjgivejthejsamejtypejofjinformationjasjajrandomizedjc
ontrolledjtrialjprovides.

DIF: CognitivejLevel:jRemembering
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jAssessment



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, 7. WhatjisjthejnursejattemptingjtojdeterminejwhenjcritiquingjthejevidencejrelatedjtojajPICOTjqu
estion?
a. Thejethicaljconductjofjthejresearchjthejnursejread
b. Thejstrengthjofjthejevidencejfoundjinjthejliterature
c. Ifjtherejarejanyjexpertsjinjthejclinicaljquestionjneedingjtojbejresearched
d. Ifjthejstudyjdemonstratesjcost-effectivenessjifjajchangejinjpracticejoccurs
ANS:j B
Oncejajliteraturejsearchjisjcompletejandjdatajarejgatheredjaboutjthejquestion,jitjisjtimejtojcritiquej
thejevidence.jCritiquingjthejevidencejinvolvesjajsystematicjapproachjtojlookingjatjthejstrengthjofj
thejworkjreviewedjandjitsjrelevance.jThejotherjquestionsjarejnotjapplicablejtojcritiquingjthejevid
ence.

DIF: CognitivejLevel:jUnderstanding
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jImplementatio
n

8. Ajnursejfindsjajcohortjstudyjcomparingjonejgroupjtakingjhormonejtreatmentjwithjanotherjgrou
pjnotjtakingjhormonejtreatmentjtojdeterminejthejincidencejofjchangesjinjbonejdensityjofjthejlow
erjspine.jWhatjcanjthejnursejimplyjfromjthisjstudy?
a. Lowjleveljofjstrengthjmakesjthejstudyjlimitedjinjvalue.
b. Moderatejleveljofjstrengthjmakesjthejstudyjprobablyjuseful.
c. Opinionsjofjthejindividualsjinjthejcohortjarejnotjresearch.
d. ThisjcouldjbejthejbasisjforjajQualityjImprovementjproject.
ANS:j B
AjcohortjstudyjisjLevelj4jevidencejasjitjisjajsingle,jnon-
experimentaljstudy.jThisjmoderatejleveljofjevidencejmakesjthejstudyjprobablyjusefuljbutjthejnu
rsejshouldjstrivejtojfindjstrongerjevidence. N

DIF: CognitivejLevel:jApplying
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jEvaluation

9. Whichjquestionjwouldjbejthejbestjexamplejofjajknowledge-
focusedjtriggerjforjconductingjanjevidence-basedjpracticejproject?
a. Whatjisjthejbestjmethodjforjtreatmentjofjlegjswellingjwhenjajpatientjisjtakingjga
bapentinj(Neurontin)?
b. Howjcanjwejdecreasejthejincidencejofjskinjcancerjinjadultsjoverjthejagejofj65?
c. Whatjisjthejcurrentjevidencejforjimprovingjoraljintakejforjcancerjpatientsjwithjst
omatitis?
d. Whatjisjthejmaximaljlengthjofjtimejourjhospitaljallowsjirrigationjkitsjtojbejused?
ANS:j C
Evidence-
basedjpracticej(EBP)jquestionsjtendjtojarisejfromjtwojsources:jrecurrentjproblemsjorjnewjknowl
edge.jInjthisjexample,jthejnewjknowledgejthatjdrivesjthejquestionjisjthejonejlookingjatjcurrentjev
idence.jThejotherjquestionsjdojnotjlookjatjthejnewestjknowledgejtojformjajquestionjtojresearch.

DIF: CognitivejLevel:jAnalyzing
OBJ:jNCLEX:jSafejandjEffectivejCarejEnvironmentjTOP:j NursingjProcess:jImplementatio
n


MULTIPLEjRESPONSE



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