l l l l
11THlEDITIONlbylPERRY’S
Chapterl1ltol42
TESTBANK l
, TABLElOFlCONTENT
1lClinicallJudgmentlinlNursinglPracticel 2lComm
unicationlandlCollaboration
3lAdmitting,lTransfer,landlDischargel 4lDocu
mentationlandlInformatics
5 VitallSigns
6 HealthlAssessment
7 SpecimenlCollection
8 DiagnosticlProcedures
9 MedicallAsepsis
10 SterilelTechnique
11 SafelPatientlHandlinglandlMobility
12 Exercise,lMobility,landlImmobilizationlDevicesl 13lSuppor
tlSurfaceslandlSpeciallBeds
14 PatientlSafety
15 DisasterlPreparedness
16 PainlManagement
17 End-of-LifelCare
18 PersonallHygienelandlBedlMakingl 19lCa
reloflthelEyelandlEar
20lSafelMedicationlPreparationl 21lNo
nparenterallMedications
22 ParenterallMedications
23 OxygenlTherapy
24 AirwaylManagement
25 CardiaclCare
26 ClosedlChestlDrainagelSystems
27 EmergencylMeasureslforlLifelSupport
28 IntravenouslandlVascularlAccesslTherapyl 29lBloo
dlTherapy
30 OrallNutrition
,31 EnterallNutrition
32 ParenterallNutrition
33 UrinarylElimination
34 BowellEliminationlandlGastriclIntubationl 35lOsto
mylCare
36lPreoperativelandlPostoperativelCarel 37lIntra
operativelCare
38 WoundlCarelandlIrrigation
39 PressurelInjurylPreventionlandlCarel 40lDres
sings,lBandages,landlBindersl 41lHomelCarelSa
fety
42lHomelCarelTeaching
, Chapterl01:lClinicallJudgmentlinlNursinglPractice
MULTIPLElCHOICE
1. Evidence-basedlpracticelislalproblem-
solvinglapproachltolmakingldecisionsl aboutlpatientlcarethatlislgroundedlin:
a. thellatestlinformationlfoundlinltextbooks.
b. systematicallylconductedlresearchlstudies.
c. traditionlinlclinicallpractice.
d. qualitylimprovementlandlrisk-managementldata.
ANS:lB
Thelbestlevidencelcomeslfromlwell-
designed,lsystematicallylconductedlresearchl studiesldescribedlinlscientificljournals.lPortionsloflalte
xtbookloftenlbecomel outdatedlbyltheltimelitlispublished.lManylhealthlcarelsettingsldolnotlhavelal
processltolhelplstaffladoptlnewlevidencelinpractice,landlnurseslinlpracticel settingsllackleasylaccess
ltolrisk-
managementldata,lrelyinglinsteadlonltraditionlorl convenience.lSomelsourcesloflevidenceldolnotlori
ginatelfromlresearch.Thesel includelqualitylimprovementlandlrisk-
managementldata;linfectionlcontrolldata;l retrospectivelorlconcurrentlchartlreviews;landlclinicians‘l
expertise.lAlthoughl non–research-
basedlevidencelisloftenlverylvaluable,litlislimportantlthatlyoullearnl tolrelylmoreonlresearch-
basedlevidence.
DIF: CognitiveLevel:lComprehension OBJ:l Discusslthelbenefitsloflevidence-
l basedlpractice.TOP:ll Evidence-BasedlPractice KEY:lNursinglProcesslStep:l Assessment
MSC:lNCLEX:lSafelandlEffectivelCarelEnvironmentl(managementloflcare)
2. Whenlevidence-basedlpracticelislused,lpatientlcarelwilllbe:
a. standardizedlforlall.
b. unhamperedlbylpatientlculture.
c. variablelaccordingltolthelsituation.
d. safelfromlthelhazardsloflcriticallthinking.
ANS:lC
Usinglyourlclinicallexpertiselandlconsideringlpatients‘lcultures,lvalues,landl preferenceslensu
reslthatlyoulwilllapplylavailablelevidencelinlpracticel ethicallylandlappropriately.lEvenwhen
lyouluselthelbestlevidencelavailable,l applicationlandloutcomeslwillldiffer;laslalnurse,youlwill
ldeveloplcriticall thinkinglskillsltoldeterminelwhetherlevidencelislrelevantlandl appropriate.
DIF:l CognitiveLevel:lApplicationl OBJ:l Discusslthelbenefitsloflevidence-
basedl practice.TOP:l Evidence-
BasedlPracticel KEY:lNursinglProcesslStep:lAssessmentl MSC:lNCLEX:lSafelandlEffectivelCarelEnviron
mentl(managementloflcare)
3. WhenlalPICOTlquestionlisldeveloped,lthelletterlthatlcorrespondslwithlthelusuall standardlofcare
lis:
a. P.
b. I.l
c
.