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TEST BANK FOR NURSING INTERVENTION f f f f
S AND CLINICAL SKILLS 7TH EDITION BY
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POTTER
Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
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MULTIPLE CHOICE f
1. A nursing educator is explaining how the best clinical practices are determined. Which stat
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ement best explains the purpose of evidence-based practice?
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a. It ensures that all patients receive holistic care.
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b. It provides a definite reason for providing care in a specific manner.
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c. It prevents errors when care is being delivered.
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d. It guarantees that care delivered is based on research.
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ANS: B f
Evidence-
based practice is the use of the current best evidence in making patient care decisions. It applies to a
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ll types of health care professionals. Currently there is no method that can ensure that all patients re
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ceive holistic care, that all errors can be prevented, or that a guarantee exists that care given is base
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d on research.
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DIF: Cognitive Level: Understanding f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementation
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2. Which question is a problem-focused trigger for initiating the evidence-
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based practice method in nursing care?
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a. What is known about reduction of urinary tract infections in the older adult with diab
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etes?
b. How can chronic pain best be described when the patient is nonverbal?
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N
c. How long can an IV catheter remain in place in a patient with obesity?
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d. What measures can the nurse take to reduce the rising incidence of urinary tract infe
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ctions on the older adult care unit? f f f f f f
ANS: D f
Evidence-
based practice (EBP) questions tend to arise from two sources: recurrent problems or new knowle
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dge. In the correct option, the increase in urinary tract infections indicates a trend or recurring pro
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blem in a specific group of patients. The other questions are general information questions, not ba
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sed on what is happening in a specific area or to a group of specific patients in an area or relating to
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an observed trend.
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DIF: Cognitive Level: Applying f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementation
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3. What does the “I” indicate in a “PICO” question?
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a. Intervention of interest f f
b. Incorporation of concepts f f
c. Implementation by nursing f f
d. Interest of personnel f f
ANS: A f
The “I” stands for intervention of interest, meaning what the nurse hopes to use in practice and beli
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eves is worthwhile or valuable. This could be a treatment for a specific type of wound or an approac
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h on how to teach food preparation for a patient with impaired sight.
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DIF: Cognitive Level: Remembering f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementation
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4. Who will the clinical research nurse contact to search relevant databases in preparation for an upco
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ming study? f
a. The physician whose patients may be involved in the study
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b. The medical librarian f f
c. The nurse manager of the unit where the study will be conducted
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d. The director of nursing of the facility
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ANS: B f
The medical librarian is most knowledgeable regarding databases relevant to a study. The other ind
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ividuals do not have the knowledge regarding relevant databases.
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DIF: Cognitive Level: Understanding f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementation
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5. Which database contains summaries of clinical guidelines and their development?
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a. MEDLINE
b. CINAHL
c. Cochrane Database of Systematic Reviews f f f f
d. The National Guideline Clearinghouse f f f
ANS: D f
The National Guideline Clearinghouse is a database supported by the Agency for Healthcare Res
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earch and Quality. It contains summaries of clinical guidelines for practice. MEDLINE is a databa
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se for studies in mediciNne, nursing, dentistry, psychiatry, veterinary medicine, and
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allied health. CINAHL (Cumulative Index of Nursing and Allied Health Literature) includes
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studies in nursing, allied health, and biomedicine. The Cochrane Database Full text of regularly up
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dated systematic reviews prepared by the Cochrane Collaboration includes completed reviews an
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d protocols.
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DIF: Cognitive Level: Remembering f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementation
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6. Which does the nurse researcher identify as the strongest type of research?
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a. Randomized controlled trials f f
b. A qualitative study f f
c. A descriptive study f f
d. A case controlled study f f f
ANS: A f
Individual randomized controlled trials are close to the top of the research pyramid. Only systemat
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ic reviews and meta-
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analyses are higher. This type of study tests an intervention against the usual standard of care. The
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other types of studies are useful but do not give the same type of information as a randomized contr
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olled trial provides.
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DIF: Cognitive Level: Remembering f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Assessment
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7. What is the nurse attempting to determine when critiquing the evidence related to a PICOT ques
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tion?
a. The ethical conduct of the research the nurse read
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b. The strength of the evidence found in the literature
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c. If there are any experts in the clinical question needing to be researched
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d. If the study demonstrates cost-effectiveness if a change in practice occurs
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ANS: B f
Once a literature search is complete and data are gathered about the question, it is time to critique th
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e evidence. Critiquing the evidence involves a systematic approach to looking at the strength of the
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work reviewed and its relevance. The other questions are not applicable to critiquing the evidence.
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DIF: Cognitive Level: Understanding f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementation
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8. A nurse finds a cohort study comparing one group taking hormone treatment with another group n
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ot taking hormone treatment to determine the incidence of changes in bone density of the lower spi
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ne. What can the nurse imply from this study?
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a. Low level of strength makes the study limited in value.
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b. Moderate level of strength makes the study probably useful. f f f f f f f f
c. Opinions of the individuals in the cohort are not research. f f f f f f f f f
d. This could be the basis for a Quality Improvement project.
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ANS: B f
A cohort study is Level 4 evidence as it is a single, non-
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experimental study. This moderate level of evidence makes the study probably useful but the nurse
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should strive to find stronger
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evidence. N
DIF: Cognitive Level: Applying f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Evaluation
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9. Which question would be the best example of a knowledge-
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focused trigger for conducting an evidence-based practice project?
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a. What is the best method for treatment of leg swelling when a patient is taking gaba
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pentin (Neurontin)? f
b. How can we decrease the incidence of skin cancer in adults over the age of 65?
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c. What is the current evidence for improving oral intake for cancer patients with sto
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matitis?
d. What is the maximal length of time our hospital allows irrigation kits to be used?
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ANS: C f
Evidence-
based practice (EBP) questions tend to arise from two sources: recurrent problems or new knowle
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dge. In this example, the new knowledge that drives the question is the one looking at current evide
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nce. The other questions do not look at the newest knowledge to form a question to research.
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DIF: Cognitive Level: Analyzing f f
OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing Process: Implementation
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MULTIPLE RESPONSE f
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