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Test bank Clinical Nursing Skills and Techniques 9th Edition

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1. Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in: a. the latest information found in textbooks. b. systematically conducted research studies. c. tradition in clinical practice. d. quality improvement and risk-management data. 2. When evidence-based practice is used, patient care will be: a. standardized for all. b. unhampered by patient culture. c. variable according to the situation. d. safe from the hazards of critical thinking. 3. When a PICOT question is developed, the letter that corresponds with the usual standard of care is: a. P. b. I. c. C. d. O. ANS: C C = Comparison of interest. What standard of care or current intervention do you usually use now in practice? P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or health problem. I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic factor) do you think is worthwhile to use in practice? O = Outcome. What result (e.g., change in patient’s behavior, physical finding, and change in patient’s perception) do you wish to achieve or observe as the result of an intervention? DIF: Cognitive Level: Knowledge REF: Text reference: p. 3 OBJ: Develop a PICO question. TOP: PICO KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe and Effective Care Environment (management of care) 4. A well-developed PICOT question helps the nurse: a. search for evidence. b. include all five elements of the sequence. c. find as many articles as possible in a literature search. d. accept standard clinical routines. ..................................CONTINUED................................

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Chapter 01: Using Evidence in Practice

Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition



MULTIPLE CHOICE



1. Evidence-based practice is a problem-solving approach to making
decisions about patient care that is grounded in:


a. the latest information found in textbooks.


b. systematically conducted research studies.


c. tradition in clinical practice.


d. quality improvement and risk-management data.

,ANS: B

The best evidence comes from well-designed, systematically conducted
research studies described in scientific journals. Portions of a textbook often
become outdated by the time it is published. Many health care settings do
not have a process to help staff adopt new evidence in practice, and nurses
in practice settings lack easy access to risk- management data, relying
instead on tradition or convenience. Some sources of evidence do not
originate from research. These include quality improvement and risk-
management data; infection control data; retrospective or concurrent chart
reviews; and clinicians’ expertise. Although non–research-based evidence is
often very valuable, it is important that you learn to rely more on research-
based evidence.



DIF: Cognitive Level: Comprehension REF: Text reference:

p. 2 OBJ: Discuss the

benefits of evidence-based practice.

TOP: Evidence-Based Practice KEY: Nursing Process Step:

Assessment MSC: NCLEX: Safe and Effective Care

Environment (management of care)



2. When evidence-based practice is used, patient care will be:


a. standardized for all.


b. unhampered by patient culture.


c. variable according to the situation.

, d. safe from the hazards of critical thinking.

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