Chapter 1: Using Evidence in Nursing Practice Nursing School Test Banks

Chapter 1: Using Evidence in
Nursing Practice Nursing
School Test Banks
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



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.
ANS: C


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


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.
ANS: A


5. The nurse is not sure that the procedure the patient requires is the best
possible for the situation. Utilizing which of the following resources would be the
quickest way to review research on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Library
ANS: D



6. The nurse is getting ready to develop a plan of care for a patient who has a
specific need. The best source for developing this plan of care would probably be:
a. The Cochrane Library.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANS: C


7. The nurse has done a literature search and found 25 possible articles on the
topic that she is studying. To determine which of those 25 best fit her inquiry, the
nurse first should look at:
a. the abstracts.
b. literature reviews.
c. the Methods sections.
d. the narrative sections.

,ANS: A


8. The nurse wants to determine the effects of cardiac rehabilitation program
attendance on the level of postmyocardial depression for individuals who have
had a myocardial infarction. The type of study that would best capture this
information would be a:
a. randomized controlled trial.
b. qualitative study.
c. case control study.
d. descriptive study.
ANS: B


9. Six months after an early mobility protocol was implemented, the incidence of
deep vein thrombosis in patients was decreased. This is an example of what stage
in the EBP process?
a. Asking a clinical question
b. Applying the evidence
c. Evaluating the practice decision
d. Communicating your results
ANS: C


MULTIPLE RESPONSE
1. To use evidence-based practice appropriately, you need to collect the most
relevant and best evidence and to critically appraise the evidence you gather.
This process also includes: (Select all that apply.)
a. asking a clinical question.
b. applying the evidence.
c. evaluating the practice decision.
d. communicating your results.
ANS: A, B, C, D
2. In a clinical environment, evidence-based practice has the ability to
improve: (Select all that apply.)

, a. the quality of care provided.
b. patient outcomes.
c. clinician satisfaction.
d. patients perceptions.
ANS: A, B, C, D


3. During the application stage of evidence-based practice change, it is important
to consider: (Select all that apply.)
a. cost.
b. the need for new equipment.
c. management support.
d. adequate staff.
ANS: A, B, C, D


COMPLETION
1. is a guide for making accurate, timely, and appropriate clinical
decisions.
ANS:
Evidence-based practice

2. Evidence-based practice requires good .
ANS: nursing judgment


3. While caring for patients, the professional nurse must question .
ANS: what does not make sense


4. A systematic review explains whether the evidence that you are searching for
exists and whether there is good cause to change practice. In , all
entries include information on systematic reviews. Individual randomized
controlled trials (RCTs) are the gold standard for research.
ANS: The Cochrane Library