Chapter 01: Using Evidence in Nursing Practice
g g g g g g
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition.
g g g g g g g g g
MULTIPLEgCHOICE
1. Agnursinggeducatorgisgexplainingghowgthegbestgclinicalgpracticesgaregdetermined.gWhichg
statementgbestgexplainsgthegpurposegofgevidence-basedgpractice?
a. Itgensuresgthatgallgpatientsgreceivegholisticgcare.
b. Itgprovidesgagdefinitegreasongforgprovidinggcaregingagspecificgmanner.
c. Itgpreventsgerrorsgwhengcaregisgbeinggdelivered.
d. Itgguaranteesgthatgcaregdeliveredgisgbasedgongresearch.
ANS:g B
Evidence-
basedgpracticegisgthegusegofgthegcurrentgbestgevidencegingmakinggpatientgcaregdecisions.gItgapplie
sgtogallgtypesgofghealthgcaregprofessionals.gCurrentlygtheregisgnogmethodgthatgcangensuregthatgallgp
atientsgreceivegholisticgcare,gthatgallgerrorsgcangbegprevented,gorgthatgagguaranteegexistsgthatgcareg
givengisgbasedgongresearch.
DIF: CognitivegLevel:gUnderstanding
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementation
2. Whichgquestiongisgagproblem-focusedgtriggergforginitiatinggthegevidence-
basedgpracticegmethodgingnursinggcare?
a. Whatgisgknowngaboutgreductiongofgurinarygtractginfectionsgingthegoldergadultgwit
hgdiabetes?
b. Howgcangchronicgpaingbestgbegdescribedgwhengthegpatientgisgnonverbal?
N
c. HowglonggcangangIVgcathetergremaingingplacegingagpatientgwithgobesity?
d. Whatgmeasuresgcangthegnursegtakegtogreducegthegrisinggincidencegofgurinarygtra
ctginfectionsgongthegoldergadultgcaregunit?
ANS:g D
Evidence-
basedgpracticeg(EBP)gquestionsgtendgtogarisegfromgtwogsources:grecurrentgproblemsgorgnewgkno
wledge.gIngthegcorrectgoption,gthegincreasegingurinarygtractginfectionsgindicatesgagtrendgorgrecur
ringgproblemgingagspecificggroupgofgpatients.gThegothergquestionsgareggeneralginformationgques
tions,gnotgbasedgongwhatgisghappeninggingagspecificgareagorgtogaggroupgofgspecificgpatientsgingang
areagorgrelatinggtogangobservedgtrend.
TESTBANKWORLD.ORG
,2
DIF: CognitivegLevel:gApplying
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementation
3. Whatgdoesgtheg“I”gindicategingag“PICO”gquestion?
a. Interventiongofginterest
b. Incorporationgofgconcepts
c. Implementationgbygnursing
d. Interestgofgpersonnel
ANS:g A
Theg“I”gstandsgforginterventiongofginterest,gmeaninggwhatgthegnurseghopesgtogusegingpracticegandg
believesgisgworthwhilegorgvaluable.gThisgcouldgbegagtreatmentgforgagspecificgtypegofgwoundgorgang
approachgonghowgtogteachgfoodgpreparationgforgagpatientgwithgimpairedgsight.
TESTBANKWORLD.ORG
,3
DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementation
4. Whogwillgthegclinicalgresearchgnursegcontactgtogsearchgrelevantgdatabasesgingpreparationgforga
ngupcominggstudy?
a. Thegphysiciangwhosegpatientsgmaygbeginvolvedgingthegstudy
b. Thegmedicalglibrarian
c. Thegnursegmanagergofgthegunitgwheregthegstudygwillgbegconducted
d. Thegdirectorgofgnursinggofgthegfacility
ANS:g B
Thegmedicalglibrariangisgmostgknowledgeablegregardinggdatabasesgrelevantgtogagstudy.gThego
thergindividualsgdognotghavegthegknowledgegregardinggrelevantgdatabases.
DIF: CognitivegLevel:gUnderstanding
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementation
5. Whichgdatabasegcontainsgsummariesgofgclinicalgguidelinesgandgtheirgdevelopment?
a. MEDLINE
b. CINAHL
c. CochranegDatabasegofgSystematicgReviews
d. ThegNationalgGuidelinegClearinghouse
ANS:g D
ThegNationalgGuidelinegClearinghousegisgagdatabasegsupportedgbygthegAgencygforgHealthcaregR
esearchgandgQuality.gItgcontainsgsummariesgofgclinicalgguidelinesgforgpractice.gMEDLINEgisgagd
atabasegforgstudiesgingmedicN
ine,gnursing,gdentistry,gpsychiatry,gveterinarygmedicine,gand
alliedghealth.gCINAHLg(CumulativegIndexgofgNursinggandgAlliedgHealthgLiterature)gincludes
studiesgingnursing,galliedghealth,gandgbiomedicine.gThegCochranegDatabasegFullgtextgofgr
egularlygupdatedgsystematicgreviewsgpreparedgbygthegCochranegCollaborationgincludesgc
ompletedgreviewsgandgprotocols.
DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gImplementation
6. Whichgdoesgthegnursegresearchergidentifygasgthegstrongestgtypegofgresearch?
TESTBANKWORLD.ORG
, a. Randomizedgcontrolledgtrials
4
b. Agqualitativegstudy
c. Agdescriptivegstudy
d. Agcasegcontrolledgstudy
ANS:g A
Individualgrandomizedgcontrolledgtrialsgaregclosegtogthegtopgofgthegresearchgpyramid.gOnlygs
ystematicgreviewsgandgmeta-
analysesgareghigher.gThisgtypegofgstudygtestsganginterventiongagainstgthegusualgstandardgofgca
re.gThegothergtypesgofgstudiesgaregusefulgbutgdognotggivegthegsamegtypegofginformationgasgagra
ndomizedgcontrolledgtrialgprovides.
DIF: CognitivegLevel:gRemembering
OBJ:g NCLEX:gSafegandgEffectivegCaregEnvironmentgTOP:g NursinggProcess:gAssessment
TESTBANKWORLD.ORG