TEST BANK FO n n
R NURSING INT
n n
ERVENTION
S AND CLINIC
n n
AL SKILLS 7Tn n
H EDITION BY
n n n
POTTER
,Chapter 01: Using Evidence in Nursing Practice
n n n n n n
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
n n n n n n n n n
MULTIPLEnCHOICE
1. Whatndoesnthen―I‖nindicateninnan―PICO‖nquestion?
a. Interventionnofninterest
b. Incorporationnofnconcepts
c. Implementationnbynnursing
d. Interestnofnpersonnel
ANS:n A
Then―I‖nstandsnforninterventionnofninterest,nmeaningnwhatnthennursenhopesntonuseninnpracticenandn
believesnisnworthwhilenornvaluable.nThisncouldnbenantreatmentnfornanspecificntypenofnwoundnornann
approachnonnhowntonteachnfoodnpreparationnfornanpatientnwithnimpairednsight.
DIF: CognitivenLevel:nRemembering
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
2. Annursingneducatornisnexplainingnhownthenbestnclinicalnpracticesnarendetermined.nWhichns
tatementnbestnexplainsnthenpurposenofnevidence-basednpractice?
a. Itnensuresnthatnallnpatientsnreceivenholisticncare.
b. Itnprovidesnandefinitenreasonnfornprovidingncareninnanspecificnmanner.
c. Itnpreventsnerrorsnwhenncarenisnbeingndelivered.
d. Itnguaranteesnthatncarendeliverednisnbasednonnresearch.
ANS:n B
Evidence-
basednpracticenisnthenusenofnthencurrentnbestnevidenceninnmakingnpatientncarendecisions.nItnapplie
sntonallntypesnofnhealthncarenprofessionals.nCurrentlyntherenisnnonmethodnthatncannensurenthatnallnp
atientsnreceivenholisticncare,nthatnallnerrorsncannbenprevented,nornthatnanguaranteenexistsnthatncaren
givennisnbasednonnresearch.
DIF: CognitivenLevel:nUnderstanding
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
3. Whichnquestionnisnanproblem-focusedntriggernforninitiatingnthenevidence-
basednpracticenmethodninnnursingncare?
a. Whatnisnknownnaboutnreductionnofnurinaryntractninfectionsninnthenoldernadultnwithnd
iabetes?
b. Howncannchronicnpainnbestnbendescribednwhennthenpatientnisnnonverbal?
c. Hownlongncannann IVncatheternremainninnplaceninnanpatientnwithnobesity?
d. Whatnmeasuresncannthennursentakentonreducenthenrisingnincidencenofnurinaryntractni
nfectionsnonnthenoldernadultncarenunit?
ANS:n D
Evidence-
basednpracticen(EBP)nquestionsntendntonarisenfromntwonsources:nrecurrentnproblemsnornnewnkno
wledge.nInnthencorrectnoption,nthenincreaseninnurinaryntractninfectionsnindicatesnantrendnornrecur
ringnproblemninnanspecificngroupnofnpatients.nThenothernquestionsnarengeneralninformationnques
tions,nnotnbasednonnwhatnisnhappeningninnanspecificnareanorntonangroupnofnspecificnpatientsninnann
areanornrelatingntonannobservedntrend.
,DIF: CognitivenLevel:nApplying
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
, 4. Whonwillnthenclinicalnresearchnnursencontactntonsearchnrelevantndatabasesninnpreparationnfornannu
pcomingnstudy?
a. Thenphysiciannwhosenpatientsnmaynbeninvolvedninnthenstudy
b. Thenmedicalnlibrarian
c. Thennursenmanagernofnthenunitnwherenthenstudynwillnbenconducted
d. Thendirectornofnnursingnofnthenfacility
ANS:n B
Thenmedicalnlibrariannisnmostnknowledgeablenregardingndatabasesnrelevantntonanstudy.nTheno
thernindividualsndonnotnhaventhenknowledgenregardingnrelevantndatabases.
DIF: CognitivenLevel:nUnderstanding
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
5. Whichndatabasencontainsnsummariesnofnclinicalnguidelinesnandntheirndevelopment?
a. MEDLINE
b. CINAHL
c. CochranenDatabasenofnSystematicnReviews
d. ThenNationalnGuidelinenClearinghouse
ANS:n D
ThenNationaln GuidelinenClearinghousenisn andatabasensupportedn bynthenAgencynfornHealthcarenRese
archnandnQuality.nItncontainsnsummariesnofnclinicalnguidelinesnfornpractice.nMEDLINEnis
andatabasenfornstudiesninnmedicN ine,nnursing,ndentistry,npsychiatry,nveterinarynmedicine,nandnallie
dnhealth.nCINAHLn(CumulativenIndexnofnNursingnandnAlliednHealthnLiterature)nincludesnstudies
ninnnursing,nalliedn health,nandnbiomedicine.nThenCochranenDatabasenFullntextnof
regularlynupdatednsystematicnreviewsnpreparednbynthenCochranenCollaborationnincludesnc
ompletednreviewsnandnprotocols.
DIF: CognitivenLevel:nRemembering
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
6. Whichndoesnthennursenresearchernidentifynasnthenstrongestntypenofnresearch?
a. Randomizedncontrolledntrials
b. Anqualitativenstudy
c. Andescriptivenstudy
d. Ancasencontrollednstudy
ANS:n A
Individualnrandomizedncontrolledntrialsnarenclosentonthentopnofnthenresearchnpyramid.nOnlyns
ystematicnreviewsnandnmeta-
analysesnarenhigher.nThisntypenofnstudyntestsnanninterventionnagainstnthenusualnstandardnofnca
re.nThenotherntypesnofnstudiesnarenusefulnbutndonnotngiventhensamentypenofninformationnasnanra
ndomizedncontrolledntrialnprovides.
DIF: CognitivenLevel:nRemembering
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nAssessment
R NURSING INT
n n
ERVENTION
S AND CLINIC
n n
AL SKILLS 7Tn n
H EDITION BY
n n n
POTTER
,Chapter 01: Using Evidence in Nursing Practice
n n n n n n
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
n n n n n n n n n
MULTIPLEnCHOICE
1. Whatndoesnthen―I‖nindicateninnan―PICO‖nquestion?
a. Interventionnofninterest
b. Incorporationnofnconcepts
c. Implementationnbynnursing
d. Interestnofnpersonnel
ANS:n A
Then―I‖nstandsnforninterventionnofninterest,nmeaningnwhatnthennursenhopesntonuseninnpracticenandn
believesnisnworthwhilenornvaluable.nThisncouldnbenantreatmentnfornanspecificntypenofnwoundnornann
approachnonnhowntonteachnfoodnpreparationnfornanpatientnwithnimpairednsight.
DIF: CognitivenLevel:nRemembering
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
2. Annursingneducatornisnexplainingnhownthenbestnclinicalnpracticesnarendetermined.nWhichns
tatementnbestnexplainsnthenpurposenofnevidence-basednpractice?
a. Itnensuresnthatnallnpatientsnreceivenholisticncare.
b. Itnprovidesnandefinitenreasonnfornprovidingncareninnanspecificnmanner.
c. Itnpreventsnerrorsnwhenncarenisnbeingndelivered.
d. Itnguaranteesnthatncarendeliverednisnbasednonnresearch.
ANS:n B
Evidence-
basednpracticenisnthenusenofnthencurrentnbestnevidenceninnmakingnpatientncarendecisions.nItnapplie
sntonallntypesnofnhealthncarenprofessionals.nCurrentlyntherenisnnonmethodnthatncannensurenthatnallnp
atientsnreceivenholisticncare,nthatnallnerrorsncannbenprevented,nornthatnanguaranteenexistsnthatncaren
givennisnbasednonnresearch.
DIF: CognitivenLevel:nUnderstanding
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
3. Whichnquestionnisnanproblem-focusedntriggernforninitiatingnthenevidence-
basednpracticenmethodninnnursingncare?
a. Whatnisnknownnaboutnreductionnofnurinaryntractninfectionsninnthenoldernadultnwithnd
iabetes?
b. Howncannchronicnpainnbestnbendescribednwhennthenpatientnisnnonverbal?
c. Hownlongncannann IVncatheternremainninnplaceninnanpatientnwithnobesity?
d. Whatnmeasuresncannthennursentakentonreducenthenrisingnincidencenofnurinaryntractni
nfectionsnonnthenoldernadultncarenunit?
ANS:n D
Evidence-
basednpracticen(EBP)nquestionsntendntonarisenfromntwonsources:nrecurrentnproblemsnornnewnkno
wledge.nInnthencorrectnoption,nthenincreaseninnurinaryntractninfectionsnindicatesnantrendnornrecur
ringnproblemninnanspecificngroupnofnpatients.nThenothernquestionsnarengeneralninformationnques
tions,nnotnbasednonnwhatnisnhappeningninnanspecificnareanorntonangroupnofnspecificnpatientsninnann
areanornrelatingntonannobservedntrend.
,DIF: CognitivenLevel:nApplying
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
, 4. Whonwillnthenclinicalnresearchnnursencontactntonsearchnrelevantndatabasesninnpreparationnfornannu
pcomingnstudy?
a. Thenphysiciannwhosenpatientsnmaynbeninvolvedninnthenstudy
b. Thenmedicalnlibrarian
c. Thennursenmanagernofnthenunitnwherenthenstudynwillnbenconducted
d. Thendirectornofnnursingnofnthenfacility
ANS:n B
Thenmedicalnlibrariannisnmostnknowledgeablenregardingndatabasesnrelevantntonanstudy.nTheno
thernindividualsndonnotnhaventhenknowledgenregardingnrelevantndatabases.
DIF: CognitivenLevel:nUnderstanding
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
5. Whichndatabasencontainsnsummariesnofnclinicalnguidelinesnandntheirndevelopment?
a. MEDLINE
b. CINAHL
c. CochranenDatabasenofnSystematicnReviews
d. ThenNationalnGuidelinenClearinghouse
ANS:n D
ThenNationaln GuidelinenClearinghousenisn andatabasensupportedn bynthenAgencynfornHealthcarenRese
archnandnQuality.nItncontainsnsummariesnofnclinicalnguidelinesnfornpractice.nMEDLINEnis
andatabasenfornstudiesninnmedicN ine,nnursing,ndentistry,npsychiatry,nveterinarynmedicine,nandnallie
dnhealth.nCINAHLn(CumulativenIndexnofnNursingnandnAlliednHealthnLiterature)nincludesnstudies
ninnnursing,nalliedn health,nandnbiomedicine.nThenCochranenDatabasenFullntextnof
regularlynupdatednsystematicnreviewsnpreparednbynthenCochranenCollaborationnincludesnc
ompletednreviewsnandnprotocols.
DIF: CognitivenLevel:nRemembering
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nImplementati
on
6. Whichndoesnthennursenresearchernidentifynasnthenstrongestntypenofnresearch?
a. Randomizedncontrolledntrials
b. Anqualitativenstudy
c. Andescriptivenstudy
d. Ancasencontrollednstudy
ANS:n A
Individualnrandomizedncontrolledntrialsnarenclosentonthentopnofnthenresearchnpyramid.nOnlyns
ystematicnreviewsnandnmeta-
analysesnarenhigher.nThisntypenofnstudyntestsnanninterventionnagainstnthenusualnstandardnofnca
re.nThenotherntypesnofnstudiesnarenusefulnbutndonnotngiventhensamentypenofninformationnasnanra
ndomizedncontrolledntrialnprovides.
DIF: CognitivenLevel:nRemembering
OBJ:nNCLEX:nSafenandnEffectivenCarenEnvironmentnTOP:n NursingnProcess:nAssessment
