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11th Edition by Anne Griffin Perry, Patricia A. Potter
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ii Chapter 1 - 43 Complete ii ii ii ii
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,Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
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MULTIPLE iiCHOICE
1. Evidence-based iipractice iiis iia iiproblem-solving iiapproach iito iimaking iidecisions iiabout iipatient
ii care iithat iiis iigrounded iiin:
a. the iilatest iiinformation iifound iiin iitextbooks.
b. systematically iiconducted iiresearch iistudies.
c. tradition iiin iiclinical iipractice.
d. quality iimprovement iiand iirisk-management iidata.
ANSWER: iiB
The iibest iievidence iicomes iifrom iiwell-designed, iisystematically iiconducted iiresearch iistudies
iidescribed iiin iiscientific iijournals. iiPortions iiof iia iitextbook iioften iibecome iioutdated iiby iithe
iitime iiit iiis iipublished. iiMany iihealth iicare iisettings iido iinot iihave iia iiprocess iito iihelp iistaff iiadopt
iinew iievidence iiin iipractice, iiand iinurses iiin iipractice iisettings iilack iieasy iiaccess iito iirisk-
management iidata, iirelying iiinstead iion iitradition iior iiconvenience. iiSome iisources iiof iievidence
iido iinot iioriginate iifrom iiresearch. iiThese iiinclude iiquality iiimprovement iiand iirisk-management
iidata; iiinfection iicontrol iidata; iiretrospective iior iiconcurrent iichart iireviews; iiand iiclinicians‘
iiexpertise. iiAlthough
non–research-based iievidence iiis iioften iivery iivaluable, iiit iiis iiimportant iithat iiyou iilearn iito iirely
iimore iion iiresearch-based iievidence.
DIF: CognitiveLevel: iiComprehension OBJ: iiDiscuss iithe iibenefits iiof iievidence-based
iipractice. iiTOP: i i Evidence-Based iiPractice KEY: iiNursing iiProcess iiStep: iiAssessment
MSC: i i NCLEX: iiSafe iiand iiEffective iiCare iiEnvironment ii(management iiof iicare)
2. When iievidence-based iipractice iiis iiused, iipatient iicare iiwill iibe:
a. standardized iifor iiall.
b. unhampered iiby ipatient iiculture.
c. variable iiaccording iito iithe iisituation.
d. safe iifrom iithe iihazards iiof iicritical iithinking.
ANSWER: iiC
Using iiyour iiclinical iiexpertise iiand iiconsidering iipatients‘ iicultures, iivalues, iiand
iipreferences iiensures iithat iiyou iiwill iiapply iavailable iievidence iiin iipractice iiethically iiand
iiappropriately. iiEven iiwhen iiyou iiuse iithe iibest iievidence iiavailable, iiapplication iiand
iioutcomes iiwill iidiffer; iias iia iinurse, iiyou iiwill iidevelop iicritical iithinking iiskills iito iidetermine
iiwhether iievidence iiis iirelevant iiand iiappropriate.
DIF: CognitiveLevel: iiApplication OBJ: iiDiscuss iithe iibenefits iiof iievidence-based
iipractice. iiTOP: i i Evidence-Based iiPractice KEY: iiNursing iiProcess iiStep: iiAssessment
MSC: i i NCLEX: iiSafe iiand iiEffective iiCare iiEnvironment ii(management iiof iicare)
3. When iia iiPICOT iiquestion iiis iideveloped, iithe iiletter iithat iicorresponds iiwith iithe iiusual
standard iiof iicare iiis:
ii
a. P.
b. I.
c.
, c. CHOICE iiBLANK
d. O.
ANSWER: iiC
C ii= iiComparison iiof iiinterest. iiWhat iistandard iiof iicare iior iicurrent iiintervention iido iiyou iiusually
iiuse iinow iiin iipractice?
P ii= iiPatient iipopulation iiof iiinterest. iiIdentify iiyour iipatient iiby iiage, iigender, iiethnicity, iidisease,
iior iihealth iiproblem.
I ii= iiIntervention iiof iiinterest. iiWhat iiintervention ii(e.g., iitreatment, iidiagnostic iitest, iiand
iiprognostic iifactor) iido iiyou iithink iiis iiworthwhile iito iiuse iiin iipractice?
O ii= iiOutcome. iiWhat iiresult ii(e.g., iichange iiin iipatient‘s iibehavior, iiphysical iifinding, iiand iichange
iiin iipatient‘s iiperception) iido iiyou iiwish iito iiachieve iior iiobserve iias iithe iiresult iiof iian
iiintervention?
DIF: CognitiveLevel: iiKnowledge OBJ: iiDevelop iia iiPICO
iiquestion. iiTOP: i i PICO KEY: iiNursing iiProcess iiStep:
iiImplementation
MSC: i i NCLEX: iiSafe iiand iiEffective iiCare iiEnvironment ii(management iiof iicare)
4. A iiwell-developed iiPICOT iiquestion iihelps iithe iinurse:
a. search iifor iievidence.
b. include iiall iifive iielements iiof iithe iisequence.
c. find iias iimany iiarticles iias iipossible iiin iia iiliterature iisearch.
d. accept iistandard iiclinical iiroutines.
ANSWER: iiA
The iimore iifocused iia iiquestion iithat iiyou iiask iiis, iithe iieasier iiit iiis iito iisearch iifor iievidence iiin
iithe iiscientific iiliterature. iiA iiwell-designed iiPICOT iiquestion iidoes iinot iihave iito iiinclude iiall
iifive iielements, iinor iidoes iiit iihave iito iifollow iithe iiPICOT iisequence. iiDo iinot iibe iisatisfied
iiwith iiclinical iiroutines. iiAlways iiquestion iiand iiuse iicritical iithinking iito iiconsider iibetter iiways iito
iiprovide iipatient iicare.
DIF: CognitiveLevel: iiAnalysis OBJ: iiDescribe iithe iisix iisteps iiof iievidence-based
iipractice. iiTOP: i i Evidence-Based iiPractice KEY: iiNursing iiProcess iiStep: iiImplementation
MSC: i i NCLEX: iiSafe iiand iiEffective iiCare iiEnvironment ii(management iiof iicare)
5. The iinurse iiis iinot iisure iithat iithe iiprocedure iithe iipatient iirequires iiis iithe iibest iipossible
for iithe iisituation. iiUtilizing iiwhich iiof iithe iifollowing iiresources iiwould iibe iithe iiquickest
ii
way iito iireview iiresearch iion iithe iitopic?
ii
a. CINAHL
b. PubMed
c. MEDLINE
d. The iiCochrane iiDatabase
ANSWER: iiD
The iiCochrane iiCommunity iiDatabase iiof iiSystematic iiReviews iiis iia iivaluable iisource iiof
iisynthesized iievidence ii(i.e., iipre-appraised iievidence). iiThe iiCochrane iiDatabase iiincludes iithe
iifull iitext iiof iiregularly iiupdated iisystematic iireviews iiand iiprotocols iifor iireviews iicurrently
iihappening. iiMEDLINE, iiCINAHL, iiand iiPubMed iiare iiamong iithe iimost iicomprehensive
iidatabases iiand iirepresent iithe iiscientific iiknowledge iibase iiof iihealth iicare.
DIF: CognitiveLevel: iiSynthesis OBJ: iiDescribe iithe iisix iisteps iiof iievidence-based
iipractice. iiTOP: i i Evidence-Based iiPractice KEY: iiNursing iiProcess iiStep: iiImplementation
MSC: i i NCLEX: iiSafe iiand iiEffective iiCare iiEnvironment ii(management iiof iicare)
, 6. The iinurse iiis iigetting iiready iito iidevelop iia iiplan iiof iicare iifor iia iipatient iiwho iihas iia iispecific
need. iiThe iibest iisource iifor iideveloping iithis iiplan iiof iicare iiwould iiprobably iibe:
ii
a. The iiCochrane iiDatabase.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANSWER: iiC
The iiNational iiGuidelines iiClearinghouse ii(NGC) iiis iia iidatabase iisupported iiby iithe iiAgency
iifor iiHealthcare iiResearch iiand iiQuality ii(AHRQ). iiIt iicontains iiclinical iiguidelines—
systematically iideveloped iistatements iiabout iia iiplan iiof iicare iifor iia iispecific iiset iiof iiclinical
iicircumstances iiinvolving iia iispecific iipatient iipopulation. iiThe iiNGC iiis iia iivaluable iisource
iiwhen iiyou iiwant iito iidevelop iia iiplan iiof iicare iifor iia iipatient. iiThe iiCochrane iiCommunity
iiDatabase iiof iiSystematic iiReviews, iiMEDLINE, iiand iiCINAHL iiare iiall iivaluable iisources iiof
iisynthesized iievidence ii(i.e., iipre-appraised iievidence).
DIF: CognitiveLevel: iiSynthesis OBJ: iiDescribe iithe iisix iisteps iiof iievidence-based
iipractice. iiTOP: i i Evidence-Based iiPractice KEY: iiNursing iiProcess iiStep: iiImplementation
MSC: i i NCLEX: iiSafe iiand iiEffective iiCare iiEnvironment ii(management iiof iicare)
7. The iinurse iihas iidone iia iiliterature iisearch iiand iifound ii25 iipossible iiarticles iion iithe iitopic iithat
iishe iiis iistudying. iiTo iidetermine iiwhich iiof iithose ii25 iibest iifit iiher iiinquiry, iithe iinurse iifirst
iishould iilook iiat:
a. the iiabstracts.
b. the iiliterature iireviews.
c. the ii―Methods‖ iisections.
d. the iinarrative iisections.
ANSWER: iiA
An iiabstract iiis iia iibrief iisummary iiof iian iiarticle iithat iiquickly iitells iiyou iiwhether iithe iiarticle iiis
iiresearch iibased iior iiclinically iibased. iiAn iiabstract iisummarizes iithe iipurpose iiof iithe iistudy iior
iiclinical iiquery, iithe iimajor iithemes iior iifindings, iiand iithe iiimplications iifor iinursing iipractice.
iiThe iiliterature iireview iiusually iigives iiyou iia iigood iiidea iiof iihow iipast iiresearch iiled iito iithe
iiresearcher‘s iiquestion.
The ii―Methods‖ iior ii―Design‖ iisection iiexplains iihow iia iiresearch iistudy iiis iiorganized iiand iiconducted
iito iianswer iithe iiresearch iiquestion iior iito iitest iithe iihypothesis. iiThe iinarrative iiof iia iimanuscript
iidiffers iiaccording iito iithe iitype iiof iievidence-based iiarticle—clinical iior iiresearch.
DIF: CognitiveLevel: iiApplication
OBJ: i i Discuss iielements iito iireview iiwhen iicritiquing iithe iiscientific iiliterature.
TOP: i i Randomized iiControlled iiTrials KEY: iiNursing iiProcess iiStep:
iiImplementation iiMSC: i i NCLEX: iiSafe iiand iiEffective iiCare iiEnvironment
ii(management iiof iicare)
8. The iinurse iiwants iito iidetermine iithe iieffects iiof iicardiac iirehabilitation iiprogram iiattendance
iion iithe iilevel iiof iipostmyocardial iidepression iifor iiindividuals iiwho iihave iihad iia iimyocardial
iiinfarction. iiThe iitype iiof iistudy iithat iiwould iibest iicapture iithis iiinformation iiwould iibe iia:
a. randomized iicontrolled iitrial.
b. qualitative iistudy.
c. case iicontrol iistudy.
d. descriptive iistudy.
ANSWER: iiB