TESTdBANKdFORdNURSINGdINTERVENTIONSdANDdCLINICALdSKILLSd7THdEDITIONdBYdPOTTER
Chapter 01: Using Evidence in Nursing Practice
d d d d d d
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
d d d d d d d d d
MULTIPLEdCHOICE
1. Adnursingdeducatordisdexplainingdhowdthedbestdclinicaldpracticesdareddetermined.dWhichds
tatementdbestdexplainsdthedpurposedofdevidence-baseddpractice?
a. Itdensuresdthatdalldpatientsdreceivedholisticdcare.
b. Itdprovidesdaddefinitedreasondfordprovidingdcaredindadspecificdmanner.
c. Itdpreventsderrorsdwhendcaredisdbeingddelivered.
d. Itdguaranteesdthatdcareddelivereddisdbaseddondresearch.
ANS:d B
Evidence-
baseddpracticedisdthedusedofdthedcurrentdbestdevidencedindmakingdpatientdcareddecisions.dItdappliesd
todalldtypesdofdhealthdcaredprofessionals.dCurrentlydtheredisdnodmethoddthatdcandensuredthatdalldpati
entsdreceivedholisticdcare,dthatdallderrorsdcandbedprevented,dordthatdadguaranteedexistsdthatdcaredgiv
endisdbaseddondresearch.
DIF: CognitivedLevel:dUnderstanding
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
2. Whichdquestiondisdadproblem-focuseddtriggerdfordinitiatingdthedevidence-
baseddpracticedmethoddindnursingdcare?
a. Whatdisdknowndaboutdreductiondofdurinarydtractdinfectionsdindthedolderdadultdwithdd
iabetes?
b. HowdcandchronicdpaindbestdIbeddescribeddwhendthedpatientdisdnonverbal?
c. HowdlongdcandandIVdcatheterdremaindindplacedindadpatientdwithdobesity?
d. Whatdmeasuresdcandthednursedtakedtodreducedthedrisingdincidencedofdurinarydtractdi
nfectionsdondthedolderdadultdcaredunit?
ANS:d D
Evidence-
baseddpracticed(EBP)dquestionsdtenddtodarisedfromdtwodsources:drecurrentdproblemsdordnewdkno
wledge.dIndthedcorrectdoption,dthedincreasedindurinarydtractdinfectionsdindicatesdadtrenddordrecurr
ingdproblemdindadspecificdgroupdofdpatients.dThedotherdquestionsdaredgeneraldinformationdquesti
ons,dnotdbaseddondwhatdisdhappeningdindadspecificdareadordtodadgroupdofdspecificdpatientsdindandar
eadordrelatingdtodandobserveddtrend.
DIF: CognitivedLevel:dApplying
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
3. Whatddoesdthed“I”dindicatedindad“PICO”dquestion?
a. Interventiondofdinterest
b. Incorporationdofdconcepts
c. Implementationdbydnursing
d. Interestdofdpersonnel
ANS:d A
Thed“I”dstandsdfordinterventiondofdinterest,dmeaningdwhatdthednursedhopesdtodusedindpracticedandd
believesdisdworthwhiledordvaluable.dThisdcoulddbedadtreatmentdfordadspecificdtypedofdwounddordand
approachdondhowdtodteachdfooddpreparationdfordadpatientdwithdimpaireddsight.
TESTBANKWORLD.ORG
,TESTdBANKdFORdNURSINGdINTERVENTIONSdANDdCLINICALdSKILLSd7THdEDITIONdBYdPOTTER
DIF: CognitivedLevel:dRemembering
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
4. Whodwilldthedclinicaldresearchdnursedcontactdtodsearchdrelevantddatabasesdindpreparationdfordandu
pcomingdstudy?
a. Thedphysiciandwhosedpatientsdmaydbedinvolveddindthedstudy
b. Thedmedicaldlibrarian
c. Thednursedmanagerdofdthedunitdwheredthedstudydwilldbedconducted
d. Theddirectordofdnursingdofdthedfacility
ANS:d B
Thedmedicaldlibrariandisdmostdknowledgeabledregardingddatabasesdrelevantdtodadstudy.dThedo
therdindividualsddodnotdhavedthedknowledgedregardingdrelevantddatabases.
DIF: CognitivedLevel:dUnderstanding
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
5. Whichddatabasedcontainsdsummariesdofdclinicaldguidelinesdanddtheirddevelopment?
a. MEDLINE
b. CINAHL
c. CochranedDatabasedofdSystematicdReviews
d. ThedNationaldGuidelinedClearinghouse
ANS:d D
ThedNationaldGuidelinedClearinghousedisdaddatabasedsupporteddbydthedAgencydfordHealthcared
ResearchdanddQuality.dItdcontainsdsummariesdofdclinicaldguidelinesdfordpractice.dMEDLINEdisda
ddatabasedfordstudiesdindmediciN ne, dnursing,ddentistry,dpsychiatry,dveterinarydmedicine,dand
allieddhealth.dCINAHLd(CumulativedIndexdofdNursingdanddAllieddHealthdLiterature)dincludes
studiesdindnursing,dallieddhealth,danddbiomedicine.dThedCochranedDatabasedFulldtextdofdregularly
dupdateddsystematicdreviewsdprepareddbydthedCochranedCollaborationdincludesdcompleteddrevie
wsdanddprotocols.
DIF: CognitivedLevel:dRemembering
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
6. Whichddoesdthednursedresearcherdidentifydasdthedstrongestdtypedofdresearch?
a. Randomizeddcontrolleddtrials
b. Adqualitativedstudy
c. Addescriptivedstudy
d. Adcasedcontrolleddstudy
ANS:d A
Individualdrandomizeddcontrolleddtrialsdaredclosedtodthedtopdofdthedresearchdpyramid.dOnlydsyste
maticdreviewsdanddmeta-
analysesdaredhigher.dThisdtypedofdstudydtestsdandinterventiondagainstdthedusualdstandarddofdcare.dT
hedotherdtypesdofdstudiesdaredusefuldbutddodnotdgivedthedsamedtypedofdinformationdasdadrandomize
ddcontrolleddtrialdprovides.
DIF: CognitivedLevel:dRemembering
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dAssessment
TESTBANKWORLD.ORG
,TESTdBANKdFORdNURSINGdINTERVENTIONSdANDdCLINICALdSKILLSd7THdEDITIONdBYdPOTTER
7. WhatdisdthednursedattemptingdtoddeterminedwhendcritiquingdthedevidencedrelateddtodadPICOTdq
uestion?
a. Thedethicaldconductdofdthedresearchdthednursedread
b. Thedstrengthdofdthedevidencedfounddindthedliterature
c. Ifdtheredaredanydexpertsdindthedclinicaldquestiondneedingdtodbedresearched
d. Ifdthedstudyddemonstratesdcost-effectivenessdifdadchangedindpracticedoccurs
ANS:d B
Oncedadliteraturedsearchdisdcompletedandddatadaredgathereddaboutdthedquestion,ditdisdtimedtodcritiqu
edthedevidence.dCritiquingdthedevidencedinvolvesdadsystematicdapproachdtodlookingdatdthedstrengt
hdofdthedworkdrevieweddandditsdrelevance.dThedotherdquestionsdarednotdapplicabledtodcritiquingdth
edevidence.
DIF: CognitivedLevel:dUnderstanding
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
8. Adnursedfindsdadcohortdstudydcomparingdonedgroupdtakingdhormonedtreatmentdwithdanotherdg
roupdnotdtakingdhormonedtreatmentdtoddeterminedthedincidencedofdchangesdindboneddensitydof
thedlowerdspine.dWhatdcandthednursedimplydfromdthisdstudy?
a. Lowdleveldofdstrengthdmakesdthedstudydlimiteddindvalue.
b. Moderatedleveldofdstrengthdmakesdthedstudydprobablyduseful.
c. Opinionsdofdthedindividualsdindthedcohortdarednotdresearch.
d. ThisdcoulddbedthedbasisdfordadQualitydImprovementdproject.
ANS:d B
AdcohortdstudydisdLeveld4devidencedasditdisdadsingle,dnon-
experimentaldstudy.dThisdmoderatedleveldofdevidencedmakesdthedstudydprobablydusefuldbutdthed
nursedshoulddstrivedtodfinddstrongerdevidence. N
DIF: CognitivedLevel:dApplying
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dEvaluation
9. Whichdquestiondwoulddbedthedbestdexampledofdadknowledge-
focuseddtriggerdfordconductingdandevidence-baseddpracticedproject?
a. Whatdisdthedbestdmethoddfordtreatmentdofdlegdswellingdwhendadpatientdisdtakingdg
abapentind(Neurontin)?
b. Howdcandweddecreasedthedincidencedofdskindcancerdindadultsdoverdthedagedofd65?
c. Whatdisdthedcurrentdevidencedfordimprovingdoraldintakedfordcancerdpatientsdwithds
tomatitis?
d. Whatdisdthedmaximaldlengthdofdtimedourdhospitaldallowsdirrigationdkitsdtodbedused?
ANS:d C
Evidence-
baseddpracticed(EBP)dquestionsdtenddtodarisedfromdtwodsources:drecurrentdproblemsdordnewdkno
wledge.dIndthisdexample,dthednewdknowledgedthatddrivesdthedquestiondisdthedonedlookingdatdcurre
ntdevidence.dThedotherdquestionsddodnotdlookdatdthednewestdknowledgedtodformdadquestiondtodrese
arch.
DIF: CognitivedLevel:dAnalyzing
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
MULTIPLEdRESPONSE
TESTBANKWORLD.ORG
, TESTdBANKdFORdNURSINGdINTERVENTIONSdANDdCLINICALdSKILLSd7THdEDITIONdBYdPOTTER
1. Whendplanningdtodimplementdandevidence-
baseddpracticedstrategy,dwhatdfactorsdaredmostdimportantdfordthednursedtodconsiderdanddincl
ude?d(Selectdalldthatdapply.)
a. Timedrequireddtodperformdthedstrategy
b. Patientdpreferencesdanddvalues
c. Clinicaldexpertise
d. Scientificdknowledge
e. Historicaldpractices
ANS:d B,dC,dD
Whendimplementingdevidence-
baseddpractice,dthednursedconsidersdanddincludesdclinicaldexpertisedanddpatientdpreferencesdanddv
aluesdindadditiondtodthedscientificdknowledge.dTimedrequireddtodperformdthednewdstrategydanddcus
tomarydpracticesdarednotdvitaldtodthisdapproach.dIndfact,dEBPdseeksdtodensuredpracticesdaredbaseddo
ndevidencedanddnotdjustdhistoricaldpractice.
DIF: CognitivedLevel:dRemembering
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
2. Adnewdnursedwantsdtodensuredpracticedisdbaseddondthedbestdknowledgedavailable.dWhatdactionsda
redbestdfordthisdnursedtodbedinvolveddindevidence-baseddpractice?d(Selectdalldthatdapply.)
a. Designdanddconductdadstudydbaseddondinterest.
b. Joindthedhospital’sdpolicydreviewdcommittee.
c. Remaindvigilantdfordrecurringdproblems.
d. Maintaindadspiritdofdinquiry.
e. Readdcurrentdliteraturedappropriatedtodpracticedarea.
ANS:d B,dC,dD,dE
ThisdnovicednursedwoulddbestdmNaintain dandevidence-
baseddnursingdpracticedbydjoiningdpolicydreviewdcommittees,dwatchingdfordanddtakingdnotedofdrec
urringdproblemsdindthedpracticedarea,dmaintainingdadspiritdofdinquiry,danddstayingdcurrentdindthedlit
erature.dThednursedwoulddnotdneeddtoddesigndanddconductdadstudy.
DIF: CognitivedLevel:dApplying
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
3. Whendexplainingdthedvaluedofdevidence-
baseddpractice,dwhatdbenefitsddoesdthednursedinclude?d(Selectdalldthatdapply.)
a. Improvesdqualitydofdcare.
b. Improvesdpatientdoutcomes.
c. Improvesdstakeholderdsatisfaction.
d. Incorporatesdneardreal-timeddatadindpractice.
e. Helpsdnursesdremaindcurrentdindpractice.
ANS:d A,dB,dD,dE
TheredaredfivedwaysdthatdEBPdaddsdvaluedtodthedhealthdcaredsystem:dhelpsdcliniciansdremaindcurre
ntdondstandardized,devidence-baseddprotocols;dusesdneardreal-
timedscientificddatadtodmakedcareddecisions;dimprovesdtransparency,daccountability,danddvalued(e.
g.dsafedcare);dimprovesdqualitydofdcare;danddimprovesdoutcomes.dOnedwoulddhopedalldstakeholder
sdwoulddbedmoredsatisfieddwithdthisdmethoddofddeterminingdcaredbutdthatdisdnotdonedofdthedspecifi
cdbenefits.
DIF: CognitivedLevel:dRemembering
TESTBANKWORLD.ORG
Chapter 01: Using Evidence in Nursing Practice
d d d d d d
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
d d d d d d d d d
MULTIPLEdCHOICE
1. Adnursingdeducatordisdexplainingdhowdthedbestdclinicaldpracticesdareddetermined.dWhichds
tatementdbestdexplainsdthedpurposedofdevidence-baseddpractice?
a. Itdensuresdthatdalldpatientsdreceivedholisticdcare.
b. Itdprovidesdaddefinitedreasondfordprovidingdcaredindadspecificdmanner.
c. Itdpreventsderrorsdwhendcaredisdbeingddelivered.
d. Itdguaranteesdthatdcareddelivereddisdbaseddondresearch.
ANS:d B
Evidence-
baseddpracticedisdthedusedofdthedcurrentdbestdevidencedindmakingdpatientdcareddecisions.dItdappliesd
todalldtypesdofdhealthdcaredprofessionals.dCurrentlydtheredisdnodmethoddthatdcandensuredthatdalldpati
entsdreceivedholisticdcare,dthatdallderrorsdcandbedprevented,dordthatdadguaranteedexistsdthatdcaredgiv
endisdbaseddondresearch.
DIF: CognitivedLevel:dUnderstanding
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
2. Whichdquestiondisdadproblem-focuseddtriggerdfordinitiatingdthedevidence-
baseddpracticedmethoddindnursingdcare?
a. Whatdisdknowndaboutdreductiondofdurinarydtractdinfectionsdindthedolderdadultdwithdd
iabetes?
b. HowdcandchronicdpaindbestdIbeddescribeddwhendthedpatientdisdnonverbal?
c. HowdlongdcandandIVdcatheterdremaindindplacedindadpatientdwithdobesity?
d. Whatdmeasuresdcandthednursedtakedtodreducedthedrisingdincidencedofdurinarydtractdi
nfectionsdondthedolderdadultdcaredunit?
ANS:d D
Evidence-
baseddpracticed(EBP)dquestionsdtenddtodarisedfromdtwodsources:drecurrentdproblemsdordnewdkno
wledge.dIndthedcorrectdoption,dthedincreasedindurinarydtractdinfectionsdindicatesdadtrenddordrecurr
ingdproblemdindadspecificdgroupdofdpatients.dThedotherdquestionsdaredgeneraldinformationdquesti
ons,dnotdbaseddondwhatdisdhappeningdindadspecificdareadordtodadgroupdofdspecificdpatientsdindandar
eadordrelatingdtodandobserveddtrend.
DIF: CognitivedLevel:dApplying
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
3. Whatddoesdthed“I”dindicatedindad“PICO”dquestion?
a. Interventiondofdinterest
b. Incorporationdofdconcepts
c. Implementationdbydnursing
d. Interestdofdpersonnel
ANS:d A
Thed“I”dstandsdfordinterventiondofdinterest,dmeaningdwhatdthednursedhopesdtodusedindpracticedandd
believesdisdworthwhiledordvaluable.dThisdcoulddbedadtreatmentdfordadspecificdtypedofdwounddordand
approachdondhowdtodteachdfooddpreparationdfordadpatientdwithdimpaireddsight.
TESTBANKWORLD.ORG
,TESTdBANKdFORdNURSINGdINTERVENTIONSdANDdCLINICALdSKILLSd7THdEDITIONdBYdPOTTER
DIF: CognitivedLevel:dRemembering
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
4. Whodwilldthedclinicaldresearchdnursedcontactdtodsearchdrelevantddatabasesdindpreparationdfordandu
pcomingdstudy?
a. Thedphysiciandwhosedpatientsdmaydbedinvolveddindthedstudy
b. Thedmedicaldlibrarian
c. Thednursedmanagerdofdthedunitdwheredthedstudydwilldbedconducted
d. Theddirectordofdnursingdofdthedfacility
ANS:d B
Thedmedicaldlibrariandisdmostdknowledgeabledregardingddatabasesdrelevantdtodadstudy.dThedo
therdindividualsddodnotdhavedthedknowledgedregardingdrelevantddatabases.
DIF: CognitivedLevel:dUnderstanding
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
5. Whichddatabasedcontainsdsummariesdofdclinicaldguidelinesdanddtheirddevelopment?
a. MEDLINE
b. CINAHL
c. CochranedDatabasedofdSystematicdReviews
d. ThedNationaldGuidelinedClearinghouse
ANS:d D
ThedNationaldGuidelinedClearinghousedisdaddatabasedsupporteddbydthedAgencydfordHealthcared
ResearchdanddQuality.dItdcontainsdsummariesdofdclinicaldguidelinesdfordpractice.dMEDLINEdisda
ddatabasedfordstudiesdindmediciN ne, dnursing,ddentistry,dpsychiatry,dveterinarydmedicine,dand
allieddhealth.dCINAHLd(CumulativedIndexdofdNursingdanddAllieddHealthdLiterature)dincludes
studiesdindnursing,dallieddhealth,danddbiomedicine.dThedCochranedDatabasedFulldtextdofdregularly
dupdateddsystematicdreviewsdprepareddbydthedCochranedCollaborationdincludesdcompleteddrevie
wsdanddprotocols.
DIF: CognitivedLevel:dRemembering
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
6. Whichddoesdthednursedresearcherdidentifydasdthedstrongestdtypedofdresearch?
a. Randomizeddcontrolleddtrials
b. Adqualitativedstudy
c. Addescriptivedstudy
d. Adcasedcontrolleddstudy
ANS:d A
Individualdrandomizeddcontrolleddtrialsdaredclosedtodthedtopdofdthedresearchdpyramid.dOnlydsyste
maticdreviewsdanddmeta-
analysesdaredhigher.dThisdtypedofdstudydtestsdandinterventiondagainstdthedusualdstandarddofdcare.dT
hedotherdtypesdofdstudiesdaredusefuldbutddodnotdgivedthedsamedtypedofdinformationdasdadrandomize
ddcontrolleddtrialdprovides.
DIF: CognitivedLevel:dRemembering
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dAssessment
TESTBANKWORLD.ORG
,TESTdBANKdFORdNURSINGdINTERVENTIONSdANDdCLINICALdSKILLSd7THdEDITIONdBYdPOTTER
7. WhatdisdthednursedattemptingdtoddeterminedwhendcritiquingdthedevidencedrelateddtodadPICOTdq
uestion?
a. Thedethicaldconductdofdthedresearchdthednursedread
b. Thedstrengthdofdthedevidencedfounddindthedliterature
c. Ifdtheredaredanydexpertsdindthedclinicaldquestiondneedingdtodbedresearched
d. Ifdthedstudyddemonstratesdcost-effectivenessdifdadchangedindpracticedoccurs
ANS:d B
Oncedadliteraturedsearchdisdcompletedandddatadaredgathereddaboutdthedquestion,ditdisdtimedtodcritiqu
edthedevidence.dCritiquingdthedevidencedinvolvesdadsystematicdapproachdtodlookingdatdthedstrengt
hdofdthedworkdrevieweddandditsdrelevance.dThedotherdquestionsdarednotdapplicabledtodcritiquingdth
edevidence.
DIF: CognitivedLevel:dUnderstanding
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
8. Adnursedfindsdadcohortdstudydcomparingdonedgroupdtakingdhormonedtreatmentdwithdanotherdg
roupdnotdtakingdhormonedtreatmentdtoddeterminedthedincidencedofdchangesdindboneddensitydof
thedlowerdspine.dWhatdcandthednursedimplydfromdthisdstudy?
a. Lowdleveldofdstrengthdmakesdthedstudydlimiteddindvalue.
b. Moderatedleveldofdstrengthdmakesdthedstudydprobablyduseful.
c. Opinionsdofdthedindividualsdindthedcohortdarednotdresearch.
d. ThisdcoulddbedthedbasisdfordadQualitydImprovementdproject.
ANS:d B
AdcohortdstudydisdLeveld4devidencedasditdisdadsingle,dnon-
experimentaldstudy.dThisdmoderatedleveldofdevidencedmakesdthedstudydprobablydusefuldbutdthed
nursedshoulddstrivedtodfinddstrongerdevidence. N
DIF: CognitivedLevel:dApplying
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dEvaluation
9. Whichdquestiondwoulddbedthedbestdexampledofdadknowledge-
focuseddtriggerdfordconductingdandevidence-baseddpracticedproject?
a. Whatdisdthedbestdmethoddfordtreatmentdofdlegdswellingdwhendadpatientdisdtakingdg
abapentind(Neurontin)?
b. Howdcandweddecreasedthedincidencedofdskindcancerdindadultsdoverdthedagedofd65?
c. Whatdisdthedcurrentdevidencedfordimprovingdoraldintakedfordcancerdpatientsdwithds
tomatitis?
d. Whatdisdthedmaximaldlengthdofdtimedourdhospitaldallowsdirrigationdkitsdtodbedused?
ANS:d C
Evidence-
baseddpracticed(EBP)dquestionsdtenddtodarisedfromdtwodsources:drecurrentdproblemsdordnewdkno
wledge.dIndthisdexample,dthednewdknowledgedthatddrivesdthedquestiondisdthedonedlookingdatdcurre
ntdevidence.dThedotherdquestionsddodnotdlookdatdthednewestdknowledgedtodformdadquestiondtodrese
arch.
DIF: CognitivedLevel:dAnalyzing
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
MULTIPLEdRESPONSE
TESTBANKWORLD.ORG
, TESTdBANKdFORdNURSINGdINTERVENTIONSdANDdCLINICALdSKILLSd7THdEDITIONdBYdPOTTER
1. Whendplanningdtodimplementdandevidence-
baseddpracticedstrategy,dwhatdfactorsdaredmostdimportantdfordthednursedtodconsiderdanddincl
ude?d(Selectdalldthatdapply.)
a. Timedrequireddtodperformdthedstrategy
b. Patientdpreferencesdanddvalues
c. Clinicaldexpertise
d. Scientificdknowledge
e. Historicaldpractices
ANS:d B,dC,dD
Whendimplementingdevidence-
baseddpractice,dthednursedconsidersdanddincludesdclinicaldexpertisedanddpatientdpreferencesdanddv
aluesdindadditiondtodthedscientificdknowledge.dTimedrequireddtodperformdthednewdstrategydanddcus
tomarydpracticesdarednotdvitaldtodthisdapproach.dIndfact,dEBPdseeksdtodensuredpracticesdaredbaseddo
ndevidencedanddnotdjustdhistoricaldpractice.
DIF: CognitivedLevel:dRemembering
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
2. Adnewdnursedwantsdtodensuredpracticedisdbaseddondthedbestdknowledgedavailable.dWhatdactionsda
redbestdfordthisdnursedtodbedinvolveddindevidence-baseddpractice?d(Selectdalldthatdapply.)
a. Designdanddconductdadstudydbaseddondinterest.
b. Joindthedhospital’sdpolicydreviewdcommittee.
c. Remaindvigilantdfordrecurringdproblems.
d. Maintaindadspiritdofdinquiry.
e. Readdcurrentdliteraturedappropriatedtodpracticedarea.
ANS:d B,dC,dD,dE
ThisdnovicednursedwoulddbestdmNaintain dandevidence-
baseddnursingdpracticedbydjoiningdpolicydreviewdcommittees,dwatchingdfordanddtakingdnotedofdrec
urringdproblemsdindthedpracticedarea,dmaintainingdadspiritdofdinquiry,danddstayingdcurrentdindthedlit
erature.dThednursedwoulddnotdneeddtoddesigndanddconductdadstudy.
DIF: CognitivedLevel:dApplying
OBJ:d NCLEX:dSafedanddEffectivedCaredEnvironmentdTOP:d NursingdProcess:dImplementat
ion
3. Whendexplainingdthedvaluedofdevidence-
baseddpractice,dwhatdbenefitsddoesdthednursedinclude?d(Selectdalldthatdapply.)
a. Improvesdqualitydofdcare.
b. Improvesdpatientdoutcomes.
c. Improvesdstakeholderdsatisfaction.
d. Incorporatesdneardreal-timeddatadindpractice.
e. Helpsdnursesdremaindcurrentdindpractice.
ANS:d A,dB,dD,dE
TheredaredfivedwaysdthatdEBPdaddsdvaluedtodthedhealthdcaredsystem:dhelpsdcliniciansdremaindcurre
ntdondstandardized,devidence-baseddprotocols;dusesdneardreal-
timedscientificddatadtodmakedcareddecisions;dimprovesdtransparency,daccountability,danddvalued(e.
g.dsafedcare);dimprovesdqualitydofdcare;danddimprovesdoutcomes.dOnedwoulddhopedalldstakeholder
sdwoulddbedmoredsatisfieddwithdthisdmethoddofddeterminingdcaredbutdthatdisdnotdonedofdthedspecifi
cdbenefits.
DIF: CognitivedLevel:dRemembering
TESTBANKWORLD.ORG
