NursingInterventions an
v v
d Clinical Skills 7th Editio
v v v v
n Test Bank
v v
Anne Griffin Perry, Patricia A. Potter & Wendy Oste
v v v v v v v v
ndorf
,Chapter 01: Using Evidence in Nursing Practice
v v v v v v
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
v v v v v v v v v
MULTIPLEvCHOICE
1. Avnursingveducatorvisvexplainingvhowvthevbestvclinicalvpracticesvarevdetermined.vWhichvs
tatementvbestvexplainsvthevpurposevofvevidence-basedvpractice?
a. Itvensuresvthatvallvpatientsvreceivevholisticvcare.
b. Itvprovidesvavdefinitevreasonvforvprovidingvcarevinvavspecificvmanner.
c. Itvpreventsverrorsvwhenvcarevisvbeingvdelivered.
d. Itvguaranteesvthatvcarevdeliveredvisvbasedvonvresearch.
ANS:v B
Evidence-
basedvpracticevisvthevusevofvthevcurrentvbestvevidencevinvmakingvpatientvcarevdecisions.vItvapplie
svtovallvtypesvofvhealthvcarevprofessionals.vCurrentlyvtherevisvnovmethodvthatvcanvensurevthatvallvp
atientsvreceivevholisticvcare,vthatvallverrorsvcanvbevprevented,vorvthatvavguaranteevexistsvthatvcarev
givenvisvbasedvonvresearch.
DIF: CognitivevLevel:vUnderstanding
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
2. Whichvquestionvisvavproblem-focusedvtriggervforvinitiatingvthevevidence-
basedvpracticevmethodvinvnursingvcare?
a. Whatvisvknownvaboutvreductionvofvurinaryvtractvinfectionsvinvthevoldervadultvwithvd
iabetes?
b. Howvcanvchronicvpainvbestvbevdescribedvwhenvthevpatientvisvnonverbal?
c. HowvlongvcanvanvIVvcathetervremainvinvplacevinvavpatientvwithvobesity?
d. Whatvmeasuresvcanvthevnursevtakevtovreducevthevrisingvincidencevofvurinaryvtractvi
nfectionsvonvthevoldervadultvcarevunit?
ANS:v D
Evidence-
basedvpracticev(EBP)vquestionsvtendvtovarisevfromvtwovsources:vrecurrentvproblemsvorvnewvkno
wledge.vInvthevcorrectvoption,vthevincreasevinvurinaryvtractvinfectionsvindicatesvavtrendvorvrecurr
ingvproblemvinvavspecificvgroupvofvpatients.vThevothervquestionsvarevgeneralvinformationvquesti
ons,vnotvbasedvonvwhatvisvhappeningvinvavspecificvareavorvtovavgroupvofvspecificvpatientsvinvanvar
eavorvrelatingvtovanvobservedvtrend.
DIF: CognitivevLevel:vApplying
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
3. Whatvdoesvthev―I‖vindicatevinvav―PICO‖vquestion?
a. Interventionvofvinterest
b. Incorporationvofvconcepts
c. Implementationvbyvnursing
d. Interestvofvpersonnel
ANS:v A
Thev―I‖vstandsvforvinterventionvofvinterest,vmeaningvwhatvthevnursevhopesvtovusevinvpracticevan
dvbelievesvisvworthwhilevorvvaluable.vThisvcouldvbevavtreatmentvforvavspecificvtypevofvwoundvorva
nvapproachvonvhowvtovteachvfoodvpreparationvforvavpatientvwithvimpairedvsight.
, DIF: CognitivevLevel:vRemembering
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
4. Whovwillvthevclinicalvresearchvnursevcontactvtovsearchvrelevantvdatabasesvinvpreparationvforvanvu
pcomingvstudy?
a. Thevphysicianvwhosevpatientsvmayvbevinvolvedvinvthevstudy
b. Thevmedicalvlibrarian
c. Thevnursevmanagervofvthevunitvwherevthevstudyvwillvbevconducted
d. Thevdirectorvofvnursingvofvthevfacility
ANS:v B
Thevmedicalvlibrarianvisvmostvknowledgeablevregardingvdatabasesvrelevantvtovavstudy.vThevother
vindividualsvdovnotvhavevthevknowledgevregardingvrelevant vdatabases.
DIF: CognitivevLevel:vUnderstanding
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
5. Whichvdatabasevcontainsvsummariesvofvclinicalvguidelinesvandvtheirvdevelopment?
a. MEDLINE
b. CINAHL
c. CochranevDatabasevofvSystematicvReviews
d. ThevNationalvGuidelinevClearinghouse
ANS:v D
ThevNationalvGuidelinevClearinghousevisvavdatabasevsupportedvbyvthevAgencyvforvHealthcarevResea
rchvandvQuality.vItvcontainsvsummariesvofvclinicalvguidelinesvforvpractice.vMEDLINEvis
avdatabasevforvstudiesvinvmediciNne, vnursing,vdentistry,vpsychiatry,vveterinaryvmedicine,vandvall
iedvhealth.vCINAHLv(CumulativevIndexvofvNursingvandvAlliedvHealthvLiterature)vincludesvstudi
esvinvnursing,valliedvhealth,vandvbiomedicine.vThevCochranevDatabasevFullvtextvof
regularlyvupdatedvsystematicvreviewsvpreparedvbyvthevCochranevCollaborationvincludesvcomple
tedvreviewsvandvprotocols.
DIF: CognitivevLevel:vRemembering
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
6. Whichvdoesvthevnursevresearchervidentifyvasvthevstrongestvtypevofvresearch?
a. Randomizedvcontrolledvtrials
b. Avqualitativevstudy
c. Avdescriptivevstudy
d. Avcasevcontrolledvstudy
ANS:v A
Individualvrandomizedvcontrolledvtrialsvarevclosevtovthevtopvofvthevresearchvpyramid.vOnlyvsyste
maticvreviewsvandvmeta-
analysesvarevhigher.vThisvtypevofvstudyvtestsvanvinterventionvagainstvthevusualvstandardvofvcare.v
Thevothervtypesvofvstudiesvarevusefulvbutvdovnotvgivevthevsamevtypevofvinformationvasvavrandomi
zedvcontrolledvtrialvprovides.
DIF: CognitivevLevel:vRemembering
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vAssessment
, 7. WhatvisvthevnursevattemptingvtovdeterminevwhenvcritiquingvthevevidencevrelatedvtovavPICOTvq
uestion?
a. Thevethicalvconductvofvthevresearchvthevnursevread
b. Thevstrengthvofvthevevidencevfoundvinvthevliterature
c. Ifvtherevarevanyvexpertsvinvthevclinicalvquestionvneedingvtovbevresearched
d. Ifvthevstudyvdemonstratesvcost-effectivenessvifvavchangevinvpracticevoccurs
ANS:v B
Oncevavliteraturevsearchvisvcompletevandvdatavarevgatheredvaboutvthevquestion,vitvisvtimevtovcritiq
uevthevevidence.vCritiquingvthevevidencevinvolvesvavsystematicvapproachvtovlookingvatvthevstrengt
hvofvthevworkvreviewedvandvitsvrelevance.vThevothervquestionsvarevnotvapplicablevtovcritiquingvth
evevidence.
DIF: CognitivevLevel:vUnderstanding
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
8. Avnursevfindsvavcohortvstudyvcomparingvonevgroupvtakingvhormonevtreatmentvwithvanothervgro
upvnotvtakingvhormonevtreatmentvtovdeterminevthevincidencevofvchangesvinvbonevdensityvofvthevl
owervspine.vWhatvcanvthevnursevimplyvfromvthisvstudy?
a. Lowvlevelvofvstrengthvmakesvthevstudyvlimitedvinvvalue.
b. Moderatevlevelvofvstrengthvmakesvthevstudyvprobablyvuseful.
c. Opinionsvofvthevindividualsvinvthevcohortvarevnotvresearch.
d. ThisvcouldvbevthevbasisvforvavQualityvImprovementvproject.
ANS:v B
AvcohortvstudyvisvLevelv4vevidencevasvitvisvavsingle,vnon-
experimentalvstudy.vThisvmoderatevlevelvofvevidencevmakesvthevstudyvprobablyvusefulvbutvthevn
ursevshouldvstrivevtovfindvstrongervevidence. N
DIF: CognitivevLevel:vApplying
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vEvaluation
9. Whichvquestionvwouldvbevthevbestvexamplevofvavknowledge-
focusedvtriggervforvconductingvanvevidence-basedvpracticevproject?
a. Whatvisvthevbestvmethodvforvtreatmentvofvlegvswellingvwhenvavpatientvisvtakingvg
abapentinv(Neurontin)?
b. Howvcanvwevdecreasevthevincidencevofvskinvcancervinvadultsvovervthevagevofv65?
c. Whatvisvthevcurrentvevidencevforvimprovingvoralvintakevforvcancervpatientsvwithvs
tomatitis?
d. Whatvisvthevmaximalvlengthvofvtimevourvhospitalvallowsvirrigationvkitsvtovbevused?
ANS:v C
Evidence-
basedvpracticev(EBP)vquestionsvtendvtovarisevfromvtwovsources:vrecurrentvproblemsvorvnewvkno
wledge.vInvthisvexample,vthevnewvknowledgevthatvdrivesvthevquestionvisvthevonevlookingvatvcurre
ntvevidence.vThevothervquestionsvdovnotvlookvatvthevnewestvknowledgevtovformvavquestionvtovrese
arch.
DIF: CognitivevLevel:vAnalyzing
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
MULTIPLEvRESPONSE
v v
d Clinical Skills 7th Editio
v v v v
n Test Bank
v v
Anne Griffin Perry, Patricia A. Potter & Wendy Oste
v v v v v v v v
ndorf
,Chapter 01: Using Evidence in Nursing Practice
v v v v v v
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
v v v v v v v v v
MULTIPLEvCHOICE
1. Avnursingveducatorvisvexplainingvhowvthevbestvclinicalvpracticesvarevdetermined.vWhichvs
tatementvbestvexplainsvthevpurposevofvevidence-basedvpractice?
a. Itvensuresvthatvallvpatientsvreceivevholisticvcare.
b. Itvprovidesvavdefinitevreasonvforvprovidingvcarevinvavspecificvmanner.
c. Itvpreventsverrorsvwhenvcarevisvbeingvdelivered.
d. Itvguaranteesvthatvcarevdeliveredvisvbasedvonvresearch.
ANS:v B
Evidence-
basedvpracticevisvthevusevofvthevcurrentvbestvevidencevinvmakingvpatientvcarevdecisions.vItvapplie
svtovallvtypesvofvhealthvcarevprofessionals.vCurrentlyvtherevisvnovmethodvthatvcanvensurevthatvallvp
atientsvreceivevholisticvcare,vthatvallverrorsvcanvbevprevented,vorvthatvavguaranteevexistsvthatvcarev
givenvisvbasedvonvresearch.
DIF: CognitivevLevel:vUnderstanding
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
2. Whichvquestionvisvavproblem-focusedvtriggervforvinitiatingvthevevidence-
basedvpracticevmethodvinvnursingvcare?
a. Whatvisvknownvaboutvreductionvofvurinaryvtractvinfectionsvinvthevoldervadultvwithvd
iabetes?
b. Howvcanvchronicvpainvbestvbevdescribedvwhenvthevpatientvisvnonverbal?
c. HowvlongvcanvanvIVvcathetervremainvinvplacevinvavpatientvwithvobesity?
d. Whatvmeasuresvcanvthevnursevtakevtovreducevthevrisingvincidencevofvurinaryvtractvi
nfectionsvonvthevoldervadultvcarevunit?
ANS:v D
Evidence-
basedvpracticev(EBP)vquestionsvtendvtovarisevfromvtwovsources:vrecurrentvproblemsvorvnewvkno
wledge.vInvthevcorrectvoption,vthevincreasevinvurinaryvtractvinfectionsvindicatesvavtrendvorvrecurr
ingvproblemvinvavspecificvgroupvofvpatients.vThevothervquestionsvarevgeneralvinformationvquesti
ons,vnotvbasedvonvwhatvisvhappeningvinvavspecificvareavorvtovavgroupvofvspecificvpatientsvinvanvar
eavorvrelatingvtovanvobservedvtrend.
DIF: CognitivevLevel:vApplying
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
3. Whatvdoesvthev―I‖vindicatevinvav―PICO‖vquestion?
a. Interventionvofvinterest
b. Incorporationvofvconcepts
c. Implementationvbyvnursing
d. Interestvofvpersonnel
ANS:v A
Thev―I‖vstandsvforvinterventionvofvinterest,vmeaningvwhatvthevnursevhopesvtovusevinvpracticevan
dvbelievesvisvworthwhilevorvvaluable.vThisvcouldvbevavtreatmentvforvavspecificvtypevofvwoundvorva
nvapproachvonvhowvtovteachvfoodvpreparationvforvavpatientvwithvimpairedvsight.
, DIF: CognitivevLevel:vRemembering
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
4. Whovwillvthevclinicalvresearchvnursevcontactvtovsearchvrelevantvdatabasesvinvpreparationvforvanvu
pcomingvstudy?
a. Thevphysicianvwhosevpatientsvmayvbevinvolvedvinvthevstudy
b. Thevmedicalvlibrarian
c. Thevnursevmanagervofvthevunitvwherevthevstudyvwillvbevconducted
d. Thevdirectorvofvnursingvofvthevfacility
ANS:v B
Thevmedicalvlibrarianvisvmostvknowledgeablevregardingvdatabasesvrelevantvtovavstudy.vThevother
vindividualsvdovnotvhavevthevknowledgevregardingvrelevant vdatabases.
DIF: CognitivevLevel:vUnderstanding
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
5. Whichvdatabasevcontainsvsummariesvofvclinicalvguidelinesvandvtheirvdevelopment?
a. MEDLINE
b. CINAHL
c. CochranevDatabasevofvSystematicvReviews
d. ThevNationalvGuidelinevClearinghouse
ANS:v D
ThevNationalvGuidelinevClearinghousevisvavdatabasevsupportedvbyvthevAgencyvforvHealthcarevResea
rchvandvQuality.vItvcontainsvsummariesvofvclinicalvguidelinesvforvpractice.vMEDLINEvis
avdatabasevforvstudiesvinvmediciNne, vnursing,vdentistry,vpsychiatry,vveterinaryvmedicine,vandvall
iedvhealth.vCINAHLv(CumulativevIndexvofvNursingvandvAlliedvHealthvLiterature)vincludesvstudi
esvinvnursing,valliedvhealth,vandvbiomedicine.vThevCochranevDatabasevFullvtextvof
regularlyvupdatedvsystematicvreviewsvpreparedvbyvthevCochranevCollaborationvincludesvcomple
tedvreviewsvandvprotocols.
DIF: CognitivevLevel:vRemembering
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
6. Whichvdoesvthevnursevresearchervidentifyvasvthevstrongestvtypevofvresearch?
a. Randomizedvcontrolledvtrials
b. Avqualitativevstudy
c. Avdescriptivevstudy
d. Avcasevcontrolledvstudy
ANS:v A
Individualvrandomizedvcontrolledvtrialsvarevclosevtovthevtopvofvthevresearchvpyramid.vOnlyvsyste
maticvreviewsvandvmeta-
analysesvarevhigher.vThisvtypevofvstudyvtestsvanvinterventionvagainstvthevusualvstandardvofvcare.v
Thevothervtypesvofvstudiesvarevusefulvbutvdovnotvgivevthevsamevtypevofvinformationvasvavrandomi
zedvcontrolledvtrialvprovides.
DIF: CognitivevLevel:vRemembering
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vAssessment
, 7. WhatvisvthevnursevattemptingvtovdeterminevwhenvcritiquingvthevevidencevrelatedvtovavPICOTvq
uestion?
a. Thevethicalvconductvofvthevresearchvthevnursevread
b. Thevstrengthvofvthevevidencevfoundvinvthevliterature
c. Ifvtherevarevanyvexpertsvinvthevclinicalvquestionvneedingvtovbevresearched
d. Ifvthevstudyvdemonstratesvcost-effectivenessvifvavchangevinvpracticevoccurs
ANS:v B
Oncevavliteraturevsearchvisvcompletevandvdatavarevgatheredvaboutvthevquestion,vitvisvtimevtovcritiq
uevthevevidence.vCritiquingvthevevidencevinvolvesvavsystematicvapproachvtovlookingvatvthevstrengt
hvofvthevworkvreviewedvandvitsvrelevance.vThevothervquestionsvarevnotvapplicablevtovcritiquingvth
evevidence.
DIF: CognitivevLevel:vUnderstanding
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
8. Avnursevfindsvavcohortvstudyvcomparingvonevgroupvtakingvhormonevtreatmentvwithvanothervgro
upvnotvtakingvhormonevtreatmentvtovdeterminevthevincidencevofvchangesvinvbonevdensityvofvthevl
owervspine.vWhatvcanvthevnursevimplyvfromvthisvstudy?
a. Lowvlevelvofvstrengthvmakesvthevstudyvlimitedvinvvalue.
b. Moderatevlevelvofvstrengthvmakesvthevstudyvprobablyvuseful.
c. Opinionsvofvthevindividualsvinvthevcohortvarevnotvresearch.
d. ThisvcouldvbevthevbasisvforvavQualityvImprovementvproject.
ANS:v B
AvcohortvstudyvisvLevelv4vevidencevasvitvisvavsingle,vnon-
experimentalvstudy.vThisvmoderatevlevelvofvevidencevmakesvthevstudyvprobablyvusefulvbutvthevn
ursevshouldvstrivevtovfindvstrongervevidence. N
DIF: CognitivevLevel:vApplying
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vEvaluation
9. Whichvquestionvwouldvbevthevbestvexamplevofvavknowledge-
focusedvtriggervforvconductingvanvevidence-basedvpracticevproject?
a. Whatvisvthevbestvmethodvforvtreatmentvofvlegvswellingvwhenvavpatientvisvtakingvg
abapentinv(Neurontin)?
b. Howvcanvwevdecreasevthevincidencevofvskinvcancervinvadultsvovervthevagevofv65?
c. Whatvisvthevcurrentvevidencevforvimprovingvoralvintakevforvcancervpatientsvwithvs
tomatitis?
d. Whatvisvthevmaximalvlengthvofvtimevourvhospitalvallowsvirrigationvkitsvtovbevused?
ANS:v C
Evidence-
basedvpracticev(EBP)vquestionsvtendvtovarisevfromvtwovsources:vrecurrentvproblemsvorvnewvkno
wledge.vInvthisvexample,vthevnewvknowledgevthatvdrivesvthevquestionvisvthevonevlookingvatvcurre
ntvevidence.vThevothervquestionsvdovnotvlookvatvthevnewestvknowledgevtovformvavquestionvtovrese
arch.
DIF: CognitivevLevel:vAnalyzing
OBJ:vNCLEX:vSafevandvEffectivevCarevEnvironmentvTOP:v NursingvProcess:vImplementati
on
MULTIPLEvRESPONSE
