Test Bank for Nursing Interventions and Clinical Skills 7th Edition by Perry..pdf

NursingInterventions an
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d Clinical Skills 7th Editio
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n Test Bank
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Anne Griffin Perry, Patricia A. Potter & Wendy Oste
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ndorf

,Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
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MULTIPLEkCHOICE

1. Aknursingkeducatorkiskexplainingkhowkthekbestkclinicalkpracticeskarekdetermined.kWhichks
tatementkbestkexplainskthekpurposekofkevidence-basedkpractice?
a. Itkensureskthatkallkpatientskreceivekholistickcare.
b. Itkprovideskakdefinitekreasonkforkprovidingkcarekinkakspecifickmanner.
c. Itkpreventskerrorskwhenkcarekiskbeingkdelivered.
d. Itkguaranteeskthatkcarekdeliveredkiskbasedkonkresearch.
ANS:k B
Evidence-
basedkpracticekiskthekusekofkthekcurrentkbestkevidencekinkmakingkpatientkcarekdecisions.kItkapplie
sktokallktypeskofkhealthkcarekprofessionals.kCurrentlyktherekisknokmethodkthatkcankensurekthatkallkp
atientskreceivekholistickcare,kthatkallkerrorskcankbekprevented,korkthatkakguaranteekexistskthatkcarek
givenkiskbasedkonkresearch.

DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on

2. Whichkquestionkiskakproblem-focusedktriggerkforkinitiatingkthekevidence-
basedkpracticekmethodkinknursingkcare?
a. Whatkiskknownkaboutkreductionkofkurinaryktractkinfectionskinkthekolderkadultkwithkd
iabetes?
b. Howkcankchronickpainkbestkbekdescribedkwhenkthekpatientkisknonverbal?
c. Howklongkcankank IVkcatheterkremainkinkplacekinkakpatientkwithkobesity?
d. Whatkmeasureskcanktheknursektakektokreducekthekrisingkincidencekofkurinaryktractki
nfectionskonkthekolderkadultkcarekunit?
ANS:k D
Evidence-
basedkpracticek(EBP)kquestionsktendktokarisekfromktwoksources:krecurrentkproblemskorknewkkno
wledge.kInkthekcorrectkoption,kthekincreasekinkurinaryktractkinfectionskindicateskaktrendkorkrecurr
ingkproblemkinkakspecifickgroupkofkpatients.kThekotherkquestionskarekgeneralkinformationkquesti
ons,knotkbasedkonkwhatkiskhappeningkinkakspecifickareakorktokakgroupkofkspecifickpatientskinkankar
eakorkrelatingktokankobservedktrend.

DIF: CognitivekLevel:kApplying
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on

3. Whatkdoeskthek―I‖kindicatekinkak―PICO‖kquestion?
a. Interventionkofkinterest
b. Incorporationkofkconcepts
c. Implementationkbyknursing
d. Interestkofkpersonnel
ANS:k A
Thek―I‖kstandskforkinterventionkofkinterest,kmeaningkwhatktheknursekhopesktokusekinkpracticekan
dkbelieveskiskworthwhilekorkvaluable.kThiskcouldkbekaktreatmentkforkakspecificktypekofkwoundkorka
nkapproachkonkhowktokteachkfoodkpreparationkforkakpatientkwithkimpairedksight.

, DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on

4. Whokwillkthekclinicalkresearchknursekcontactktoksearchkrelevantkdatabaseskinkpreparationkforkanku
pcomingkstudy?
a. Thekphysiciankwhosekpatientskmaykbekinvolvedkinkthekstudy
b. Thekmedicalklibrarian
c. Theknursekmanagerkofkthekunitkwherekthekstudykwillkbekconducted
d. Thekdirectorkofknursingkofkthekfacility
ANS:k B
Thekmedicalklibrariankiskmostkknowledgeablekregardingkdatabaseskrelevantktokakstudy.kThekother
kindividualskdoknotkhavekthekknowledgekregardingkrelevantkdatabases.




DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on

5. Whichkdatabasekcontainsksummarieskofkclinicalkguidelineskandktheirkdevelopment?
a. MEDLINE
b. CINAHL
c. CochranekDatabasekofkSystematickReviews
d. ThekNationalkGuidelinekClearinghouse
ANS:k D
ThekNationalkGuidelinekClearinghousekiskakdatabaseksupportedkbykthekAgencykforkHealthcarekResea
rchkandkQuality.kItkcontainsksummarieskofkclinicalkguidelineskforkpractice.kMEDLINEkis
akdatabasekforkstudieskinkmediciNne, knursing,kdentistry,kpsychiatry,kveterinarykmedicine,kandkall
iedkhealth.kCINAHLk(CumulativekIndexkofkNursingkandkAlliedkHealthkLiterature)kincludeskstudi
eskinknursing,kalliedkhealth,kandkbiomedicine.kThekCochranekDatabasekFullktextkof
regularlykupdatedksystematickreviewskpreparedkbykthekCochranekCollaborationkincludeskcomple
tedkreviewskandkprotocols.

DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on

6. Whichkdoesktheknursekresearcherkidentifykaskthekstrongestktypekofkresearch?
a. Randomizedkcontrolledktrials
b. Akqualitativekstudy
c. Akdescriptivekstudy
d. Akcasekcontrolledkstudy
ANS:k A
Individualkrandomizedkcontrolledktrialskarekclosektokthektopkofkthekresearchkpyramid.kOnlyksyste
matickreviewskandkmeta-
analyseskarekhigher.kThisktypekofkstudyktestskankinterventionkagainstkthekusualkstandardkofkcare.k
Thekotherktypeskofkstudieskarekusefulkbutkdoknotkgivektheksamektypekofkinformationkaskakrandomi
zedkcontrolledktrialkprovides.

DIF: CognitivekLevel:kRemembering
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kAssessment

, 7. WhatkisktheknursekattemptingktokdeterminekwhenkcritiquingkthekevidencekrelatedktokakPICOTkq
uestion?
a. Thekethicalkconductkofkthekresearchktheknursekread
b. Thekstrengthkofkthekevidencekfoundkinkthekliterature
c. Ifktherekarekanykexpertskinkthekclinicalkquestionkneedingktokbekresearched
d. Ifkthekstudykdemonstrateskcost-effectivenesskifkakchangekinkpracticekoccurs
ANS:k B
Oncekakliteratureksearchkiskcompletekandkdatakarekgatheredkaboutkthekquestion,kitkisktimektokcritiq
uekthekevidence.kCritiquingkthekevidencekinvolveskaksystematickapproachktoklookingkatkthekstrengt
hkofkthekworkkreviewedkandkitskrelevance.kThekotherkquestionskareknotkapplicablektokcritiquingkth
ekevidence.

DIF: CognitivekLevel:kUnderstanding
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on

8. Aknursekfindskakcohortkstudykcomparingkonekgroupktakingkhormonektreatmentkwithkanotherkgro
upknotktakingkhormonektreatmentktokdeterminekthekincidencekofkchangeskinkbonekdensitykofkthekl
owerkspine.kWhatkcanktheknursekimplykfromkthiskstudy?
a. Lowklevelkofkstrengthkmakeskthekstudyklimitedkinkvalue.
b. Moderateklevelkofkstrengthkmakeskthekstudykprobablykuseful.
c. Opinionskofkthekindividualskinkthekcohortkareknotkresearch.
d. ThiskcouldkbekthekbasiskforkakQualitykImprovementkproject.
ANS:k B
AkcohortkstudykiskLevelk4kevidencekaskitkiskaksingle,knon-
experimentalkstudy.kThiskmoderateklevelkofkevidencekmakeskthekstudykprobablykusefulkbutkthekn
ursekshouldkstrivektokfindkstrongerkevidence. N
DIF: CognitivekLevel:kApplying
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kEvaluation

9. Whichkquestionkwouldkbekthekbestkexamplekofkakknowledge-
focusedktriggerkforkconductingkankevidence-basedkpracticekproject?
a. Whatkiskthekbestkmethodkforktreatmentkofklegkswellingkwhenkakpatientkisktakingkg
abapentink(Neurontin)?
b. Howkcankwekdecreasekthekincidencekofkskinkcancerkinkadultskoverkthekagekofk65?
c. Whatkiskthekcurrentkevidencekforkimprovingkoralkintakekforkcancerkpatientskwithks
tomatitis?
d. Whatkiskthekmaximalklengthkofktimekourkhospitalkallowskirrigationkkitsktokbekused?
ANS:k C
Evidence-
basedkpracticek(EBP)kquestionsktendktokarisekfromktwoksources:krecurrentkproblemskorknewkkno
wledge.kInkthiskexample,ktheknewkknowledgekthatkdriveskthekquestionkiskthekoneklookingkatkcurre
ntkevidence.kThekotherkquestionskdoknotklookkatktheknewestkknowledgektokformkakquestionktokrese
arch.

DIF: CognitivekLevel:kAnalyzing
OBJ:kNCLEX:kSafekandkEffectivekCarekEnvironmentkTOP:k NursingkProcess:kImplementati
on


MULTIPLEkRESPONSE