C HAPTER 01: F OUNDATIONS FOR C LINICAL
P ROFICIENCY
MULTIPLE CHOICE
1. Barriers to incorporating EBP include
a. Nurses lack of research skills in evaluating the qualit y of research
studies.
b. Lack of significant research studies.
c. Insufficient clinical skills of nurses.
d. Inadequate physical assessment skills.
ANS: A
As individuals, nurses lack research skills in evaluating the qualit y of
research studies, are isolated from other colleagues who are
knowledgeable in research, and often lack the time to visit the library
to read research. The other responses are not considered barriers.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 6
MSC: Client Needs: General
2. What step of the nursing process includes data collection by health
history, physical examination, and interview?
a. Planning
b. Diagnosis
c. Evaluation
, d. Assessment
ANS: D
Data collection, including performing the health h istory, physical
examination, and interview, is the assessment step of the nursing
process (see Figure 1 -2).
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: Client Needs: General
3. During a staff meeting, nurses discuss the problems with accessi ng
research studies to incorporate evidence -based clinical decision making
into their practice. Which suggestion by the nurse manager would best
help these problems?
a. Form a committee to conduct research studies.
b. Post published research studies on the units bu lletin boards.
c. Encourage the nurses to visit the library to review studies.
d. Teach the nurses how to conduct electronic searches for research
studies.
ANS: D
Facilitating support for EBP would include teaching the nurses how to
conduct electronic searches; time to visit the library may not be
available for many nurses. Actuall y conducting research studies may be
helpful in the long -run but not an immediate solution to reviewing
existing research.
, DIF: Cognitive Level: Appl ying (Application) REF: p. 6 MSC:
Client Needs: Safe and Effective Care Environment: Management of
Care
4. When reviewing the concepts of health, the nurse recalls that the
components of holistic health include which of these?
a. Disease originates from the external environment.
b. The individual human is a cl osed system.
c. Nurses are responsible for a patients health state.
d. Holistic health views the mind, body, and spirit as interdependent.
ANS: D
Consideration of the whole person is the e ssence of holistic health,
which views the mind, body, and spirit as interdependent. The basis of
disease originates from both the external environment and from within
the person. Both the individual human and the external environment are
open systems, continuall y changing and adapting, and each person is
responsible for his or her own personal health state.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 7
MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
5. The nurse reco gnizes that the concept of prevention in describing health is
essential because:
a. Disease can be prevented by treating the external environment.
b. The majorit y of deaths among Americans under age 65 years are not
preventable.
P ROFICIENCY
MULTIPLE CHOICE
1. Barriers to incorporating EBP include
a. Nurses lack of research skills in evaluating the qualit y of research
studies.
b. Lack of significant research studies.
c. Insufficient clinical skills of nurses.
d. Inadequate physical assessment skills.
ANS: A
As individuals, nurses lack research skills in evaluating the qualit y of
research studies, are isolated from other colleagues who are
knowledgeable in research, and often lack the time to visit the library
to read research. The other responses are not considered barriers.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 6
MSC: Client Needs: General
2. What step of the nursing process includes data collection by health
history, physical examination, and interview?
a. Planning
b. Diagnosis
c. Evaluation
, d. Assessment
ANS: D
Data collection, including performing the health h istory, physical
examination, and interview, is the assessment step of the nursing
process (see Figure 1 -2).
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
MSC: Client Needs: General
3. During a staff meeting, nurses discuss the problems with accessi ng
research studies to incorporate evidence -based clinical decision making
into their practice. Which suggestion by the nurse manager would best
help these problems?
a. Form a committee to conduct research studies.
b. Post published research studies on the units bu lletin boards.
c. Encourage the nurses to visit the library to review studies.
d. Teach the nurses how to conduct electronic searches for research
studies.
ANS: D
Facilitating support for EBP would include teaching the nurses how to
conduct electronic searches; time to visit the library may not be
available for many nurses. Actuall y conducting research studies may be
helpful in the long -run but not an immediate solution to reviewing
existing research.
, DIF: Cognitive Level: Appl ying (Application) REF: p. 6 MSC:
Client Needs: Safe and Effective Care Environment: Management of
Care
4. When reviewing the concepts of health, the nurse recalls that the
components of holistic health include which of these?
a. Disease originates from the external environment.
b. The individual human is a cl osed system.
c. Nurses are responsible for a patients health state.
d. Holistic health views the mind, body, and spirit as interdependent.
ANS: D
Consideration of the whole person is the e ssence of holistic health,
which views the mind, body, and spirit as interdependent. The basis of
disease originates from both the external environment and from within
the person. Both the individual human and the external environment are
open systems, continuall y changing and adapting, and each person is
responsible for his or her own personal health state.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 7
MSC: Client Needs: Safe and Effective Care Environment:
Management of Care
5. The nurse reco gnizes that the concept of prevention in describing health is
essential because:
a. Disease can be prevented by treating the external environment.
b. The majorit y of deaths among Americans under age 65 years are not
preventable.
