,TESTBANK FOR Evidence-Based Geriatric Nursing
Protocols for Best Practice, 5th Edition Boltz
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
, Test Bank for
EVIDENCE-BASED
GERIATRIC NURSING
PROTOCOLS
FOR BEST PRACTICE
Fifth Edition
Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN
Elizabeth Capezuti, PhD, RN, FAAN
Terry Fulmer, PhD, RN, FAAN
DeAnne Zwicker, DrNP, APRN, BC
Editors
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
1
, ISBN: 978-0-8261-7189-4
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
2
,Copyright © 2016 Springer Publishing Company, LLC
All rights reserved.
This work is protected by U.S. Copyright laws. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying,
recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, except for
educational purposes. Dissemination or sale of any part of this work is not permitted.
Springer Publishing Company, LLC
11 West 42nd Street
New York, NY 10036
www.springerpub.com
ISBN: 978-0-8261-7189-4
The author and the publisher of this Work have made every effort to use sources believed to be reliable to
provide information that is accurate and compatible with the standards generally accepted at the time of
publication. The author and publisher shall not be liable for any special, consequential, or exemplary
damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained
in this book. The publisher has no responsibility for the persistence or accuracy of URLs for external or
third-party Internet websites referred to in this publication and does not guarantee that any content on
such websites is, or will remain, accurate or appropriate.
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
3
,Contents
1. Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach
2. Measuring Performance and Improving Quality
3. Age-Related Changes in Health
4. Health Care Decision Making
5. Sensory Changes
6. Assessing Cognitive Function
7. Assessment of Physical Function
8. Oral Health Care
9. Managing Oral Hydration
10. Nutrition
11. Family Caregiving
12. Issues Regarding Sexuality
13. Mistreatment Detection
14. Preventing Functional Decline in the Acute Care Setting
15. Late-Life Depression
16. Dementia: A Neurocognitive Disorder
17. Delirium: Prevention, Early Recognition, and Treatment
18. Pain Management
19. Preventing Falls in Acute Care
20. Reducing Adverse Drug Events
21. Urinary Incontinence
22. Prevention of Catheter-Associated Urinary Tract Infection
23. Physical Restraints and Side Rails in Acute and Critical Care Settings
24. Preventing Pressure Ulcers and Skin Tears
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
4
,25. Mealtime Difficulties in Dementia
26. Excessive Sleepiness
27. The Frail Hospitalized Older Adult
28. Substance Misuse and Alcohol Use Disorders
29. Comprehensive Assessment and Management of the Critically Ill
30. Fluid Overload: Identifying and Managing Heart Failure Patients at Risk of Hospital
31. Cancer Assessment and Intervention Strategies
32. Perioperative Care of the Older Adult
33. General Surgical Care of the Older Adult
34. Care of the Older Adult With Fragility Hip Fracture
35. Acute Care Models
36. Transitional Care
37. Palliative Care Models
38. Care of the Older Adult in the Emergency Department
39. Advance Care Planning
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
5
, CHAPTER 1
Developing and Evaluating Clinical Practice
Guidelines: A Systematic Approach
Multiple Choice
1. How should one base clinical decisions to promote patient safety and quality health outcomes?
(A) By using the best available evidence
(B) By considering the financial cost of the intervention
(C) By using one’s instincts regardless of best practices
(D) By relying on the practices that have been around the longest
Answer: A
Multiple Select
2. What are the components of an evidence-based practice framework for clinical decision making?
Select all that apply
(A) The best available evidence
(B) The clinician’s “gut instinct”
(C) The clinician’s expertise
(D) A patient’s values and circumstances
Answers: A, C, D
Multiple Choice
3. Which term defines a suggestion for practice that is not necessarily sanctioned by a formal, expert
group?
(A) Recommendation
(B) Guideline
(C) Protocol
(D) Regulation
Answer: A
Multiple Choice
4. Which term defines a more detailed guide for approaching a clinical problem or health condition and
is tailored to a specific practice situation?
(A) Recommendation
(B) Guideline
(C) Protocol
(D) Regulation
Answer: C
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
6
,Multiple Choice
5. Which of the following is not required to assess the quality of clinical practice guidelines (CPGs)?
(A) Assessment of the validity of the recommendations made in the guideline
(B) Consideration of factors related to the use of the CPGs in practice
(C) Evaluation of the methods used to develop the CPGs
(D) Calculation of the financial cost required to implement the CPGs
Answer: D
Multiple Choice
6. How many quality domains does the AGREE II instrument examine?
(A) 4
(B) 5
(C) 6
(D) 7
Answer: C
Multiple Choice
7. Which of the following is not one of the quality domains examined by the AGREE II instrument?
(A) Scope and purpose
(B) Patient input
(C) Rigor of development
(D) Editorial independence
Answer: B
Multiple Select
8. Models of evidence-based practice (EBP) involve which of the following steps when determining the
process of developing protocols? Select all that apply.
(A) Develop an answerable question
(B) Compare the evidence to what one feels to be true
(C) Critically appraise the evidence
(D) Locate the best evidence
Answers: A, C, D
Multiple Select
9. Which of the following questions are examples of narrow, focused questions that follow the PICO
format? Select all that apply.
(A) Does the introduction of an educational video-recording for staff decrease the rate of falls for
hospitalized patients?
(B) Are high-intensity exercise programs an effective intervention for patients with Parkinson’s
disease, compared with the usual care (low-intensity group therapy)?
(C) What trends concerning hospital readmission can be inferred from looking at the number of
patients discharged with medication regimen changes?
(D) Does exercise improve static and dynamic balance and dual-task ability in healthy older adults?
Answers: A, B, D
Multiple Choice
10. When critically evaluating the evidence used in a study, which level of evidence is at the lowest
level of the LOE pyramid?
(A) Opinions of respected authorities
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
7
, (B) Systematic reviews of CPGs
(C) Single experimental studies (RCTs)
(D) Nonexperimental studies
Answer: A
CHAPTER 2
Measuring Performance and Improving Quality
Multiple Select
1. Which two principles should contextualize nursing care evaluations? Select all that apply.
(A) Evaluations must help those who actually provide care and impact those who receive care.
(B) Measuring quality of care is not an end in and of itself.
(C) Evaluations of care quality provide an excellent financial incentive for providers.
(D) Quality of care metrics ensure accountability and allow punitive actions to be taken.
Answers: A, B
Multiple Choice
2. How does the Institute of Medicine define “quality”?
(A) Individuals receiving correct medications and receiving them in a timely manner
(B) Effectiveness of treatments and medications
(C) The degree to which health services for individuals and populations increase[s] the likelihood of
desired health outcomes and are consistent with current professional knowledge
(D) Efficiency of services
Answer: C
Multiple Select
3. There are multiple levels of knowledge necessary to achieve quality outcomes. What are they?
Select all that apply.
(A) Knowledge about best practice
(B) Knowledge about how much an intervention will cost and whether the patient can afford it
(C) Knowledge about behavioral skills
(D) Knowledge about best outcomes
Answers: A, B, C, D
Multiple Select
4. Which of the following statements address the quality of patient care? Select all that apply.
(A) “My hospital is in the top 100 hospitals in the United States as ranked by major news
magazines.”
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
8
Protocols for Best Practice, 5th Edition Boltz
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
, Test Bank for
EVIDENCE-BASED
GERIATRIC NURSING
PROTOCOLS
FOR BEST PRACTICE
Fifth Edition
Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN
Elizabeth Capezuti, PhD, RN, FAAN
Terry Fulmer, PhD, RN, FAAN
DeAnne Zwicker, DrNP, APRN, BC
Editors
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
1
, ISBN: 978-0-8261-7189-4
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
2
,Copyright © 2016 Springer Publishing Company, LLC
All rights reserved.
This work is protected by U.S. Copyright laws. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying,
recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, except for
educational purposes. Dissemination or sale of any part of this work is not permitted.
Springer Publishing Company, LLC
11 West 42nd Street
New York, NY 10036
www.springerpub.com
ISBN: 978-0-8261-7189-4
The author and the publisher of this Work have made every effort to use sources believed to be reliable to
provide information that is accurate and compatible with the standards generally accepted at the time of
publication. The author and publisher shall not be liable for any special, consequential, or exemplary
damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained
in this book. The publisher has no responsibility for the persistence or accuracy of URLs for external or
third-party Internet websites referred to in this publication and does not guarantee that any content on
such websites is, or will remain, accurate or appropriate.
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
3
,Contents
1. Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach
2. Measuring Performance and Improving Quality
3. Age-Related Changes in Health
4. Health Care Decision Making
5. Sensory Changes
6. Assessing Cognitive Function
7. Assessment of Physical Function
8. Oral Health Care
9. Managing Oral Hydration
10. Nutrition
11. Family Caregiving
12. Issues Regarding Sexuality
13. Mistreatment Detection
14. Preventing Functional Decline in the Acute Care Setting
15. Late-Life Depression
16. Dementia: A Neurocognitive Disorder
17. Delirium: Prevention, Early Recognition, and Treatment
18. Pain Management
19. Preventing Falls in Acute Care
20. Reducing Adverse Drug Events
21. Urinary Incontinence
22. Prevention of Catheter-Associated Urinary Tract Infection
23. Physical Restraints and Side Rails in Acute and Critical Care Settings
24. Preventing Pressure Ulcers and Skin Tears
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
4
,25. Mealtime Difficulties in Dementia
26. Excessive Sleepiness
27. The Frail Hospitalized Older Adult
28. Substance Misuse and Alcohol Use Disorders
29. Comprehensive Assessment and Management of the Critically Ill
30. Fluid Overload: Identifying and Managing Heart Failure Patients at Risk of Hospital
31. Cancer Assessment and Intervention Strategies
32. Perioperative Care of the Older Adult
33. General Surgical Care of the Older Adult
34. Care of the Older Adult With Fragility Hip Fracture
35. Acute Care Models
36. Transitional Care
37. Palliative Care Models
38. Care of the Older Adult in the Emergency Department
39. Advance Care Planning
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
5
, CHAPTER 1
Developing and Evaluating Clinical Practice
Guidelines: A Systematic Approach
Multiple Choice
1. How should one base clinical decisions to promote patient safety and quality health outcomes?
(A) By using the best available evidence
(B) By considering the financial cost of the intervention
(C) By using one’s instincts regardless of best practices
(D) By relying on the practices that have been around the longest
Answer: A
Multiple Select
2. What are the components of an evidence-based practice framework for clinical decision making?
Select all that apply
(A) The best available evidence
(B) The clinician’s “gut instinct”
(C) The clinician’s expertise
(D) A patient’s values and circumstances
Answers: A, C, D
Multiple Choice
3. Which term defines a suggestion for practice that is not necessarily sanctioned by a formal, expert
group?
(A) Recommendation
(B) Guideline
(C) Protocol
(D) Regulation
Answer: A
Multiple Choice
4. Which term defines a more detailed guide for approaching a clinical problem or health condition and
is tailored to a specific practice situation?
(A) Recommendation
(B) Guideline
(C) Protocol
(D) Regulation
Answer: C
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
6
,Multiple Choice
5. Which of the following is not required to assess the quality of clinical practice guidelines (CPGs)?
(A) Assessment of the validity of the recommendations made in the guideline
(B) Consideration of factors related to the use of the CPGs in practice
(C) Evaluation of the methods used to develop the CPGs
(D) Calculation of the financial cost required to implement the CPGs
Answer: D
Multiple Choice
6. How many quality domains does the AGREE II instrument examine?
(A) 4
(B) 5
(C) 6
(D) 7
Answer: C
Multiple Choice
7. Which of the following is not one of the quality domains examined by the AGREE II instrument?
(A) Scope and purpose
(B) Patient input
(C) Rigor of development
(D) Editorial independence
Answer: B
Multiple Select
8. Models of evidence-based practice (EBP) involve which of the following steps when determining the
process of developing protocols? Select all that apply.
(A) Develop an answerable question
(B) Compare the evidence to what one feels to be true
(C) Critically appraise the evidence
(D) Locate the best evidence
Answers: A, C, D
Multiple Select
9. Which of the following questions are examples of narrow, focused questions that follow the PICO
format? Select all that apply.
(A) Does the introduction of an educational video-recording for staff decrease the rate of falls for
hospitalized patients?
(B) Are high-intensity exercise programs an effective intervention for patients with Parkinson’s
disease, compared with the usual care (low-intensity group therapy)?
(C) What trends concerning hospital readmission can be inferred from looking at the number of
patients discharged with medication regimen changes?
(D) Does exercise improve static and dynamic balance and dual-task ability in healthy older adults?
Answers: A, B, D
Multiple Choice
10. When critically evaluating the evidence used in a study, which level of evidence is at the lowest
level of the LOE pyramid?
(A) Opinions of respected authorities
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
7
, (B) Systematic reviews of CPGs
(C) Single experimental studies (RCTs)
(D) Nonexperimental studies
Answer: A
CHAPTER 2
Measuring Performance and Improving Quality
Multiple Select
1. Which two principles should contextualize nursing care evaluations? Select all that apply.
(A) Evaluations must help those who actually provide care and impact those who receive care.
(B) Measuring quality of care is not an end in and of itself.
(C) Evaluations of care quality provide an excellent financial incentive for providers.
(D) Quality of care metrics ensure accountability and allow punitive actions to be taken.
Answers: A, B
Multiple Choice
2. How does the Institute of Medicine define “quality”?
(A) Individuals receiving correct medications and receiving them in a timely manner
(B) Effectiveness of treatments and medications
(C) The degree to which health services for individuals and populations increase[s] the likelihood of
desired health outcomes and are consistent with current professional knowledge
(D) Efficiency of services
Answer: C
Multiple Select
3. There are multiple levels of knowledge necessary to achieve quality outcomes. What are they?
Select all that apply.
(A) Knowledge about best practice
(B) Knowledge about how much an intervention will cost and whether the patient can afford it
(C) Knowledge about behavioral skills
(D) Knowledge about best outcomes
Answers: A, B, C, D
Multiple Select
4. Which of the following statements address the quality of patient care? Select all that apply.
(A) “My hospital is in the top 100 hospitals in the United States as ranked by major news
magazines.”
Copyright © Springer Publishing Company, LLC. All Rights
Reserved.
8
