TEST BANK FOR CLINICAL NURSING SKILLS AND
TECHNIQUES10TH EDITION BY ANNE GRIFFIN PERRY,
PATRICIA A. POTTER CHAPTER 1-43 COMPLETE GUIDE
, Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Clinical Nursing Skills & Techniques, 10th Edition
Multiple choices
1. Evidence-based practice is a problem-solving approach to making decisions about
patient carethat is grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk-management data.
ANS: B
The best evidence comes from well-designed, systematically conducted research
studies described in scientific journals. Portions of a textbook often become outdated
by the time it is published. Many health care settings do not have a process to help staff
adopt new evidence inpractice, and nurses in practice settings lack easy access to
risk-management data, relying instead on tradition or convenience. Some sources of
evidence do not originate from research.These include quality improvement and risk-
management data; infection control data; retrospective or concurrent chart reviews;
and clinicians‘ expertise. Although
non–research-based evidence is often very valuable, it is important that you learn to
rely moreon research-based evidence.
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based
practice.TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2. When evidence-based practice is used, patient care will be:
a. standardized for all.
b. unhampered by patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ANS: C
Using your clinical expertise and considering patients‘ cultures, values, and
preferences ensures that you will apply available evidence in practice ethically and
appropriately. Evenwhen you use the best evidence available, application and
outcomes will differ; as a nurse,you will develop critical thinking skills to determine
whether evidence is relevant and appropriate.
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based
practice.TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3. When a PICOT question is developed, the letter that corresponds with the usual
standard ofcare is:
a. P.
b. I.
c
.
, c. CHOICE BLANK
d. O.
ANS: C
C = Comparison of interest. What standard of care or current intervention do you
usually usenow in practice?
P = Patient population of interest. Identify your patient by age, gender, ethnicity,
disease, orhealth problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and
prognosticfactor) do you think is worthwhile to use in practice?
O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change
inpatient‘s perception) do you wish to achieve or observe as the result of an intervention?
DIF: CognitiveLevel: Knowledge OBJ: Develop a PICO question.
TOP: PICO KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4. A well-developed PICOT question helps the nurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in
the scientific literature. A well-designed PICOT question does not have to include all
five elements, nor does it have to follow the PICOT sequence. Do not be satisfied with
clinical routines. Always question and use critical thinking to consider better ways to
provide patientcare.
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based
practice.TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
5. The nurse is not sure that the procedure the patient requires is the best possible
for the situation. Utilizing which of the following resources would be the quickest
way to reviewresearch on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
ANS: D
The Cochrane Community Database of Systematic Reviews is a valuable source of
synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes
the fulltext of regularly updated systematic reviews and protocols for reviews
currently happening. MEDLINE, CINAHL, and PubMed are among the most
comprehensive databases and represent the scientific knowledge base of health
care.
DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based
practice.TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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, 6. The nurse is getting ready to develop a plan of care for a patient who has a specific
need. Thebest source for developing this plan of care would probably be:
a. The Cochrane Database.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANS: C
The National Guidelines Clearinghouse (NGC) is a database supported by the Agency
for Healthcare Research and Quality (AHRQ). It contains clinical guidelines—
systematically developed statements about a plan of care for a specific set of clinical
circumstances involvinga specific patient population. The NGC is a valuable source
when you want to develop a plan of care for a patient. The Cochrane Community
Database of Systematic Reviews, MEDLINE, and CINAHL are all valuable sources of
synthesized evidence (i.e., pre-appraised evidence).
DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based
practice.TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
7. The nurse has done a literature search and found 25 possible articles on the topic
that she isstudying. To determine which of those 25 best fit her inquiry, the nurse
first should look at:
a. the abstracts.
b. the literature reviews.
c. the ―Methods‖ sections.
d. the narrative sections.
ANS: A
An abstract is a brief summary of an article that quickly tells you whether the article is
research based or clinically based. An abstract summarizes the purpose of the study
or clinicalquery, the major themes or findings, and the implications for nursing
practice. The literature review usually gives you a good idea of how past research led
to the researcher‘s question.
The ―Methods‖ or ―Design‖ section explains how a research study is organized and
conducted to answer the research question or to test the hypothesis. The narrative of a
manuscript differs according to the type of evidence-based article—clinical or
research.
DIF: CognitiveLevel: Application
OBJ: Discuss elements to review when critiquing the scientific literature.
TOP: Randomized Controlled Trials KEY: Nursing Process Step:
ImplementationMSC: NCLEX: Safe and Effective Care Environment (management
of care)
8. The nurse wants to determine the effects of cardiac rehabilitation program
attendance on the level of postmyocardial depression for individuals who have had a
myocardial infarction. Thetype of study that would best capture this information would
be a:
a. randomized controlled trial.
b. qualitative study.
c. case control study.
d. descriptive study.
ANS: B
