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Test Bank For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter Chapter 1-43 Complete Guide$12.99
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Test Bank For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter Chapter 1-43 Complete GuideTest Bank For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter Chapter 1-43 Complete GuideTest Bank For Clinical Nurs...
,Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
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MULTIPLE CHOICE IIll
1. Evidence-based practice is a problem-solving approach to making decisions about patient care IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
that is grounded in:
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a. the latest information found in textbooks.IIll IIll IIll IIll IIll
b. systematically conducted research studies. Il IIll IIll
c. tradition in clinical practice. IIll IIll IIll
d. qualityimprovement and risk-management data. Il IIll IIll IIll
ANSWER: B IIll
The best evidence comes from well-designed, systematically conducted research studies
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described in scientific journals. Portions of a textbook often become outdated by the time
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it is published. Many health care settings do not have a process to help staff adopt new
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evidence in practice, and nurses in practice settings lack easy access to risk-management
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data, relying instead on tradition or convenience. Some sources of evidence do not
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originate from research. These include quality improvement and risk-management data;
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infection control data; retrospective or concurrent chart reviews; and clinicians‘ expertise.
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Although
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non–research-based evidence is often very valuable, it is important that you learn to rely more IIll IIll IIll IIll IIl IIll IIll IIll IIll IIll IIll IIll IIll IIl
on research-based evidence.
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DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice. IIll IIl IIll IIl IIll IIll Il
TOP: Evidence-Based Practice
IIll KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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2. When evidence-based practice is used, patient care will be:
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a. standardized for all. IIll IIll
b. unhampered bypatient culture. IIll Il IIll
c. variable according to the situation. IIll IIll IIll IIll
d. safe from the hazards of critical thinking. IIll IIll IIll IIll IIll IIll
ANSWER: C IIll
Using your clinical expertise and considering patients‘ cultures, values, and preferences
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ensures that you will apply available evidence in practice ethically and appropriately. Even
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when you use the best evidence available, application and outcomes will differ; as a
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nurse, you will develop critical thinking skills to determine whether evidence is
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relevant and appropriate.
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DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice. IIll IIl IIll IIl IIll IIll Il
TOP: Evidence-Based Practice
IIll KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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3. When a PICOT question is developed, the letter that corresponds with the usual standard
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of care is:
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a. P.
b. I.
c.
, c. CHOICE BLANK IIl
d. O.
ANSWER: C IIll
C = Comparison of interest. What standard of care or current intervention do you usually use
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now in practice?
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P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or
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health problem.
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I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic
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factor) do you think is worthwhile to use in practice?
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O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change in
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patient‘s perception) do you wish to achieve or observe as the result of an intervention?
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DIF: CognitiveLevel: Knowledge OBJ: Develop a PICO question. IIll Il Il Il IIll
TOP: PICO
IIll KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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4. A well-developed PICOT question helps the nurse:
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a. search for evidence. IIll IIll
b. include all five elements of the sequence. IIll IIll IIll IIll IIll IIll
c. find as many articles as possible in a literature search. IIll IIll Il IIll IIll IIll IIll IIll IIll
d. accept standard clinical routines. IIll IIll IIll
ANSWER: A IIll
The more focused a question that you ask is, the easier it is to search for evidence in the
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scientific literature. A well-designed PICOT question does not have to include all five
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elements, nor does it have to follow the PICOT sequence. Do not be satisfied with
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clinical routines. Always question and use critical thinking to consider better ways to
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provide patient care.
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DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice. IIll IIll Il IIl IIll IIll IIll IIl
TOP: Evidence-Based Practice
IIll KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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5. The nurse is not sure that the procedure the patient requires is the best possible for
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the situation. Utilizing which of the following resources would be the quickest way to
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review research on the topic?
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a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database IIll IIll
ANSWER: D IIll
The Cochrane Community Database of Systematic Reviews is a valuable source of
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synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes the full
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text of regularly updated systematic reviews and protocols for reviews currently
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happening. MEDLINE, CINAHL, and PubMed are among the most comprehensive
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databases and represent the scientific knowledge base of health care.
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DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based practice. IIll IIll Il Il IIll IIll IIll IIl
TOP: Evidence-Based Practice
IIll KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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