Clinical Nursing Skills And Techniques by Perry 8th Edition -Test Bank

Check Financial institution For Practical Nursing Abilities And Methods by Perry 8th Version

ISBN-10: 0323083838, ISBN-13: 978-0323083836

Chapter 1: Using Verification in Nursing Statement
MANY DECISIONS
1. Verification-based strategy is a problem-solving process to making selections about patient care
that’s rooted in:
A) the freshest information found in textbooks.
B) extensively carried out research studies.
C) tradition in clinical practice.
D) quality improvement and risk management wisdom.
ANS: B
The most dependable evidence comes from well-designed, extensively carried out research studies
discussed in clinical journals. Content from a textbook often becomes obsolete by the time it is
published. Many healthcare settings lack a system to assist staff in adopting new evidence in
practice, and nurses in practice settings lack immediate access to risk management information, relying
instead on tradition or convenience. Some sources of evidence do not stem from research.
These include quality improvement and risk management information; infection control data;
retrospective or concurrent chart reviews; and clinicians’ expertise. While
non–research-based evidence is often very helpful, it is crucial that you learn to depend more
on research-based evidence.
CASE: Cognitive Level: Understanding REF: Page reference: p. 2
OBJ: Discuss the advantages of evidence-based practice. TOP: Evidence-Based Practice
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe and Efficient Care Environment (Management of care)
2. When evidence-based practice is applied, patient care can be:
A) standardized for all.
B) unaffected by patient culture.
C) variable according to the situation.
D) shielded from the dangers of critical thinking.
ANS: C
Utilizing your clinical expertise and considering patients’ cultures, values, and preferences
ensures that you will apply available evidence in practice ethically and appropriately. Even
when you apply the best evidence available, application and outcomes will vary; as a nurse,
you will develop critical thinking skills to determine whether evidence is relevant and
applicable.
CASE: Cognitive Level: Application REF: Page reference: p. 2
OBJ: Discuss the advantages of evidence-based practice. TOP: Evidence-Based Practice
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe and Efficient Care Environment (management of care)
3. When a PICOT query is formulated, the letter that aligns with the usual standard of
care is:
A) P.
B) I.
C) C.
D) O.
ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually use
now in practice?
P = patient population of interest. Identify your patient by age, gender, ethnicity, disease, or
health problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, prognostic
factor) do you believe is worth using in practice?
O = Outcome. What outcome (e.g., change in patient’s behavior, physical finding, change in
patient’s perception) do you want to achieve or observe as the result of an intervention?
CASE: Cognitive Level: Knowledge REF: Page reference: p. 3
OBJ: Develop a PICOT query. TOP: PICO
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Efficient Care Environment (management of care)
4. A well-constructed PICOT query helps the nurse:
A) search for evidence.
B) encompass all five elements of the sequence.
C) locate as many articles as possible in a literature search.
D) embrace routine clinical practices.
ANS: A
The more focused a question you pose is, the easier it is to search for evidence in the
scientific literature. A well-designed PICOT query does not need to incorporate all five
elements, nor does it have to follow the PICOT sequence. Do not settle for clinical
routines. Always question and think critically. Kingston is considering better ways to provide patient
care.
CASE: Cognitive Level: Analysis REF: Page reference: p. 4
OBJ: Describe the six steps of evidence-based practice. TOP: Evidence-Based Practice
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Efficient Care Environment (management of care)
5. The nurse is uncertain that the approach the patient needs is the most appropriate for the
condition. Using which of the following resources would be the swiftest way to research
studies on the topic?
A) CINAHL
B) PubMed
C) MEDLINE
D) The Cochrane Library
ANS: D
The Cochrane Library Database of Systematic Reviews is a valuable source of synthesized
evidence (i.e., pre appraised evidence). The Cochrane Database includes the full text of
regularly updated systematic reviews and protocols for reviews currently in progress.
MEDLINE, CINAHL, and PubMed are among the most comprehensive databases and
represent the scientific knowledge base of healthcare.
CASE: Cognitive Level: Synthesis REF: Page reference: p. 4
OBJ: Describe the six steps of evidence-based practice. TOP: Evidence-Based Practice
Practical Nursing Abilities and Methods 8th Version Perry Check Financial institution
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Efficient Care Environment (management of care)
6. The nurse is about to develop a care plan for a patient who has a specific need. The
optimal source for developing this care plan would most likely be:
A) The Cochrane Library.
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
formulated statements about a plan of care for a specific set of clinical circumstances involving
a particular patient population. The NGC is a valuable source whenever you need to develop a plan
of care for a patient. The Cochrane Library Database of Systematic Reviews, MEDLINE, and
CINAHL are all useful sources of synthesized evidence (i.e., pre appraised evidence).
CASE: Cognitive Level: Synthesis REF: Page reference: p. 4
OBJ: Describe the six steps of evidence-based practice. TOP: Evidence-Based Practice
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Efficient Care Environment (management of care)
7. The nurse has completed a literature search and found 25 potential articles on the topic that she is
studying. To determine which of these 25 best fit her inquiry, the nurse first needs to review:
A) the abstracts.
B) 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 research or clinical
question, the major themes or findings, and the implications for nursing practice. The literature
review usually gives you a good idea of how previous 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
depending on the type of evidence-based article—clinical or research.
CASE: Cognitive Level: Application REF: Page reference: p. 7
OBJ: Discuss aspects to review when critiquing the scientific literature.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Efficient Care Environment (management of care)
8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on the
level of post-myocardial depression for individuals who have had a myocardial infarction. The
research type that will best capture this information would be a:
A) randomized controlled trial.
B) qualitative study.
C) case-control study.
D) descriptive study.
ANS: B
Qualitative studies explore individuals’ experiences with health issues and the contexts in
which these experiences occur. A qualitative study is most suitable in this case of an individual nurse
who wishes to examine the effectiveness of a community program. Randomized controlled trials
involve close monitoring of control groups and treatment groups to compare an intervention against
the usual standard of care. Case-control studies typically compare one group of subjects with a
specific condition against another group without the condition, to look for associations between
the condition and predictor variables. Descriptive studies focus primarily on describing the
concepts under study.
CASE: Cognitive Level: Synthesis REF: Page reference: p. 5
OBJ: Discuss ways to utilize evidence in nursing practice.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Efficient Care Environment (management of care)
9. Six months after an early mobility protocol was implemented, the incidence of deep vein
thrombosis in patients was reduced. This is an example of what phase in the EBP process?
A) Asking a clinical question
B) Applying the evidence
C) Evaluating the practice decision
D) Communicating your results
ANS: C
After implementing a practice change, the next step is to evaluate the impact. You do this by
analyzing the results data that you collected during the pilot project. Results analysis
tells you whether your practice change improved conditions, created no change, or worsened
conditions.
CASE: Cognitive Level: Application REF: Page reference: p. 8
OBJ: Discuss ways to utilize evidence in nursing practice. TOP: Evidence-Based Practice
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe and Efficient Care Environment (safety and infection management)

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