Clinical Nursing Skills and Techniques 10th Edition by Anne Griffin Perry Test Bank – Your Complete Guide<\/p>\n\n\n\n
Chapter 01: Using Evidence in Nursing Practice Perry et al.: Clinical Nursing Skills &
Techniques, 10th Edition
MULTIPLE CHOICE
1.Evidence-based practice is a problem-solving approach to making
decisions about patient care that 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 Portions of a textbook often become outdated by the time it is published.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 in practice, 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 riskmanagement data; infection control data; retrospective or concurrent chart reviews; and clinicians\u2019
expertise. Although non\u2013research-based evidence is often very valuable, it is important that you learn
to rely more on research-based evidence.
DIF: Cognitive Level: 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)<\/p>\n\n\n\n
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, and prognostic factor)
do you think is worthwhile to use in practice?
O = Outcome. What result (e.g., change in patient\u2019s behavior, physical finding, and change in patient\u2019s
perception) do you wish to achieve or observe as the result of an intervention?
DIF: Cognitive Level: Knowledge OBJ: Develop a PICO question.
TOP: PICO KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)<\/p>\n\n\n\n
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\u2014systematically developed statements
about a plan of care for a specific set of clinical circumstances involving a 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: Cognitive Level: 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)<\/p>\n\n\n\n
Qualitative studies examine individuals\u2019 experiences with health problems and the contexts in which
these experiences occur. A qualitative study is best in this case of an individual nurse who wants to
examine the effectiveness of a local program. Randomized controlled trials involve close monitoring
of control groups and treatment groups to test an intervention against the usual standard of care. Case
control studies typically compare one group of subjects with a certain condition against another group
without the condition, to look for associations between the condition and predictor variables.
Descriptive studies focus mainly on describing the concepts under study.
DIF: Cognitive Level: Synthesis
OBJ: Discuss ways to apply evidence in nursing practice.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)<\/p>\n\n\n\n