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

Check Bank For Clinical Nursing Skills And Techniques by Perry 8th Edition

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

Chapter 1: Using Proof in Nursing Observe
MULTIPLE CHOICE
1. Proof-based apply is a problem-solving methodology to creating picks about affected particular person care
that is grounded in:
A) the latest data current in textbooks.
B) systematically carried out evaluation analysis.
C) customized in scientific apply.
D) prime quality enchancment and menace administration data.
ANS: B
The easiest proof comes from well-designed, systematically carried out evaluation analysis
described in scientific journals. Components of a textbook usually develop into outdated by the time it is
printed. Many properly being care settings would not have a course of to help employees undertake new proof in
apply, and nurses in apply settings lack fast entry to menace administration data, relying
in its place on customized or consolation. Some sources of proof do not originate from evaluation.
These embrace prime quality enchancment and menace administration data; an an infection administration data;
retrospective or concurrent chart evaluations; and clinicians’ expertise. Although
non–research-based proof is often very helpful, it is essential that you just simply be taught to rely additional
on research-based proof.
DIF: Cognitive Stage: Comprehension REF: Textual content material reference: p. 2
OBJ: Concentrate on some great benefits of evidence-based apply. TOP: Proof-Based totally Observe
KEY: Nursing Course of Step: Analysis
MSC: NCLEX: Safe and Environment friendly Care Environment (Administration of care)
2. When evidence-based apply is used, affected particular person care is likely to be:
A) standardized for all.
B) unhampered by affected particular person custom.
C) variable in step with the situation.
D) safe from the hazards of essential pondering.
ANS: C
Using your scientific expertise and considering victims’ cultures, values, and preferences
ensures that you will apply on the market proof in apply ethically and appropriately. Even
everytime you use among the finest proof on the market, software program and outcomes will differ; as a nurse,
you may develop essential pondering experience to search out out whether or not or not proof is said and
relevant.
DIF: Cognitive Stage: Utility REF: Textual content material reference: p. 2
OBJ: Concentrate on some great benefits of evidence-based apply. TOP: Proof-Based totally Observe
KEY: Nursing Course of Step: Analysis
MSC: NCLEX: Safe and Environment friendly Care Environment (administration of care)
3. When a PICOT question is developed, the letter that corresponds with the identical outdated commonplace of
care is:
A) P.
B) I.
C) C.
D) O.
ANS: C
C = Comparability of curiosity. What commonplace of care or current intervention do you usually use
now in apply?
P = affected particular person inhabitants of curiosity. Decide your affected particular person by age, gender, ethnicity, sickness, or
properly being draw back.
I = Intervention of curiosity. What intervention (e.g., remedy, diagnostic verify, prognostic
difficulty) do you suppose is price it to utilize in apply?
O = Finish consequence. What finish consequence (e.g., change in affected particular person’s conduct, bodily discovering, change in
affected particular person’s notion) do you wish to get hold of or observe because the outcomes of an intervention?
DIF: Cognitive Stage: Data REF: Textual content material reference: p. 3
OBJ: Develop a PICO question. TOP: PICO
KEY: Nursing Course of Step: Implementation
MSC: NCLEX: Safe and Environment friendly Care Environment (administration of care)
4. A well-developed PICOT question helps the nurse:
A) search for proof.
B) embrace all 5 components of the sequence.
C) uncover as many articles as potential in a literature search.
D) accept commonplace scientific routines.
ANS: A
The additional centered a question that you just simply ask is, the easier it is to hunt for proof throughout the
scientific literature. A well-designed PICOT question would not have to include all 5
components, nor does it ought to observe the PICOT sequence. Do not be glad with scientific
routines. Always question and essential skinny. Kingston considers increased strategies to supply affected particular person
care.
DIF: Cognitive Stage: Analysis REF: Textual content material reference: p. 4
OBJ: Describe the six steps of evidence-based apply. TOP: Proof-Based totally Observe
KEY: Nursing Course of Step: Implementation
MSC: NCLEX: Safe and Environment friendly Care Environment (administration of care)
5. The nurse is not constructive that the method the affected particular person requires is the best possible for the
situation. Utilizing which of the following property could possibly be the quickest resolution to evaluation
evaluation on the topic?
A) CINAHL
B) PubMed
C) MEDLINE
D) The Cochrane Library
ANS: D
The Cochrane Library Database of Systematic Evaluations is a helpful provide of synthesized
proof (i.e., pre appraised proof). The Cochrane Database consists of the whole textual content material of
generally updated systematic evaluations and protocols for evaluations in the intervening time occurring.
MEDLINE, CINAHL, and PubMed are among the many many most full databases and
symbolize the scientific data base of properly being care.
DIF: Cognitive Stage: Synthesis REF: Textual content material reference: p. 4
OBJ: Describe the six steps of evidence-based apply. TOP: Proof-Based totally Observe
Clinical Nursing Skills and Techniques 8th Edition Perry Check out Bank
KEY: Nursing Course of Step: Implementation
MSC: NCLEX: Safe and Environment friendly Care Environment (administration of care)
6. The nurse is on the purpose of develop a plan of take care of a affected one that has a specific need. The
best provide for rising this plan of care would almost definitely be:
A) The Cochrane Library.
B) MEDLINE.
C) NGC.
D) CINAHL.
ANS: C
The Nationwide Pointers Clearinghouse (NGC) is a database supported by the Firm for
Healthcare Evaluation and Prime quality (AHRQ). It accommodates scientific pointers—systematically
developed statements just a few plan of take care of a specific set of scientific circumstances involving
a specific affected particular person inhabitants. The NGC is a helpful provide at any time when you want to develop a plan
of take care of a affected particular person. The Cochrane Library Database of Systematic Evaluations, MEDLINE, and
CINAHL are all helpful sources of synthesized proof (i.e., pre appraised proof).
DIF: Cognitive Stage: Synthesis REF: Textual content material reference: p. 4
OBJ: Describe the six steps of evidence-based apply. TOP: Proof-Based totally Observe
KEY: Nursing Course of Step: Implementation
MSC: NCLEX: Safe and Environment friendly Care Environment (administration of care)
7. The nurse has completed a literature search and situated 25 potential articles on the topic that she is
discovering out. To seek out out which of those 25 best match her inquiry, the nurse first ought to check out:
A) the abstracts.
B) literature evaluations.
C) the “Methods” sections.
D) the narrative sections.
ANS: A
An abstract is a brief summary of an article that quickly tells you whether or not or not the article is
research-based or clinically based. An abstract summarizes the purpose of the analysis or scientific
query, the foremost themes or findings, and the implications for nursing apply. The literature
evaluation usually offers you a great suggestion of how earlier evaluation led to the researcher’s question.
The “Methods” or “Design” half explains how a evaluation analysis is organized and carried out
to answer the evaluation question or to verify the hypothesis. The narrative of a manuscript differs
in step with the form of evidence-based article—scientific or evaluation.
DIF: Cognitive Stage: Utility REF: Textual content material reference: p. 7
OBJ: Concentrate on components to evaluation when critiquing the scientific literature.
TOP: Randomized Managed Trials KEY: Nursing Course of Step: Implementation
MSC: NCLEX: Safe and Environment friendly Care Environment (administration of care)
8. The nurse wants to search out out the outcomes of cardiac rehabilitation program attendance on the
stage of postmyocardial despair for individuals who’ve had a myocardial infarction. The
type of analysis which will best seize this data could possibly be a:
A) randomized managed trial.
B) qualitative analysis.
C) case-control analysis.
D) descriptive analysis.
ANS: B
Qualitative analysis examine individuals’ experiences with properly being points and the contexts in
which these experiences occur. A qualitative analysis is best on this case of an individual nurse
who wants to take a look at the effectiveness of a neighborhood program. Randomized managed trials
comprise shut monitoring of administration groups and remedy groups to verify an intervention in the direction of
the identical outdated commonplace of care. Case-control analysis typically consider one group of subjects with a
positive state of affairs in the direction of one different group with out the state of affairs, to seek for associations between
the state of affairs and predictor variables. Descriptive analysis focus totally on describing the
concepts beneath analysis.
DIF: Cognitive Stage: Synthesis REF: Textual content material reference: p. 5
OBJ: Concentrate on strategies to make use of proof in nursing apply.
TOP: Randomized Managed Trials KEY: Nursing Course of Step: Implementation
MSC: NCLEX: Safe and Environment friendly Care Environment (administration of care)
9. Six months after an early mobility protocol was utilized, the incidence of deep vein
thrombosis in victims was decreased. That’s an occasion of what stage throughout the EBP course of?
A) Asking a scientific question
B) Making use of the proof
C) Evaluating the apply selection
D) Talking your outcomes
ANS: C
After implementing a apply change, the following transfer is to guage the affect. You do this by
analyzing the outcomes data that you just simply collected all through the pilot problem. Outcomes evaluation
tells you whether or not or not your apply modified improved conditions, created no change, or worsened
conditions.
DIF: Cognitive Stage: Utility REF: Textual content material reference: p. 8
OBJ: Concentrate on strategies to make use of proof in nursing apply. TOP: Proof-Based totally Observe
KEY: Nursing Course of Step: Evaluation
MSC: NCLEX: Safe and Environment friendly Care Environment (safety and an an infection administration

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