Quiz 51: Using Evidence in Practice
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition
Instructor Verified Answers Included
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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.
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.
3. When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
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.
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 review research on the topic?
d. The Cochrane Database
6. The nurse is getting ready to develop a plan of care for a patient who has a specific need. The best source for developing this plan of care would probably be:
a. The Cochrane Database.
7. The nurse has done a literature search and found 25 possible articles on the topic that she is studying. 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.
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. The type 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.
9. Six months after an early mobility protocol was implemented, the incidence of deep vein thrombosis in patients was decreased. This is an example of what stage in the EBP process?
a. Asking a clinical question
b. Applying the evidence
c. Evaluating the practice decision
d. Communicating your results
1. To use evidence-based practice appropriately, you need to collect the most relevant and best evidence and to critically appraise the evidence you gather. This process also includes: (Select all that apply.)
a. asking a clinical question.
b. applying the evidence.
c. evaluating the practice decision.
d. communicating your results.
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that apply.)
a. the quality of care provided.
b. patient outcomes.
c. clinician satisfaction.
d. patients’ perceptions.
3. During the application stage of evidence-based practice change, it is important to consider: (Select all that apply.)
b. the need for new equipment.
c. management support.
d. adequate staff.
1. _________________ is a guide for making accurate, timely, and appropriate clinical decisions.
2. Evidence-based practice requires good ______________.
3. While caring for patients, the professional nurse must question ________________.
4. A systematic review explains whether the evidence that you are searching for exists and whether there is good cause to change practice. In _____________, all entries include information on systematic reviews. Individual randomized controlled trials (RCTs) are the gold standard for research.
5. __________________ are the gold standard for research.
6. The researcher explains how to apply findings in a practice setting for the types of subjects studied in the _________________ section of a research article.
7. ____________________ is the extent to which a study’s findings are valid, reliable, and relevant to your patient population of interest.
8. Patient fall rates are an example of a ______________ type of study in the evidence hierarchy.