Chapter 01: Using Evidence in Nursing Practice

Chapter 01: Using Evidence in Nursing Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nursing educator is explaining how the best clinical practices are determined. Which statement best explains the purpose of evidence-based practice?

a.	It ensures that all patients receive holistic care.
b.	It provides a definite reason for providing care in a specific manner.
c.	It prevents errors when care is being delivered.
d.	It guarantees that care delivered is based on research.

 

 

ANS:  B

Evidence-based practice is the use of the current best evidence in making patient care decisions. It applies to all types of health care professionals. Currently there is no method that can ensure that all patients receive holistic care, that all errors can be prevented, or that a guarantee exists that care given is based on research.

 

DIF:    Cognitive Level: Remember            REF:   Page 1

OBJ:   NCLEX: Safe and Effective Care     TOP:   Nursing Process: Implementation

 

2. Which question is a problem-focused trigger?

a.	What is known about reduction of urinary tract infections in the older adult with diabetes?
b.	How can chronic pain best be described when the patient is nonverbal?
c.	How long can an intravenous catheter remain in place in an obese patient?
d.	What measures can the nurse take to reduce the rising incidence of urinary tract infections on the elder care unit?

 

 

ANS:  D

A problem-focused trigger is a question faced when caring for a patient or a trend seen in a practice setting. In this example there is a problem (urinary tract infections) and a trend (on the elder care unit). The other questions are general information questions, not based on what is happening in a specific area or to a group of specific patients in an area or relating to an observed trend.

 

DIF:    Cognitive Level: Apply                   REF:   Page 3

OBJ:   NCLEX: Safe and Effective Care     TOP:   Nursing Process: Implementation

 

3. What does the “I” indicate in a “PICO” question?

a.	Intervention of interest
b.	Incorporation of concepts
c.	Implementation by nursing
d.	Interest of personnel

 

 

ANS:  A

The “I” stands for intervention of interest, meaning what the nurse hopes to use in practice and believes is worthwhile or valuable. This could be a treatment for a specific type of wound or an approach on how to teach food preparation for a patient with impaired sight.

 

DIF:    Cognitive Level: Remember            REF:   Page 4, Box 1-2

OBJ:   NCLEX: Safe and Effective Care     TOP:   Nursing Process: Implementation

 

4. The nurse is conducting clinical research and needs to obtain relevant databases. Whom should the nurse contact?

a.	The physician whose patients may be involved in the study
b.	The medical librarian
c.	The nurse manager of the unit where the study will be conducted
d.	The director of nursing of the facility

 

 

ANS:  B

The medical librarian is most knowledgeable regarding databases relevant to a study. The other individuals will know about the study but do not have the knowledge regarding relevant databases.

 

DIF:    Cognitive Level: Remember            REF:   Page 4

OBJ:   NCLEX: Safe and Effective Care     TOP:   Nursing Process: Implementation

 

5. Which database contains clinical guidelines systematically developed for a specific set of circumstances involving a specific patient population?

a.	MEDLINE
b.	CINAHL
c.	Cochrane Data of Systematic Reviews
d.	The National Guideline Clearinghouse

 

 

ANS:  D

The National Guideline Clearinghouse is a database supported by the Agency for Healthcare Research and Quality. It contains clinical guidelines systematically developed about a plan of care for a specific set of clinical circumstances involving a specific patient population. The others are not as specific and have broader application and references.

 

DIF:    Cognitive Level: Remember            REF:   Page 5

OBJ:   NCLEX: Safe and Effective Care     TOP:   Nursing Process: Implementation