Chapter 06: Evidence-Based Practice

Chapter 06: Evidence-Based Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which of the following nurses was the first to use evidence-based practice?

ANS:   C

Evidence-based practice was first used by the founder of nursing, Florence Nightingale.

PTS:    1                      DIF:    Cognitive Level: Knowledge             REF:    75

OBJ:    Discuss ways to apply evidence in practice

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment

2. A registered nurse has been a nurse for 3 years. She questioned the nurses on the neonatal intensive care unit where she works about the practice of kangaroo care for neonates. She had read literature supporting the practice, but the nurses she works with told her that they had never done anything like that at their institution. She continued to ask questions and began a literature review. Which of the following behaviors was she demonstrating?

ANS:   D

More people now question why certain health care approaches are used, which ones work, and which ones do not. Thus evidence-based practice is one response to this shift in thinking, which nurses and other health professionals cannot ignore. Evidence-based practice is a guide for how nurses make accurate, timely, and appropriate clinical decisions.

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    75

OBJ:    Discuss ways to apply evidence in practice

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment

3. A registered nurse wants to review the latest information regarding prevention of a health care acquired infection. The best place for her to obtain the latest information is which of the following?

ANS:   C

The best scientific evidence comes from well-designed, systematically conducted research studies, usually found in peer-reviewed scientific journals. A good textbook incorporates current evidence into the practice guidelines and procedures it describes. However, a textbook relies on the scientific literature, and sometimes information on a particular topic is outdated by the time a book is published.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    75

OBJ:    Explain why critiquing of the literature is a necessary step in evidence-based practice

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment

4. A 15-year-old male patient was admitted to the hospital with a bowel obstruction. He underwent surgery and was experiencing postoperative pain. The nurse caring for him had recently read a research article in which a study had been done with neonatal patients and the use of therapeutic touch to assist with pain control. Which of the following is most important for the nurse to consider in this case when applying research to clinical practice?

ANS:   B

Using clinical expertise and considering patients’ values and preferences ensures that a nurse will apply the available evidence to practice both safely and appropriately.

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    76

OBJ:    Discuss ways to apply evidence in practice

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment