Chapter 15: Evidence-Based Practice

Chapter 15: Evidence-Based Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Evidence-based public health (EBPH) is:

ANS:   C

EBPH is a public health endeavor in which there is an informed, explicit, and judicious use of evidence that has been derived from any of a variety of science and social science research and evaluation methods. EBPH includes more than public health records. EBPH is not an integration of nursing expertise. EBPH is not derived from community principles.

DIF:    Cognitive level: Understanding         REF:    p. 343

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

2. A nurse is using clinical experience and client preference to guide clinical decision making. Which of the following is being demonstrated by the nurse?

ANS:   B

Internal evidence refers to the use of the nurse’s clinical experiences and the client’s preferences. Evidence-based practice includes the best available evidence from a variety of sources, including research studies, nursing experience and expertise, and community leaders. Research utilization is the process of transforming research knowledge into practice and the use of research to guide clinical practice. External evidence includes research and other evidence, like reports and professional guidelines.

DIF:    Cognitive level: Applying                  REF:    p. 343

TOP:    Nursing process: Implementation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

3. The term evidence-based was first used in:

ANS:   A

The term evidence-based was first attributed to Gordon Gyatt, a Canadian physician at McMaster University in 1992. Great Britain, the United States, and Australia did not use this term before it was used in Canada.

DIF:    Cognitive level: Remembering          REF:    p. 343

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

4. A nurse providing care in the 1970s follows a process when making clinical decisions. Which of the following processes would have been used?

ANS:   D

Research utilization projects in the 1970s provided a guide to clinical practice. The term evidence-based was not used until 1992, and was first applied to medicine before it was used in nursing. There was a growing consensus in the 1970s among nursing leaders that scientific knowledge should be used as a basis for nursing practice, so there was a shift away from the practice of medicine.

DIF:    Cognitive level: Analyzing                REF:    pp. 343-344

TOP:    Nursing process: Evaluation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care