Chapter 2. Evidence-Based Practice

Chapter 2. Evidence-Based Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   The nurse working in a radiation oncology department wants to reduce the incidence of skin breakdown in patients who receive beam radiation. Which question should the nurse use to guide a literature search about this topic?

____     2.   The nurse who works on a medical-surgical unit reads an article about a research study regarding nursing care in the intensive care unit (ICU) and decreased nosocomial infections. Which action should the nurse take in exploring this research topic?’

____     3.   A licensed practical nurse (LPN) working on the pediatric floor is interested in improving patient outcomes for children with asthma. Which clinical question would best guide the nurse’s next steps?

____     4.   The nurse is preparing to give oral care to a patient receiving tube feedings. Which approach should the nurse use to provide care that is based on EBP?

____     5.   The nurse is planning to review a research article for applicability to EBP. Which acronym should the nurse use to guide this review?

MULTIPLE CHOICE

1. ANS:  C

Asking a burning clinical question is the first step in the evidence-based practice (EBP) process. It is important to include related factors in the question and to focus on nursing interventions and care. In this situation, the nurse should focus on nursing care that may reduce the occurrence of skin breakdown for the specific patient population of interest. A. B. The frequency of skin breakdown and why patients develop skin breakdown does not help identify ways to prevent skin breakdown. D. Information on statistics from other organizations will not help the nurse identify ways to prevent skin breakdown.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

2. ANS:  C

Clinical reality can be very different from research situations. It could be unsafe to apply research findings in an environment that differs from the one in the study, so the next step would be to identify current research related to the current population. A. A pilot study would be premature. B. Discussing the research with the chief of nursing would not help explore the topic. D. Taking the article to the head nurse in the ICU would not help with the issue of nosocomial infections on the medical-surgical unit.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application

3. ANS:  C

Asking a burning clinical question is the first step in the EBP process. It is important to include related factors in the question and to focus on nursing interventions and care. For this scenario, the nurse would focus on nursing care that affects patient outcomes for the specific patient population of interest. Patient education is a critical component of nursing care. A. B. D. Information about pets, admission rates of patients with asthma, and asthma occurrence since the implementation of a no smoking policy will not help improve patient outcomes for children with asthma.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

4. ANS:  D

Evidence-based information shows the use of toothbrushes for oral care is much more effective than foam swabs in removing plaque from the teeth. B. Swish-and swallow Nystatin is a medication that treats oral thrush and is not routinely used to provide oral care. C. Oral suctioning is not an approach to provide oral care. D. Toothettes are not an effective mechanism for providing oral care.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Basic Care and Comfort | Cognitive Level: Application

5. ANS:  C

An acronym that can be used to recall the steps of the evidence-based process is ASKMME: Ask, Search, Think, Measure, Make It Happen, and Evaluate. A. B. D. RIGHT, MYWAY, and ASKWHY are not acronyms used to recall the steps of the evidence-based process.

PTS:   1                    DIF:    Easy

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application