Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Licensing helps ensure effective clinicians.” |
| b. | “Clinical supervision results in more effective clinicians.” |
| c. | “It is unreliable to make generalized assumptions of patients based on only a small sample.” |
| d. | “Information gathered by clinical means tends to be in the form of systematic observations.” |
ANS: C
Little research has been done to examine psychiatric nursing practice patterns, evaluate the nature of the data supporting them, and demonstrate sound clinical decision making in a way that can be empirically supported. Psychiatric nursing currently relies on opinion-based processes and unproved theories.
DIF: Cognitive Level: Application REF: Text Page: 58
TOP: Nursing Process: N/A
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
| a. | Obtaining advanced degrees and providing clinical supervision for peers |
| b. | Seeking sound opinion-based processes and maintaining self-directed practice |
| c. | Attending educational programs and supporting the advanced practice licensure |
| d. | Critically synthesizing research findings and applying relevant evidence to practice |
ANS: D
Providing evidence-based practice requires searching the research literature, critically synthesizing research findings, and applying relevant evidence to practice. The other activities are myths about what makes effective practitioners.
DIF: Cognitive Level: Application REF: Text Page: 58
TOP: Nursing Process: N/A
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
| a. | traditional |
| b. | regulatory |
| c. | evidence |
| d. | philosophical/conceptual |
ANS: C
Evidence-based practice includes research findings, performance data, and consensus recommendations of recognized experts. Apart from situations requiring a regulatory basis, the best basis to substantiate clinical practice is the evidence of well-established research findings. Such evidence reflects verifiable, replicable facts and relationships that have been exposed to stringent scientific criteria.
DIF: Cognitive Level: Comprehension REF: Text Page: 58
TOP: Nursing Process: N/A
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
| a. | Relying on findings of one properly designed, randomized, controlled trial |
| b. | Using a protocol from several well-designed, cohort, quasiexperimental studies |
| c. | Seeking sound, opinion-based processes and maintaining self-directed practice |
| d. | Applying findings from a meta-analysis of relevant randomized, controlled trials |
ANS: D
In the hierarchy of research evidence, a meta-analysis of all relevant randomized, controlled trials will give the nurse the highest quality information.
DIF: Cognitive Level: Application REF: Text Page: 60
TOP: Nursing Process: Planning
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
| a. | explain their complexity in detail. |
| b. | include reduced costs as a major criterion for use. |
| c. | document preferred practices among other mental health professionals. |
| d. | provide methods and procedures that ensure safe and effective treatment. |
ANS: D
Safety and effective care are two important characteristics in the development of practice guidelines. Reduced cost and complexity are not considerations, whereas preferred practice is a criterion but is of lesser relevance.
DIF: Cognitive Level: Application REF: Text Page: 60
TOP: Nursing Process: N/A
MSC: NCLEX: Safe, Effective Care Environment: Management of Care
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