Evidence Based Practice in Nursing & Healthcare A Guide to Best Practice 2nd Edition By Bernadette Mazurek Melnyk
Evidence Based Practice in Nursing & Healthcare A Guide to Best Practice 2nd Edition By Bernadette Mazurek Melnyk
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Chapter 8- Advancing Optimal Care with Clinical Practice Guidelines
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse has referred to a clinical practice guideline that addresses prenatal screening. The nurse would recognize that which of the following phenomena provides the best rationale for consulting clinical practice guidelines when planning and providing care? | |
| A) | Clinical practice guidelines are a form of evidence that is superior to systematic reviews. | |
| B) | Significant variations in care exist between different regions and institutions. | |
| C) | Clinicians frequently lack access to databases and publications. | |
| D) | The complexity and volume of research means that clinicians do not have the specialized skills needed to implement research findings. | |
| 2. | Which of the following statements most accurately conveys the relationship between systematic reviews and clinical practice guidelines? | |
| A) | Clinical practice guidelines are a more reliable and valid source of guidance than systematic reviews. | |
| B) | In the absence of a relevant and current systematic review, clinicians should base their practice on available clinical practice guidelines. | |
| C) | Clinical practice guidelines normally integrate the results of systematic reviews into their recommendations. | |
| D) | Clinical practice guidelines and systematic reviews are largely synonymous. | |
| 3. | A nurse is conducting a search for clinical practice guidelines that address the management of constipation in the elderly. Which of the following principles should the nurse integrate into the search? | |
| A) | A high-quality clinical practice guideline should have universal applicability. | |
| B) | The geographical origin of the authors and sponsoring body should determine clinical applicability. | |
| C) | The nurse should reject guidelines that have included levels III and IV evidence. | |
| D) | The nurse should appraise the applicability and relevance of guidelines before implementing them. | |
| 4. | A nurse has consulted a clinical practice guideline addressing the prevention of foot complications among patients with diabetes. Which of the following considerations should the nurse prioritize when appraising the guideline? | |
| A) | The authors’ affiliations and qualifications | |
| B) | Validity and reliability of the recommendations | |
| C) | Clinical applicability of the recommendations | |
| D) | The nature and reputation of the sponsoring body | |
Answer Key
| 1. | B |
| 2. | C |
| 3. | D |
| 4. | B |
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