Chapter 06 Evidence-Based Practice

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Chapter 06  Evidence-Based Practice

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Which of the following nurses was the first to use evidence-based practice?
A.
Mary Brewster
B.
Clara Barton
C.
Florence Nightingale
D.
Lillian Wald

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?
A.
Nursing process
B.
Problem solving methodology
C.
Peer review
D.
Evidence-based practice

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?
A.
Latest edition of a nursing textbook
B.
Online information
C.
Peer-reviewed nursing journal
D.
Most recent edition of a nursing magazine

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 However, a textbook relies on the scientific literature, and sometimes information on a particular topic is outdated by the time a book is published.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?
A.
Patient gender
B.
Patient preference
C.
Stage of patient growth and development
D.
Physician orders

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

5. Evidence-based practice is a systematic approach to determine the most current and relevant information from which to make patient care decisions. Choose the first step in the evidence-based care process.
A.
Collecting the most relevant and best evidence
B.
Integrating evidence with one’s clinical expertise
C.
Critically appraising the evidence gathered
D.
Asking a clinical question

ANS: D
EBP is a systematic approach to determine the most current and relevant evidence on which to base patient care decisions. Melnyk and Fineout-Overholt recommend a six-step process for EBP:
1. Ask a clinical question.
2. Collect the most relevant and best evidence.
3. Critically appraise the evidence gathered.
4. Integrate all evidence with one’s clinical expertise and patient preferences and values in making a practice decision or change.
5. Evaluate the practice decision or change.
6. Communicate results of the change.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 76
OBJ: Describe the six steps of evidence-based practice
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

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