Question 1

_________________ is a guide for making accurate,timely,and appropriate clinical decisions.

Accepted Answer

Evidence-based practice
Evidence-based practice is a guide for making accurate,timely,and appropriate clinical decisions.

Question 2

__________________ are the gold standard for research.

Accepted Answer

Randomized controlled trials
Individual randomized controlled trials (RCTs)are the gold standard for research (Titler and others,2001).An RCT establishes cause and effect and is excellent for testing therapies.

Question 3

During the application stage of evidence-based practice change,it is important to consider: (Select all that apply. )

Accepted Answer

A) cost. 
B) the need for new equipment. 
C) management support. 
D) adequate staff. 
A) cost. 
B) the need for new equipment. 
C) management support. 
D) adequate staff. A,B,C,D

Question 4

Six months after an early mobility protocol was implemented,the incidence of deep vein thrombosis in patients was decreased.This is an example of what stage in the EBP process?

Accepted Answer

A) Asking a clinical question 
B) Applying the evidence 
C) Evaluating the practice decision 
D) Communicating your results 
A) Asking a clinical question 
B) Applying the evidence 
C) Evaluating the practice decision 
D) Communicating your results

Question 5

When a PICOT question is developed,the letter that corresponds with the usual standard of care is:

Accepted Answer

A) P. 
B) I. 
C) C. 
D) O. 
A) P. 
B) I. 
C) C. 
D) O.

Question 6

The researcher explains how to apply findings in a practice setting for the types of subjects studied in the _________________ section of a research article.

Accepted Answer

"Clinical Implications"
Clinical Implica

Question 7

Evidence-based practice requires good ______________.

Accepted Answer

nursing judgment
Evidence-base

Question 8

The nurse is not sure that the procedure the patient requires is the best possible for the situation.Utilizing which of the following resources would be the quickest way to review research on the topic?

Accepted Answer

A) CINAHL 
B) PubMed 
C) MEDLINE 
D) The Cochrane Database 
A) CINAHL 
B) PubMed 
C) MEDLINE 
D) The Cochrane Database

Question 9

Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:

Accepted Answer

A) the latest information found in textbooks. 
B) systematically conducted research studies. 
C) tradition in clinical practice. 
D) quality improvement and risk-management data. 
A) the latest information found in textbooks. 
B) systematically conducted research studies. 
C) tradition in clinical practice. 
D) quality improvement and risk-management data.

Question 10

In a clinical environment,evidence-based practice has the ability to improve: (Select all that apply. )

Accepted Answer

A) the quality of care provided. 
B) patient outcomes. 
C) clinician satisfaction. 
D) patients' perceptions. 
A) the quality of care provided. 
B) patient outcomes. 
C) clinician satisfaction. 
D) patients' perceptions.

Question 11

To use evidence-based practice appropriately,you need to collect the most relevant and best evidence and to critically appraise the evidence you gather.This process also includes: (Select all that apply. )

Accepted Answer

A) asking a clinical question. 
B) applying the evidence. 
C) evaluating the practice decision. 
D) communicating your results. 
A) asking a clinical question. 
B) applying the evidence. 
C) evaluating the practice decision. 
D) communicating your results.

Question 12

A systematic review explains whether the evidence that you are searching for exists and whether there is good cause to change practice.In _____________,all entries include information on systematic reviews.Individual randomized controlled trials (RCTs)are the gold standard for research.

Accepted Answer

The Cochrane Database
A systematic revie

Question 13

When evidence-based practice is used,patient care will be:

Accepted Answer

A) standardized for all. 
B) unhampered by patient culture. 
C) variable according to the situation. 
D) safe from the hazards of critical thinking. 
A) standardized for all. 
B) unhampered by patient culture. 
C) variable according to the situation. 
D) safe from the hazards of critical thinking.

Question 14

While caring for patients,the professional nurse must question ________________.

Accepted Answer

what does not make sense
Alway

Question 15

The nurse wants to determine the effects of cardiac rehabilitation program attendance on the level of postmyocardial depression for individuals who have had a myocardial infarction.The type of study that would best capture this information would be a:

Accepted Answer

A) randomized controlled trial. 
B) qualitative study. 
C) case control study. 
D) descriptive study. 
A) randomized controlled trial. 
B) qualitative study. 
C) case control study. 
D) descriptive study.

Question 16

A well-developed PICOT question helps the nurse:

Accepted Answer

A) search for evidence. 
B) include all five elements of the sequence. 
C) find as many articles as possible in a literature search. 
D) accept standard clinical routines. 
A) search for evidence. 
B) include all five elements of the sequence. 
C) find as many articles as possible in a literature search. 
D) accept standard clinical routines.

Question 17

____________________ is the extent to which a study's findings are valid,reliable,and relevant to your patient population of interest.

Accepted Answer

Scientific rigor
Scientific ri

Question 18

The nurse has done a literature search and found 25 possible articles on the topic that she is studying.To determine which of those 25 best fit her inquiry,the nurse first should look at:

Accepted Answer

A) the abstracts. 
B) the literature reviews. 
C) the "Methods" sections. 
D) the narrative sections. 
A) the abstracts. 
B) the literature reviews. 
C) the "Methods" sections. 
D) the narrative sections.

Question 19

Patient fall rates are an example of a ______________ type of study in the evidence hierarchy.

Accepted Answer

quality improvement data
Data collected

Question 20

The nurse is getting ready to develop a plan of care for a patient who has a specific need.The best source for developing this plan of care would probably be:

Accepted Answer

A) The Cochrane Database. 
B) MEDLINE. 
C) NGC. 
D) CINAHL. 
A) The Cochrane Database. 
B) MEDLINE. 
C) NGC. 
D) CINAHL.

Exam 1: Using Evidence in Practice

_________________ is a guide for making accurate,timely,and appropriate clinical decisions.

__________________ are the gold standard for research.

During the application stage of evidence-based practice change,it is important to consider: (Select all that apply. )

Six months after an early mobility protocol was implemented,the incidence of deep vein thrombosis in patients was decreased.This is an example of what stage in the EBP process?

When a PICOT question is developed,the letter that corresponds with the usual standard of care is:

The researcher explains how to apply findings in a practice setting for the types of subjects studied in the _________________ section of a research article.

Evidence-based practice requires good ______________.

The nurse is not sure that the procedure the patient requires is the best possible for the situation.Utilizing which of the following resources would be the quickest way to review research on the topic?

Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:

In a clinical environment,evidence-based practice has the ability to improve: (Select all that apply. )

To use evidence-based practice appropriately,you need to collect the most relevant and best evidence and to critically appraise the evidence you gather.This process also includes: (Select all that apply. )

A systematic review explains whether the evidence that you are searching for exists and whether there is good cause to change practice.In _____________,all entries include information on systematic reviews.Individual randomized controlled trials (RCTs)are the gold standard for research.

When evidence-based practice is used,patient care will be:

While caring for patients,the professional nurse must question ________________.

The nurse wants to determine the effects of cardiac rehabilitation program attendance on the level of postmyocardial depression for individuals who have had a myocardial infarction.The type of study that would best capture this information would be a:

A well-developed PICOT question helps the nurse:

____________________ is the extent to which a study's findings are valid,reliable,and relevant to your patient population of interest.

The nurse has done a literature search and found 25 possible articles on the topic that she is studying.To determine which of those 25 best fit her inquiry,the nurse first should look at:

Patient fall rates are an example of a ______________ type of study in the evidence hierarchy.

The nurse is getting ready to develop a plan of care for a patient who has a specific need.The best source for developing this plan of care would probably be:

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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