Chapter 01: Using Evidence in Nursing Practice Flashcards
A nursing educator is explaining how the best clinical practices are determined. Which
statement best explains the purpose of evidence-based practice?
a. It ensures that all patients receive holistic care.
b. It provides a definite reason for providing care in a specific manner.
c. It prevents errors when care is being delivered.
d. It guarantees that care delivered is based on research.
b. It provides a definite reason for providing care in a specific manner.
Which question is a problem-focused trigger for initiating the evidence-based practice method in nursing care?
a. What is known about reduction of urinary tract infections in the older adult with
diabetes?
b. How can chronic pain best be described when the patient is nonverbal?
c. How long can an IV catheter remain in place in a patient with obesity?
d. What measures can the nurse take to reduce the rising incidence of urinary tract
infections on the older adult care unit?
d. What measures can the nurse take to reduce the rising incidence of urinary tract
infections on the older adult care unit?
What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. Implementation by nursing
d. Interest of personnel
a. Intervention of interest
Who will the clinical research nurse contact to search relevant databases in preparation for an upcoming study?
a. The physician whose patients may be involved in the study
b. The medical librarian
c. The nurse manager of the unit where the study will be conducted
d. The director of nursing of the facility
b. The medical librarian
Which database contains summaries of clinical guidelines and their development?
a. MEDLINE
b. CINAHL
c. Cochrane Database of Systematic Reviews
d. The National Guideline Clearinghouse
d. The National Guideline Clearinghouse
Which does the nurse researcher identify as the strongest type of research?
a. Randomized controlled trials
b. A qualitative study
c. A descriptive study
d. A case controlled study
a. Randomized controlled trials
What is the nurse attempting to determine when critiquing the evidence related to a PICOT
question?
a. The ethical conduct of the research the nurse read
b. The strength of the evidence found in the literature
c. If there are any experts in the clinical question needing to be researched
d. If the study demonstrates cost-effectiveness if a change in practice occurs
b. The strength of the evidence found in the literature
A nurse finds a cohort study comparing one group taking hormone treatment with another
group not taking hormone treatment to determine the incidence of changes in bone density of
the lower spine. What can the nurse imply from this study?
a. Low level of strength makes the study limited in value.
b. Moderate level of strength makes the study probably useful.
c. Opinions of the individuals in the cohort are not research.
d. This could be the basis for a Quality Improvement project.
b. Moderate level of strength makes the study probably useful.
Which question would be the best example of a knowledge-focused trigger for conducting an evidence-based practice project?
a. What is the best method for treatment of leg swelling when a patient is taking
gabapentin (Neurontin)?
b. How can we decrease the incidence of skin cancer in adults over the age of 65?
c. What is the current evidence for improving oral intake for cancer patients with
stomatitis?
d. What is the maximal length of time our hospital allows irrigation kits to be used?
c. What is the current evidence for improving oral intake for cancer patients with
stomatitis?
When planning to implement an evidence-based practice strategy, what factors are most
important for the nurse to consider and include? (Select all that apply.)
a. Time required to perform the strategy
b. Patient preferences and values
c. Clinical expertise
d. Scientific knowledge
e. Historical practices
b. Patient preferences and values
c. Clinical expertise
d. Scientific knowledge
A new nurse wants to ensure practice is based on the best knowledge available. What actions are best for this nurse to be involved in evidence-based practice? (Select all that apply.)
a. Design and conduct a study based on interest.
b. Join the hospital’s policy review committee.
c. Remain vigilant for recurring problems.
d. Maintain a spirit of inquiry.
e. Read current literature appropriate to practice area.
b. Join the hospital’s policy review committee.
c. Remain vigilant for recurring problems.
d. Maintain a spirit of inquiry.
e. Read current literature appropriate to practice area.
When explaining the value of evidence-based practice, what benefits does the nurse include?
(Select all that apply.)
a. Improves quality of care.
b. Improves patient outcomes.
c. Improves stakeholder satisfaction.
d. Incorporates near real-time data in practice.
e. Helps nurses remain current in practice.
a. Improves quality of care.
b. Improves patient outcomes.
d. Incorporates near real-time data in practice.
e. Helps nurses remain current in practice.
