Chapter 5

Question 1

Look for the very best scientific and clinical evidence available for treating or managing the problem and implementing changes in practices

Answer 1

Evidence based practice

Question 2

The best scientific evidence come from what types of sources???

Answer 2

Textbook
Peer review journal
Practice guidelines
Articles from nursing

Question 3

7 steps of EBP

Answer 3

1-cultivate a spirit of inquiry 
2-ask a clinical question
3-search for the best evidence 
4-critically appreciate the evidence 
5-integrated the evidence 
6-Evaluate the outcomes 
7-communicate the outcomes

Question 4

The scientific method is a systematic steps by steps process. When completed correctly you know that the study supports the

Answer 4

Validity
Reliability
Generalizability

Question 5

On an orthopedic nursing unit hips surgery volume is high, adults over 80 years of age have more postoperative complications and family members are dissatisfied with patient pain control.
Which is the order of performance improvement to fallow

Answer 5

Sentinel event —— active error —-latent error

Question 6

Unexpected occurrence involving death or serious physical and psychological injury

Answer 6

Sentinel events

Question 7

Difference bw active error and latent error?

Answer 7

Active: the act personnel perform, how the event occurred

Latent: why the event occurred. Organization of steps

Question 8

Place the steps of the EBP process in the appropriate order.

1. Critically appraise the evidence you gather.
2. Ask the clinical question in PICOT format.
3. Evaluate the outcomes of the practice decision or change.
4. Search for the most relevant and best evidence.
5. Cultivate a spirit of inquiry.
6. Integrate the evidence.
7. Communicate the outcomes of the EBP change.

Answer 8

5
2
4
1
6
3
7

Question 9

A patient in the intensive care unit experiences a sentinel event
related to central-line catheter care that resulted in serious injury.
What performance improvement model should the unit use to
identify errors that led to the sentinel event?
1. Six Sigma
2. Root cause analysis
3. PDSA
4. Balanced scorecard

Answer 9

2

Question 10

During an EBP committee meeting, a nurse discussed two sys-
tematic integrative reviews related to the use of prepackaged bath
kits versus the standard use of bath basins. What level of evidence
is the nurse presenting?
1. Level I
2. Level II
3. Level IV
4. Level VI

Answer 10

Level 1

Question 11

The nurse is using the QSEN competency of EBP when working
with the unit council to initiate a change related to pain manage.
ment. Which behaviors demonstrate the nurse practicing behav-
iors associated with EBP? (Select all that apply.)
1. Initiating plan for self-development as a team member
2. Reading original research related to pain management
3. Demonstrating effective use of strategies to reduce risk of harm
to self or others
4. Valuing EBP as critical to the development of pain manage-
ment guidelines for the unit
5. Describing to the unit council reliable sources for locating clin-
cal guidelines
6. Applying technology and information management tools to
support safe processes of care

Answer 11

2, 4, 5