Evidence Based Practice For Nurses 4th Edition By Schmidt
Brown Test Bank
Chapter 1: Using Evidence in Nursing Practice
MULTIPLE CHOICE
1.
... [Show More] Evidence-based practice is a problem-solving approach to making decisions about
patient care that is grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk management data.
ANS: B
2. When evidence-based practice is used, patient care will be:
a. standardized for all.
b. unhampered by patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ANS: C
3. When a PICOT question is developed, the letter that corresponds with the usual
standard of care is:
a. P.
b. I.
c. C.
d. O.
ANS: C
4. A well-developed PICOT question helps the nurse:
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.
ANS: A
5. 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?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Library
ANS: D
6. 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:
a. The Cochrane Library.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANS: C
7. 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:
a. the abstracts.
b. literature reviews.
c. the Methods sections.
d. the narrative sections.
ANS: A
8. 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. randomized controlled trial.
b. qualitative study.
c. case control study.
d. descriptive study.
ANS: B
9. 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?
a. Asking a clinical question
b. Applying the evidence
c. Evaluating the practice decision
d. Communicating your results
ANS: C
MULTIPLE RESPONSE
1. 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. asking a clinical question.
b. applying the evidence.
c. evaluating the practice decision.
d. communicating your results.
ANS: A, B, C, D
2. In a clinical environment, evidence-based practice has the ability to
improve: (Select all that apply.)
a. the quality of care provided.
b. patient outcomes.
c. clinician satisfaction.
d. patients perceptions.
ANS: A, B, C, D
3. During the application stage of evidence-based practice change, it is important to
consider: (Select all that apply.)
a. cost.
b. the need for new equipment.
c. management support.
d. adequate staff.
ANS: A, B, C, D
COMPLETION
1. is a guide for making accurate, timely, and appropriate clinical
decisions.
ANS:
Evidence-based practice
2. Evidence-based practice requires good .
ANS: nursing judgment
3. While caring for patients, the professional nurse must question .
ANS: what does not make sense
4. 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.
ANS: The Cochrane Library
5. are the gold standard for research.
ANS: Randomized controlled trials
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.
ANS:
Clinical Implications
7. _ is the extent to which a studys findings are valid, reliable, and
relevant to your patient population of interest.
ANS: Scientific rigor
8. Patient fall rates are an example of a type of study in the evidence
hierarchy.
ANS: quality improvement data
Chapter 2: Admitting, Transfer, and Discharge(Free) Nursing School Test Banks
MULTIPLE CHOICE
1. The patient is scheduled to go home after having coronary angioplasty. What
would be the most effective way to provide discharge teaching to this patient?
a. Provide him with information on health care websites.
b. Provide him with written information on what he has to do.
c. Sit and carefully explain what is required before his follow-up.
d. Use a combination of verbal and written information.
ANS: D
For discharge teaching, use a combination of verbal and written information. This
most effectively provides patients with standardized care information, which has
been shown to improve patient knowledge and satisfaction.
DIF: Cognitive Level: Application REF: Text reference: p. 12
OBJ: Identify the ongoing needs of patients in the process of discharge
planning. TOP: Admission to Discharge Process KEY: Nursing Process Step:
Implementation MSC: NCLEX: Safe and Effective Care Environment
2. While preparing for the patients discharge, the nurse uses a discharge planning
checklist and notes that the patient is concerned about going home because she has to
depend on her family for care. The nurse realizes that successful recovery at home is
often based on:
a. the patients willingness to go home.
b. the familys perceived ability to care for the patient.
c. the patients ability to live alone.
d. allowing the patient to make her own arrangements.
ANS: B
Discharge from an agency is stressful for a patient and family. Before a patient is
discharged, the patient and family need to know how to manage care in the home and
what to expect with regard to any continuing physical problems. Family caregiving is a
highly stressful experience. Family members who are not properly prepared for
caregiving are frequently overwhelmed by patient needs, which can lead to unnecessary
hospital readmissions.
DIF: Cognitive Level: Analysis REF: Text reference: p. 22
OBJ: Identify the ongoing needs of patients in the process of discharge
planning. TOP: Medication Reconciliation KEY: Nursing Process Step:
Assessment
MSC: NCLEX: Psychosocial Integrity
3. The patient arrives in the emergency department complaining of severe abdominal
pain and vomiting, and is severely dehydrated. The physician orders IV fluids for the
dehydration and an IV antiemetic for the patient. However, the patient states that she
is fearful of needles and adamantly refuses to have an IV started. The nurse explains
the importance of and rationale for the ordered treatment, but the patient continues to
refuse. What should the nurse do?
a. Summon the nurse technician to hold the arm down while the IV is inserted.
b. Use a numbing medication before inserting the IV.
c. Document the patients refusal and notify the physician.
d. Tell the patient that she will be discharged without care unless she complies.
ANS: C
The Patient Self-Determination Act, effective December 1, 1991, requires all Medicareand
Medicaid-recipient hospitals to provide patients with information about their right
to accept or reject medical treatment. The patient has the right to refuse treatment.
Refusal should be documented and the health care provider consulted about alternate
treatment.
DIF: Cognitive Level: Application REF: Text reference: p. 13
OBJ: Describe the nurses role in maintaining continuity of care through a
patients admission, transfer, and discharge from an acute care facility.
TOP: Patient Self-Determination Act KEY: Nursing Process Step:
Implementation MSC: NCLEX: Safe and Effective Care Environment
4. An unconscious patient is admitted through the emergency department. How
and when is identification of the patient made?
a. Determined only when the patient is able
b. Postponed until family members arrive
c. Given an anonymous name under the blackout procedure
d. Determined before treatment is started
ANS: B
If a patient is unconscious, identification often is not made until family members arrive.
Delaying treatment can cause deterioration of the patients condition.
Blackout procedures are intended mainly to protect crime victims.
DIF: Cognitive Level: Application REF: Text reference: p. 12
OBJ: Describe the nurses role in maintaining continuity of care through a
patients admission, transfer, and discharge from an acute care facility. TOP: The
Unconscious Patient
KEY: Nursing Process Step:
Implementation MSC: NCLEX:
Physiological Integrity [Show Less]