Chapter 1: Using Evidence in Nursing Practice
MULTIPLE CHOICE
1. Evidence-based practice is a problem-solving approach to making decisions about
... [Show More] 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
The best evidence comes from well-designed, systematically conducted research studies
described in scientific journals. Portions of a textbook often become outdated by the time
it is published. Many health care settings do not have a process to help staff adopt new
evidence in practice, and nurses in practice settings lack easy access to risk management
data, relying instead on tradition or convenience. Some sources of evidence do not
originate from research. These include quality improvement and risk management data;
infection control data; retrospective or concurrent chart reviews; and clinicians’ expertise.
Although non–research-based evidence is often very valuable, it is important that you
learn to rely more on research-based evidence.
DIF: Cognitive Level: Comprehension REF: Text reference: p. 2
OBJ: Discuss the benefits of evidence-based practice. TOP: Evidence-Based Practice
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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
Using your clinical expertise and considering patients’ cultures, values, and preferences
ensures that you will apply available evidence in practice ethically and appropriately. Even
when you use the best evidence available, application and outcomes will differ; as a nurse,
you will develop critical thinking skills to determine whether evidence is relevant and
appropriate.
DIF: Cognitive Level: Application REF: Text reference: p. 2
OBJ: Discuss the benefits of evidence-based practice. TOP: Evidence-Based Practice
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care) [Show Less]