Chapter 01: Using Evidence in Practice
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition
MULTIPLE CHOICE
Evidence-based practice is a
... [Show More] problem-solving approach to making decisions about patientcare
that is grounded in:
the latest information found in textbooks.
systematically conducted research studies.
tradition in clinical practice.
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 Portions of a textbook often become outdated by the time it is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 originatefrom research.
These include quality improvement and risk-management data; infection control data;
retrospective or concurrent chart reviews; and clinicians‘ expertise. Although non–researchbased evidence is often very valuable, it is important that you learn to rely more on researchbased evidence.
DIF: Cognitive Level: Comprehension REF: Text reference: p. 2OBJ: Discuss
the benefits of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: AssessmentMSC:
NCLEX: Safe and Effective Care Environment (management of care)
When evidence-based practice is used, patient care will be:
standardized for all.
unhampered by patient culture.
variable according to the situation.
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. 2OBJ: Discuss the
benefits of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: AssessmentMSC:
NCLEX: Safe and Effective Care Environment (management of care)
When a PICOT question is developed, the letter that corresponds with the usual standard of
care is:
P. [Show Less]