A nurse is developing a clinical question in a PICOT format. What components are included in the question? (Select all that apply.)
a. Patient
b. Comparison
c. Outcome
d. Implementation
e. Time
Question 2A nurse plans evidence-based care for a client on a medical-surgical unit. Which elements should the nurse assess when developing this plan of care? (Select all that apply.)
a. Client values
b. Nurse's experiences
c. Organizational budget
d. Staffing ratios
e. Best available evidence
Question 3A nurse manager educates staff nurses in the use of clinical practice guidelines. Which statement should the nurse include in this teaching?
a. Clinical practice guidelines are implemented by The Joint Commission.
b. Practice guidelines are based on hospital management staff's expertise.
c. Clinical practice guidelines are official recommendations based on evidence.
d. Practice guidelines allow for greater reimbursement from insurance companies.
Question 4A cardiac nurse wants to know about the best practices to prevent pneumonia after open-heart surgery. In what order do the steps of the evidence-based practice (EBP) process take place?
1. Asking burning clinical questions
2. Making recommendations for practice improvement
3. Implementing accepted recommendations
4. Finding the very best evidence to try to answer those questions
5. Evaluating outcomes
6. Critically appraising and synthesizing the relevant evidence
a.
5, 1, 4, 6, 3, 2
b.
1, 5, 4, 3, 2, 6
c.
1, 4, 6, 2, 3, 5
d.
5, 2, 1, 4, 6, 3
Question 5A research nurse meets with the nurse manager to discuss plans for the development of evidence-based practice (EBP) guidelines using the Reavy and Tavernier model. Which statement should the nurse include in the discussion?
a. Our efforts should focus on forming a team to develop an EBP initiative.
b. I will assist staff nurses with literature reviews and the synthesis of evidence.
c. You should identify barriers to evidence-based implementation.
d. I will develop a PICOT question and share it with the staff nurses.
Question 6A nurse wants to explore why clients who receive patient-controlled analgesia (PCA) after abdominal surgery ambulate sooner than clients who receive nurse-administered pain medications. Which action should the nurse take first?
a. Contact the medical center's clinical pharmacist.
b. Search the medical library for the best evidence.
c. Recommend PCA for all clients.
d. Appraise data obtained through client chart audits.
Question 7A nurse who wants to incorporate evidence-based practices into client care on a medical unit is meeting resistance. Which barrier does the nurse identify as preventing nurses from engaging in evidence-based practices?
a. Difficulty accessing research materials
b. Lack of value for client preferences
c. Trouble understanding client needs
d. Inadequate nurse-client ratios