Question 1

The functions of staff nurses in a culture of evidence-based practice include: (Select all that apply.)

Accepted Answer

A)  functioning as change champions. 
B)  facilitating adoption of practice change. 
C)  facilitating use of research findings in practice. 
D)  overseeing the process and progress of projects as project director. 
E)  identifying important and clinically relevant topics to develop into evidence-based practice improvements. 
A)  functioning as change champions. 
B)  facilitating adoption of practice change. 
C)  facilitating use of research findings in practice. 
D)  overseeing the process and progress of projects as project director. 
E)  identifying important and clinically relevant topics to develop into evidence-based practice improvements. A, B, D, E

Question 2

Jenny is an advanced practice nurse on the telemetry unit. How might Jenny's skills be used to contribute to a culture of evidence-based practice? (Select all that apply.)

Accepted Answer

A)  She can facilitate meetings. 
B)  She can function as team leader. 
C)  She can assist with problem solving. 
D)  She can identify potential roadblocks. 
E)  She can increase her patient load. 
A)  She can facilitate meetings. 
B)  She can function as team leader. 
C)  She can assist with problem solving. 
D)  She can identify potential roadblocks. 
E)  She can increase her patient load. A, B, C, D

Question 3

Which of the following will positively influence the sustainability of a practice change?

Accepted Answer

A)  Audit and feedback of key indicators. 
B)  Incremental implementation of practice changes. 
C)  Adhering to a strict action plan for implementation. 
D)  The new practice is much different from current practice. 
A)  Audit and feedback of key indicators. 
B)  Incremental implementation of practice changes. 
C)  Adhering to a strict action plan for implementation. 
D)  The new practice is much different from current practice. A

Question 4

A rigorous scientific process used to combine findings from research (usually randomized controlled trials) into a powerful and clinically useful report to guide practice is known as a systematic review. Standard components of a systematic review to consider are: (Select all that apply.)

Accepted Answer

A)  process for initiating. 
B)  standard reporting format. 
C)  reliability and validity of data. 
D)  process for synthesizing the body of evidence. 
E)  process for finding and assessing individual studies. 
A)  process for initiating. 
B)  standard reporting format. 
C)  reliability and validity of data. 
D)  process for synthesizing the body of evidence. 
E)  process for finding and assessing individual studies.

Question 5

Opinion leaders are:

Accepted Answer

A)  formal leaders who lead evidence-based practice development teams. 
B)  formal leaders who write new evidence-based practice guidelines. 
C)  informal leaders who influence peers by evaluating innovations for use in certain settings and promoting clinicians use of evidence in clinical decision making. 
D)  informal leaders who gather data about nursing practice changes. 
A)  formal leaders who lead evidence-based practice development teams. 
B)  formal leaders who write new evidence-based practice guidelines. 
C)  informal leaders who influence peers by evaluating innovations for use in certain settings and promoting clinicians use of evidence in clinical decision making. 
D)  informal leaders who gather data about nursing practice changes.

Question 6

Evidence-based practice includes:

Accepted Answer

A)  collaborative practice dynamics between health care professionals. 
B)  documentation of patient care as evidence of nursing practice. 
C)  integration of research with clinical expertise and patient values. 
D)  mutual goal setting and application in the clinical setting. 
A)  collaborative practice dynamics between health care professionals. 
B)  documentation of patient care as evidence of nursing practice. 
C)  integration of research with clinical expertise and patient values. 
D)  mutual goal setting and application in the clinical setting.

Question 7

The chief executive nursing officer has discussed implementation of evidence-based practice at hospital-wide nursing meetings. She is leading a team to incorporate evidence-based practice terminology into the vision and mission of the institution. She also is advising the multidisciplinary leadership team to incorporate evidence-based practice expectations into the performance appraisals of all staff members. The chief executive nursing officer is modeling:

Accepted Answer

A)  continuous quality improvement methodology and techniques. 
B)  marketing tactics that will help familiarize the staff with new terminology. 
C)  professional duties for new protocol acceptance throughout the institution. 
D)  strategies for incorporation of evidence-based practice into the infrastructure of the organization. 
A)  continuous quality improvement methodology and techniques. 
B)  marketing tactics that will help familiarize the staff with new terminology. 
C)  professional duties for new protocol acceptance throughout the institution. 
D)  strategies for incorporation of evidence-based practice into the infrastructure of the organization.

Question 8

A communication strategy used in the promotion of adopting evidence-based practice recommendations is:

Accepted Answer

A)  best practice evaluation. 
B)  knowledge translation. 
C)  shared governance. 
D)  academic detailing. 
A)  best practice evaluation. 
B)  knowledge translation. 
C)  shared governance. 
D)  academic detailing.

Question 9

Nurse managers are responsible for developing the unit culture supporting innovation and evidence-based care. The nurse manager can facilitate and support EBP work by: (Select all that apply.)

Accepted Answer

A)  set the staffing schedule. 
B)  allocate resources as needed. 
C)  set the expectations for the unit. 
D)  promote staff questioning practice. 
E)  encourage and respond to new ideas. 
A)  set the staffing schedule. 
B)  allocate resources as needed. 
C)  set the expectations for the unit. 
D)  promote staff questioning practice. 
E)  encourage and respond to new ideas.

Question 10

The CNO at Mercy Hospital is implementing a new evidence-based practice for fall prevention. List the steps in order she should take to advance stakeholders (both people and systems) through the process of diffusion.

Accepted Answer

A)  Integrating and sustaining use 
B)  Creating awareness and interest 
C)  Promoting action and adaptation 
D)  Building knowledge and commitment 
A)  Integrating and sustaining use 
B)  Creating awareness and interest 
C)  Promoting action and adaptation 
D)  Building knowledge and commitment

Question 11

Once a new practice has been implemented on a unit, scaling up needs to be evaluated. What is scaling up?

Accepted Answer

A)  A method used to implement the previous practice if the new practice has been found to be detrimental to patient care 
B)  A process used to expand the reach of effective clinical interventions in new settings 
C)  Recruitment of new nurses from different institutions who can help with role modeling and communication of the new practice 
D)  A tactic used to invigorate leaders to continue to communicate better with staff nurses and ancillary personnel 
A)  A method used to implement the previous practice if the new practice has been found to be detrimental to patient care 
B)  A process used to expand the reach of effective clinical interventions in new settings 
C)  Recruitment of new nurses from different institutions who can help with role modeling and communication of the new practice 
D)  A tactic used to invigorate leaders to continue to communicate better with staff nurses and ancillary personnel

Question 12

Strategies for building a strong organizational context of evidence-based practice include: (Select all that apply.)

Accepted Answer

A)  linking quality improvement and patient safety. 
B)  periodically evaluate the infrastructure and context for EBP in their organization. 
C)  development of a mission, vision, and strategic plan inclusive of EBP language. 
D)  inclusion of EBP components in performance appraisals across all job classifications. 
E)  incorporating evidence-based practice into organizational information systems. 
A)  linking quality improvement and patient safety. 
B)  periodically evaluate the infrastructure and context for EBP in their organization. 
C)  development of a mission, vision, and strategic plan inclusive of EBP language. 
D)  inclusion of EBP components in performance appraisals across all job classifications. 
E)  incorporating evidence-based practice into organizational information systems.

Question 13

To promote an organizational culture that embraces evidence-based practice, an organization must: (Select all that apply.)

Accepted Answer

A)  recognize and reward the work. 
B)  adopt an evidence-based practice model. 
C)  provide education about evidence-based practice. 
D)  discourage nurses from questioning their practice. 
E)  recruit nurses with interest in evidence-based practice. 
A)  recognize and reward the work. 
B)  adopt an evidence-based practice model. 
C)  provide education about evidence-based practice. 
D)  discourage nurses from questioning their practice. 
E)  recruit nurses with interest in evidence-based practice.

Question 14

The _____ Act provides incentives for adoption and implementation of electronic health records (EHRs) while enhancing privacy and security for patients and providing incentives for practitioners and hospitals to engage in meaningful use.

Accepted Answer

A)  Stark 
B)  HIPAA 
C)  HITECH 
D)  Anti-kickback 
A)  Stark 
B)  HIPAA 
C)  HITECH 
D)  Anti-kickback

Question 15

The responsibility to articulate the business case for evidence-based practice to senior leadership lies with:

Accepted Answer

A)  the staff nurse. 
B)  nursing leadership. 
C)  the governing board. 
D)  the quality improvement committee. 
A)  the staff nurse. 
B)  nursing leadership. 
C)  the governing board. 
D)  the quality improvement committee.

Question 16

The responsibility of developing the unit culture for evidence-based practice belongs to the:

Accepted Answer

A)  staff nurses. 
B)  unit manager. 
C)  medical director. 
D)  chief executive officer. 
A)  staff nurses. 
B)  unit manager. 
C)  medical director. 
D)  chief executive officer.

Question 17

The cardiac care unit is putting together a shared governance committee. To develop expertise in evidence-based practice processes, the members of the committee should have skills that include the ability to: (Select all that apply.)

Accepted Answer

A)  report results. 
B)  perform research. 
C)  critique and synthesize evidence. 
D)  statistically analyze quality improvement. 
E)  develop an implementation and evaluation plan. 
A)  report results. 
B)  perform research. 
C)  critique and synthesize evidence. 
D)  statistically analyze quality improvement. 
E)  develop an implementation and evaluation plan.

Question 18

A team has formed to determine which methods have worked best and which factors influence the implementation of an evidence-based practice program. This is known as _____ research.

Accepted Answer

A)  authoritarian 
B)  autocratic 
C)  transformational 
D)  translational 
A)  authoritarian 
B)  autocratic 
C)  transformational 
D)  translational

Question 19

When articulating the business case for evidence-based practice to governing boards, key messages to share with board members include: (Select all that apply.)

Accepted Answer

A)  reporting of patient safety events. 
B)  reporting of anticipated outcomes. 
C)  reporting only projects that have cost savings. 
D)  functional responsibility of committees within the organizational and nursing infrastructure. 
E)  reporting the linkages between evidence-based practice and the organization's mission, values, and strategic plan. 
A)  reporting of patient safety events. 
B)  reporting of anticipated outcomes. 
C)  reporting only projects that have cost savings. 
D)  functional responsibility of committees within the organizational and nursing infrastructure. 
E)  reporting the linkages between evidence-based practice and the organization's mission, values, and strategic plan.

Question 20

Components of a systematic review include:

Accepted Answer

A)  publication of study data. 
B)  assessment of a study. 
C)  determination of statistical tests. 
D)  development of research guidelines. 
A)  publication of study data. 
B)  assessment of a study. 
C)  determination of statistical tests. 
D)  development of research guidelines.

Exam 17: Evidence-Based Practice: Strategies for Nursing Leaders

The functions of staff nurses in a culture of evidence-based practice include: (Select all that apply.)

Jenny is an advanced practice nurse on the telemetry unit. How might Jenny's skills be used to contribute to a culture of evidence-based practice? (Select all that apply.)

Which of the following will positively influence the sustainability of a practice change?

A rigorous scientific process used to combine findings from research (usually randomized controlled trials) into a powerful and clinically useful report to guide practice is known as a systematic review. Standard components of a systematic review to consider are: (Select all that apply.)

Opinion leaders are:

Evidence-based practice includes:

A communication strategy used in the promotion of adopting evidence-based practice recommendations is:

Nurse managers are responsible for developing the unit culture supporting innovation and evidence-based care. The nurse manager can facilitate and support EBP work by: (Select all that apply.)

The CNO at Mercy Hospital is implementing a new evidence-based practice for fall prevention. List the steps in order she should take to advance stakeholders (both people and systems) through the process of diffusion.

Once a new practice has been implemented on a unit, scaling up needs to be evaluated. What is scaling up?

Strategies for building a strong organizational context of evidence-based practice include: (Select all that apply.)

To promote an organizational culture that embraces evidence-based practice, an organization must: (Select all that apply.)

The _____ Act provides incentives for adoption and implementation of electronic health records (EHRs) while enhancing privacy and security for patients and providing incentives for practitioners and hospitals to engage in meaningful use.

The responsibility to articulate the business case for evidence-based practice to senior leadership lies with:

The responsibility of developing the unit culture for evidence-based practice belongs to the:

The cardiac care unit is putting together a shared governance committee. To develop expertise in evidence-based practice processes, the members of the committee should have skills that include the ability to: (Select all that apply.)

A team has formed to determine which methods have worked best and which factors influence the implementation of an evidence-based practice program. This is known as _____ research.

When articulating the business case for evidence-based practice to governing boards, key messages to share with board members include: (Select all that apply.)

Components of a systematic review include:

Leadership and Management Principles

Change and Innovation

Organizational Climate and Culture

Managerial Decision Making

Managing Time and Stress

Legal and Ethical Issues

Communication Leadership

Team Building and Working With Effective Groups

Delegation in Nursing

Power and Conflict

Workplace Diversity

Organizational Structure

Decentralization and Shared Governance

Strategic Management

Professional Practice Models

Case and Population Health Management

Quality and Safety

Measuring and Managing Outcomes

Prevention of Workplace Violence

Confronting the Nursing Shortage

Staffing and Scheduling

Budgeting, Productivity, and Costing Out Nursing

Performance Appraisal

Emergency Management and Preparedness

Data Management and Clinical Informatics

Marketing

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