Question 1

Research utilization encompasses the:

Accepted Answer

A)  collection of study data. 
B)  critique of study results. 
C)  determination of statistical tests. 
D)  development of a study. 
A)  collection of study data. 
B)  critique of study results. 
C)  determination of statistical tests. 
D)  development of a study. B

Question 2

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. C

Question 3

The responsibility to articulate the business case for evidence-based practice to governing boards lies with:

Accepted Answer

A)  the staff nurse. 
B)  senior leadership. 
C)  the nurse manager. 
D)  the quality improvement committee. 
A)  the staff nurse. 
B)  senior leadership. 
C)  the nurse manager. 
D)  the quality improvement committee. B

Question 4

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 5

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.

Question 6

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 7

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 8

A clinical nurse specialist is meeting one on one with staff nurses while they are working to discuss data about the evidence-based practice. This is known as:

Accepted Answer

A)  academic detailing. 
B)  champion coaching. 
C)  individual instruction. 
D)  professional mentoring. 
A)  academic detailing. 
B)  champion coaching. 
C)  individual instruction. 
D)  professional mentoring.

Question 9

Clinicians tend to buy into the need for practice change when (select all that apply):

Accepted Answer

A)  there is a strong evidence base. 
B)  the topic addresses an identified need. 
C)  the practice change offers a relative advantage. 
D)  the practice change is endorsed by organizational executive leadership. 
E)  data demonstrate an opportunity for practice improvement within the clinical area. 
A)  there is a strong evidence base. 
B)  the topic addresses an identified need. 
C)  the practice change offers a relative advantage. 
D)  the practice change is endorsed by organizational executive leadership. 
E)  data demonstrate an opportunity for practice improvement within the clinical area.

Question 10

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.

Question 11

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 12

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 13

The role of the project director is to:

Accepted Answer

A)  take meeting minutes. 
B)  maintain the action plan. 
C)  set the expectations for the unit. 
D)  report project progress to the governing body. 
A)  take meeting minutes. 
B)  maintain the action plan. 
C)  set the expectations for the unit. 
D)  report project progress to the governing body.

Question 14

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)  clear articulation of the benefits of evidence-based practice. 
C)  formal recognition from high-level organizational leaders for successes. 
D)  incorporating education about the evidence-based practice in orientation for new hires. 
E)  incorporating evidence-based practice into organizational policies and procedures. 
A)  linking quality improvement and patient safety. 
B)  clear articulation of the benefits of evidence-based practice. 
C)  formal recognition from high-level organizational leaders for successes. 
D)  incorporating education about the evidence-based practice in orientation for new hires. 
E)  incorporating evidence-based practice into organizational policies and procedures.

Question 15

Intravenous lines being dressed using sterile technique with a 2-×2-inch gauze and occlusive sterile tape versus a transparent dressing are being evaluated for infection rates. These data are collected and compared with current research to suggest an opportunity for improvement. This is an example of:

Accepted Answer

A)  best practice evaluation. 
B)  current practice critique. 
C)  practice difference analysis. 
D)  performance gap assessment. 
A)  best practice evaluation. 
B)  current practice critique. 
C)  practice difference analysis. 
D)  performance gap assessment.

Question 16

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 17

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 18

A reinfusion plan should be incorporated into the action plan for implementation of a new practice. What is a reinfusion plan?

Accepted Answer

A)  Method used to implement the previous practice if the new practice has been found to be detrimental to patient care 
B)  Strategy for ongoing communication about the new practice until the practice has been integrated into daily care 
C)  Recruitment of new nurses from different institutions who can help with role modeling and communication of the new practice 
D)  Tactic used to invigorate leaders to continue to communicate better with staff nurses and ancillary personnel 
A)  Method used to implement the previous practice if the new practice has been found to be detrimental to patient care 
B)  Strategy for ongoing communication about the new practice until the practice has been integrated into daily care 
C)  Recruitment of new nurses from different institutions who can help with role modeling and communication of the new practice 
D)  Tactic used to invigorate leaders to continue to communicate better with staff nurses and ancillary personnel

Question 19

Which of the following will positively influence how quickly a practice change is adopted?

Accepted Answer

A)  Clearly defined patient outcomes are expected as a result of the change. 
B)  Complex and detailed interventional practice changes are implemented. 
C)  Senior management leaders are the sole members of the team. 
D)  The new practice is much different from current practice. 
A)  Clearly defined patient outcomes are expected as a result of the change. 
B)  Complex and detailed interventional practice changes are implemented. 
C)  Senior management leaders are the sole members of the team. 
D)  The new practice is much different from current practice.

Question 20

Creating action plans can facilitate leadership support and use of evidence-based practice. The nurse manager can use the action plan to (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.

Exam 16: Evidence-Based Practice: Strategies for Nursing Leaders

Research utilization encompasses the:

Evidence-based practice includes:

The responsibility to articulate the business case for evidence-based practice to governing boards lies with:

The functions of staff nurses in a culture of evidence-based practice include (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.

Opinion leaders are:

A clinical nurse specialist is meeting one on one with staff nurses while they are working to discuss data about the evidence-based practice. This is known as:

Clinicians tend to buy into the need for practice change when (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)?

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

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.

The role of the project director is to:

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

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):

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

A reinfusion plan should be incorporated into the action plan for implementation of a new practice. What is a reinfusion plan?

Which of the following will positively influence how quickly a practice change is adopted?

Creating action plans can facilitate leadership support and use of evidence-based practice. The nurse manager can use the action plan to (select all that apply):

Leadership and Management Principles

Change and Innovation

Organizational Climate and Culture

Critical Thinking and Decision-Making Skills

Managing Time and Stress

Legal and Ethical Issues

Communication Leadership

Team Building and Working With Effective Groups

Delegation

Power and Conflict

Workplace Diversity

Case Population Health Management

Organizational Structure

Decentralization Shared Governance

Professional Practice Models

Quality and Safety

Measuring and Managing Outcomes

Strategic Management

Confronting the Nursing Shortage

Staffing and Scheduling

Budgeting, Productivity and Costing Out Nursing

Performance Appraisal

Prevention of Workplace Violence

All-Hazards Disaster Preparedness

Data Management and Clinical Informatics

Marketing

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