Deck 6: Evidence-Informed Practice

Question 1

In caring for patients,it is important for the nurse to realize that evidence-informed decision making is which of the following?

A)The only valid source of knowledge that should be used.
B)Secondary to traditional or standard care knowledge.
C)Dependent on patient values and expectations.
D)Not related to quality improvement studies

Answer 1

Dependent on patient values and expectations.

Question 2

The extent to which the findings of a qualitative study are thought to be meaningful and applicable to similar cases or other situations is known as which of the following?

A)Credibility.
B)Transferability.
C)Validity.
D)Reliability.

Answer 2

Transferability.

Question 3

When evaluating quality improvement (QI)programs in relation to evidence-informed decision making,what should the nurse note?

A)Both are designed to improve performance.
B)When implementing evidence-informed practice (EIP)projects,it is important to review QI data.
C)EIP is not at all related to QI.
D)Evaluation of processes is the realm of performance improvement,not QI.

Answer 3

When implementing evidence-informed practice (EIP)projects,it is important to review QI data.

Question 4

In a review of literature for an evidence-informed practice study,what is the most reliable level of evidence?

A)Systematic review and meta-analysis.
B)Randomized control trial (RCT).
C)Case-control study.
D)Control trial without randomization.

Question 5

According to hospital policy,when starting an intravenous (IV)catheter,the nurse must first prepare the potential IV site with alcohol and dress it with a gauze dressing.The nurse has done a literature review and believes that evidence-informed practice dictates the use of a transparent dressing to prevent catheter dislodgement.What should the nurse do?

A)Begin to use transparent dressing instead of gauze dressings.
B)Bring findings to the policy and procedure committee.
C)Use transparent dressings on half of her IV starts and gauze on the other.
D)Continue following hospital policy without saying anything.

Question 6

Why is qualitative nursing research valuable?

A)It excludes all bias.
B)It entails the use of randomization in structure.
C)It helps determine associations between variables and conditions.
D)It entails the study of phenomena that are difficult to quantify.

Question 7

The nurse is reviewing literature related to a potential problem that has been identified on the nursing unit.The nurse realizes that nursing research is important in that it is designed to do which of the following? (Select all that apply. )

A)Enhance the nurse's chance at promotion.
B)Identify new knowledge.
C)Improve professional practice.
D)Enhance effective use of resources.
E)Lead to decreases in budget expenditures.

Question 8

The nurse is developing a PICOT question related to sucrose administration before phlebotomy in infants: "Is the pain score lower in infants who are administered sucrose one minute before phlebotomy than in infants who do not receive sucrose at all?" With a PICOT question,P is the population of interest,I is the intervention of interest,C is the comparison of interest,O is the outcome,and T is the time;is this a true PICOT question?

A)Yes,because the outcome always comes before the intervention.
B)Yes,regardless of placement of elements.
C)No,because the comparison comes after the intervention.
D)No,because the outcome comes after the population.

Question 9

The quality improvement committee has been alerted to an increased number of falls in the hospital.Most of these falls have occurred at night and have involved patients who were trying to crawl over bed rails.A literature review revealed that most falls occur because patients are trying to go to the bathroom.The committee created a practice change that bed rails should be left in the down position,and hourly nursing rounds should be conducted.What is the committee's next step?

A)Evaluate the changes in 1 month.
B)Wait a month before implementing the changes.
C)Implement the changes as a pilot study.
D)Communicate to staff the results of this inquiry.

Question 10

The nurse is writing a research article on a patient care topic.Which section will get the reader to read the article because of the value of the topic for the reader?

A)Abstract.
B)Introduction.
C)Literature review or background.
D)Results.

Question 11

The nurse is trying to identify common general themes relative to the effectiveness of cardiac rehabilitation for patients who have had heart attacks and have gone through cardiac rehabilitation programs.The nurse conducts interviews and focus groups.What type of research is the nurse conducting?

A)Evaluation research.
B)Experimental research.
C)Qualitative research.
D)Nonexperimental research.

Question 12

The nurse is conducting a research project on optimal time frames for postoperative ambulation of patients.After the nurse identifies the problem,what is the next step in the research process?

A)Selecting the population.
B)Reviewing the literature.
C)Identifying the instrument to use for data analysis.
D)Obtaining approval to conduct the study.

Question 13

Before conducting any study with human subjects,the researcher must obtain approval from the agency's human subjects committee or research ethics board (REB).The REB ensures that the researcher will do what? (Select all that apply. )

A)Obtain informed consent.
B)Minimize risk to subjects.
C)Ensure confidentiality.
D)Identify risks and benefits of participation.
E)Ensure that subjects complete the study.

Question 14

The first step in evidence-informed practice is to ask a clinical question.In doing so,what does the nurse need to realize with regard to researching interventions?

A)The question is more important than its format.
B)The question will lead the researcher to hundreds of articles that must be read.
C)The question may be easier if it is in PICOT format.
D)The question may be more useful the more general it is.

Question 15

In conducting a research study,the researcher must inform the participants,in lay language,about the risks and benefits of participating.This is an important aspect of what?

A)Anonymity.
B)Confidentiality.
C)Informed consent.
D)The research process.

Question 16

When the best evidence is collected,what is the "gold standard" for research?

A)The randomized controlled trial (RCT).
B)The peer-reviewed article.
C)Qualitative research.
D)The opinion of expert committees.

Question 17

The nurse is preparing to conduct research that will allow precise measurement of a phenomenon.Which of the following methods will provide the nurse with the right kind of data? (Select all that apply. )

A)Experimental research.
B)Surveys.
C)Evaluation research.
D)Phenomenology.
E)Grounded theory.

Question 18

As nurses move forward in their education,different roles may be assumed with regard to research.What is the expected research role for the baccalaureate-prepared nurse?

A)To assume the role of a clinical expert.
B)To incorporate evidence-informed practice activities into nursing practice.
C)To develop methods of inquiry relevant to nursing.
D)To acquire funding for research projects.

Question 19

The nurse has used her PICOT question to develop an evidence-informed change in protocol for a certain nursing procedure.However,to make these changes throughout the entire institution would require more support staff than is available at this time.What is the nurse's best option?

A)Drop the idea of making the change at this time.
B)Insist that management hire the needed staff to facilitate the change.
C)Seek employment in another institution that may have the staff needed.
D)Conduct a pilot study to develop evidence to support the change.

Question 20

The nurse is caring for a patient with chronic low back pain.In providing care for this patient,the nurse wonders whether there is literature on nursing interventions for chronic low back pain.What are the best-known databases for nursing literature?

A)MEDLINE and CINAHL.
B)EMBASE and PsycInfo.
C)PsycINFO and CINAHL.
D)MEDLINE and EMBASE.