Question 1

A nurse researcher is preparing to give a presentation about evidence-based practice (EBP)to a group of nursing students.Which of the following statements would be appropriate for the nurse researcher to include in this presentation?

Accepted Answer

A)  "EBP focuses solely on research-based evidence,and it assumes that best practices for nursing care exist independent of client preferences."
B)  "EBP involves integrating research evidence,the nurse's own clinical expertise,and client values and preferences."
C)  "EBP is sometimes also referred to as translational research."
D)  "EBP is typically only associated with complex nursing tasks,such as preparing clients for surgery and monitoring for adverse effects." B

Question 2

A home health nurse who is visiting a client to complete a wound dressing notes that the client has a flat affect and is not as responsive as during previous visits.The nurse calls the client's primary healthcare provider for a psychiatric referral.By recognizing the signs and symptoms of possible depression,the nurse is exhibiting which concept associated with evidence-based practice?

Accepted Answer

A)  Clinical decision making
B)  Advocacy
C)  Professional behaviors
D)  Accountability A

Question 3

A nurse is planning a research project comparing the use of fingerstick blood glucose testing with the use of alternative sites for adult male clients.Which elements of the PICOT formulation of the clinical question still need to be defined? Select all that apply.

Accepted Answer

A)  People
B)  Issue
C)  Comparison
D)  Outcome
E)  Time D,E

Question 4

Which of the following resources would be of least value to a nurse who hopes to employ evidence-based practice (EBP)in support of the Healthy People 2020 objectives for pregnant women?

Accepted Answer

A)  A research study linking regular exercise during pregnancy with a reduced likelihood of cesarean section
B)  A report from the American Congress of Obstetricians and Gynecologists describing best practices for screening for gestational diabetes
C)  A document from the National Institutes of Health describing newly identified benefits of receiving vaccines during pregnancy
D)  A report from the American Cancer Society regarding changes in the recommended schedule for mammograms

Question 5

A nursing preceptor is working with a novice nurse on a medical-surgical unit.During client care,the novice nurse shares an evidence-based wound care technique that is being used with much success.Which of the following is being encouraged when the novice nurse shares this information with the preceptor?

Accepted Answer

A)  Use of trial and error to gain knowledge
B)  Use of existing unit modes of care
C)  Use of new knowledge gained through research
D)  Use of medical knowledge to perform care

Question 6

Which of the following would be considered a foreground question when included in a nursing research project?

Accepted Answer

A)  "Who is at greatest risk for the development of gestational diabetes?"
B)  "What are the side effects of this class of antipsychotic medications?"
C)  "How does use of behavioral interventions compare to use of pharmacological therapies in treating hypertension?"
D)  "What organisms most commonly cause bacterial pneumonia?"

Question 7

The nurse is working with a client who has agreed to participate in a research study.Which actions would constitute a violation of the client's right to full disclosure? Select all that apply.

Accepted Answer

A)  Giving the client false information about his or her participation in the study
B)  Telling a mutual friend about the client's involvement in the study
C)  Withholding information about the study from the client
D)  Providing the client's name as a participant in the study
E)  Suggesting that participating in the study would greatly benefit the client's financial situation

Question 8

A nursing student who is providing care for an assigned client knows that the information documented in the client's nursing care plan could potentially be used in research to optimize client care.Which type of research is used to convert research knowledge into healthcare applications for improved outcomes?

Accepted Answer

A)  Translational research
B)  Transformational research
C)  Quantitative research
D)  Qualitative research

Question 9

A nurse working in a home health agency is asked to participate on a committee that is looking to incorporate evidence-based nursing care.What should be the committee's first step in implementing evidence-based practice (EBP)?

Accepted Answer

A)  Compile a list of questions.
B)  Research evidence-based practices that can be implemented.
C)  Evaluate the results of different research projects.
D)  Suggest that individual staff members try new means of delivering care.

Question 10

A nurse educator is interacting with a group of nurses who are working toward their graduate degrees.The members of the group are interested in replication studies.Which of the following replication studies would be most appropriate given the changing demographics in the United States?

Accepted Answer

A)  A study examining the ability of families to adapt to acute health problems
B)  A study examining how effective use of supplies affects the cost of care
C)  A study examining the ability of an aging population to care for itself
D)  A study examining how new technology affects client care

Question 11

Prior to conducting research,nurse researchers must have their research protocols approved by which of the following bodies?

Accepted Answer

A)  The American Nurses Association
B)  The U.S.Department of Health and Human Services
C)  The journal in which the researchers plan to publish their results
D)  An institutional review board

Question 12

A client in the clinic is being asked to participate in a research study.The client asks why a nursing research study is necessary given that research on this subject has already been published by the American Medical Association (AMA).Which of the following responses should the nurse offer in reply to the client's question?

Accepted Answer

A)  "This study is useful because it supports the medical profession."
B)  "This study is useful because it validates nursing through medical research."
C)  "This study is useful because it supports products used in nursing care."
D)  "This study is useful because it validates nursing care,not medical care."

Question 13

The nurse is caring for a client with a chronic disease process.The client tells the nurse he recently read an article about funding for the National Institute of Nursing Research (NINR).He then asks the nurse why the U.S.Congress would fund such an organization.Which response by the nurse is most appropriate?

Accepted Answer

A)  "The government is looking to the NINR for information about promoting health."
B)  "Funding the NINR is one cause of health cost increases in the country."
C)  "The government is interested in preventing chronic disease."
D)  "Nursing research is focused on prevention and health promotion,which will decrease healthcare costs."

Question 14

Which type of research investigates a question through narrative data that explores the subjective experiences of human beings and can provide nursing with a better understanding of clients' perspectives?

Accepted Answer

A)  Quantitative research
B)  Thematic research
C)  Qualitative research
D)  Clinical research

Question 15

A nurse manager is encouraging staff on the unit to go back to school and "become professionals,not just workers" by "increasing" their knowledge through education and networking.Which criteria for nursing to be recognized as a profession is the nurse manager highlighting? Select all that apply.

Accepted Answer

A)  Joining professional organizations
B)  Following a code of ethics
C)  Having specialized education requirements
D)  Conducting ongoing research
E)  Having autonomy

Question 16

The nurse working in a community hospital is caring for a client who does not seem to be responding well to the current plan of care that has been implemented by the nursing team.Given this information,which actions by the nurse are appropriate? Select all that apply.

Accepted Answer

A)  Accessing research journals for evidence that would support a change in the plan of care
B)  Proposing a nursing research project to the unit manager
C)  Networking online with other nurses who are giving similar care
D)  Asking the doctor for a new nursing approach to care
E)  Trying a different approach to care even though it breaches hospital policy

Question 17

The nurse is caring for a client who requires extensive wound care.The client has consented to participate in a nursing research study regarding the wound care.Which client statement indicates understanding of the research goal?

Accepted Answer

A)  "This research will not influence my care."
B)  "Nursing care is based solely on research."
C)  "I will be paid to participate in the research project."
D)  "I will be helping to validate nursing care."

Question 18

The nurse manager for a medical-surgical nursing unit is talking to a group of nursing students.The nurse manager is explaining the types of nursing research studies that are conducted on the unit.Which statement by the students indicates understanding of the nature of nursing research?

Accepted Answer

A)  "Nursing research does not include nursing education or nursing leadership."
B)  "Nursing research does not include the study of nurses themselves."
C)  "Nursing research impacts nursing by adding knowledge and changing nursing practice."
D)  "Nursing research is used to enhance medical treatment."

Question 19

A nurse is preparing to conduct a research study and wants to do a literature search for relevant articles.Which of the following sections should the nurse expect to find in each search result? Select all that apply.

Accepted Answer

A)  Abstract
B)  Methods
C)  Funding
D)  Results
E)  References

Question 20

Which of the following measures would be most directly aimed at upholding the principle of respect for persons?

Accepted Answer

A)  A policy requiring that any research involving pediatric subjects undergo an extra level of ethical scrutiny prior to approval
B)  A policy stating that all data gathered during research must be stripped of information that links it to individual research subjects
C)  A policy stating that a research project must be immediately suspended should any of the participants experience an unexpected adverse event
D)  A policy requiring that all participants in a research effort receive financial compensation

Exam 45: Evidence-Based Practice

A nurse researcher is preparing to give a presentation about evidence-based practice (EBP) to a group of nursing students.Which of the following statements would be appropriate for the nurse researcher to include in this presentation?