BONANA

The nurse is teaching a young-adult couple about promoting the health and psychosocial development of their 8-year-old child. Which information from the parent indicates a correct understanding of the teaching?

"We will provide proper support for learning new skills."

Which question will be most appropriate for a nurse to ask when assessing an adult patient for growth and developmental delays?

"Would you please describe your usual activities during the day?"

Before conducting any study with human subjects, the researcher must obtain approval from the agency's human subjects committee or institutional review board (IRB). The IRB ensures that the researcher

-Gives complete information about the purpose -Allow free choice to participate or withdraw -Understands how confidentiality is maintained -Identifies risks and benefits of participation

The nurse is reviewing nursing research literature related to a potential practice problem on the nursing unit. What is the rationale for the nurse's action?

-Nursing research identifies new knowledge -Nursing research improves professional practice -nursing research enhances effective use of resources

A nurse is using the research process. Place in order the sequence that nurse will follow

1. Identify clinical problem. 2.Develop research question. 3.Determine how study will be conducted. 4. Conduct the study. 5.Analyze results.

research process

1. develop a research question/hypothesis 2. determine how the study will be conducted 3. conduct the study 4.analyze results

A nurse writes the following PICOT question: How do patients with breast cancer rate their quality of life? How should the nurse evaluate the question?

A true PICOT question regardless of the number of elements

The nurse is caring for a patient with chronic low back pain. The nurse wants to determine the best evidence-based practice regarding clinical guidelines for low back pain. What is the best database for the nurse to access?

AHRQ

AHRQ

Agency for Healthcare Research and Quality; includes clinical guidelines and evidence summaries

A nurse is caring for a young adult after surgery. Which action by the nurse will be priority?

Allow involvement of partner

A formerly independent older adult becomes severely withdrawn upon admission to a nursing home. Which action should the nurse take first?

Allow the patient to incorporate personal belongings into the room.

A nurse has collected several research finding for evidence-based practice. Which article will be the best for the nurse to use?

An article that uses randomized controlled trials (RCT)

An 18-month-old patient is brought into the clinic for evaluation because the parent is concerned. The 18-month-old child hits siblings and says only "no" when communicating verbally. Which recommendation by the nurse will be best for this situation?

Assure the mother that the child is developmentally within specified norms.

EMBASE

Biomedical and pharmaceutical studies

After reviewing the literature, the evidence-based practice committee institutes a practice change that bedrails should be left in the down position and hourly nursing rounds should not be conducted. The results indicate a 40% reduction in fails. What is the committee's next step?

Communicate to staff the results of this project.

The nurse researcher is preparing to publish the findings and is preparing to add the limitations to the manuscript. Which area of the manuscript will the nurse researcher aid this information?

Conclusion

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

Conduct a pilot study to investigate findings.

In conducting a research study, the nurse researcher guarantees the subject no information will be reported in any manner that will identify the subject and only the research team will have access to the information. Which concept is the nurse researcher fulfilling?

Confidentiality

A nurse identifies a clinical problem with pressure ulcers. Which step should the nurse take next in the research process?

Develop a hypothesis

A nurse is assessing a 17-year-old adolescent's cognitive development. Which behavior indicates the adolescent has reached formal operations?

Discusses the topic of justice in society

The nurse uses evidence-based practice while providing nursing care to clients. What is the best rationale for the nurse's behavior.

EBP is a guide for nurses in making clinical decisions.

In caring for patients, what must the nurse remember about EBP

EBP is dependent on patient values and expectations.

The nurse is teaching the parents of a 3-year-old child who is at risk for developmental delays. Which instruction will the nurse include in the teaching plan?

Encourage play as your child is exploring the surroundings.

A nurse is using Jean Piaget's developmental theory to focus on cognitive development. Which area will the nurse assess in this patient?

Formal operations

The nurse is reviewing a research article on a patient care topic. Which area should entice the nurse to read the article?

Introduction

A nurse is using the proximodistal pattern to assess an infant's growth and development as normal Which assessment finding will the nurse determine as normal?

Lifts head before grasps

The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority?

Maintain identity

A nurse reviewing literature for an evidence-base practice study. Which study should the nurse use for the most reliable level of evidence that uses statistics to show effectiveness?

Meta-analysis

PICOT question

P- patient population of interest I- intervention of interest C- comparison of interest O- outcome T- time

A nurse is trying to decrease the rate of falls on the unit. After reviewing the literature, a strategy is implemented on the unit. After 3 months, the nurse finds that the falls have decreased. Which process did the nurse institute?

Performance improvement

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

Qualitative research

A nurse is implementing an evidence-based practice project regarding infection rates. After reviewing research literature, which other evidence should the nurse review?

Quality improvement datas

The nurse is preparing to conduct research that will allow precise measurement of a phenomenon Which methods will provide the nurse with the right kind of data?

Surveys Evaluation research Non-experimental research

A nurse takes the history of a middle-aged patient in a health clinic. Which information indicates the patient has achieved generativity?

Teaches preschoolers

A nurse is caring for a 4-year-old patient. Which object will the nurse allow the child to play with safely to foster cognitive development?

The blood pressure cuff

A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from abnormal findings by remembering Gesell's theory of development. Which information will the nurse consider?

The cephalocaudal pattern describes the sequence in which growth is fastest at the top.

A nurse is working with a patient who wants needs to be met and is impatient and demanding when these are not met immediately. How should the nurse interpret this finding according to Freud?

The id is functioning.

A patient follows all the instructions a nurse provides because the patient wants to be perceived as a "good" patient. How should the nurse interpret this information according to moral development?

The patient is in conventional reasoning.

A nurse wants to change a patient procedure. Which action will the nurse take to easily find research evidence to support this change?

USE a PICOT format for the search.

When caring for a middle-aged adult exhibiting maladaptive coping skills, the nurse is trying to determine the cause of the patient's behavior. Which information from a growth and development perspective should the nurse consider when planning care?

When individuals experience repeated developmental failures, inadequacies sometimes result.

EBP

a guide for nurses to structure how to make appropriate, timely, and effective clinical decisions

A nurse reviewing research studies for evidence-based practice. Which article should the nurse use for qualitative nursing research?

an article about emotional needs of dying patients and their families

A nurse is measuring an infant's head circumference and height. Which area is the nurse assessing?

biophysical development

introduction

contains information about purpose and importance of the topic to the audience

RCT

highest level of evidence or gold standard for research

MEDLINE

includes medicine, nursing, dentistry, psychiatry, veterinary, and allied health

literature review, background

offers detailed background of the level of science or clinical information about the topic of the article

A nurse is developing a care delivery outcomes research project. Which population will the nurse study?

patients

A nurse develops the following PICOT question: Do patients who listen to music achieve better control of their anxiety and pain after surgery when compared with patients who receive standard nursing care following surgery? Which information will the nurse use as the "C"?

who receive standard nursing care