Evidence Based Practice
The nurse is developing a clinical question that explores the etiology of adult respiratory distress syndrome (ARDS). Which clinical question is the most appropriate? What are the causes of ARDS? Which medications lead to best outcomes for patients with ARDS? What are some potential complications of ARDS? How does ARDS affect arterial blood gas values?
What are the causes of ARDS?
The nurse is doing a case study on a client with long-term cardiovascular disease.Which would be the best way to target health promotion for treatment as it relates to evidence-based practice? A. Genomic standpoint B. Following federal regulation C. Examining cultural views D. Looking at the hospital data
A
Which factor that inhibits evidence-based practice would be considered an external factor? A. Lack of support by management B. Resistance to change C. Thoughts that the process doesn't work D. Personal aversion to the idea
A
The nurse is discussing the research process with colleagues who have an interest in learning more about this process. How should the nurse describe a high-yield source? A reputable source with valuable data A source full of opinion A source that can only be found via the internet A source that can document high volumes of data
A reputable source with valuable data.
Which evidence-based resource would be appropriate for the nurse to integrate into the care of a pregnant client? A. Safety instructions from a car seat manufacturer B. Information on breastfeeding from Healthy People 2020 C. Teaching pamphlets on circumcision D. Consequences of illegal drug use from the local police department
B
The nurse is reviewing the legalities that surround a research study the patient is considering. Which patient statement demonstrates understanding of the process of informed consent? "I can withdraw from the study at any time." "I have to have permission from the healthcare provider to withdraw from the study." "Once I begin the study, I must complete it." "I will not know the length of the study prior to participating."
" I can withdraw from the study at any time."
The nurse on the research committee agreed to complete a literature review for evidence as part of the team's study. Which statement by the nurse demonstrates understanding of the first step in this process? "I will look for scientific elements in this journal article." "I will write a hypothesis." "I will write a proposal to management." "I will read all articles related to the desired outcome."
" I will look for scientific elements in this journal article."
As part of a research project, the nurse is discussing with a group of peers about the coping process a woman goes through following a mastectomy. Which statement demonstrates that one of the nurses understands methodologies used in nursing research? "We would set that up as a qualitative study." "We would set that up as a quantitative study." "That would be an example of a hypothesis." "We should examine pregnant women who are over 30."
" We would set that up as a qualitative study."
A pregnant woman presents to the clinic with concerns of natural birth being messy and that she would rather have a cesarean birth. Which response by the nurse is based on a national goal set by Healthy People 2020? "A cesarean birth is a procedure that poses additional risk to you." "A cesarean birth is basically risk free at this point in medicine." "You should be screened for preeclampsia prior to making that decision." "A cesarean birth makes pregnancy and delivery very convenient."
"A cesarean birth is a procedure that poses additional risk to you."
Nurses on the institution's research committee are discussing the difference between background questions and foreground questions within clinical research. Which nurse's statement is accurate? "Answers to background questions may be found in drug guides." "Foreground questions are knowledge based." "Background questions address a range of clinical issues." "The answer to a foreground question addresses multiple clinical issues."
"Answers to background questions may be found in drug guides."
The nurse manager is explaining evidence-based practice (EBP) and how staff nurses should look at their daily work to ensure they include EBP. Which statement made by the nurse demonstrates understanding? "I should evaluate my daily actions and calculate which are based on EBP." "I should ask my coworker to tell me which are based on EBP." "I should research a few internet sites." "I should review my job description."
"I should evaluate my daily actions and calculate which are based on EBP."
A group of nurses is meeting as a part of a research committee and one of the points of discussion is that they have limited time to read the required articles. Which response by the chairman may be most helpful to this group doing a literature review? "I would suggest reading the abstract." "I would suggest reading the introduction." "I would suggest skimming the reading for valid points." "I would suggest reading the article's conclusion."
"I would suggest reading the abstract."
The nurse is developing a research study to explore the emotional experiences of individuals whose children are diagnosed with autism spectrum disorder (ASD). Which statement reflects the nurse's intent to protect the participants' autonomy when describing the research plan to the mentor? "I'll take steps to ensure that participants are in no way coerced into taking part in this study." "Protection of the participants' anonymity will be guaranteed." "Participants will not be exploited in any way during the course of this study nor at any point afterward." "The primary purpose of this study is to provide the greatest possible benefit to patients."
"I'll take steps to ensure that participants are in no way coerced into taking part in this study."
The nurse is conducting a class about research methods to colleagues. The nurse asks, "What is the difference between qualitative and quantitative research?" Which participant response is the most appropriate? "Quantitative research uses precise measurement to collect data and analyze it statistically." "Qualitative research is used to test relationships between variables." "Quantitative research explores individuals' subjective experiences." "Qualitative research does not use the scientific method."
"Quantitative research uses precise measurement to collect data and analyze it statistically."
The nurse preceptor is reviewing with a new nurse how to compare the nursing process to the process of evidence-based practice (EBP). Which statement by the preceptor describes the difference in the processes? "The nursing process deals with the patient's holistic needs and EBP deals with a clinical question." "The nursing process deals with a specific clinical question, while EBP deals with the patient's holistic needs." "The nursing process only focuses on the patient, while EBP focuses just on a process." "The nursing process is constantly evolving, while EBP is concrete."
"The nursing process deals with the patient's holistic needs and EBP deals with a clinical question."
The nurse is discussing evidence-based practice (EBP) with a colleague and explains that it is the manager's responsibility to direct them in EBP, but that has not happened. How should the colleague respond? "The use of EBP is the responsibility of each individual nurse." "The manager is deficient by not providing this information." "EBP is not widespread at their facility, so it is not that important." "The healthcare provider is a great resource for that training."
"The use of EBP is the responsibility of each individual nurse."
A 72-year-old bedridden patient has extensive contractures of the legs and is a resident of a local nursing home. Which statement by the nurse relates to a national goal for the care of older adults from the Healthy People 2020 report? "This patient may quickly develop pressure ulcers." "This patient is vitamin deficient." "This patient will be tube fed." "This patient is at risk for infection."
"This patient may quickly develop pressure ulcers."
The nurse is providing an in-service on evidence-based practice (EBP). When asked what barriers the nurses experience daily related to EBP, one nurse states that they are so busy and overloaded already. Which resource should the nurse suggest to counteract this barrier? "Utilize the internet to access practice guidelines." "Join a journal club." "Learn how to do a critical appraisal of evidence." "Revisit your scope of practice."
"Utilize the internet to access practice guidelines."
The nurse shares with the research committee that the process they have been researching has been given the yellow light. Which member statement describes a correct understanding of the outcome? "We need to continue our research." "We have a strong support for the intervention." "We will need to discard that intervention and start over." "We have found a likely positive outcome."
"We need to continue our research."
The nurse is teaching a colleague how to utilize the mnemonic PICOT for formulating questions that relate to evidence-based practice (EBP). Which question by the colleague would meet the desired outcome? "What would you like to achieve from that specific intervention?" "What intervention should be utilized?" "What population of patients should we study?" "How long will we collect data?"
"What would you like to achieve from that specific intervention?"
A nurse preceptor is working with a graduate nurse and explains that the hospital uses evidence-based practice (EBP) as its approach to nursing because of what reason? 1.EBP provides credibility of the profession. 2.Care cannot be given unless it is backed by research. 3.EBP assists in the evaluation of nurses' performance. 4.EBP helps determine the client's preferences for care.
1.EBP provides credibility of the profession.
The nurse is caring for a client who continues to develop pressure sores despite measures the nurses have taken to protect the client's skin. The nurses have participated in a client conference and outlined various methods for protecting this particular client's skin. What design of evidence-based research study is the nursing staff using? 1.Cohort study 2.Case study 3.Meta-analysis 4.Case control study
2. Case Study
The nurse is caring for a newly admitted client on the unit. When formulating the plan of care, the nurse recognizes that evidence-based practice is most helpful to a nurse in which situation? 1.Determining the client's nursing diagnoses 2.Evaluating the client's outcomes of care 3.Collecting data regarding the client's current medications 4.Determining the client's dietary needs
2.Evaluating the client's outcomes of care
During an interview, a nursing student asks the manager of the unit if the unit participates in any evidence-based practice projects. Which example stated by the nurse manager is an example of randomized controlled trial evidence-based practice project ? 1.The unit has implemented a new peri-care cleaning product and projecting a decrease in our urinary tract infection rate with clients with indwelling catheters. 2.All nursing staff on the unit recently completed an online module on proper indwelling catheter care and the unit will look at the urinary tract infection rate for the unit. 3. The unit has implemented a new peri-care cleaning product on one hall of the unit and we will compare the urinary tract infection rate of that hall with the other hall of the unit, not using the product. 4. A literature review was completed on not inflating the balloon on the indwelling catheter before insertion, and our policy will be changed to reflect this.
3. The unit has implemented a new peri-care cleaning product on one hall of the unit and we will compare the urinary tract infection rate of that hall with the other hall of the unit, not using the product.
A nurse has defined the current research problem. What is the next step in the process? 1.Formulate a hypothesis. 2.Define variables. 3.Review the literature. 4.Select a design.
3.Review the literature.
Which response is an example of a background question? (Select all that apply.) A. Why isn't long-acting insulin administered via the IV route? B. What is the pathophysiology of left ventricular heart failure? C. How does acupuncture compare with pain medication for treating chronic knee pain? D. How does incentive spirometry help prevent collapse of the small airways in the lungs? E. What is the link between healthcare providers' stethoscopes and healthcare-acquired infections?
A,B,D
In a professional development seminar, the educator shares barriers that they may encounter as they try to implement evidence-based practice (EBP) into their care. Which statement most accurately describes these potential barriers? (Select all that apply.) A.Client workload demands B. Nursing misperceptions about EBP C. Providing accountability for nursing care D. Ensuring credibility of the nursing profession E. Lack of access to continuing education programs
A,B,E
The nurse conducting a research study needs to determine if an individual qualifies to be a participant. Which criteria must be met for inclusion? (Select all that apply.) A. The individual meets all the inclusion criteria. B. The individual has been given informed consent. C. The individual receives payment for participation. D. The individual must waive the right to anonymity. E. The individual is informed of all aspects of the study.
A,B,E
The nurse is preparing to present the benefits of evidence-based practice (EBP) as it relates to nursing to colleagues. Which benefit should the nurse include? (Select all that apply.) A. Receiving the best client outcomes B. Increasing the accuracy of charting C. Contributing to the knowledge of nursing D. Increasing teamwork in healthcare facilities E. Assisting in the delivery of high-quality nursing care
A,C,E
The charge nurse is providing an educational seminar for a group of nurses. Which factor should the nurse expect to be discussed as an evidence-based practice topic for older adults that correlates with Healthy People 2020? A. Transmission of infectious disease during travel B. Fall-related injuries C. Obesity prevention D. Screening protocols for sickle cell
B
The nurse researcher is encouraging a nurse to incorporate evidence-based practice (EBP) into client care. Which action should the researcher encourage the nurse to do? A. Speaking with the hospitalist B. Participating in a research project C. Looking at past data D. Reviewing a client's record
B
Which question is most appropriate for the nurse to consider when evaluating the impact of evidence-based practice (EBP) on client outcomes? (Select all that apply.) A. Is the new practice beneficial to the nurse? B. Is the new practice being implemented correctly? C. Does the change in practice yield the intended results? D. Is the practice in accordance with the state's nurse practice act? E. Does the practice adhere to the American Nurses Association (ANA) standards of nursing care?
B,C
The nurse researcher is explaining evidence-based practice (EBP) to a group of nurses. Which statement is appropriate to include in the explanation? (Select all that apply.) A."EBP promotes generalization of client care." B."EBP incorporates the nurse's clinical expertise." Your answer is correct. C."EBP considers the client's needs, values, and choices." Your answer is correct. D."EBP tests hypotheses about health-related conditions." Your answer is correct. E."EBP is reflective of the best evidence from current research."
B,C,D
Which statement best reflects the nurse's correct understanding of principles related to evidence-based practice (EBP)? (Select all that apply.) A. "Client choices do not affect evidence-based practice." B. "Client-centered care is an outcome of evidence-based practice." C. "The nurse's level of expertise influences evidence-based practice." D. "Evidence-based practice promotes individualization of client care." E."Evidence-based practice requires application of all research evidence about a given topic."
B,C,D
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? A. "Nursing care is based solely on research." B. "I will be helping to validate nursing care." C. "I will be paid to participate in the research project." D. "This research will not influence my care."
B. "I will be helping to validate nursing care."
A nurse researcher is designing a study intended to explore how certification exam preparation courses affect nursing students' success rates in passing the exam. Which element best reflects the nurse's use of a randomized control trial (RCT) design? A. Compare graduate nurses who successfully passed the certification exam with graduate nurses who did not pass the exam in order to determine whether or not completing a certification exam preparation course was a variable that contributed to test performance. B. Examine a group of studies on graduate nurses who completed certification exam preparation courses and then combine and analyze the results as if they were from one large study. C. Compare the exam performance of a control group of graduate nurses who did not complete any certification exam preparation course with a group of graduate nurses who completed a specific certification exam preparation course prior to taking the exam. D. Interview five graduate nurses who completed a certification exam preparation course and detail their experiences with the course and then identify the number of graduate nurses who successfully completed the certification exam.
C
The nurse is delivering a presentation about evidence-based practice (EBP). Which statement best reflects the nurse's correct understanding of EBP? A. "EBP incorporates clinical knowledge, expert opinion, or information resulting from research." B. "EBP uses a systematic and strict scientific process to test hypotheses about health-related conditions and nursing care." C. "EBP involves combining quality research, clinical expertise, and client preferences to achieve the best client outcomes." D. "EBP is the gathering of objective facts and information to advance knowledge about a specific topic."
C
Which statement best describes validity of research evidence? A. It is used to determine the strengths and weaknesses of a study and its resulting evidence. B. It is the study's ability to produce consistent results with each use. C. It is the degree to which the study measured what it intended to measure. D. It is reflective of the study's application to clinical practice.
C
The nurse is designing a nursing clinical research study. Which research question is most appropriate for this type of study?(Select all that apply.) A. What factors influence an individual's choice to enroll in online nursing education? B. How do communication styles influence the nurse's perception of nurse educators? C. How do environmental noise levels affect the client's pain perception postanesthesia? Your answer is correct. D. Is there a relationship between acupressure and incidence of nausea in clients who are receiving chemotherapy medications? Your answer is correct. E. What is the relationship between the duration of nurse-client interaction and the client's level of satisfaction with nursing care?
C,D,E
The nurse is discussing some barriers that they have encountered with a journal club related to the topic. Which statement by the nurse describes potential barriers? (Select all that apply.) A. "I am an administrator." B. "I work in a nursing home." C. "I don't have time to do those trainings." D. "I have been in nursing 20 years; I do not need more training." E. "The hospital I work at stopped professional development based on funds."
C,D,E
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? A. Professional behaviors B. Accountability C. Clinical decision making. D. Advocacy
C. Clinical Decision making
The nurse is collecting data to determine how much of the unit's nursing practice is evidence based. Which action should the nurse implement as a first step to gather this data? Compose a list of actions that each nurse completes daily in the clinical setting. Look at each nurse's scope of practice. Compare the charting between each member of the staff. Compose a list of the challenges reported by each nurse.
Compose a list of actions that each nurse completes daily in the clinical setting.
The nurse manager is discussing the process of determining which actions done each day are based on evidence-based practice (EBP). Which action should be encouraged to make that determination? Creating a list of actions done daily and evaluating which are best practices Asking their team member which actions are based on EBP Reviewing their job description Reviewing daily reports with other nurses
Creating a list of actions done daily and evaluating which are best practices
A 2-year-old child with cerebral palsy may benefit from the model known as a medical home.Which goal from Healthy People 2020 does the nurse identify for the client? A. Limiting who lives in the home B. Paying the mortgage for the home C. Paying for their medication D. Coordinating their healthcare services
D
Evidence-based practice (EBP) is very prescriptive across the lifespan. Which client would be the focus for decreasing the incidence of pressure ulcers as presented in Healthy People 2020? A. A 12-year-old who sleeps 10-12 hours a day B. A 16-year-old who is hospitalized after knee surgery C. A 35-year-old who is in a rehab facility following neck fusion surgery D. A 65-year-old client who is bedridden in a nursing home
D
The nurse is critically appraising a research study. Which statement is reflective of an appraisal of the study's reliability? A. "Although the study was supposed to measure the client's wound healing, it really measured the client's satisfaction with care." B. "The study's results are applicable to clinical practice." C. "The study's results are not applicable to clinical practice." D. "The original study was repeated three times, but it did not produce consistent results."
D
The middle school teacher is researching topics in Healthy People 2020 to incorporate evidence-based resources in the school's health program. Which topic would be the most appropriate for the nurse to research? Obesity prevention Sickle cell disease International transmission of disease Breast cancer
Obesity Prevention
Which factor would help target health promotion in a patient through a genomic standpoint? Family history Community resources Availability of new medications Common vaccines
Family History
The nurse is caring for a pregnant patient and is interested in evidence-based practice (EBP) resources for both the mother and the infant after birth. Which source should the nurse consider? Healthy People 2020 Journal of Nursing Education Journal of Gerontologic Nursing Journal of the American Psychiatric Nursing Association
Healthy People 2020
The nurse describes the three components of evidence-based practice (EBP) that support what they do every day. The first component is the knowledge gained in practice and the second is the research evidence. Which item should the nurse identify as the third component? Preferences of the patient Ability to act quickly Nurses' beliefs of the system Nursing school training
Preferences of the patient.
Which would be considered a main objective of the research related to Healthy People 2020 as it relates to children? Providing patient-centered care for special needs Using limited vaccinations Curing the flu virus Waiting until the child is 1 year old to vaccinate
Providing patient-centered care for special needs.
Which regulatory body should the nurse identify as defining the nursing scope of practice? State board of nursing National League for Nursing The Joint Commission American Medical Association
State Board of Nursing
The nurse is designing a presentation about evidence-based practice (EBP). Which example illustrates evidence derived from research? Studies suggest that medical massage effectively reduces lower back pain. The patient may refuse to have back surgery. A nurse reads studies about the effects of massage on back pain. In certain cultures, male patients accept massage treatment only from male therapists.
Studies suggest that medical massage effectively reduces lower back pain.
Professional nursing organizations review clinical practice guidelines to ensure that interventions are recommended for safe practice. Which group is an example of an organization that would be responsible for publishing that information? The Institute for Emergency Nursing Research (IENR) The Emergency Nurses Association (ENA, n.d.a) Putting Evidence into Practice (PEP) The American Nurses Association (ANA)
The Institute for Emergency Nursing Research (IENR)