Research Final 65 questions

Which is an example of a hypothesis: a. overweight children b. anger c. blood pressure d. "Among overweight children, high levels of trait anger are associated with high systolic and diastolic blood pressures." OR In the hypothesis: "Among overweight children, high levels of trait anger are associated with high systolic and diastolic blood pressures." The concept would be: a. overweight children b. anger c. blood pressure d. high blood pressures

"Among overweight children, high levels of trait anger are associated with high systolic and diastolic blood pressures." answer: B (ANGER)

A student nurse asks the instructor how to determine the best way to provide health care services to ensure the greatest number of people receive quality, safe care. What is the best response made by the nursing instructor? a. by randomly allocating subjects to two or more treatment groups b. "Nurses need to use research findings to determine the best way to deliver healthcare." c. systematic reviews, meta-analysis, and critically-appraised topics/articles have all gone through an evaluation process d. Accreditation is a review process that evaluates nursing training programs. It is based on best practices and established quality standards.

"Nurses need to use research findings to determine the best way to deliver healthcare."

The nurse is explaining the evolution of evidence-based practice in professional nursing. Which statement best reflects the goal of evidence-based practice? A. The goal of evidence-based practice is to waylay rising healthcare cost sB. The goal of evidence-based practice is to encourage new ways of performing nursing skills C. The goal of evidence-based practice is to promote quality, safety, and cost-effective patient outcomes D. The goal of evidence-based practice is to promote higher quality patient care

"The goal of evidence-based practice is to promote quality, safety, and cost-effective patient outcomes."

Nurse researcher is recruiting participants for quantitative study for adult male caregiver stress. Inclusion Caring for a spouse with chronic illness. Exclusion criteria include death of spouse and inability to read study material. Which participant is eligible for study? a. Begin the search using the search term "falls" b. Develop a PICO question that clearly defines your interest c. Review the patient education materials on the unit d. 70 year old male who reads and writes english whose Wife has MS and is cared for at home.

70 year old male who reads and writes english whose Wife has MS and is cared for at home.

The five human rights that are outlined in ANA guidelines include: (Select all that apply.) a. right to self-determination. b. right to privacy and dignity. c. right to legal consultation. d. right to anonymity and confidentiality. e. right to fair treatment. f. right to protection from discomfort and harm. g. right to comprehensive medical care.

A, B, D, E, F

Which of the following is critical step for quality improvement process in healthcare settings a. Adopting a practice change as a new standard of care b. Research project findings typically get implemented into practice immediately c. QI projects consistently use valid and reliable data collection d. QI projects generate new knowledge that can be generalized

Adopting a practice change as a new standard of care

What components of study do hypotheses influence? a. Analysis process b. Sampling method c. Data collection d. Study design

Analysis process Sampling method Data collection Study design

Nurse researcher is concerned that investigator in study is also manager of population being study which may influence results of the data collected. Which concept does this concern reflect? a.It is a referred source b. The lower the impact, the more it is accessed c. The higher the impact, the higher it is cited d. Bias

Bias

What type of materials can be accessed when using a library database? a. Books b. Peer review articles c. Journal review articles d. newspaper

Books Peer review articles Journal review articles

Which initial action would the nurse should take when performing a literature review? a. Select a nursing-specific database. b. Clarify the purpose of the literature review. c. Use key words in the search bar of the database. d. Determine which database will be used for the literature search.

Clarify the purpose of the literature review.

Essential elements in informed consent a. Competence of participants to give consent b. Comprehension formation by the participant c. Voluntary participation d. Disclosure of essential study information to study participants

Competence of participants to give consent Comprehension formation by the participant Voluntary participation Disclosure of essential study information to study participants

What kind of study examines the relationship between potential causal factors and disease at a specific time? a. Teen mothers b. Breast feeding c. The rate if infant infections d. Cross sectional

Cross sectional

A researcher who's unable to engage with all communities necessary for a study and who imposes his or her own beliefs in collection of data demonstrates a lack of what? a. Leave the current treatments in place b. Present real-case scenarios in which EBP resulted in better care and long-term results. c. change one treatment at a time until EBPs are implemented d. Cultural competence

Cultural competence

What is the ability of researcher to understand and appreciate cultural participation in planning and executing research? a. The client is vehemently opposed to undergoing digital rectal exams b. clinical practice guidelines for prostate care have not been published c. the clinician has been unable to find any large RCTs in a literature review d. Cultural competence

Cultural competence

The student nurse performs critical appraisal of journal and evaluate quality fo study. Which key principle should student nurse apply? a. Describe the credibility of findings and consistency of those findings with other studies b. A statement proposing no effect or relationships between a phenomena or population c. A set of ideas that drive an area of research to test to negative effect d. A set of related statements that explain a variety of occurrences

Describe the credibility of findings and consistency of those findings with other studies

What aspect of clinical nursing strengthens nurses ability to make sound clinical judgements? a. Educational preparations b. Years of clinical experience c. Current knowledge of clinical literature d. Current knowledge of clinical research

Educational preparations Years of clinical experience Current knowledge of clinical literature Current knowledge of clinical research

Patient is being treated for a rare disease that causes acute neurological pain. The provider informs pt that new drug is being developed and tested on ppl w similar disorders. Drug is intended to alleviate pain and other symptoms. Pt expresses interest in study. What role does a nurse serve? a. apologize and promise not to discuss with the physician. b. apologize and make sure future conversations among staff are done in private c. apologize for the inconvenience but explain the desperate need for the bed for a client who is sicker. d. Ensuring patient understands potential risks and benefits of study

Ensuring patient understands potential risks and benefits of study

A good description of competence to give consent is? a. the staff should be willing to update their skills and care to the most recent EBP b. the new nurse should respect the older staff and not push changes. c. the new nurse should be allowed to present the information and everyone then decide if they want to do it. d. Ensuring that the potential participant has mental capability to give consent

Ensuring that the potential participant has mental capability to give consent

Researcher not wanting to include any participants who have heart failure or renal failure in his study. What is this known as a. Ensuring that external evidence, rather than internal evidence, is integrated into care b. Fostering the level of learning that exists in the American healthcare system. c. Exclusion sampling criteria d. comparing the implementation of EBP in the US with that of other Western countries

Exclusion sampling criteria

What action is essential for obtaining informed consent? a. Explaining to subjects why they were selected to participate in the study b. it will increase our competitiveness with the other providers in the community c. it will increase our client satisfactiond. it puts the emphasis on client values d. It puts an emphasis on client values.

Explaining to subjects why they were selected to participate in the study

Novice nurse is learning about institutional review of research. Which statement made by a novice nurse demonstrates the need for further education? a. For research at multiple sites, researchers must gain IRB approval for the largest site b. Accessing the Cochrane Library c. contacting the clinical nurse educator on the unit d. beginning with lay publication before progressing to peer-reviewed journals.

For research at multiple sites, researchers must gain IRB approval for the largest site

What research activity does NANDA-I support? a. Etiology b. Related factors c. Diagnostic label d. Generating effective nursing diagnosis

Generating effective nursing diagnosis

What are institutional review boards? a. Groups that form to examine ethical aspects of studies before they are conducted b. creating buy-in from the other clinicians who provide care at the facility c. Developing an inquisitive & curious mindset d. assessing whether the practices in question may, in fact, be evidence based

Groups that form to examine ethical aspects of studies before they are conducted

Nurse educator asks student nurse to describe her first step in developing evidence needed for practice. Which statement made by student nurse indicates that learning is effective? a. Compatibility of the protocol with the agency's practice b. Complexity of the protocol c. Relative advantage of the protocol for practice d. Identifying the areas in which research evidence is lacking is the first step

Identifying the areas in which research evidence is lacking is the first step

which is the most important benefit of nursing role in interprofessional collaboration to achieve evidence-based practice? a. communicating with each other and the patient to avoid potential medical errors and to ensure effective care b. Improve patient and provider outcomes c. promotes individualization of client care and provides best practice for​ client-centered care d. can also be scaled up to the community level for population-health initiatives

Improve patient and provider outcomes

What is the greatest benefit of using evidence-based research in nursing practice? a. Improved outcomes for patients b. Nursing studies have not been adequately replicated. c. Practitioners often do value research. d. Researcher-originated studies often solve pressing clinical problems.

Improved outcomes for patients

What's a characteristic of a research question? a. find more evidence to back the decision b. find newer evidence describing a newer approach c. consult with the nursing supervisor before proceeding d. Includes variables

Includes variables

Nurse analyzing a research article where in the article is the nurse likely to find research questions and practice? a.randomization b. reliable instruments or tools c. mediating variables d. Introduction

Introduction

What type of materials can be accessed when using a library database? a. Literature must be current b. Lit must be appropriate to the practice setting c. Lit must be made avail. To staff d. Lit must be used to change clinical practice

Literature must be current Lit must be appropriate to the practice setting Lit must be made avail. To staff Lit must be used to change clinical practice

Nurse is working on a task force that wants to apply EBP into practice. Which action does the nurse take? a. Modifying the practice guidelines b. Evaluating new process and outcomes c. Collecting baseline data d. Identifying outcome that must be achieved

Modifying the practice guidelines Evaluating new process and outcomes Collecting baseline data Identifying outcome that must be achieved

How far back should a nurse researcher go when performing a literature review? a. At least the last 6 months to 2 years b. At least the past 3 to 5 years c. At least the past 6 to 10 years d. No more then 10 years

No more then 10 years

how does the nurse precepting a student best explain the relationship between interprofessional collaboration and evidence based practice? a. EBP provides credibility to the profession b .Care cannot be given unless it is backed by research. c. EBP assists in the evaluation of nurses' performance. d. Nurses participate in team approach that focuses on specific patient outcome

Nurses participate in team approach that focuses on specific patient outcome

Group of nurses is completing a research project that looks at pt satisfaction with healthcare outcomes, care received and care providers as well as financial outcome received with provision of healthcare services. What form of research is this? a. calculating the cost savings that will be realized by using the new regimen b. sharing their experience with other healthcare professional c. implementing enforcement measures to ensure compliance with the new regimen d. Outcomes

Outcomes

IRB is preparing to review a clinical proposal that involves testing a new type of medication designed to help kids with adhd manage their racing thoughts and impulse behaviors. The human test subjects are children 5-7 yo with even distribution of male to female. Which member of irb has conflict of interest related to the study and must excuse themselves from participation? a. Owner of stock and pharmacology company that develops the medication being tested b. A statistical summary of the results from several different studies c. an examination of the theoretical and conceptual underpinnings of the issue d. an interdisciplinary analysis of the clinical question

Owner of stock and pharmacology company that develops the medication being tested OR It would be the owner of the owner of the stock in Pharmacy owner of stock and pharmacy that developed the medication benign tested

What does P stand for in PICO format? a. Prospective cohort study b. Retrospective case study analysis c. Randomized control experiment d. Population or participants of interest

Population or participants of interest

The researcher explains to the subject that he or she may experience some nausea or headaches associate with treatment used in the study. This disclosure is an essential element of consent a. doing the least harm b. every client is the only client c. promote harmony, involve the client and family d. Potential risks

Potential risks

HIPAA was implemented in 2003 to address public concerns about which ethical aspect of healthcare and research? a. Privacy b. Patient preference c. internal evidence d. external evidence

Privacy

Quality improvement is QSEN one of 6 competencies. Identified through use of research. Education and developing clinical skills. skills are focused on qsen to meet other competencies. Pt outcomes are not identified through the use of research. a. Patient centered b. Focus group c. Process oriented d. Specific holistic e. Outcome focused

Process oriented Specific holistic Outcome focused

Why are the administrators of a healthcare agency highly supportive of EBP? a. Promotes cost effective care for patients b. Meets accreditation standards c. Promotes quality in workplace d. Satisfactory model

Promotes cost effective care for patients Meets accreditation standards Promotes quality in workplace

The utilization review nurse is performing a retrospective review on the outcomes of patients receiving preoperative prophylactic antibiotics prior to total knee replacement surgery. What is the purpose of retrospective research? a. Providing a narrative description or analysis of events that occur in the remote or recent past b. To evaluate the quality of the research performed, c. considered the highest level of quality for evidence-based research. d. generates evidence and helps nurses determine patient preferences.

Providing a narrative description or analysis of events that occur in the remote or recent past

Whats the ultimate goal of conducting research to generate knowledge directed towards nursing practice concern? a. EBP b. Clinical expertise c. client-centered care d. Providing evidence based nursing care

Providing evidence based nursing care

What are knowledge skills and attitudes linked with to improve nursing education a. They must be able to work cooperatively with others, adapt to rapidly changing environments, think clearly and tolerate physically and mentally taxing workloads under stressful situations b. QSEN competencies c. prepare future nurses with the knowledge, skills, and attitudes needed to improve the quality and safety of the health care system d. nurses should use when setting goals in the work environment, academically, or even with personal goals.

QSEN competencies

Healthcare agencies are supportive of evidence-based research because it promotes what: a. Quality care b. EBP improves outcomes for patients, providers, and healthcare agencies c. There is an abundance of resources available to support nurses to implement evidence-based practice. d. To emphasize patient care outcomes achieved through EBP, the Joint Commission is reviewing their accreditation criteria.

Quality care

Which QSEN competency is identified through use of research a. patient-centered care, teamwork and collaboration, safety, evidence-based practice, quality improvement, and informatics b. Quality improvement c. Demonstrate knowledge of basic scientific methods and processes. d. Describe EBP to include the components of research evidence

Quality improvement

Which type of research is conducted in a formal systematic process that uses numerical data to obtain information? a. A formal, objective, rigorous, systematic process b. Quantitative research c. Find patterns and averages, make predictions, test causal relationships, and generalize results to wider populations d. Numerical data are used to obtain information about the subject under study.

Quantitative research

Nurse researcher is constructing multicenter trial.. Feasible in a pilot study for patient protocol to prevent falls. Which action would best remove bias from the conduct of this study a.Cross-sectional descriptive study b. Prospective cohort study c. Retrospective case study d. Randomization of participants to a study and a control group

Randomization of participants to a study and a control group

How has the focus of healthcare research expanded over time? a. coordinating the collaboration of researchers in the generation of healthcare knowledge b. developing practice guidelines based on research. c. research now focuses on health promotion and disease prevention d. strengthen the profession's contribution to enhancing the health and healthcare of individuals and populations.

Research now focuses on health promotion and disease prevention

Nurse is analyzing a qualitative research article. In which of the article should nurse expect to find a discussion of research findings? a. cause and effect studies b. pre-test and post test observational studies c. descriptive studies d. Results

Results

Before changes are made to procedures subjects are to perform consent must be obtained from whom? a. Subjects/participants b. IRB c. nursing staff d. physicians

Subjects/participants IRB

When a research team is conducting a clinical trial that involves monitoring human test subject going thru new type of radiation intended to remove freckles on skin. Member of a manufacturing company asks for names of subjects participating a. "are the findings of this study cost-effective in our clinical context?" b. "how would the implementation of this intervention affect our staffing needs?" c. "were the clients in the study similar to the clients on my unit?" d. Tell the rep that IDs of participants can't be shared

Tell the rep that IDs of participants can't be shared OR IDS of participants cannot be shared

The experienced nurse works with a novice nurse who has a Bachelor of Science in Nursing (BSN) degree. What does the nurse expect regarding the novice nurse's knowledge and involvement in evidence-based practices? a. A novice is a beginner with no experience b. Evidence-based practice includes the integration of best available evidence, clinical expertise, and patient values and circumstances related to patient and client management, practice management, and health policy decision making. c. The BSN nurse can provide valuable assistance with collecting data to use for ongoing studies d. Critiques research studies and applies research to clinical practice.

The BSN nurse can provide valuable assistance with collecting data to use for ongoing studies

When formulating a research question regarding the effects of different doses of medication administered for pain what is the independent variable? a. increased years of practice in a consistent clinical environment b. exposure to more client interactions and conduction of more interventions c. Examination of interactions and events in the clinical context. d. The dose of medications

The dose of medications

The nurse observes a novice nurse perform a patient procedure that is not commonly practiced. When questioned, the novice nurse says that the idea for the practice came from the opinions in a committee report on the subject. Why does the nurse intervene? a. The novice nurse is using weak research evidence to guide actions in the workplace b. to determine the best way to deliver healthcare services to patients as well as to ensure that the greatest number of people receive safe and quality care. c. More specifically, research has shown that factors limiting the extent of EBP include lack of knowledge and skills d. The absence of sufficient skills, among many nurses, for locating and critically evaluating nursing studies.

The novice nurse is using weak research evidence to guide actions in the workplace

Which example represents quantitative research? a. allows testing objective theories by collecting and analyzing quantitative data on variables and examining the relationship between those variables b. The nurse studies the number of patients who developed adverse reactions following dental restoration c. provide baseline information to help researchers select patients to interview d. a method of research that relies on measuring variables using a numerical system, analyzing these measurements using any of a variety of statistical models

The nurse studies the number of patients who developed adverse reactions following dental restoration

how do evidence-based guidelines affect clinical practice? a. Patient care must follow clinical guidelines exactly b. They have become the new standards for providing care to patients. c. Evidence from assessment of patient's history and physical d. clinical practice guidelines and meta-analysis or systematic review

They have become the new standards for providing care to patients.

Research synthesis such as systemic and meta analysis provide a basis for developing strong ebp guidelines How do these guidelines promote...outcomes? a. Improves quality of care b. Improves patient outcomes such as decreased signs and symptoms, improved functional status, improved physical and psychological health, prevention of illnesses, and increased promotion of health through implementation of healthy lifestyles c. Decreases recovery time d. They identify best treatment plans for selected patient groups

They identify best treatment plans for selected patient groups

Which best describes the purpose of nurses using research findings in practice? a. to pass the nursing licensure exam b. to comfort and support patients who are grieving c. to determine the best way to deliver healthcare services d. to better understand how to communicate with healthcare providers

To determine the best way to deliver healthcare services

Nurses need to be able to understand the nursing research process. a.Older patients with chronic obstructive pulmonary disease b. Perceived tolerance of activities of daily living c. Anaerobic exercise d. To evaluate nursing research reports for relevance to their own clinical practice OR Why do nurses who do not conduct research need to understand the nursing research process? A. Nurses that do not conduct research need to be able to identify accurate data collected in clinical research studies. B. Nurses that do not conduct research need to be able to identify potential subjects for research studies. C. Nurses that do not conduct research need to be able to be able to evaluate nursing research reports for relevance to own clinical practice. D. Nurses that do not conduct research need to be able to encourage clients to participate in research.

To evaluate nursing research reports for relevance to their own clinical practice BOTTOM ANSWER: C (Nurses that do not conduct research need to be able to be able to evaluate nursing research reports for relevance to own clinical practice)

Nurse is teaching student nurse about the use of algorithms for integrating research evidence into practice guidelines. Which statement by student nurse indicates further teaching needed? a. Research utilization is the process of systematically integrating the findings of completed nursing research studies into clinical nursing practice b. peer-reviewed journal articles, randomized clinical trials, and clinical trials c. We can use algorithms to determine best plans for patients of different ages d. The process of generating recommendations in this document will be used to highlight the methodology of evidence-based guideline development.

We can use algorithms to determine best plans for patients of different ages

A group of nurses conducting a study are analyzing data. Which statement made by a researcher indicates and understanding of how to perform quantitative analysis? a. To develop a PICOT question b. To gain knowledge about patient symptomology c. To identify the gaps in the evidence d. We will take results and report them as numerical value

We will take results and report them as numerical value

What does a nurse conducting a qualitative research study conclude when saturation of study data occurs a. Can influence or distort the study's theoretical framework b. Must strengthen the study results c. Can affect the validity of the study d. additional sampling will provide no new data

additional sampling will provide no new data

Nurse is conducting a research study to determine effects of classical music on numeric levels of anxiety for patients receiving chemotherapy. What type of research study is the nurse conducting? a. Qualitative b. Quantitative c. Mixed-methods d. Phenomenological

quantitative

A nurse is appraising the validity and strength of research evidence on patient safety during transport to radiology. Which study provides the best evidence? a. single correlational study on patient safety b. opinions of respected authorities on patient safety c. single qualitative or descriptive study on patient safety d. systematic review of experimental studies on patient safety

systematic review of experimental studies on patient safety

Research team is using two clinical agencies, a nutritional center and physical therapy center, the appropriate action by the research team in getting IRB approval? a. the appropriate action of researcher team is getting IRB approval from both nutrition center and Physical therapy center b. Evidence from a study that is widely regarded as a classic w/in the obstetrical nursing community c. Evidence from a systematic review of breastfeeding promotion studies that one of the nurses identified in an electronic database. d. the consensus opinion of the most senior nurses on the unit.

the appropriate action of researcher team is getting IRB approval from both nutrition center and Physical therapy center

Which attribute does nurse researcher place as most important in choosing a measure of instrument in a study a. Randomized control experiment b. Correlational, cross-sectional, non-experimental c. Quasi-experimental d. validity and reliability

validity and reliability