Nursing Research and EBP practice
What phrase best describes the science of nursing?
Body of nursing knowledge
A nurse develops the following foreground question using the PICO format in preparation for a research study: "In overweight clients, how do chromium supplements compared to no supplements help with weight loss?" Which part of the question reflects the intervention?
Chromium supplements
Which statement is most applicable to EBP?
Clinical expertise is integrated with external evidence
A nurse is engaged in research with the goal of finding an intervention that is the best for a given client under specific circumstances. The nurse is most likely involved in:
Comparative effectiveness research
After developing a foreground question, which step would the nurse do next?
Complete a literature search
Information is collected for analysis in both quantitative and qualitative research. What is the information called?
Data
A nursing student learns how to give injections from the nurse manager, who dictates a list of steps to follow. This is an example of acquisition of what type of knowledge?
Descriptive rule-based
Which of the following is a responsibility of an institutional review board (IRB)?
Determine risk status of all studies
Which outcome has been associated with the adoption of Agency for Healthcare Research and Quality (AHRQ) recommendations? Select all that apply
Improved quality Reduced costs
A nursing student is preparing a class presentation on the changes that have occurred over the years with nursing research. Which statement would the student include in the presentation?
In the 1950's, publication of nursing research became common
A nurse researcher is involved in an experimental research study. Which component would the nurse researcher manipulate?
Independent variable
Which is not an example of a problem statement?
Is it better to tell clients that a medical error has occurred with their care and do an internal investigation, or tell them about the error and do an internal investigation?
A student is conducting a literature review to identify a problem area for a research paper. Which should the student remember when conducting a literature review?
Journal reference lists provide sources for original article
A nurse is reviewing nursing theory for usefulness in a home healthcare setting. Which is the appropriate application of Dorothea Orem's Self-Care Model in a home healthcare setting?
Match the client's self-care needs with appropriate supportive interventions.
Which group of nurses would be least likely involved in direct research. Select all that apply.
Novice nurses Student nurses
A nurse wishes to work as a nurse researcher. Which statement would be MOST important for the nurse to keep in mind?
Nurses have control over the phenomena being studied in a nursing research problem
After teaching a class of nursing students about the historical evolution of nursing research, the instructor determines that the education was successful when the students identify which journal as being the earliest publication for nursing research
Nursing Research
What is the best explanation for the way EBP has changed the way nursing care is delivered
Nursing care now uses EBP as a means of ensuring quality care
What was the focus of nursing research during the 1st half of 20th century?
Nursing education
Which represents the basic framework of the research process?
Nursing process
Staff nurses in an ICU setting have noticed that their clients required less interventions for pain when the ICU was quiet. They passed their observations on to a nurse researcher and asked the researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge?
Nursing research helps improve ways to promote and maintain health
During the 1st half of the 20th century, a change in structure of society resulted in changed roles for women and, in turn, for nursing. What was one of these changes?
Nursing research was conducted and published
A nurse researcher is planning to disseminate research findings. Which method would be appropriate for the nurse researcher to use? Select all that apply
Oral presentation Poster presentation Printed clinical journal
As part of a class assignment, a beginning professional nursing student is to prepare a research paper. Which action would be most appropriate to take when identifying a problem area?
Review scientific literature to develop a research idea
Which source of knowledge is based on objective data?
Scientific
A nurse is caring for a client in the emergency room who was injured in a snowmobile accident. The nurse documents the following client data: uncontrollable shivering, weakness, and pale and cold skin. On further assessment, the nurse notes a heart rate of 53 beats/min and core internal temperature of 90 F. The nurse creates a plan of care and monitors the client to evaluate the outcomes. This nurse is using which type of problem solving in the care of this client?
Scientific knowledge
A nurse is planning to participate in a research project and is looking for information about what is already known about the topic. The nurse is involved in which step of the research process?
Scientific literature review
A group of nurses is planning to conduct a research study and is evaluating various online sources for information. The search reveals the following information on the various sites. The nurses determine that the site containing which information is valid and accurate? Select all that apply
Site purpose clearly stated Selected list of resources provided University affiliation provided
A nurse is conducting a research study involving a group of individuals diagnosed with inflammatory bowel disease. The nurse researcher protects the subject's privacy by ensuring which? Select all that apply.
Anonymity Confidentiality
The American Nurses Association's Commission on Nursing Education developed guidelines for the investigative function of nurses at different educational levels. Which guideline is for a nurse with an associate degree?
Assists in collection of data within an established, structured format
A nurse who will be conducting a research study asks an experienced nurse researcher, "When do I write my problem statement?" Which response by the nurse researcher would be appropriate?
"You'll do this after reviewing the literature and identifying your framework"
A community health nurse has been visiting a diabetic client whose morning fasting glucose levels are constantly elevated. Upon further assessment, the nurse determines that the client's spouse does not understand how to prepare meals following prescribed diabetic diet. Using Dorothea Orem's Self-Care theory, how can the nurse help meet the needs of this client?
Arrange an evaluation appointment with a dietitian
Which could be considered an example of a qualitative research project?
A PhD nursing student is collecting data on how Somali immigrants perceive the care they receive in one community clinic.
The nurse works in a nursing home and strongly believes that the care provided should be evidence based and tailored to the population. The nurse is constantly looking for ways in which to improve client outcomes. Recently, the nurse noticed that more residents have a diagnosis of depression. The nurse wants to decrease depression rates. Place the following actions in the order that they should occur using the scientific process of nursing practice
Assess the problem of an increased number of residents with depression Make a nursing diagnosis Start a group therapy session once a week for residents to talk about shared experiences Use anonymous surveys of residents to evaluate depression levels.
A nurse is reading a research article from a nursing journal. The nurse is aware that the opening paragraph summarizing the article and the research findings is a good place to start. What part of the article is the nurse reading?
Abstract
A nurse researcher is reviewing the Privacy Rule under the HIPAA and finds information about handling protected health information (PHI). The nurse researcher would most likely find rules for which aspects of PHI? Select all that apply.
Access Usage Sharing
Which criterion is not used for critically evaluating websites when doing a literature review?
Accessibility
Which agency would a nurse researcher identify as being the lead agency for supporting research designed to improve healthcare for all Americans?
Agency for Healthcare Research and Quality
A nurse researcher has proposed a study that will examine the effects of a preoperative teaching module on client's levels of anxiety. In order to carry out the study, the researcher needs to identify a test that can reliably quantify each participant's anxiety. Which tool will accomplish this task?
An instrument
To ensure that a research study is ethical, a nurse researcher must observe which human rights for participants? Select all that apply.
Anonymity Privacy Fair treatment Self-determinism
A nurse is accessing a website as part of a literature review. The nurse wants to make sure that the site is reliable. Which question would the nurse need to ask herself when evaluating the authority of the site? Select all that apply
Does the site have an editorial board? Are the author's credentials listed? Is there an institutional affiliation listed for the information?
The nurse is reading about nursing theorists for a class. The theory reveals the following "Individuals who use self-care to sustain life and health, to recover from disease or injury, or to cope with its effects." Which individual developed this theory?
Dorothea Orem
A nurse educated at the baccalaureate level is participating in clinical nursing research. Based on the nurse's educational level, which activity would the nurse be expected to perform? Select all that apply
Evaluate research for its applicability to nursing practice Participate in the implementation of scientific studies
A nurse researcher is examining the cause-and-effect relationship between the consumption of tap water containing minimal amounts of bleach, and the incidence of cancer in rats. The research is taking place in a lab setting. What type of quantitative research is being used based upon this description?
Experimental research
The nurse is gathering data from interviews of terminally ill clients and their families while conducting a research study on how family support impacts the quality of life in a terminally ill client. Which element would the nurse identify as the independent variable?
Family support
A theory of nursing will primarily inform which aspect of a nursing student's activities and interactions at the bedside?
Framing and giving meaning to student-client interactions
The nurse is studying nursing models for a Baccalaureate course. Which action made by the nurse exemplifies proper application of the Adaptation model?
Helping the client adjust to blood sugar testing each morning
A nurse is developing a plan for a qualitative research study. Which elements would be most important for the nurse to incorporate into the plan. Select all that apply.
Holistic viewpoint of the problem Use of subjective interactions Application of intuition for analysis
A nurse uses the process of quantitative research to study the incidence and causes of hospital-acquired pneumonia in the nurse's hospital. The statement of what the researcher expects to find in these studies is called the:
Hypothesis
A nurse who is preparing to integrate EBP into nursing care is using the PICO model. What would the nurse do first?
Identify the clinical question
A client is undergoing chemotherapy for a brain tumor believes that having a good attitude will help in the healing process. This is an example of what type of knowledge?
Philosophy
A group of nurses is planning to investigate the effectiveness of turning immobilized stroke clients more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which element will the "O" in the team's PICO question refer to?
Preventing skin breakdown. O stands for Outcome
The nursing staff on a clinical unit is excited to learn a recent nursing graduate with a Master's degree is joining the team. As the team is working toward achieving a Magnet designation, which functions will the new nurse help to fulfill with this goal?
Provide expertise and knowledge related to nursing research
A nurse researcher is studying perceptions of vocational rehabilitation for clients after a spinal cord injury. What type of research method will be used to study the perceptions of this group of individuals?
Qualitative research
A nurse is reviewing information located on the Cochrane Database of Systematic Reviews. The nurse understands that this information reflects what is considered the gold standard of high quality, systematic reviews, because the reviews address which type of study?
Randomized controlled trials
Which skill is foundational for a nurse's participation in the EBP process?
Read and understand a research article
A nurse researcher decides to conduct a qualitative research study. The researcher would be involved with:
Real world data collection
Which is BEST example of EBP?
Recommending ginger to alleviate nausea and vomiting in obstetric clients based on a literature review
A nurse is using the quantitative research process to study the cause of healthcare-associated infections (HAI) and how to prevent them. Which actions are examples of the components of this process? Select all that apply
The nurse collects data from subjects in the study The nurse formulates a hypothesis and variables in the study
The nurse is applying EBP during a client's wound care. Which are characteristics of EBP that the nurse is likely demonstrate? Select all that apply
The nurse is using a problem-solving approach The nurse uses the best evidence available The nurse blends the science and art of nursing
A nursing student is formulating a problem statement for a research project. What will ensure that the study is a logical extension of the problem cited?
The population being studied I specified in the problem statement
The nurse is preparing to submit a research project to IRB. The nurse understands that if the IRB were to reject the research project, it would most likely be for which reason?
The project lacks sufficient safeguards to protect human subjects
What aspect of the nursing research process addresses a client's understanding of the potential risks and benefits of the study?
Undergoing the informed consent process with the client
A nurse researcher is conducting a scientific literature review. Which statement would be most important for the nurse researcher to keep in mind?
Using a systematic approach for this step is most effective
When describing how to formulate a hypothesis, which item would a nurse researcher identify as the focus of the study?
Variables
A nurse is reading a journal article on ethical research and comes across the Articles of the Nuremberg Tribunal. Which statement would the nurse identify as being included? Select all that apply.
Voluntary consent of human subject is absolutely essential The anticipated results should justify the performance of the experiment Scientifically qualified persons are the sole persons to conduct the experiment.
