Deck 17: Evidence Based Practice Strategies

Question 1

Which is not a source of evidence used in designing e-b clinical protocols?

A) Agency data regarding patient outcomes
B) Agency data regarding staff nurse education levels
C) Cost of implementing the recommendations
D) Recommendations of soundly produced clinical practice guidelines

Answer 1

B

Question 2

Which of the following is the main goal of evidence-based practice?

A) Nurses following evidence-based protocols
B) Nurses reading research articles
C) Patients receiving evidence-based care
D) Patients achieving good outcomes

Answer 2

D

Question 3

What is the ultimate goal of evidence-based nursing?

A) Patient satisfaction with care
B) Positive impact on patient outcomes
C) Reduced cost of health care
D) Research-based interventions

Answer 3

B

Question 4

Which one of the following describes the optimal relationship between evidence-based nursing (EBN) and quality improvement (QI )initiatives?

A) EBN and QI are different names for the same organizational data collection programs.
B) EBN and QI both contribute to quality of care but they are competing approaches.
C) EBN and QI are a natural twosome in the pursuit of excellent patient care.
D) EBN and QI work best when each works separately to improve care.

Question 5

Based on information about the adoption of e-b practice related to verification of feeding tube placement, which statement is true of nurses' adoption of new evidence-based (e-b) practices?

A) Once they are aware of a new e-b practice, most nurses will adopt it right away.
B) Some nurses will adopt new e-b practice right away, but others put off doing so for quite a while.
C) Most nurses will not adopt a new e-b practice unless the evidence in support of it is very strong.
D) The only way to get most nurses to adopt a new e-b practice is for the care-giving agency to require it.

Question 6

The rate of uptake of an e-b practice is most affected by which of the following factors?

A) The education and age of the nurses working in the setting
B) The existence of an Evidence-Based Practice committee
C) Whether the organization has made adoption of an e-b practice fit into clinicians' workflow
D) Whether the e-b practice is recommended by a professional specialty association

Question 7

Which of the following is not a clinical protocol?

A) A new nurse orientation checklist
B) A standard order set
C) A decision algorithm
D) A standardized plan of care

Question 8

In the context of making a change in clinical practice in an organization, what is a stakeholder?

A) A person who was involved in writing the new protocol
B) The Chief Nursing Officer or Director of Nursing
C) Everyone in the setting where change is being introduced
D) Any person whose work will be affected by a change in practice

Question 9

How do clinical information systems with decision support incorporate evidence-based information?

A) By using inputted patient information to bring relevant standards of care and resources to the attention of caregivers
B) By notifying caregivers when they have made a poor clinical decision
C) By notifying care providers of clinical resource persons available to them
D) By issuing warnings to caregivers about potential medication incompatibilities proven by research

Question 10

Which of these statements is true of computers' future role in health care?

A) Computers will make decisions for clinicians.
B) Computers will serve as decision-support tools to assist clinician decision-making.
C) Computers will evaluate patients' attainment of functional outcomes.
D) Computers will decipher illegible handwriting.

Question 11

Which of the following factors is not a determinant of success in implementing and maintaining an evidence-based change in practice?

A) Characteristics of the e-b innovation itself
B) Facilitation strategies used to introduce the innovation
C) The nurse executive getting directly involved in the project
D) The work dynamics of the setting into which the practice is introduced