Deck 15: Evidence-Based Practice

Question 1

A nurse working in a community setting should apply evidence-based practice methods that are described by:

A) Randomized clinical trials
B) Qualitative studies
C) Quantitative studies
D) Multiple research methods

Answer 1

Multiple research methods

Question 2

Which are barriers to implementation of evidence-based practice? Select all that apply.

A) Lack of available time
B) Inferior quality of available research
C) Unwillingness of organizations to fund research
D) Inability to understand the evidence
E) None of above

Answer 2

Lack of available time
Inferior quality of available research
Unwillingness of organizations to fund research
Inability to understand the evidence

Question 3

A nurse is grading the strength of evidence when critiquing a research study.Which domains will the nurse need to consider?

A) Randomness, sample size, and blinding
B) Selection, variables, and description
C) Nursing, medicine, and physiology
D) Quality, quantity, and consistency

Answer 3

Quality, quantity, and consistency

Question 4

A public health nurse would like to incorporate evidence-based practice into the clinical practice at the health department.According to Melnyk and Fineout-Overholt et al.,the first step in this process is:

A) Integrating the evidence with clinical expertise
B) Cultivating a spirit of inquiry
C) Asking clinical questions
D) Searching for the best evidence

Question 5

A nurse uses clinical experience and client preference to guide clinical decision making when using:

A) Evidence-based practice
B) Internal evidence
C) Research utilization
D) External evidence

Question 6

A nurse providing care in the 1970s would have used which process as the guide for making clinical decisions?

A) Evidence-based nursing practice
B) The science of medicine
C) Evidenced-based medicine
D) Research utilization

Question 7

Which type of research is defined as the gold standard of evidence in evidence-based practice?

A) Clinical expertise
B) Randomized controlled trials
C) Case studies
D) Systematic review

Question 8

When looking at evidence-based practice to support the methods used to facilitate smoking cessation,which type of evidence would be the best for the nurse to examine?

A) Scientific literature found in systematic reviews
B) Double-blind randomized controlled trial
C) Quasi-experimental studies
D) Expert opinion

Question 9

Evidence-based public health is:

A) An integration of the best available nursing expertise
B) Derived from community principles to fit the area where it is practiced
C) A health endeavor that makes informed use of evidence
D) Comprised of only public health records

Question 10

It would be important for a nurse researcher to use blinding when:

A) The sample size is small
B) The outcomes must be accurately measured
C) Using a control group
D) Studying the attrition rate

Question 11

The term evidence-based was first used in:

A) Canada
B) Great Britain
C) The United States
D) Australia

Question 12

A summary of the research evidence that relates to a specific question and to the effects of an intervention is:

A) Evidence-based practice
B) Action research
C) Systematic review
D) Best practices

Question 13

A public health nurse uses a published systematic review to determine which exercises should be incorporated into a newly developed older adult exercise program.Which resource would most likely contain this information?

A) Evidence-Based Practice for Public Health Project
B) PubMed
C) Cochrane Public Health Group (PHRG)
D) Task Force on Community Preventive Services

Question 14

What information will a nurse find when reading a systematic review?

A) Results of randomized controlled trials
B) A description of the methods used to search for evidence
C) Data compiled on a particular question
D) An in-depth review of the literature completed by one person

Question 15

A nurse makes clinical judgments based upon trial and error and past clinical experiences.What problem can result from using these data sources in clinical decision making?

A) Not all sources of information are reliable.
B) Authority always leads to faulty decision making.
C) Ethical knowledge is not taken into account.
D) Trial and error has lead to poor outcomes.