Deck 8: Evidence-Based Practice: Theory Research

Question 1

The unit committee in the intensive care unit is designing a research study to see whether they are meeting the spiritual needs of their patients.The study will involve patient interviews after discharge.After the interview process,the staff will examine patient statements for recurring themes.The unit committee is conducting ____________________ research.

Answer 1

qualitative
The unit council is conducting qualitative research,which focuses on the lived experiences of people.

Question 2

A participant in a research study informs the nurse researcher that he has decided to withdraw from the study citing personal reasons.The most appropriate action by the researcher is to:

A) Inform the participant that the signed consent form requires him to remain in the study
B) Review the purpose of the study with the participant and encourage him to remain
C) Support the participant in his withdrawal from the study
D) Discuss with the research team strategies to keep the participant in the study

Answer 2

Support the participant in his withdrawal from the study

Question 3

A nurse researcher is designing a research project.After identifying and stating the problem,the nurse researcher clarifies the purpose of the study.Which step in the research process should she complete next?

A) Perform a literature review
B) Develop a conceptual framework
C) Formulate the hypothesis
D) Define the study variables

Answer 3

Perform a literature review

Question 4

Which of the following statement(s)best describe(s)nursing research? Select all that apply.

A) Nursing research is a systematic, objective process of analyzing phenomena important to nursing.
B) The purpose of nursing research is to develop knowledge about issues important to nursing.
C) Nursing research is an organized set of related ideas and concepts that build principles and theories.
D) All data in the research process are reported in numbers to make generalizations about specific populations.

Question 5

Which theorist developed the nursing theory known as the Science of Human Caring?

A) Florence Nightingale
B) Patricia Benner
C) Jean Watson
D) Nola Pender

Question 6

The nurse and other hospital personnel strive to keep the patient care area clean.This most directly illustrates the ideas of which nursing theorist?

A) Virginia Henderson
B) Imogene Rigdon
C) Katherine Kolcaba
D) Florence Nightingale

Question 7

After suffering an acute myocardial infarction,a patient attends cardiac rehabilitation.This will help to gradually build his exercise tolerance.According to Maslow's Hierarchy of Needs,cardiac rehabilitation most directly addresses which need?

A) Safety and security
B) Physiological
C) Self-actualization
D) Self-esteem

Question 8

The nurse enters a patient's room and notes he is nauseous,vomiting,and experiencing abdominal pain,and has no bowel sounds.She concludes that the patient's symptoms may be associated with a paralytic ileus.In arriving at this conclusion,the nurse has used:

A) Inductive reasoning
B) Deductive reasoning
C) Guesswork
D) Diagnostics

Question 9

A patient complains of pain after undergoing surgery.The nurse forms a mental image of pain based on her own experiences with pain.This mental image is known as a(n):

A) Phenomenon
B) Concept
C) Assumption
D) Definition

Question 10

The American Nurses Association (ANA)has set standards for registered nurses in utilizing evidence-based interventions and treatments in practice.According to the ANA,which of the following statement(s)best describes these standards? Select all that apply.The registered nurse:

A) Uses current evidence-based nursing knowledge to guide practice decisions
B) Critically analyzes evidence-based practice and research findings for application to practice
C) Shares research activities and findings with peers and others
D) Uses specific competencies in conducting and integrating research

Question 11

The nurse educator in the local hospital is developing a plan to implement research into nursing care practices.What are some of the barriers she may encounter in this implementation process? Select all that apply.

A) Not enough nursing research has been published.
B) There is a negative attitude toward research.
C) There is a lack of support from the employing hospital.
D) Most nursing research is not relevant to hospital practice.

Question 12

The PICO question reads,"Is TENS effective in the management of chronic low-back pain in adults?" Which part of this question comes from the "I" in PICO?

A) Adults
B) Management
C) Pain
D) TENS

Question 13

In his later work,Maslow identified growth needs that must be met before reaching self-actualization.These needs include:

A) Cognitive and aesthetic needs
B) Love and belonging needs
C) Safety and security needs
D) Physiological and self-esteem needs

Question 14

The new nursing student is working on a surgical unit and observes some patients developing a low-grade fever of 99°F a few hours after their surgery.The most appropriate action for the student to take to gain some insight into her observation is to:

A) Ask an experienced nursing instructor why this might be occurring
B) Talk to someone about starting a research study
C) Formulate a searchable question and research the literature
D) Speak with a surgeon from the unit

Question 15

Which commonly accepted practice came out of the Framingham study? Use of:

A) Mammography in breast cancer screening
B) Colonoscopy in colon cancer screening
C) Pap testing in cervical cancer screening
D) Digital rectal examination in prostate cancer screening

Question 16

The nurse researcher decides to conduct a research study on the association between aging male populations and their development of prostate cancer.She uses a sample size from her community of 50 males aged more than 80 years,a quantitative research design,and finds that many of these participants developed cancer after the age of 80.She reports in her findings: All male patients over the age of 80 years old will most likely develop prostate cancer.Based on the information given above,what is flawed in this research?

A) The problem statement does not provide enough information.
B) Sample size is too small to make a generalization.
C) The research is only valuable to those working with aging males.
D) A quantitative research design is most likely inappropriate for this type of study.

Question 17

The mother of a child participating in a research study that uses high-dose steroids wishes to withdraw her child from the study.Despite reassurance that adverse reactions to steroids in children are uncommon,the mother still does not change her mind.By withdrawing from the study,the mother is exercising which right? The right

A) Not to be harmed
B) To self-determination
C) To full disclosure
D) Of confidentiality

Question 18

A patient who emigrated from India is admitted to the medical step-down unit with a bowel obstruction.A nasogastric (NG)tube is inserted to decompress her stomach.She asks the nurse whether her daughter can bring in garlic to administer through her NG tube.The nurse tells the patient that she will ask the physician when she makes rounds.This nurse is using the theory developed by which nurse theorist?

A) Betty Neuman
B) Dorothea Orem
C) Callista Roy
D) Madeline Leininger

Question 19

While reading a journal article,the nurse asks herself these questions: "What is this about overall? Is it true in whole or in part? Does it matter to my practice?" What is this nurse doing?

A) Reading the article analytically
B) Performing a literature review
C) Formulating a searchable question
D) Determining the soundness of the article

Question 20

The nurse researcher is conducting a study.In preparation for the study,she will be developing a method for participants' identification while securing their privacy and confidentiality.What is the best method the researcher can use for participant identification and securing privacy and confidentiality?

A) Use a code number for each participant
B) Use participant initials only
C) Use gender and age only
D) Use participant surname only

Question 21

A 56-year-old patient diagnosed with an acute myocardial infarction (heart attack)makes inappropriate sexual comments to the licensed practical nurse (LPN).The LPN is visibly upset.The registered nurse (RN)assigned to the patient informs the patient his behavior is unacceptable and will not be tolerated.Is the RN demonstrating holistic or mechanistic nursing? ____________________