Question 1

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

Accepted Answer

Evidence from multiple research methods has the potential to enrich the application of evidence and improve nursing practice.

Question 2

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

Accepted Answer

All of these are barriers to evidence-based practice.

Question 3

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

Accepted Answer

Quality,quantity,and consistency are the three domains for evaluating systems.

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:

Accepted Answer

According to Melnyk and Fineout-Overholt et al.,the first step is step 0: cultivating a spirit of inquiry.

Question 5

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

Accepted Answer

Internal evidence refers to the use of the nurse's clinical experiences and the client's preferences.

Question 6

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

Accepted Answer

Research utilization projects in the 1970s provided a guide to clinical practice.

Question 7

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

Accepted Answer

The double blind randomized controlled trial generally provides the highest level of evidence followed by other randomized controlled trials.

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?

Accepted Answer

Because it is difficult to find or perform randomized controlled trials in the community,other types of evidence have been highlighted as the best evidence in public health literature upon which to base evidence-based public health (EBPH)practice; scientific literature found in systematic reviews is one type that is recommended.Although randomized controlled trials are the highest level of evidence,it would not be possible to implement this type of study when studying smoking cessation.

Question 9

Evidence-based public health is:

Accepted Answer

Evidence-based public health is a health endeavor that makes informed use of evidence.

Question 10

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

Accepted Answer

Blinding refers to a procedure where the researcher or evaluator does not know which participants are in the experimental or control group.

Question 11

The term evidence-based was first used in:

Accepted Answer

The term evidence-based was first attributed to Gordon Gyatt,a Canadian physician at McMaster University in 1992.

Question 12

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

Accepted Answer

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

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?

Accepted Answer

The PHRG works with contributors to produce and publish Cochrane reviews of the effects of population-level public health interventions.The PHRG undertakes systematic reviews of the effects of public health interventions to improve health and other outcomes at the population level,not those targeted at individuals.

Question 14

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

Accepted Answer

A systematic review is usually done by more than one person and describes the methods used to search for the evidence.It is a method of identifying,appraising,and synthesizing research evidence to evaluate and interpret all available research relevant to a particular research question.

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?

Accepted Answer

Using the sources of knowledge listed in the other options does not consistently produce desired outcomes.

Quiz 15: Evidence-Based Practice