Deck 7: Evidence-Based Practice

Question 1

A registered nurse is concerned about the patients' perceptions and feelings about the quality of life that they experience after a diagnosis of liver cancer.Which is the most appropriate type of research study the nurse should use to gather information about this situation?

A) Quantitative study
B) Randomized trial
C) Qualitative study
D) Case controlled study

Answer 1

Qualitative study

Question 2

The nurse manager of a 30-bed medical surgical unit has noticed that the fall rate of postoperative patients has increased in the past 2 months.The nurse manager wants to address this situation using evidence-based practice.Which type of trigger did the nurse manager use?

A) Literature-focused trigger
B) Problem-focused trigger
C) Knowledge-focused trigger
D) Expectations-focused trigger

Answer 2

Problem-focused trigger

Question 3

A nurse is using evidence-based practice (EBP)to provide care.Which action should the nurse take first?

A) Collect the most relevant and best evidence.
B) Integrate evidence with one's clinical expertise.
C) Critically appraise the evidence gathered.
D) Ask a clinical question.

Answer 3

Ask a clinical question.

Question 4

The quality improvement or performance improvement (QI/PI)process should begin at which level of nursing?

A) Staff nurse
B) Nurse manager
C) Nurse administrator
D) Advanced practice registered nurse

Question 5

Which organization is preparing future nurses to have the knowledge,skills,and attitudes (KSAs)of evidence-based practices necessary to continuously improve the quality and safety of the health care systems within which they work?

A) The Joint Commission
B) Quality and Safety Education for Nurses' (QSEN)
C) The National Database of Nursing Quality Improvement (NDNQI)
D) The Agency for Health care Research and Quality (AHRQ)

Question 6

The nurse is investigating an area of practice in which no research evidence is available.What types of non-research information should the nurse consider? (Select all that apply.)

A) Performance improvement and risk management data
B) International, national and local standards of care
C) Study with pre- and post-test design
D) Benchmarking
E) Retrospective or concurrent chart reviews

Question 7

A registered nurse who works for a surgical intensive care unit (ICU)has recently read several articles in professional nursing journals about the use of quiet time in the ICU to enhance patient outcomes.The nurse would like to apply the research findings to the unit.How did the nurse formulate the clinical question?

A) Measurement-focused trigger
B) Problem-focused trigger
C) Knowledge-focused trigger
D) Expectations-focused trigger

Question 8

A nurse works for a facility in which the facility sends information to The National Data Base for Nursing Quality Improvement (NDNQI)regarding patient falls,pressure ulcer incidence,and nursing satisfaction.The nurse works at which facility?

A) The Joint Commission
B) A magnet-designated hospital
C) The Centers for Disease Control and Prevention
D) The American Association of Critical Care Nurses

Question 9

At a health care organization,patients are turned every 2 hours to help prevent pressure ulcers.Because of this nursing intervention,patients exhibit far fewer pressure ulcers than the national average.Which term should the nurse use to describe this finding?

A) Sentinel event
B) Qualitative research
C) Manuscript narrative
D) Nursing-sensitive outcome

Question 10

A 15-year-old patient was admitted to the hospital with a bowel obstruction.The patient underwent surgery and was experiencing postoperative pain.The nurse caring for the patient had recently read a research article in which a study had been done with neonatal (infant)patients and the use of therapeutic touch to assist with pain control.Which factor is most important for the nurse to consider in this case when applying research to clinical practice?

A) The patient's gender
B) The patient's preference
C) The patient's allergies
D) The patient's roommate

Question 11

A registered nurse wants to review the latest information regarding prevention of a health care acquired infection.Where is the best place for the nurse to obtain this information?

A) Online information
B) Peer-reviewed nursing journal
C) Latest edition of a nursing textbook
D) Most recent edition of a popular magazine

Question 12

The nursing unit staff has used evidence-based practice to implement a practice change.What is the next step in the process the nursing staff should implement?

A) Review literature.
B) Engage companies.
C) Measure outcomes.
D) Ask a clinical question.

Question 13

A nurse is describing types of performance improvement models.Which information should the nurse include? (Select all that apply.)

A) Six Sigma
B) Balanced scorecard
C) Plan-Do-Study-Act
D) Root cause analysis
E) Human subjects committee

Question 14

A nurse working on a PICO question has found a large amount of literature available on the topic with multiple studies that have been published.Which type of study should have the best evidence?

A) Meta-analysis of randomized control trials
B) Opinion of an expert committee
C) One well-designed randomized control trial
D) Systematic review of descriptive and qualitative studies

Question 15

A nurse's manager has suggested that a nurse formulate a PICO question to clarify the topic before doing a literature review.When the nurse asks what the acronym PICO stands for,how should the nurse manager respond?

A) Policy, information, comparison, outcome
B) Patient, information, collection, outcome
C) Patient, intervention, comparison, outcome
D) Policy, intervention, communication, outcome

Question 16

After a practice change has taken place in an organization because of a nurse following evidence-based practice in a task force,which final step should the nurse take?

A) Evaluate
B) Encourage
C) Engage
D) Execute

Question 17

A nurse working in an acute care setting wanted to determine the most accurate way to take patients temperatures.The nurse noticed that the tympanic thermometers used by the unit were often not accurate.The nurse found that the literature showed tympanic thermometers were not the most accurate method of obtaining a temperature.The nurse wants to change the nursing practice of the unit.What is the nurse's most logical next step?

A) Discuss the findings with a patient to gain support.
B) Tell the aides to stop taking temperatures.
C) Share the findings with the nursing policy and procedure committee.
D) Write an editorial in the public newspaper to bring the community into the process.

Question 18

A registered nurse questioned the nurses on the neonatal intensive care unit about the practice of kangaroo care for neonates.The nurse had read literature supporting the practice,but the nurses that work on the neonatal unit stated that they had never done anything like that at their institution.The nurse continued to ask questions and began a literature review.Which behavior was the nurse demonstrating?

A) Variables
B) Peer review
C) Evidence-based practice
D) Process measurement

Question 19

A student nurse is looking for research articles that can be used to complete a research paper.Where can the nursing student look to quickly find out if an article is research or clinically based?

A) p value
B) Abstract
C) Analysis
D) Literature review