Deck 8: Theory, Research, Evidence-Based Practice

Question 1

The nurse in a clinical setting states, "I keep up with the latest nursing trends on the Internet." Which factor causes another nurse to question the statement?
1)The Internet provides rapid and ongoing updates.
2)Publishing on the Internet is strictly monitored.
3)It may be difficult to do a research appraisal on the material.
4)There is no reason for concern because Web sites are reliable sources.

Answer 1

3

Question 2

The nurse researcher is conducting a research study. In preparation for the study, the nurse will develop a method for participants' identification while maintaining privacy and confidentiality. Which method is best for the researcher to use for participant identification?
1)Use a code number for each participant.
2)Use participant initials only.
3)Use gender and age only.
4)Use participant surname only.

Answer 2

1

Question 3

While reading a journal article, the nurse mentally asks these questions: "What is this about overall? Is it true in whole or in part? Does it matter to my practice?" Which process is this nurse demonstrating?
1)Reading the article analytically
2)Performing a literature review
3)Formulating a searchable question
4)Determining the soundness of the article

Answer 3

1

Question 4

The nurse works in an extended care facility on the dementia unit. The nurse embraces the validation theory for communication with the clients on the unit. For which reason is the application of this theory most effective?
1)Prevents the client from experiencing painful memories
2)Helps the client to gradually accept the realities of their lives
3)Gives the nurse an accepted method of orienting the client
4)Aids the client to create whatever reality the client desires

Question 5

The nurse uses the non-nursing theory of Maslow's Hierarchy of Needs when providing care. Which patient intervention does the nurse develop to address physiological needs?
1)Patient is placed on fall precautions due to physical limitations.
2)Patient will begin cardiac rehabilitation to promote complete recovery.
3)Patient will use recognition from others as a motive to improve health.
4)Patient will fulfill cognitive needs effectively through patient education.

Question 6

The nurse understands the term "paradigm" is the worldview of a discipline. Which paradigm relates to nursing?
1)Focuses on an in-depth look at parts of a person
2)Involves a broader perspective on the entire person
3)Includes the purpose of providing legal equality
4)Represents the theories used to define society

Question 7

The PICO question reads, "Is transcutaneous electrical nerve stimulation (TENS) effective in the management of chronic low-back pain in adults?" Which part of this question comes from the "I" in PICO?
1)Adults
2)Management
3)Pain
4)TENS

Question 8

The parent of a child who is participating in a research study using high-dose steroids wishes to withdraw the child from the study. Despite reassurance that adverse reactions to steroids in children are uncommon, the parent does not have a change of mind. Which right is the parent exercising by withdrawing the child from the study?
1)Not to be harmed
2)To self-determination
3)To full disclosure
4)Of confidentiality

Question 9

The new nurse working on a surgical unit observes some patients developing a low-grade fever of 99°F (37.2°C) a few hours after surgery. Which action is appropriate for the nurse to take to gain some insight into the observation?
1)Explore previous patient records for additional data.
2)Talk to the nurse manager about starting a research study.
3)Formulate a searchable question, and research the literature.
4)Speak to the surgeon whose patients are exhibiting symptoms.

Question 10

The nurse is providing care for a patient originating from a country in the Middle East. The patient has a nasogastric (NG) tube for stomach decompression for a blocked bowel. Which statement by the nurse indicates use of the theory developed by Madeline Leininger when the patient asks if a family member can bring in garlic to be administered through the NG tube?
1)"I think the administration of garlic will cause gastric upset."
2)"I am sure the physician would not be in favor of allowing this."
3)"Let's give the physician's medical treatment a chance to work first."
4)"Please explain the association between garlic and your condition."

Question 11

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 does the researcher complete next?
1)Perform a literature review.
2)Develop a conceptual framework.
3)Formulate the hypothesis.
4)Define the study variables.

Question 12

Professional nurses value the importance and application of nursing theory and research. Which commonly accepted practice came out of the Framingham study?
1)Mammography in breast cancer screening
2)Colonoscopy in colon cancer screening
3)Papanicolaou (Pap) testing in cervical cancer screening
4)Digital rectal examination in prostate cancer screening

Question 13

The nurse educator in the local hospital is developing a plan to implement research into nursing care practices. Which are some of the barriers the nurse educator may encounter in the implementation process? Select all that apply.
1)Not enough nursing research has been published.
2)There is a negative attitude toward research.
3)There is a lack of support from the employing hospital.
4)Most nursing research is not relevant to hospital practice.
5)Nurses are extremely reluctant to change nursing practice.

Question 14

A patient experiences pain after undergoing surgery. The nurse forms a mental image of pain based on the nurse's own experiences with pain. Which term describes this mental image?
1)Phenomenon
2)Concept
3)Assumption
4)Definition

Question 15

The nurse is planning to initiate a research project that involves adult patients as participants. The nurse accepts moral and legal responsibility to protect research participants from physical or emotional harm. Which mechanism will the nurse utilize for participant protection?
1)The research facility Board of Directors
2)The research facility Board of Medical Advisors
3)The Institutional Review Board (IRB) at the research facility
4)The U.S. Department of Health and Human Services

Question 16

The nurse is providing care to a patient who is nauseous, vomiting, experiencing abdominal pain, and has no bowel sounds. The nurse concludes the patient's symptoms may be associated with a paralytic ileus. Which type of thinking is the nurse using to arrive at this conclusion?
1)Inductive reasoning
2)Deductive reasoning
3)Guesswork
4)Diagnostics

Question 17

A newly graduated nurse is working on a medical-surgical unit and appears to have difficulty identifying what needs to be done, as well as selection of interventions and setting goals. Which advice from the nurse manager is most helpful?
1)Follow an experienced nurse for a week.
2)Contact a former instructor for help and guidance.
3)Discuss each shift's responsibility with the nurse manager.
4)Review and discuss the use of clinical practice theories.

Question 18

The nurse and other hospital personnel strive to keep the patient care area clean. The theory of which nursing theorist most directly illustrates these ideas?
1)Virginia Henderson
2)Imogene Rigdon
3)Katherine Kolcaba
4)Florence Nightingale

Question 19

The nurse researcher is conducting a research study on the association between aging male populations and the development of prostate cancer. The nurse uses a sample of 50 males older than 80 years of age. The quantitative research finds that many of the participants developed cancer after age 80 years. Which is the flaw in this research if the nurse reports all males over 80 years of age will most likely develop prostate cancer?
1)The problem statement does not provide enough information.
2)Sample size is too small to make a generalization.
3)The research is only valuable to those working with aging males.
4)The research design is most likely inappropriate for the type of study.

Question 20

Which theorist developed the nursing theory known as the Science of Human Caring?
1)Florence Nightingale
2)Patricia Benner
3)Jean Watson
4)Nola Pender

Question 21

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

Question 22

The unit committee in the intensive care unit is designing a research study to see whether the spiritual needs of patients are being met. 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.

Question 23

Which statements best describe the phases of nursing research? Select all that apply.
1)Selection and definition of the problem
2)Formulation of a research question
3)Selection of individual participants
4)Molding data to the research question
5)Reporting the research findings

Question 24

The American Nurses Association (ANA) has set standards for registered nurses (RNs) in utilizing evidence-based interventions and treatments in practice. According to the ANA, which statements best describe the ANA standards? Select all that apply.
1)The RN uses current evidence-based nursing knowledge to guide practice decisions.
2)The RN critically analyzes evidence-based practice and research findings for application to practice.
3)The RN shares research activities and findings with healthcare peers and others.
4)The RN uses specific competencies in conducting and integrating research.
5)The RN Incorporates evidence when initiating changes in nursing practice.