Deck 2: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

Question 1

The director of nursing (DON) is planning an education conference for the nursing staff to help promote a culture for evidence-based practice (EBP) at the organizational level. Which of the following should the nurse include in the conference?

A) Teach the staff nurses to question current practices more often.
B) Ask for volunteers to join an EBP steering committee.
C) Ask a local librarian from a nursing program to be present.
D) Provide information regarding the National Institute of Nursing Research (NINR) and how to request funds to conduct research for EBP.

Answer 1

B

Question 2

A nurse is interviewing at a local hospital and asks the manager what interventions the organization is doing to help promote evidence-based practice (EBP). Which of the following responses should the manager make?

A) "We are looking at all of our policies to make sure they are evidence based."
B) "All of our staff have obligations they must practice by."
C) "We make sure that any studies to be conducted are done by scientifically qualified persons."
D) "All of our EBP has been approved by the institutional review board (IRB)."

Answer 2

A

Question 3

The nursing supervisor is planning an education conference about how to move evidence into patient care using the translational research model. Which of the following examples should the supervisor include in the conference?

A) A standard question about spousal abuse was added to the health history interview on the admission form.
B) The facility is now offering tuition reimbursement for staff to further their education.
C) New staff are informed about how policies are developed during the orientation process.
D) Staff nurses, nurse managers, and APNs are encouraged to help develop policies and procedures.

Answer 3

A

Question 4

Which of the following do all five levels of collaboration have in common?

A) They are all funded by grants and donations.
B) All five levels can contribute to a culture of evidence-based practice (EBP).
C) They all involve practice changes that can be implemented by a nurse.
D) They all provide specific strategies that can be used to improve patient care.

Question 5

The nurse educator is planning a research study related to experiential learning activities regarding care for older adults with cognitive changes. Which type of IRB review is needed?

A) Exempt from review
B) Expedited review
C) Expanded review
D) Full review

Question 6

The nurse is collecting data from patients in a primary care setting as part of a research study on grieving and coping skills. The nurse notes that a patient becomes visibly upset after relating that his son was recently killed in an automobile accident. Which of the following actions would be most appropriate for the nurse to take when the patient states he does not want to talk further about it?

A) Sympathize and explain how his answers will help many others.
B) Weigh the potential greater good for a greater number of people and continue.
C) Support the patient receiving care by ceasing further questioning.
D) Consider the primary duty to advance nursing knowledge and continue questioning after a brief break.

Question 7

A nurse has agreed to assist in collecting data from clients in a long-term-care setting. The nurse becomes concerned upon realizing that many of the clients participating in the study have documented cognitive impairments. Which ethical responsibility is being violated?

A) Beneficence
B) Confidentiality
C) Voluntary participation
D) Informed consent

Question 8

How might a nurse manager working at a large nursing facility collaborate with other nursing team members to facilitate EBP progress at the individual level?

A) Focus on facility-wide patient education on practice changes.
B) Assist noncompliant nurses in improving their performance.
C) Ensure that other healthcare providers are occupying leadership roles.
D) Participate in ongoing EBP research in the clinical care setting.

Question 9

Which of the following would be an example of embracing a culture of EBP on an organizational level?

A) Adding value statements about EBP to an organization's mission statement
B) Mentoring a new nurse to implement EBP at the appropriate patient care level
C) Joining a quality outcome committee to collaborate with other nursing professionals
D) Consulting the Agency for Healthcare Research and Quality to locate EBP resources

Question 10

Why would the respect for persons principle dictate that minor children participating in a research study be entitled to protection, compared to subjects in a research study involving working adults 25 to 45 years of age?

A) Parents are not present with their children.
B) Participants must provide informed consent.
C) Nurses do good and minimize potential harm.
D) Minor children have diminished autonomy.