Question 1

A nursing preceptor is working with a novice nurse on a medical-surgical unit.During client care,the novice nurse shares an evidence-based wound care technique that is being used with much success.Which is being encouraged when the novice nurse shares this information with the preceptor?

A) Use trial and error to gain knowledge.
B) Use existing unit modes of care.
C) Use new knowledge gained through research.
D) Use medical knowledge to perform care.

Accepted Answer

A) The novice nurse is sharing evidence learned through research that may enhance the care of the client. The novice is not encouraging the preceptor to use existing modes of care, medical knowledge, or trial and error in this example.
B) The novice nurse is sharing evidence learned through research that may enhance the care of the client. The novice is not encouraging the preceptor to use existing modes of care, medical knowledge, or trial and error in this example.
C) The novice nurse is sharing evidence learned through research that may enhance the care of the client. The novice is not encouraging the preceptor to use existing modes of care, medical knowledge, or trial and error in this example.
D) The novice nurse is sharing evidence learned through research that may enhance the care of the client. The novice is not encouraging the preceptor to use existing modes of care, medical knowledge, or trial and error in this example.

Question 2

The nurse is caring for a client who requires extensive wound care.The client has consented to participating in a nursing research study regarding the wound care.Which client statement indicates understanding of the goal related to the research?

A) "This research will not influence my care."
B) "Nursing care is based solely on research."
C) "I will be paid to participate in the research project."
D) "I will be helping to validate nursing care."

"I will be helping to validate nursing care."

Accepted Answer

A) Improving nursing care and establishing the profession's credibility are two goals of nursing research. The research project will probably change the normal routine of the client's care. Clients do not receive pay for participating in research. Nursing care is based on intuition and the experience of the nurse as well as research.
B) Improving nursing care and establishing the profession's credibility are two goals of nursing research. The research project will probably change the normal routine of the client's care. Clients do not receive pay for participating in research. Nursing care is based on intuition and the experience of the nurse as well as research.
C) Improving nursing care and establishing the profession's credibility are two goals of nursing research. The research project will probably change the normal routine of the client's care. Clients do not receive pay for participating in research. Nursing care is based on intuition and the experience of the nurse as well as research.
D) Improving nursing care and establishing the profession's credibility are two goals of nursing research. The research project will probably change the normal routine of the client's care. Clients do not receive pay for participating in research. Nursing care is based on intuition and the experience of the nurse as well as research.

Question 3

The nurse is working with a client who has agreed to participate in a research study.Which actions would constitute a violation of disclosure for the client? Select all that apply.&#10;A) Giving the client false information about his or her participation&#10;B) Telling a mutual friend of the client's involvement in the study&#10;C) Withholding information about the study&#10;D) Providing the client's name as a participant in the study&#10;E) Suggesting that participation would greatly benefit the client's financial situation

Accepted Answer

A) Withholding information or giving false information would be violations of full disclosure. Risk of harm to a research subject is exposure to the possibility of injury, which could involve physical or psychological injury, such as loss of confidentiality or loss of privacy. Participants should feel free from coercion or undue influence to participate in a study or this would be a violation against the right of self-determination.
B) Withholding information or giving false information would be violations of full disclosure. Risk of harm to a research subject is exposure to the possibility of injury, which could involve physical or psychological injury, such as loss of confidentiality or loss of privacy. Participants should feel free from coercion or undue influence to participate in a study or this would be a violation against the right of self-determination.
C) Withholding information or giving false information would be violations of full disclosure. Risk of harm to a research subject is exposure to the possibility of injury, which could involve physical or psychological injury, such as loss of confidentiality or loss of privacy. Participants should feel free from coercion or undue influence to participate in a study or this would be a violation against the right of self-determination.
D) Withholding information or giving false information would be violations of full disclosure. Risk of harm to a research subject is exposure to the possibility of injury, which could involve physical or psychological injury, such as loss of confidentiality or loss of privacy. Participants should feel free from coercion or undue influence to participate in a study or this would be a violation against the right of self-determination.
E) Withholding information or giving false information would be violations of full disclosure. Risk of harm to a research subject is exposure to the possibility of injury, which could involve physical or psychological injury, such as loss of confidentiality or loss of privacy. Participants should feel free from coercion or undue influence to participate in a study or this would be a violation against the right of self-determination.

Question 4

A nurse working in a home health agency is asked to participate on a committee that is looking to incorporate evidence-based nursing care.Which is the next step in implementing evidence-based practice?

A) Compile a list of questions.
B) Research evidenced-based practices that can be implemented.
C) Evaluate the results of different research projects.
D) Suggest that individual staff members try new means of delivering care.

Accepted Answer

A) Once a committee is formed with nurses interested in research, the next step in the process would be to compile a list of questions that are relevant to the nurse's practice. Suggesting that staff nurses try new methods of care may violate the nursing policies and should be conducted in an orderly fashion. It is not appropriate to research practices until the questions that pertain to the specific unit have been asked. Results cannot be evaluated until research has been reviewed and practice has been changed.
B) Once a committee is formed with nurses interested in research, the next step in the process would be to compile a list of questions that are relevant to the nurse's practice. Suggesting that staff nurses try new methods of care may violate the nursing policies and should be conducted in an orderly fashion. It is not appropriate to research practices until the questions that pertain to the specific unit have been asked. Results cannot be evaluated until research has been reviewed and practice has been changed.
C) Once a committee is formed with nurses interested in research, the next step in the process would be to compile a list of questions that are relevant to the nurse's practice. Suggesting that staff nurses try new methods of care may violate the nursing policies and should be conducted in an orderly fashion. It is not appropriate to research practices until the questions that pertain to the specific unit have been asked. Results cannot be evaluated until research has been reviewed and practice has been changed.
D) Once a committee is formed with nurses interested in research, the next step in the process would be to compile a list of questions that are relevant to the nurse's practice. Suggesting that staff nurses try new methods of care may violate the nursing policies and should be conducted in an orderly fashion. It is not appropriate to research practices until the questions that pertain to the specific unit have been asked. Results cannot be evaluated until research has been reviewed and practice has been changed.

Question 5

A nursing instructor assigns a literature review on evidence-based practice (EBP)to a group of students.Which statement demonstrates that the students understands the benefits of EBP?&#10;A) &#34;This project will allow me to teach other students about literature searches.&#34;&#10;B) &#34;Clients at risk for skin breakdown should be repositioned every 2 hours.&#34;&#10;C) &#34;Literature searches allow nurses to find problems to implement EBP.&#34;&#10;D) &#34;I will be able to present a paper about skin assessment from my query.&#34;

Accepted Answer

A) In evidence-based practice, the nurse integrates research findings with clinical experience, the client's preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.
B) In evidence-based practice, the nurse integrates research findings with clinical experience, the client's preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.
C) In evidence-based practice, the nurse integrates research findings with clinical experience, the client's preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.
D) In evidence-based practice, the nurse integrates research findings with clinical experience, the client's preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.

Question 6

The home health nurse visiting a client to complete a wound dressing notes that the client has a flat affect and is not as responsive as during previous visits.The nurse calls the primary healthcare provider for a psychiatric referral.By recognizing the signs and symptoms of possible depression,the nurse is exhibiting which concept of evidence-based practice?

A) Clinical decision making
B) Advocacy
C) Professional behaviors
D) Accountability

Accepted Answer

A) Evidence-based practice has widespread implications for all areas of nursing, from how it informs and reflects nursing as a profession to the day-to-day care of clients. Clinical decision making is an evidence-based practice provides scientific support for nurses in clinical thinking processes, making decisions, and using clinical judgment. The nurse depends on current best practice to deliver quality care throughout the individual client's nursing plan of care.
B) Evidence-based practice has widespread implications for all areas of nursing, from how it informs and reflects nursing as a profession to the day-to-day care of clients. Clinical decision making is an evidence-based practice provides scientific support for nurses in clinical thinking processes, making decisions, and using clinical judgment. The nurse depends on current best practice to deliver quality care throughout the individual client's nursing plan of care.
C) Evidence-based practice has widespread implications for all areas of nursing, from how it informs and reflects nursing as a profession to the day-to-day care of clients. Clinical decision making is an evidence-based practice provides scientific support for nurses in clinical thinking processes, making decisions, and using clinical judgment. The nurse depends on current best practice to deliver quality care throughout the individual client's nursing plan of care.
D) Evidence-based practice has widespread implications for all areas of nursing, from how it informs and reflects nursing as a profession to the day-to-day care of clients. Clinical decision making is an evidence-based practice provides scientific support for nurses in clinical thinking processes, making decisions, and using clinical judgment. The nurse depends on current best practice to deliver quality care throughout the individual client's nursing plan of care.

Question 7

The nurse is caring for a client with a chronic disease process.The client tells the nurse about reading an article about funding for the National Institute of Nursing Research (NINR)and asks the nurse why the U.S.Congress would fund such an organization.Which response by the nurse is the most appropriate?

A) "The government is looking to the NINR for information about promoting health."
B) "Funding the NINR is one cause of health cost increases in the country."
C) "The government is interested in preventing chronic disease."
D) "Nursing research is focused on prevention and health promotion, which will decrease healthcare costs."

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Accepted Answer

A) In an effort to contain cost and increase the quality of care, Congress would elicit the assistance of an agency such as the NINR to conduct research projects that will support the goals for national health care, which include prevention and health promotion. Funding the NINR does not increase healthcare costs but rather seeks to reduce costs by conducting research that promotes efficiency. The government does know how to promote health care, but the purpose of partnering with the NINR is to further that goal from a nursing perspective. Chronic disease cannot always be prevented, but research can help improve care and reduce costs of care.
B) In an effort to contain cost and increase the quality of care, Congress would elicit the assistance of an agency such as the NINR to conduct research projects that will support the goals for national health care, which include prevention and health promotion. Funding the NINR does not increase healthcare costs but rather seeks to reduce costs by conducting research that promotes efficiency. The government does know how to promote health care, but the purpose of partnering with the NINR is to further that goal from a nursing perspective. Chronic disease cannot always be prevented, but research can help improve care and reduce costs of care.
C) In an effort to contain cost and increase the quality of care, Congress would elicit the assistance of an agency such as the NINR to conduct research projects that will support the goals for national health care, which include prevention and health promotion. Funding the NINR does not increase healthcare costs but rather seeks to reduce costs by conducting research that promotes efficiency. The government does know how to promote health care, but the purpose of partnering with the NINR is to further that goal from a nursing perspective. Chronic disease cannot always be prevented, but research can help improve care and reduce costs of care.
D) In an effort to contain cost and increase the quality of care, Congress would elicit the assistance of an agency such as the NINR to conduct research projects that will support the goals for national health care, which include prevention and health promotion. Funding the NINR does not increase healthcare costs but rather seeks to reduce costs by conducting research that promotes efficiency. The government does know how to promote health care, but the purpose of partnering with the NINR is to further that goal from a nursing perspective. Chronic disease cannot always be prevented, but research can help improve care and reduce costs of care.

Question 8

A nurse is planning a research comparing the use of finger-stick blood glucose testing with the use of alternative sites for adult male clients.Which elements of the PICOT formulation of the clinical question will still need to be defined? Select all that apply.

A) People
B) Issue
C) Comparison
D) Outcome
E) Time

Accepted Answer

A) The people in this study are adult men with diabetes. The issue is effective testing for blood glucose levels. The comparison is between those using different testing sites. The outcome should specify a hypothesis about the two groups. The time should indicate the time period of the study.
B) The people in this study are adult men with diabetes. The issue is effective testing for blood glucose levels. The comparison is between those using different testing sites. The outcome should specify a hypothesis about the two groups. The time should indicate the time period of the study.
C) The people in this study are adult men with diabetes. The issue is effective testing for blood glucose levels. The comparison is between those using different testing sites. The outcome should specify a hypothesis about the two groups. The time should indicate the time period of the study.
D) The people in this study are adult men with diabetes. The issue is effective testing for blood glucose levels. The comparison is between those using different testing sites. The outcome should specify a hypothesis about the two groups. The time should indicate the time period of the study.
E) The people in this study are adult men with diabetes. The issue is effective testing for blood glucose levels. The comparison is between those using different testing sites. The outcome should specify a hypothesis about the two groups. The time should indicate the time period of the study.

Question 9

The nurse manager is encouraging staff on the unit to go back to school and "become professionals,not just workers" by "increasing" their knowledge through education and networking.Which criteria for nursing to be recognized as a profession is the nurse manager highlighting? Select all that apply.

A) Joining professional organizations
B) Following a code of ethics
C) Having specialized education requirements
D) Conducting ongoing research
E) Having autonomy

Accepted Answer

A) While all of the answer choices are criteria for nursing to be recognized as a profession, the nurse manager highlights the importance of specialized education and joining professional organizations through networking. Having autonomy is inferred as more education leads to more autonomy.
B) While all of the answer choices are criteria for nursing to be recognized as a profession, the nurse manager highlights the importance of specialized education and joining professional organizations through networking. Having autonomy is inferred as more education leads to more autonomy.
C) While all of the answer choices are criteria for nursing to be recognized as a profession, the nurse manager highlights the importance of specialized education and joining professional organizations through networking. Having autonomy is inferred as more education leads to more autonomy.
D) While all of the answer choices are criteria for nursing to be recognized as a profession, the nurse manager highlights the importance of specialized education and joining professional organizations through networking. Having autonomy is inferred as more education leads to more autonomy.
E) While all of the answer choices are criteria for nursing to be recognized as a profession, the nurse manager highlights the importance of specialized education and joining professional organizations through networking. Having autonomy is inferred as more education leads to more autonomy.

Question 10

The nurse manager for a medical-surgical nursing unit is talking to a group of nursing students.The nurse manager is explaining the types of nursing research studies that are conducted on the unit.Which statement by the students indicates understanding about the nature of nursing research?

A) "Nursing research does not include nursing education."
B) "Nursing research does not include the study of nurses themselves."
C) "Nursing research impacts nursing by adding knowledge and changing nursing practice."
D) "Nursing research is used to enhance medical treatment."

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Accepted Answer

A) The student who states that nursing research impacts the profession by adding knowledge and changing nursing practice understands what nursing research is. Nursing research includes the study of nurses themselves. Nursing research does not enhance medical treatment but enhances nursing care. Research also includes the educational aspects of nursing.
B) The student who states that nursing research impacts the profession by adding knowledge and changing nursing practice understands what nursing research is. Nursing research includes the study of nurses themselves. Nursing research does not enhance medical treatment but enhances nursing care. Research also includes the educational aspects of nursing.
C) The student who states that nursing research impacts the profession by adding knowledge and changing nursing practice understands what nursing research is. Nursing research includes the study of nurses themselves. Nursing research does not enhance medical treatment but enhances nursing care. Research also includes the educational aspects of nursing.
D) The student who states that nursing research impacts the profession by adding knowledge and changing nursing practice understands what nursing research is. Nursing research includes the study of nurses themselves. Nursing research does not enhance medical treatment but enhances nursing care. Research also includes the educational aspects of nursing.

Question 11

The nurse working in a community hospital is caring for a client who does not seem to be responding well to the current plan of care that has been implemented by the nursing team.Which actions by the nurse are appropriate based on this data? Select all that apply.

A) Accessing research journals for evidence that would support a change in the plan of care
B) Proposing a nursing research project to the manager
C) Networking online with other nurses giving similar care
D) Asking the doctor for a new nursing approach to care
E) Trying a different approach to care against policy

Accepted Answer

The answer of The nurse working in a community hospital...

Question 12

A staff nurse with a bachelor's degree has decided to concentrate on nursing research,as the nurse believes that research can greatly improve client outcomes.Which is true of the nurse with a bachelor's degree in regards to nursing research? Select all that apply.

A) Can identify areas of need for nursing research
B) Is not expected to participate in research until pursuing a higher degree
C) Can incorporate research results in client care
D) Can participate in research as the principal investigator
E) Can participate in nursing research projects

Accepted Answer

The answer of A staff nurse with a bachelor's degree...

Question 13

The nursing student providing care for an assigned client knows that the information documented in the client's nursing care plan could potentially be used in research to optimize client care.Which type of research is used to convert research knowledge into healthcare applications for improved outcomes?

A) Translational research
B) Transformational research
C) Quantitative research
D) Qualitative research

Accepted Answer

The answer of The nursing student providing care for an...

Question 14

The director of nursing at a university-based hospital is interested in assisting the nursing staff to comply with American Nurses Association (ANA)nursing research standards.Which does the director plan to establish in order to comply with the ANA standards?

A) A nursing practice council to develop a quality improvement program.
B) A nursing practice council to determine nursing performance reviews.
C) A nursing practice council to examine current practice.
D) A nursing practice council for determining nursing educational needs.

Accepted Answer

The answer of The director of nursing at a university-based...

Question 15

A nurse is preparing to conduct a research study and wants to do a literature search of relevant articles.Which are elements will the nurse look for as part of an article based on research? Select all that apply.

A) Abstract
B) Study
C) Funding
D) Results
E) References

Accepted Answer

The answer of A nurse is preparing to conduct a...

Question 16

A client in the clinic is being asked to participate in a research study.The client asks why a nursing research study is necessary because research on this subject has already been published by the American Medical Association (AMA).Which goal of nursing research will the nurse share with this client regarding the goal of nursing research?

A) It supports the medical profession.
B) It validates nursing through medical research.
C) It supports products used in nursing care.
D) It validates nursing care, not medical care.

Accepted Answer

The answer of A client in the clinic is being...

Question 17

A nurse educator is working with a group of nurses who are working toward earning a graduate degree.The group is interested in replication studies.Which study would be the most appropriate given the changing demographics in the United States?

A) Studying the ability of families to adapt to acute health problems
B) Studying how effective use of supplies affects the cost of care
C) Studying the ability of an aging population to care for itself
D) Studying how new technology affects care of clients

Accepted Answer

The answer of A nurse educator is working with a...

Deck 45: Evidence-Based Practice