Deck 9: Appraising Evidence for Practice

Question 1

The nurse is preparing a presentation to identify research evidence that supports the need to adopt a specific intervention within clinical practice.How is the nurse utilizing research?

A)Conceptual
B)Instrumental
C)Persuasive
D)Theoretical

Answer 1

Persuasive

Question 2

The nurse has created the following clinical question: "In older patients with chronic obstructive pulmonary disease,what is the effect of aerobic exercise compared to anaerobic exercise on perceived tolerance of activities of daily living?" When using the PICOT model,what is the outcome of this clinical question?

A)Older patients with chronic obstructive pulmonary disease
B)Perceived tolerance of activities of daily living
C)Anaerobic exercise
D)Aerobic exercise

Answer 2

Perceived tolerance of activities of daily living

Question 3

The nurse wants to locate clinical practice guidelines that focus on prevention of pressure ulcers in patients with renal failure.Which database would the nurse use to search for these guidelines?

A)Cochrane database
B)Agency for Healthcare Research
C)Joanna Briggs Institute in Australia
D)Iowa Gerontological Nursing Interventions Research Center

Answer 3

Iowa Gerontological Nursing Interventions Research Center

Question 4

The nurse is reviewing clinical practice guidelines to address a particular clinical problem.What can be done to ensure that these guidelines are used when caring for patients with the same clinical problem?

A)Incorporate the guideline into the policy and procedure manual.
B)Provide the web address to locate these guidelines on the internet.
C)Place printed copies of the guidelines in the nurse's station.
D)Create sheets listing the types of guidelines available for the problem.

Question 5

The nurse is using systematic reviews to gain evidence-based practice information about a clinical problem.In what forms will the summary information be available?
Standard Text: Select all that apply.

A)Meta-analysis
B)Metasynthesis
C)Critically appraised topics
D)Integrated research review
E)Best practice information sheets

Question 6

During a committee meeting to develop a critical pathway for the client recovering from acute myocardial infarction,evidence about one particular intervention is provided from the policy and procedure manual and quality improvement reports.At which level on the evidence hierarchy is this evidence?

A)Level 2
B)Level 3
C)Level 5
D)Level 6

Question 7

The nurse is appraising clinical guidelines to address a patient care problem.Which will the nurse ask to determine credibility of the guideline?

A)Would the guideline fit into the clinical setting?
B)What are the groups that produced the guideline?
C)Is the guideline specific enough to guide care?
D)Has the guideline been clinically tested?

Question 8

The nurse is utilizing a process to integrate evidence into nursing practice.At which point will the nurse implement an intervention?

A)Before problem identification
B)Before outcome evaluation
C)Before evidence collection
D)After evidence appraisal

Question 9

The ACE Star Model of Knowledge Transformation is being used by an organization to organize evidence-based practice processes.At which point will implemented evidence-based practices be analyzed for economic impact?

A)Summary
B)Translation
C)Integration
D)Evaluation

Question 10

The nurse is creating a clinical practice guideline that is based on evidence from a comprehensive review and relevant systematic reviews.At which level of the evidence hierarchy will this clinical practice guideline be created?

A)Level 1
B)Level 2
C)Level 3
D)Level 4

Question 11

The nurse is using a critical thinking evidence-based model to apply findings from a research study into practice.What will be this nurse's first step when using this model?

A)Prepare
B)Validate
C)Assess need for change
D)Synthesize the evidence

Question 12

The nurse is developing a protocol for the implementation of a new patient care intervention.What will be included in this document?
Standard Text: Select all that apply.

A)The purpose
B)The rationale
C)Steps for implementing
D)Evidence for credibility
E)Expected clinical outcomes

Question 13

A health care organization is planning to adopt a model of evidence-based practice that can be linked to quality assurance activities.Which model would be the best for this organization to implement?

A)ACE Star Model of Knowledge Transformation
B)Stetler Model of Research Utilization
C)Rosswurm and Larrabee Model
D)Iowa Model

Question 14

The nurse is evaluating the effectiveness of a new intervention to address a particular patient problem.Which part of the research will be used to evaluate this process?

A)Intervention
B)Population
C)Outcome
D)Time

Question 15

Which statement would the nurse use to explain the difference between research utilization and evidence-based practice?

A)Evidence-based practice begins with a clinical problem and seeks research-based evidence.
B)Evidence-based practice refers to finding a practical use for findings from a research study.
C)Research utilization uses a deliberate and systematic problem-solving approach.
D)Research utilization considers how the decisions fit individual patient needs and preferences.