Deck 1: Discovering the World of Nursing Research

Question 1

What might a nursing research study address?

A)Whether having a nurse practitioner manage care is effective in decreasing length-of-stay
B)Whether nursing students learn better in an online course format, or by actual lecture attendance
C)Comparison of four types of leadership used by nurse managers, and comparison of their employees' job satisfaction, absenteeism rates, and error rates
D)Three different commonly performed surgical procedures and the mortality rate of each
E)Learning specific things about the liver failure patient that can be applied to nursing practice

Answer 1

Whether having a nurse practitioner manage care is effective in decreasing length-of-stay
Whether nursing students learn better in an online course format, or by actual lecture attendance
Comparison of four types of leadership used by nurse managers, and comparison of their employees' job satisfaction, absenteeism rates, and error rates
Learning specific things about the liver failure patient that can be applied to nursing practice

Question 2

Nurses with a bachelor's degree in nursing can participate in the implementation of research into practice. This means that the BSN nurse:

A)develops evidence-based guidelines.
B)designs research studies on which protocols may be based.
C)evaluates and revises evidence-based protocols.
D)reads and critically appraises existing studies.

Answer 2

reads and critically appraises existing studies.

Question 3

In nursing mentorship, as opposed to authority, the novice nurse fills which of the following roles?

A)Counselor
B)Student
C)Sponsor
D)Disciplinarian
E)Teacher
F)Questioner
G)Apprentice

Answer 3

Student
Questioner
Apprentice

Question 4

What is the best explanation of the type of intuition that forms a legitimate source of knowledge in nursing?

A)It is the result of recognizing patterns in a way that allows rapid conclusions.
B)It is based on a gift from the universe and should be honored when it arrives.
C)It is never inaccurate.
D)It is the process of examining and critiquing one's thoughts.

Question 5

A study is designed to test the idea of providing companion dogs to elders in a major hospital, in order to determine the effect upon the elders' level of orientation. This type of study can do which of the following?

A)Control
B)Describe
C)Explain
D)Predict

Question 6

Which of these are suitable foci for a nursing research study?

A)The ways in which clinical nurse specialists contribute to patient outcomes
B)Which elements of a nursing school curriculum remain useful for current practice, after students graduate
C)Whether requiring nurse managers to supervise more than four units is cost effective
D)What styles of physician teaching produce better diabetic compliance
E)Whether patients with exacerbation of CHF are best managed with inpatient or outpatient treatment
F)What the personality characteristics are of nurses in various inpatient areas

Question 7

A nurse with considerable clinical expertise develops a policy for managing agitated patients in the Emergency Department. The resultant policy emanates from:

A)abstract thinking.
B)concrete thinking.
C)operational reasoning.
D)dialectical reasoning.

Question 8

How are dialectic reasoning and holistic practice similar?

A)They are both based on intuition, not facts.
B)They both consider the whole, rather than one part of the picture.
C)Dialectic reasoning emphasizes truth, and holistic practice accepts untruth.d.They both ignore the main idea or diagnosis and concentrate on different entities.
E)They both honor context and the interactions among ideas and people.
F)They both break down concepts into understandable parts.
G)Dialectic reasoning can be used to validate a study design whereas holistic practice does not contribute to research.

Question 9

What are the connections between evidence-based practice and nursing research?

A)Evidence-based care cannot be provided to patients without the nurse understanding something of research
B)A synthesis of current evidence within an area of nursing is used to improve care in that area.
C)All patients with a given diagnosis should be cared for based solely on research knowledge.
D)The best research evidence, clinical expertise, and patient preferences merge to produced evidence-based practice.
E)Nursing research provides evidence that allows us each to practice with the same style and capability.

Question 10

Why is operational reasoning necessary for research?

A)Abstract concepts are of no use to nursing.
B)Standard interventions are obtained from operational reasoning.
C)It allows the researcher to devise ways to measure the concepts studied.
D)It facilitates the researcher's rapport with families.

Question 11

Despite the presence of an intraventricular drain, the intracranial pressure of a patient in neurological intensive care remains increased. The nurse recalibrates the machine, makes sure the monitor is on the same level as the drain, checks all connections, and then notifies the physician, who comes to the unit and inserts a new drain. What type of reasoning or thinking prompts the nurse to recalibrate, assure proper placement, and check connections?

A)Abstract thinking
B)Concrete thinking
C)Logical reasoning
D)Dialectical reasoning

Question 12

Which of the following sources generate new knowledge for nurses?

A)Editorials in nursing journals
B)Qualitative research
C)Adherence to hospital policies
D)Research that tests a new sling scale for safety of patients and nurses
E)Quantitative research
F)Comparison of two different insulin-dosing protocols

Question 13

What is the hospitalized patient's place in evidence-based practice?

A)The patient is the recipient of the total of formal research evidence and the nurse's clinical expertise, and these represent his or her care plan.
B)The patient brings values to the clinical encounter, which the nurse considers in providing evidence-based care.
C)The patient's views of truth and reality must mirror the nurse's own worldviews for evidence-based practice to occur.
D)The patient is the focus of research, serving both as a recipient of evidence-based research and the subject of future evidence, based on data collected now from the patient.
E)The patient's needs and values merge with best research and clinical expertise to produce evidence-based practice.

Question 14

Realistically, what might be done in a situation in which a nurse does not know the appropriate way to use a new ultrasonic bladder scanner (a noninvasive, painless procedure) but has a new order at 2 a.m. to perform a scan?

A)Refuse to carry out the order.
B)Ask a coworker who has used the equipment.
C)Access the instructions on the company's Internet site.
D)Try to scan the bladder and decide if the value obtained makes sense.
E)Notify the manager that a formal inservice is needed.
F)Read the instruction booklet.

Question 15

A nurse with considerable clinical expertise develops a policy for managing agitated patients in the Emergency Department. The type of reasoning the nurse uses to do this is:

A)problematic reasoning.
B)operational reasoning.
C)collaborative reasoning.
D)inductive reasoning.

Question 16

A researcher wants to know whether children with autism who are hospitalized in a pediatric ward will require more hours of nursing care than the average child, when the parents or caregivers are not present. What type of research outcome does this provide?

A)Control
B)Description
C)Explanation
D)Prediction