Deck 13: Building an Evidence-Based Nursing Practice

Question 1

When addressing a healthcare question to determine best practice,the nurse identifies and appraises quality research using a structured,comprehensive synthesis of the research literature to determine the best research evidence available.This is an example of a

A) literature review.
B) meta-analysis.
C) meta-synthesis.
D) systematic review.

Answer 1

systematic review.

Question 2

Which method will a researcher use to evaluate a group of qualitative studies?

A) Meta-analysis
B) Meta-synthesis
C) Mixed-methods systematic review
D) Systematic review

Answer 2

Meta-synthesis

Question 3

A researcher evaluates data from a variety of studies,including those involving qualitative and quantitative research,and uses findings from qualitative studies to interpret synthesized quantitative studies.This is an example of

A) meta-synthesis.
B) mixed-method synthesis.
C) multilevel synthesis.
D) parallel synthesis.

Answer 3

parallel synthesis.

Question 4

In a meta-analysis,the researcher displays a symmetrical funnel plot of the data from a group of studies.This indicates

A) heterogenicity of study samples.
B) limited publication bias.
C) methodological bias.
D) reporting bias.

Question 5

Which standards were developed to help nursing students develop the skills,knowledge,and attitudes needed to continuously improve quality and safety?

A) EBP
B) IRB
C) QSEN
D) ANCC Magnet

Question 6

A nurse studies the effects of teaching the MyPlate.gov materials to preschoolers by providing this education to preschoolers in a single day care center and then following their BMI scores over a 5-year period and comparing their scores to those of children from another day care center.In this study,which element is represented by the O in the PICOS acronym?

A) BMI scores
B) Five-year follow-up
C) MyPlate.gov materials
D) Preschoolers

Question 7

What is true about a meta-analysis?

A) It helps to determine whether studies should be replicated.
B) It identifies and appraises previous research.
C) It pools results from previous studies into a single quantitative analysis.
D) It replicates previous studies to confirm statistical results.

Question 8

A study yielding negative results is withheld for publication for several years,contributing to which type of bias?

A) Citation bias
B) Location bias
C) Outcome-reporting bias
D) Time-lag bias

Question 9

A nurse educator explains the importance of following evidence-based practice (EBP)competencies to a group of prelicensure nursing students.Which statement by a nursing student indicates the need for further teaching?

A) "Adhering to institutional review board (IRB)guidelines is recognized as an EBP competency."
B) "EBP competencies involve participating effectively in appropriate data collection and other research activities."
C) "Consulting with clinical experts after deciding to deviate from evidence-based protocols is necessary."
D) "Reading original research and evidence reports related to area of practice is necessary."

Question 10

What is true about reporting the mean difference between two groups in a meta-analysis?

A) It is a measure of differences between nominal data for the two groups.
B) It is an estimate of the effect of differences between the two groups of subjects.
C) It is not used to examine differences in ratio-level data.
D) It is appropriate only when the same scale is used to measure outcomes.

Question 11

Which type of research literature would be included in gray literature sources?

A) Book chapters
B) Dissertations
C) Journal articles
D) Textbooks

Question 12

The electronic database covering the English-language journal literature for nursing and allied health is known as

A) PsycINFO.
B) MEDLINE.
C) CINAHL.
D) MEDLINE with MeSH.

Question 13

In a meta-analysis,a researcher wishes to examine differences in temperatures of subjects in two groups but notes that one study uses a centigrade scale and the other study uses a Fahrenheit scale.Which statistic will the researcher apply in this case?

A) Dichotomous data reporting
B) Funnel plot
C) Mean difference
D) Standardized mean difference

Question 14

Which is true about evidence-based practice?

A) Evidence-based guidelines are unrelated to accreditation regulations.
B) Evidence-based practice is determined only through experimental studies.
C) Most nursing interventions are based on evidence-based principles.
D) The use of evidence-based practice results in improved patient outcomes.

Question 15

Which is the strongest source of research and evidence for developing evidence-based guidelines?

A) Meta-analyses of specifically focused research questions
B) Panels of experts sharing their opinions on best practices
C) Quasi-experimental studies
D) Rigorous experimental studies

Question 16

When using the Stetler Model of Research Utilization,the nurse researcher critically appraises the research reports to determine their soundness.Which part of the model is this?

A) Phase II: Validation
B) Phase III: Comparative Evaluation
C) Phase IV: Translation/Application
D) Phase V: Evaluation

Question 17

Which is true about the literature search criteria for a meta-analysis?

A) They include only published works from refereed journals.
B) They include the full range of related sources based on the topic.
C) They usually are narrowly focused around the research question.
D) They use works from a single database to remain consistent.

Question 18

To develop a clinical question when reviewing the effectiveness of nursing interventions,the nurse will use which format?

A) PICOS
B) PRISMA
C) Study design
D) Systematic review

Question 19

What must a researcher describe to identify that a comprehensive,systematic literature search was conducted?

A) All key search terms and databases used in the search
B) A list of gray literature sources used in the review
C) The date restrictions applied to the literature search
D) The use of literature only from prestigious journals

Question 20

What is the purpose of the PRISMA statement?

A) To help researchers develop a clinical question before a review
B) To help determine whether studies reviewed should be replicated
C) To improve reporting of meta-analyses and systematic reviews
D) To outline the abstract when reporting on meta-analyses and other reviews

Question 21

A new research methodology (termed "bench to bedside")developed to improve the application of research evidence in practice is known as

A) grounded theory research.
B) historical research.
C) mixed-methods research.
D) translational research.

Question 22

Which EBP model is provided to assist nurses in determining the quality of evidence-based guidelines and the steps for using these guidelines in practice?

A) The Iowa Model of Evidence-Based Practice
B) The Grove Model for Implementing Evidence-Based Guidelines in Practice
C) The Stetler Model of Research Utilization to Facilitate Evidence-Based Practice
D) The Idaho Model of Evidence-Based Practice

Question 23

Which of the following are true statements about the challenges to evidence-based nursing practice? Select all that apply.

A) EBP requires synthesizing research evidence from randomized controlled trials (RCTs),which are still limited in nursing.
B) Systematic reviews and meta-syntheses conducted in nursing also are limited when compared with other disciplines.
C) All healthcare agencies and administrators do not provide the resources or support necessary for nurses to implement EBP.
D) More work is needed to promote the use of evidence-based guidelines with individual patients.
E) Lack of support and resources for EBP include unlimited funds to support research projects.

Question 24

Which research discipline seeks to develop practical applications based on research knowledge?

A) Meta-analysis
B) Meta-synthesis
C) Rigorous experimental studies
D) Translational research

Question 25

When using the Iowa Model of Evidence-Based Practice,the nurse researcher develops a team to gather and appraise evidence.Which step of the model is this?

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

Question 26

When using the Stetler Model of research utilization,the nurse researcher reviews the risks,resources,and readiness of staff associated with making changes in practice based on evidence.Which part of the model is this?

A) Phase I: Preparation
B) Phase II: Validation
C) Phase III: Comparative Evaluation
D) Phase IV: Translation/Application