Question 1

Which of the following are barriers to implementation of evidence-based practice? Select all that apply.&#10;A) Misunderstood communication&#10;B) Inferior quality of available research&#10;C) Unwillingness of organizations to fund research&#10;D) Inability to assess and use the evidence&#10;E) None of the above &#10;

Accepted Answer

All four options listed are potential barriers to the implementation of evidence-based practice. Misunderstood communication can lead to misinterpretation of research findings or confusion among practitioners. Inferior quality of available research can make it difficult to determine best practices in a field. Unwillingness of organizations to fund research can limit the amount and quality of research available. Inability to assess and use the evidence means that even if quality research exists, practitioners may not have the skills or resources to effectively implement evidence-based practices.

Question 2

The forerunner of evidence-based nursing practice was: 12-PAGE 5
Test Bank

A) The Hippocratic Oath
B) The science of Medicine
C) Evidenced-based medicine
D) Research utilization

Research utilization

Accepted Answer

Research utilization

Question 3

There are three domains for evaluating systems that grade the strength of the evidence. They are:&#10;A) Randomness, sample size, and blinding&#10;B) Selection, variables, and description&#10;C) Nursing, medicine, and physiology&#10;D) Quality, quantity and consistency&#10;

Accepted Answer

The three domains for evaluating systems that grade the strength of the evidence are quality, quantity, and consistency. These domains consider factors such as the methodology of the study, the number of studies conducted, and the findings being consistent across multiple studies. Randomness, sample size, and blinding are all important factors to consider within the broader domain of quality. Selection, variables, and description are important factors to consider within the broader domain of quantity. Nursing, medicine, and physiology are all fields of study and not domains for evaluating evidence.

Question 4

Evidence-based public health:&#10;A) Is an integration of the best available nursing expertise.&#10;B) Is derived from community principles to fit the area where it is practiced.&#10;C) Is a health endeavor that makes informed use of evidence.&#10;D) Includes only one source: public health records.&#10;

Accepted Answer

Evidence-based public health is focused on making informed decisions and actions based on the best available evidence. It uses a variety of sources of evidence, including scientific research, public health records, and community-based principles, among others. It is not solely based on nursing expertise or limited to the needs of a specific community.

Question 5

To make clinical decisions nurses use various sources of knowledge such as trial and error, tradition, authority, and clinical experience. What problems can results from this approach?&#10;A) Not all sources of information are reliable.&#10;B) Authority always leads to faulty decision making.&#10;C) Experience is the best source of knowledge.&#10;D) Trial and error has lead to poor outcomes.&#10;

Accepted Answer

Not all sources of information are reliable, and relying solely on trial and error, tradition, or authority without questioning their validity can lead to poor decision making. While clinical experience is valuable, it should be combined with evidence-based practice to ensure the best possible outcomes for patients.

Question 6

Which of the following has identified &#34;evidence-based strategies&#34; to assist with evaluation of progress towards achievement of Healthy People 2010 goals and objectives?&#10;A) Information Access Project&#10;B) PubMed&#10;C) National Library of Medicine&#10;D) Public Health Foundation&#10;

Accepted Answer

The Information Access Project has identified "evidence-based strategies" to assist with the evaluation of progress towards achieving Healthy People 2010 goals and objectives.

Question 7

Which of the following provides a scientific basis for practice?&#10;A) Authority&#10;B) Research&#10;C) Education&#10;D) Practice&#10;

Accepted Answer

Research provides a scientific basis for practice because it involves the use of the scientific method to answer questions, test hypotheses, and develop new knowledge. This knowledge is then used to inform and guide evidence-based practices. Authority, education, and practice can also inform practice, but they do not necessarily have a scientific basis.

Question 8

Which of the following is considered the highest level of evidence?&#10;A) Randomized controlled trials&#10;B) Clinical expertise&#10;C) Nonresearch evidence&#10;D) Case studies&#10;

Accepted Answer

Randomized controlled trials are considered the highest level of evidence because they involve a rigorous study design with random assignment and a control group, which helps to minimize bias and confounding variables. Clinical expertise, nonresearch evidence, and case studies are all lower levels of evidence.

Question 9

Which of the following is defined as the gold standard of evidence in evidence-based practice?&#10;A) Research&#10;B) Randomized clinical trials&#10;C) Best practices&#10;D) Community development model&#10;

Accepted Answer

Randomized clinical trials are considered the gold standard of evidence in evidence-based practice as they provide the most rigorous and reliable evidence for the effectiveness of a treatment or intervention. These trials involve randomly assigning participants to either a treatment group or a control group and then comparing the outcomes between the two groups. This helps to control for other factors that may be influencing the outcomes, making it easier to determine if the treatment is truly effective.

Question 10

Nurses need to acknowledge and understand evidenced-based practice. They can participate in using it by:&#10;A) Having active programs of research&#10;B) Attending national nursing meetings&#10;C) Participating with legislators in making policy&#10;D) Doing surveillance on a disease of interest in their community&#10;

Accepted Answer

Having active programs of research allows nurses to gather and analyze data on specific nursing interventions and outcomes, leading to evidence-based practice. Attending national nursing meetings, participating with legislators in making policy, and doing disease surveillance are all important activities for nurses, but they do not necessarily involve gathering and analyzing data to support evidence-based practice.

Question 11

Evidence-based practice began:&#10;A) In Canada&#10;B) In Great Britain&#10;C) With physicians&#10;D) In Australia&#10;

Accepted Answer

The answer of Evidence-based practice began:&#10;A) In Canada&#10;B) In Great...

Question 12

A summary of the research evidence that relates to a specific question and to the effects of an intervention is:&#10;A) Evidence-based practice&#10;B) Action research&#10;C) Systematic review&#10;D) Best practices&#10;

Accepted Answer

The answer of A summary of the research evidence that...

Question 13

Several important variables help determine the quality of evidence. &#34;Blinding&#34; is one of them. Blinding relates to what factor affecting quality of evidence?&#10;A) The sample size is large enough to show an effect of the intervention.&#10;B) The outcomes being measured accurately.&#10;C) The research or evaluator not knowing if a participant is in the experimental or control group.&#10;D) The attrition rate of the subjects.&#10;

Accepted Answer

The answer of Several important variables help determine the quality...

Question 14

Which of the following focuses on achieving community goals and includes a true partnership in which power and decision making are shared between community members and the academic community?&#10;A) Evidence-based practice&#10;B) Action research&#10;C) Systematic review&#10;D) Community development model&#10;

Accepted Answer

The answer of Which of the following focuses on achieving...

Question 15

There are two approaches that allow a nurse to read research evidence in a condensed format. The first is a systematic review. This refers to:&#10;A) Participating in a randomized controlled trial&#10;B) A method of identifying, appraising, and synthesizing research evidence&#10;C) Gathering data for use by a researcher on a particular question&#10;D) An in-depth review done by one person.&#10;

Accepted Answer

The answer of There are two approaches that allow a...

Deck 12: Evidence-Based Practice