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

Accepted Answer

The nurse is utilizing research in a persuasive manner by preparing a presentation to showcase evidence supporting the adoption of a specific intervention, aiming to convince or influence the decision-making process within clinical practice.

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

Accepted Answer

The outcome of this clinical question is the perceived tolerance of activities of daily living, which is represented by option B. Options A, C, and D represent the population, intervention, and comparison, respectively.

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

Accepted Answer

D

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.

Accepted Answer

Incorporating the guideline into the policy and procedure manual ensures that it becomes an expected part of standard care and will be more likely to be followed consistently. Providing a web address or printed copies may not ensure that the guidelines are being used consistently in practice. Creating a list of available guidelines does not ensure that they will be utilized in patient care.

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?
Select all that apply.
A)Meta-analysis
B)Metasynthesis
C)Critically appraised topics
D)Integrated research review
E)Best practice information sheets

Accepted Answer

The answer of The nurse is using systematic reviews to...

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

Accepted Answer

The evidence from policy and procedure manuals and quality improvement reports is considered Level 6 on the evidence hierarchy, as it is based on expert opinion and organizational experience rather than research studies.

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?

Accepted Answer

The answer of The nurse is appraising clinical guidelines to...

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

Accepted Answer

The nurse will implement an intervention after the evidence has been appraised and determined to be applicable and effective for the identified problem. This ensures that the intervention is evidence-based and has a higher likelihood of achieving the desired outcomes.

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

Accepted Answer

Economic impact analysis is part of the evaluation phase in the ACE Star Model of Knowledge Transformation. This is where the effectiveness and cost-effectiveness of the implemented evidence-based practices are assessed.

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

Accepted Answer

Clinical practice guidelines that are based on evidence from a comprehensive review and relevant systematic reviews are typically created at Level 1 of the evidence hierarchy. This level of evidence includes high-quality randomized controlled trials (RCTs) and meta-analyses of RCTs, which are the strongest forms of empirical evidence. By using these high-quality sources of evidence, the nurse can create a clinical practice guideline that is based on the best available research and is likely to be effective and reliable.

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

Accepted Answer

The first step in using a critical thinking evidence-based model is to prepare. This involves gathering relevant information, identifying the problem or issue, and clearly defining the question to be addressed by 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?
Select all that apply.
A)The purpose
B)The rationale
C)Steps for implementing
D)Evidence for credibility
E)Expected clinical outcomes

Accepted Answer

The answer of The nurse is developing a protocol for...

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

Accepted Answer

The Iowa Model is the best choice as it is specifically designed to link evidence-based practice with quality assurance activities. It provides a structured process for identifying, implementing, and evaluating best practices to improve patient outcomes. It also involves collaboration among different disciplines, which can enhance the organization's ability to integrate research findings into clinical practice. The other three models are also useful for evidence-based practice, but they do not have the same level of focus on quality assurance as the 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

Accepted Answer

The outcome is the part of research that will be used to evaluate the effectiveness of the intervention, as it represents the desired changes or improvements resulting from the intervention. The other options (intervention, population, time) may be relevant in designing or implementing the intervention or analyzing the data, but they do not directly measure the impact of the intervention on patient outcomes.

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.

Accepted Answer

Research utilization is the process of applying research findings to a specific clinical problem while evidence-based practice (EBP) is a problem-solving approach that begins with a clinical problem and seeks to use the best available evidence to inform decision making.

Quiz 9: Appraising Evidence for Practice

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?

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?

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?

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? Select all that apply.

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?

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

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

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?

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?

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?

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

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?

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?

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