CH2: Fundamentals of Evidence-Based Nursing Practice Flashcards

1
Q

Research utilization begins with empirical
findings for consideration in practice settings.
Where does evidence-based practice begin?
A)Integration of clinical judgments with
research evidence
B)A desire to abandon decisions based on
custom and authority opinion
C)A search for the best possible information for
addressing a clinical problem
D) A critique of existing practices

A

C)A search for the best possible information for
addressing a clinical problem

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2
Q

What is indirect research utilization?
A) Involves changes in nurses’ thinking
B)Involves the direct use of findings in giving
patient care
C) Involves use of findings to persuade others
D)Involves changes in patient thinking toward
nurses

A

A) Involves changes in nurses’ thinking

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3
Q

The student nurse is constructing a
presentation on evidence-based practice.
Which statement should be included in the
introduction about evidence-based practice?
A)Conscientious integration of current best
evidence with clinical expertise
B)Utilization of nursing preferences in making
clinical decisions
C) Theoretical problem-solving strategy
D)Emphasis on decision making based on
custom

A

A)Conscientious integration of current best
evidence with clinical expertise

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4
Q

Evidence-based practice typically involves
in an effort to determine best evidence. Most
evidence hierarchies put which systematic
review at the pinnacle?
A) Randomized controlled trials
B) Program evaluations
C) Clinical practice guidelines
D) Meta-analyses of multiple clinical trials

A

A) Randomized controlled trials

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5
Q

The terms research utilization and evidence-based
practice are sometimes used
synonymously. The two concepts are distinct.
Where does research utilization start?
A)Uses findings of a study that are related to the
previous research of the topic.
B)Emphasis is on translating historical
knowledge into real-world applications.
C)Use of a set of studies in a practical
application unrelated to the original research.
D)Critique of existing practical applications
unrelated to historical research.

A

C)Use of a set of studies in a practical
application unrelated to the original research.

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6
Q

Which activity will limit researchers to
improve the prospect for evidence-based
practice and research utilization?
A)Conducting high-quality, methodologically
sound studies
B) Disseminating results to a broad audience
C)Providing periodical available supports during
regular work hours
D)Discussing the clinical implications of their
study results in their research reports

A

C)Providing periodical available supports during
regular work hours

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7
Q

Which is not a major barrier to evidencebased
practice in nursing?
A)The fact that many clinical nurses are not
academically prepared to critically evaluate
nursing research studies
B)The support of organizations that reward
nurses who engage in research utilization
efforts
C)The low number of replication of nursing
utilization
D)The absence of quality, clinically relevant
nursing studies

A

B)The support of organizations that reward
nurses who engage in research utilization
efforts

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8
Q

There are several resources to support evidence-based practice. What are care bundles?
A) Rigorous integrations of research evidence
from multiple studies of a topic
B) Evidence-based clinical practice guidelines
that combine a synthesis and appraisal of
research evidence
C) Set of interventions to treat or prevent a
cluster of symptoms
D) Meta-analysis or quantitative methods that
integrate findings statistically

A

C) Set of interventions to treat or prevent a
cluster of symptoms

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9
Q

There are several resources to support
evidence-based practice. What is
metasynthesis?
A) Qualitative, narrative approach to integration
of a study
B) Quantitative method that integrate findings
statistically
C) Synthesis and appraisal of research evidence
with specific recommendations
D) Set of interventions to treat or prevent a
cluster of symptoms

A

A) Qualitative, narrative approach to integration
of a study

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10
Q

Several models of evidence-based practice
have been developed. Which model focuses
on the use of research from the perspective of
individual clinicians?
A) ARCC Model
B) Clinical Nurse Scholar Model
C) Iowa Model
D) Stetler Model

A

D) Stetler Model

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11
Q

A RN is putting research into practice. What
step of the process is involved with the
validity of study findings?
question
B) Searching for relevant research evidence
C) Appraising the evidence
D) Integrating evidence with other factors

A

C) Appraising the evidence

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12
Q

A student nurse is trying to find out what a
mixed methods synthesis is. What is a mixed
methods synthesis?
A) Integrate and synthesize both quantitative and
qualitative evidence.
B) Integrate quantitative evidence.
C) Integrate and synthesize qualitative evidence.
D) Integrate qualitative evidence.

A

A) Integrate and synthesize both quantitative and
qualitative evidence.

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13
Q

Systematic reviews are published in
professional journals. Which database
contains thousands of systematic reviews
related to healthcare interventions?
A) Cochrane Database of Systematic Reviews
B) Campbell Collaboration
C) Agency for Healthcare Research and Quality
D) Joanna Briggs Institute

A

A) Cochrane Database of Systematic Reviews

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14
Q

Clinical practice guidelines distill a large
body of evidence into a manageable form.
Which describes clinical practice guidelines?
A)Give general recommendations for evidencebased
decision making.
B)Address all of the issues relevant to a clinical
decision.
C)Guide clinical practice when there are a
number of published articles.
D) Completed by researchers.

A

B)Address all of the issues relevant to a clinical
decision

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15
Q

Which reference is a comprehensive reference
resource that provides an array of clinical
information for nurses, including evidence-based
care sheets, best practice guidelines,
and point-of-care drug information?
A) Clinical Evidence
B) Evidence-based Nursing
C) Worldviews on Evidence-Based Nursing
D) Nursing Reference Center

A

D) Nursing Reference Center

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16
Q

Evidence-based practice writers distinguish
between background and foreground
questions. What is a background question?
A) Based on current best research evidence.
B) Specific, detailed questions about a clinical
problem.
C) General, foundational questions about a
clinical issue.
D) Questions located on websites.

A

C) General, foundational questions about a
clinical issue.

17
Q

Fineout-Overholt and Johnston recommended
a 5-component scheme for formulating
evidence-based practice questions, using the
acronym PICOT as a guide. Which two
components are not always needed in this
model?
A) P and C
B) I and O
C) C and T
D) P and O

A

C) C and T

18
Q

A nurse is putting research into practice. What
is the first step that should be considered in
the process?
A) Framing an answerable clinical question
B) Searching for relevant research evidence
C) Appraising and synthesizing the evidence
D) Integrating evidence with other factors

A

A) Framing an answerable clinical question

19
Q

Which occurs with individual evidence-based
practice efforts?
A)Tend to be less formalized approach than
organizational evidence-based practice.
B) Must take organizational factors into account.
C) Must take interpersonal factors into account.
D)Triggers for an individual project include
pressing clinical problems.

A

A)Tend to be less formalized approach than
organizational evidence-based practice.

20
Q

Evaluation (AGREE) Instrument consists of
ratings of quality on what type of scale?
A) 4-point scale
B) 5-point scale
C) 6-point scale
D) 7-point scale

A

A) 4-point scale