Chapters 1-8 Questions Flashcards

1
Q

Which of the following is an example of a role a nurse has in research?
A) Administering metoprolol to a patient with an elevated heart rate
B) Documenting in a new assessment form being piloted on the unit
C) Providing discharge education to a patient with new-onset diabetes
D) Using a second nurse to verify a dose of insulin before administration

A

B) Documenting in a new assessment form being piloted on the unit
This helps in collecting research information about the new form so it can be modified or altered to maximize its efficiency and accuracy for nurses.

The other three answers describe the normal nursing practice and do not generate data for a study or describe a new concept that is being tested.

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2
Q

Which statement is true regarding Systematic Review studies?
A) The researchers gather the data directly through experimentation
B) Compiles data from multiple studies around one topic
C) Studies focused on solving local problems
D) Primarily involves qualitative research

A

B) Compiles data from multiple studies around one topic

The researchers of a systematic review gather data from other sources, and a systematic review is known as a secondary type of research study. A systematic review is not a local research study, and a systematic review uses both qualitative and quantitative studies, though primarily quantitative studies are used.

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3
Q
A nursing student does not wear gloves when giving intravenous medications because it was learned through watching a preceptor perform the procedure this way.  Which source of knowledge explains this behavior?
A) Disciplined Research
B) Clinical experience
C) Trial and Error
D) Authority
A

D) Authority
Authority is when nurses base practice on what a seasoned person, textbook, or instructor does or tells them.
Disciplined research is ideal and uses evidence to support practice.
Clinical experience is subjective and is not generalizable.
Trial and error would involve trying several interventions to see if one worked better.

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4
Q
Which of the following is a factor of the positivist paradigm?
A) deductive process
B) emphasis on the whole
C) focus on the subjective
D) seeks an in-depth understanding
A

A) deductive process

The other three answers are related to the constructivist paradigm.

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5
Q
The researcher performs a study to determine the effect of haloperidol in managing delirium.  Which research purpose does this study reflect?
A) Prognosis
B) Diagnosis
C) Therapy
D) Meaning
A

C) Therapy

Therapy/Intervention studies measure the ability of an intervention to help a health problem.
Prognosis studies look at a health condition and examine the effect of another health issue on its outcomes. Diagnostic studies examine the efficacy of a tool for screening or diagnosis for a health problem.
Meaning studies examine the patient’s perspective through a health problem or event.

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6
Q
Which of the following are important to incorporate evidence-based practice?  (Select all that apply)
A) clinical expertise
B) patient preferences
C) local circumstances
D) authority
A

A) clinical expertise
B) patient preferences
C) local circumstances

The goal of EBP is to reduce the reliance on custom, authority, or ritual.

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7
Q
Which evidence type is emphasized by the Cochrane Collaboration?
A) systematic reviews
B) randomized controlled trials
C) quality improvement studies
D) pilot studies
A

A) systematic reviews

The Cochrane Collaboration sought to make the findings from research easily accessible, and a systematic review combines the results of numerous studies together.

Randomized controlled trials are rigorous studies that can provide strong evidence but are still individual studies.
Quality improvement studies are geared towards hospital improvement and are not required to be published or to generate knowledge for research.
Pilot studies are small-scale studies to test an intervention before doing it on a larger scale and by themselves do not generate knowledge for research.

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8
Q
What study type interprets and integrates the results of multiple qualitative studies?
A) quality improvement project
B) phenomenological study
C) meta-synthesis
D) meta-analysis
A

C) meta-synthesis
A meta-analysis analyzes the results of multiple quantitative studies.
A phenomenological study is a type of qualitative study.
A quality improvement project is not a result of multiple qualitative studies.

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9
Q
Which of the following is a part of the PICO process?
A) Prevention
B) Interpretation
C) Collaboration
D) Outcome
A

D) Outcome

P = patient or population
I = intervention
C = comparison or current practice
O = outcome
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10
Q
Which of the following is a component of appraising evidence?
A) Sample size
B) Magnitude of effects
C) Strengths and limitations
D) Ethical considerations
A

B) Magnitude of effects

Other examples include evidence quality, precision of estimates, peripheral effects, financial costs, and clinical relevance.

Sample size, strengths and limitations, and ethical considerations are all components of a research study but are not used individually as evidence appraisal tools.

“Evidence makes pretty people feel catty”

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11
Q
Which term is exclusive to quantitative research?
A) study participant
B) researcher
C) variables
D) data
A

C) variables

Variables are exclusive to quantitative research. The other terms are used with both types of research.

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12
Q
A researcher investigated the effects of haloperidol on reducing delirium in the intensive care unit.  What is the dependent variable?
A) haloperidol
B) delirium
C) intensive care unit
D) researcher
A

B) delirium

The independent variable or change is haloperidol. The dependent variable or outcome is delirium.
The ICU and researcher are not variables in the study.

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13
Q
A researcher measured stress levels numerically between a group of nursing students versus a group of accounting students.  What type of study is this?
A) observational
B) clinical trial
C) ethnographic
D) grounded theory
A

A) observational

The study does not introduce an intervention or change. It measures stress between two groups of individuals and would be a non-experimental study or an observational study.
A clinical trial would have an intervention.
Ethnographic and grounded theory are qualitative studies.

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14
Q
Which of the following is a component of the conceptual phase of conducting a quantitative study?
A) data collection
B) data analysis
C) review of literature
D) dissemination of findings
A

C) review of literature

The review of literature is part of the conceptual phase. Data collection is part of the empirical phase. Data analysis is part of the analytic phase, and dissemination of findings is part of the dissemination phase.

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15
Q
What is one difference between qualitative and quantitative research?
A) Addressing ethical issues
B) Identifying a research problem
C) Collecting Data
D) Sample size determination
A

D) Sample size determination

The sample in a quantitative study is defined before the study begins, but in a qualitative study the sample size is determined after data saturation occurs.

Both studies have to address ethical issues, identify a research problem, and collect some form of data. The type of data is different, but without data neither would be a research study.

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16
Q
Which element is expected to be in the introduction of an article?
A) Hypothesis
B) Sample size
C) Limitations
D) Statistical value
A

A) Hypothesis
The introduction includes the hypothesis.
The methodology includes the sample size.
The discussion includes limitations, and the results section includes the statistical value.

17
Q
Which ethical principle aligns with the concept of doing good?
A) Justice
B) Beneficence
C) Confidentiality
D) Self-determination
A

B) Beneficence
Beneficence is the ethical principle of doing good and maximizing benefits. Justice refers to fair treatment. Confidentiality refers to ensuring patient’s information is kept private. Self-determination regards the patient’s right to decline to participate or drop out of a study.

18
Q
Which component is part of informed consent?
A) Full disclosure
B) Beneficence
C) Justice
D) Debriefing
A

A) Full disclosure
Full disclosure and self-determination are two principles involved in informed consent. Informed consent requires a participant to understand the risks, benefits, and purpose of a study as well as the ability to refuse to participate. Beneficence, justice, and debriefing are important ethical considerations but are not part of informed consent.

19
Q
Which of the following are risks to participants in research? (Select all that apply).
A) Time
B) Privacy
C) Financial
D) Emotional
A
A) Time
B) Privacy
C) Financial
D) Emotional 
All of these are potential risks in research. Other risks include physical harm, side effects, discomfort, fatigue, boredom, and social risks.
20
Q
Which patient group would require consent from a legal guardian?
A) Pregnant patient
B) Prisoner
C) Terminally ill patient
D) Child
A

D) Child
Children, mentally or emotionally disabled people, or severely ill people require consent from a legal guardian. Pregnant women require researchers to safeguard the patient and fetus from harm. Prisoners require extra emphasis on the study being voluntary. Terminally ill patients require a thorough investigation to ensure risks are minimal.

21
Q

What method is best for a researcher to ensure their study is ethical?
A) Remove all participant identifying information
B) Ensure the sample population is diverse
C) Gain approval from an Institutional Review Board
D) Provide participants with informed consent

A

C) Gain approval from an Institutional Review Board
All methods ensure ethical considerations are met. IRB approval would encompass all aspects and others not listed. It is considered an umbrella option.

22
Q

A study aims to determine if follow-up phone calls after discharge will reduce the incidence of readmissions related to congestive heart failure within 30 days. What is the research problem?
A) follow-up phone calls
B) readmissions within 30 days
C) discharge process
D) congestive heart failure disease process

A

B) readmissions within 30 days
Follow-up phone calls are the suggested intervention or independent variable. The discharge process is not being examined. Congestive heart failure is the reason for readmissions, but the disease process is not the problem. The problem are readmissions that occur within 30 days of discharge. Medicare imposes a penalty on the hospital that discharges a patient for congestive heart failure if they are readmitted within 30 days.

23
Q
Which type of research design would use a research question to find the meaning in something?
A) Clinical trial
B) Ethnographic
C) Phenomenological
D) Grounded Theory
A

C) Phenomenological
Phenomenological studies investigate the meaning of a lived experience. Grounded theory focuses on process. Ethnography ask descriptive questions about culture. A clinical trial is a type of quantitative article and would focus on the relationship between two variables.

24
Q
Which of the following are components of the Problem Statement? (Select all that apply).
A) Background
B) Scope of the problem
C) Knowledge gaps
D) Null hypothesis
A

A) Background
B) Scope of the problem
C) Knowledge gaps
The elements of a problem statement include: Problem identification, Background, Scope of the problem, Consequences of the problem, Knowledge gaps, and Proposed solution.

25
Q
Which type of hypothesis reflects the absence of a relationship between two variables?
A) Research
B) Directional
C) Nondirectional
D) Null
A

D) Null

The null hypothesis states there is no relationship between the variables being examined. It is used for statistical inferences.

26
Q
What p value would suggest that the hypothesis is not supported?
A) 0.01
B) 0.02
C) 0.04
D) 0.07
A

D) 0.07

p value of <0.05 is clinically significant

27
Q

What is primary research?
A) A study conducted by one researcher
B) Research described by the person who performed the study
C) Exploring a topic focused on primary care
D) A study with one research goal

A

B) Research described by the person who performed the study

28
Q
What type of research is a literature review?
A) Ethnographic 
B) Secondary
C) Clinical Trial
D) Quality Improvement
A

B) Secondary

A literature review focuses on the results of studies completed by other researchers and is a secondary type of research. A literature review will be present in each of the other study types listed.

29
Q

What is the purpose of using quotation marks in a literature search? To locate articles:
A) that contain quotes related to the words in quotes
B) that have an audio-recorded version of the article
C) without the words included in the quotes
D) with titles that have the words together in the title

A

D) with titles that have the words together in the title

30
Q
What section of the article is used to screen for relevance?
A) Abstract
B) Methods
C) Results
D) Conclusion
A

A) Abstract

31
Q

What is the purpose for a literature review?
A) to justify the references used for the study
B) give readers an understanding of the contents of the study
C) synthesize research evidence on a topic
D) review articles to determine if they should be published

A

C) synthesize research evidence on a topic

32
Q

What is true regarding middle-range theories?
A) Able to be tested empirically
B) Attempt to explain large segments of the human experience
C) Focused on the middle-class population
D) Research is limited to small population groups

A

A) Able to be tested empirically

33
Q

What is true regarding Grand theories?
A) Able to be tested empirically
B) Attempt to explain large segments of the human experience
C) Focused on the middle-class population
D) Research is limited to small population groups

A

B) Attempt to explain large segments of the human experience

34
Q

What is true regarding frameworks for quantitative articles?
A) Included in the methods section
B) Primarily uses theoretical frameworks
C) Aims to ignore theory to avoid bias
D) Usually does not state or describe a framework

A

D) Usually does not state or describe a framework

If a framework was used in a quantitative study, there is not a specific section for it.

35
Q

What is true regarding frameworks for qualitative articles?
A) Included in the methods section
B) Primarily uses theoretical frameworks
C) Aims to ignore theory to avoid bias
D) Usually does not state or describe a framework

A

B) Primarily uses theoretical frameworks

More likely to use frameworks, and they aim to MAINTAIN bias by ignoring the assumptions of a theory

36
Q
What traits should be defined in any conceptual model of nursing? (Select all that apply).
A) Human being
B) Environment
C) Health
D) Impact
A

A) Human being
B) Environment
C) Health
Human beings, environment, health, and nursing are the four main components found in any conceptual model of nursing.

37
Q
Which of the following is a middle-range theory?
A) Roy’s Adaptation Model
B) Theory of Human Becoming
C) Self-Care Theory
D) Health Promotion Model
A

D) Health Promotion Model

38
Q
Which of the following is a Grand theory? SATA:
A) Roy’s Adaptation Model
B) Theory of Human Becoming
C) Self-Care Theory
D) Health Promotion Model
A

A) Roy’s Adaptation Model
B) Theory of Human Becoming
C) Self-Care Theory

Other examples:
Reinforcement theory
Descriptive theory
Nursing Process Theory

39
Q
Which type of model places concepts in a visual format?
A) Conceptual Framework
B) Theoretical Framework
C) Schematic Model
D) Conceptual Model
A

C) Schematic Model

Schematic models or conceptual maps visually represent the relationships among phenomena.