Evidence based practise in maternal and child nursing

Question 1

Causes of maternal mortality

Answer 1

#1 – Postpartum hemorrhage #6 – Lung disease
#2 – High blood pressure in pregnancy #7 – HIV
#3 – Anemia              #8 – Liver disease
#4 – Infection            #9 – Heart diseases
#5 – Malaria/dengue #10 – Miscarriage or induced abortion

Question 2

1. Which of the following is a problem-solving approach to clinical practice that integrates the conscientious use of best evidence in combination with clinical expertise?
   a. Experimental approach
   b. Experimental based practice
   c. Evidence based practice
   d. Research based approach

Answer 2

C. Evidence based practice

Question 3

2. To provide patient care of the highest quality, nurses utilize an evidence-based practice approach because
   evidence-based practice is:
   a.A guide for nurses in making clinical decisions.
   b.Based on the latest textbook information.
   c.Easily attained at the bedside.
   d.Always right for all situations

Answer 3

A. A guide for nurses in making clinical decisions

Question 4

3. In caring for patients, it is important for the nurse to realize that evidence-based practice is
   a. The only valid source of knowledge that should be used.
   b. Secondary to traditional or standard care knowledge.
   c. Dependent on patient values and expectations.
   d. Not shown to provide better patient outcomes

Answer 4

C. Is dependent on the patient values and expectations

Question 5

4. Nurse Sen is doing a literature review related to a potential problem that has been identified on the nursing department. Nurse Sen realizes that nursing research is important in that it is designed to (Select all that apply.)
   a. Enhance the nurse’s chance at promotion.
   b. Identify new knowledge.
   c. Improve professional practice.
   d. Enhance effective use of resources.
   e. Lead to decreases in budget expenditures

Answer 5

B. Identify new knowledge
C. Improve professional practice
D. Enhance effective use of resources

Question 6

5. Nurse Viola is aware that all of the following statements are applicable in using an evidence-base in nursing practice, except:
   a. To ensure the best quality of care given is to patients.
   b. To ensure that nursing decisions are based on the best quality of evidence.
   c. Evidence used in nursing practice must be appraised for its validity and applicability.
   d. The use of research evidence in nursing practice does not need to be evaluated after it is used or implemented.

Answer 6

D. The use of research evidence in nursing practice does not need to be evaluated after it is used or implemented.

Question 7

6. In starting a focused group discussion, Nurse Bimby wants to stress out the confidentiality of the topics that
   they will be discussing. Which of the following instruction convey confidentiality?
   a. “This discussion should not only be confined within this group of people. Any information discussed should be told publicly.”
   b. “This discussion should only be confined within this group of people. Any information discussed should not be told publicly.”
   c. “This discussion should not be confined within this group of people. Any information discussed should not be told publicly.”
   d. “This discussion should only be confined within this group of people. Any information discussed should be told publicly.”

Answer 7

B. This discussion should only be confined within this group of people. Any information discussed should not be told publicly.

Question 8

7. Ethics in Nursing Research has always been an issue when it comes to the identity of the respondents. When the topics of research are very sensitive, which of the following rights of individual participants must be ensured when the researcher cannot link the information given by the respondent from the source of the information?
   a. Virility
   b. Confidentiality
   c. Anonymity
   d. Volunteerism

Answer 8

C. Anonymity

Virility- manliness

Question 9

8. In conducting a research study, the researcher must guarantee that any information the subject
   provides will not be reported in any manner that identifies the subject and will not be accessible to people outside the research team. This concept is known as
   a. Anonymity.
   b. Confidentiality.
   c. Informed consent.
   d. The research process.

Answer 9

B. Confidentiality

Question 10

9. The quality improvement committee has been alerted to an increased number of falls in the
   hospital. Most of these falls have occurred at night and have involved patients who were trying to crawl over
   bedrails. A literature review brought out that most falls occur because patients are trying to go to the bathroom. The committee created a practice change that bedrails should be left in the down position, and hourly nursing rounds should be conducted. What is the committee’s next step?
   a. Evaluate the changes in 1 month.
   b. Wait a month before implementing the changes.
   c. Implement the changes as a pilot study.
   d. Communicate to staff the results of this inquiry.

Answer 10

D. Communicate to staff the result of this inquiry.

Question 11

10. Student nurse Annie is aware that all of the following are the purpose of Review of Related Literature except:
    a. Reveal investigations
    b. Reveal what is the problem
    c. Reveal the significant research personalities
    d. Reveal sources of data

Answer 11

C. Reveal the significant research personalities