Evidence Base Practice Midterm Exam, Questions and answers, Questions and answers, 2022/2023

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Evidence Base Practice Midterm Exam, Questions and answers, Questions and answers, 2022/2023 The nurse is functioning in what role when he uses systematic inquiry to develop evidence about issu... es of importance to nurses and their patients? - ✔✔Researcher Which of the following are research activities in which all nurses can engage? (Select all that apply) - ✔✔A. Help develop an idea for a research study B. Offer information to patients about the research study C. Collect research information Which statement is an example of a goal of nursing research? - ✔✔Provide evidence based nursing practice A nurse receives an overview of research. The statements "to improve the care of people in a clinical setting" and "to develop greater autonomy and strength as a profession" are both examples of which aspect of nursing research? - ✔✔Goals A researcher who conducts original research studies independently with the goal of expanding nursing knowledge is educated at what level? - ✔✔Doctorate A nurse studies the potential impact of nursing research on the profession. Which statement best describes the value of research? - ✔✔"Research generates knowledge for a variety of roles." Nurses prepared at all levels of education have a role to play in research. Which role is expected of all registered nurses? - ✔✔Consumers Which research activity would be expected of a nurse who had taken a research course at the baccalaureate level? - ✔✔Understand the research process and identify researchable problems. Evidence-based practice (EBP) consists of identifying the best evidence and integrating it with other factors to make clinical decisions. Components of EBP include which of the following? (Select all that apply.) - ✔✔A. Evidenced-based theories B. Patient preferences C. External evidence from research D. Clinical expertise When considering best evidence for clinical decision making, evidence hierarchies provide sources based on the strength of the evidence they provide. Which of the following provides the strongest level of evidence for clinical decision making? - ✔✔Systematic review Challenges to EBP include a lack of organizational support for research and implementation of evidence-based nursing. True or False? - ✔✔True The EBP movement has caused concern for some nurses and researchers who worry that qualitative research is not being given enough consideration in evidence hierarchy used to support clinical decision making. True or False? - ✔✔True Historically, the EBP movement originated in the discipline of medicine in the United States. True or False? - ✔✔False A nurse reviews examples of evidence-based practice (EBP). A practice that is considered evidence-based would: - ✔✔Consider client preferences when planning care. A nurse considers both supports and challenges to an EBP approach in the nurse's institution. Which factors would be supportive of EBP? - ✔✔Staff receive release time to participate in journal clubs Models of EBP guide practice in large organizations. Which models are directly related to EBP? (Select all that apply.) - ✔✔A. Stetler Model B. Iowa Model C. A-GAME Model In defining evidence-based practice, three distinct components are integrated. Which factors reflect these three components? (Select all that apply.) - ✔✔A. Synthesis of the most relevant research B. Client preferences and values C. The practitioner's clinical expertise A nurse considers how to apply EBP in the nurse's practice setting. Which activity would be a valid application of the EBP process? - ✔✔Develop policies and procedures for client care based on compiled research. Meta-synthesis is defined as the critical appraisal of what type of research? - ✔✔Qualitative Which database contains a collection of systematic reviews that can be used to answer clinical questions? - ✔✔Cochrane Collection Database One advantage of meta-analysis as an integration is: - ✔✔Objectivity Which type of evidence based on the evidence hierarchy is considered to be the strongest? - ✔✔Systemic Review A nurse summarizes the pattern of levels of evidence for practice. Which type of report would likely contain the strongest evidence? - ✔✔Systematic review of quantitative studies The nurse determines the strength of evidence for application to practice, based on study design. Rank order these types of reports based on the Hierarchy of Evidence. - ✔✔1)Systematic review of all relevant RCTs 2)Evidence obtained from well-designed RCTs 3)Evidence from controlled trials without randomization 4)Evidence from single descriptive studies 5)Evidence from the opinion of experts The nurse differentiates between types of systematic reviews. Which type includes only qualitative studies? - ✔✔Meta-synthesis The nurse locates a meta-analysis study on a clinical topic. When evaluating the research question or hypothesis for the individual studies, what characteristic is to be expected? - ✔✔The questions or hypotheses across studies should be essentially identical. The nurse examines characteristics of systematic reviews. Which quality would always be part of systematic reviews? - ✔✔They are developed through standard sampling and data procedures. When using the PICOT format to develop a clinical question, a time frame must always be specified. True or False? - ✔✔False A nurse researcher is interested in developing an answerable question to solve a clinical problem and improve patient care. The first step is developing background and foreground questions. Which of the following is a characteristic of a background question? - ✔✔They are foundational questions about a clinical issue. Which of the following research questions represents correct use of the PICOT format for a clinical question? - ✔✔A. In patients older than the age of 65 years, how does immunization with influenza vaccine compared with no immunization with flu vaccine influence the possibility of contracting influenza during flu season? Using the PICOT format for developing a clinical question, the letter "P" represents which component of the question? - ✔✔Population The variables that represent the end result of the intervention being tested (results such as wound healing or improved mobilization) would be included in which PICOT component? - ✔✔(O) Outcome The variables of "hospitalized adults with diabetes, infants with feeding problems, and immunocompromised adults" would be included in which PICOT component? - ✔✔(P) Population A nurse learns about asking clinical questions in a standard format. Rank order these terms to match the standard EBP acronym. - ✔✔1)Population 2)Intervention 3)Comparison 4)Outcome 5)Time The variables signifying standard or usual care would be included in which PICOT component? - ✔✔(C) Component A nurse learns how to write PICOT questions. When writing these clinical questions, what component is not always specified? - ✔✔Time A nurse researcher is looking for an EBP model to guide and implement EBP projects at her health care institution. Which model is most appropriate for the researcher to use if her focus is institutional EBP projects? - ✔✔Iowa Model A number of resources exist for evidence-based practice (EBP) including preappraised evidence. From the following choices, select the resources that are considered preappraised evidence. (Select all that apply.) - ✔✔A. Clinical practice guidelines B. Systematic reviews C. Meta-analysis Clinical practice guidelines are based on systematic reviews and provide specific recommendations for EBP decision making. - ✔✔True Research utilization considers the patient's needs, the provider, and the health care delivery system as well as current research in clinical decision making. - ✔✔False Individual nurses can put research into practice through the EBP process. What is the first step? - ✔✔Ask questions that reflect uncertainties in clinical practice. A nurse studying evidence-based practice (EBP) reviews the formal definition. Which components are key to EBP? (Select all that apply.) - ✔✔A. Client values and preferences B. The latest research evidence C. Clinician expertise A nurse differentiates between research utilization and evidence-based practice (EBP). Which dimension applies only to research utilization? - ✔✔Changes to practice are based solely on research findings. A nurse differentiates between the Stetler Model and the Iowa Model of evidence-based practice. Which statement accurately describes these models? - ✔✔The Iowa Model focuses on institutional EBP efforts. A nurse considers differences in resources for evidence-based practice and research utilization. Which resource is unique to EBP? - ✔✔Evidence-based practice guideline [Show More]

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