Question: Nurses at a county hospital are using the Advancing Research and Clinical practice through close Collaboration (ARCC) model to foster EBP in their screening for delirium, depression, and dementia among adult patients. Which of the following data sources will be prioritized and combined with research evidence in order to guide practice?
Answer Choices:
A. Prevalence of patients and families.
B. Input from an interdisciplinary panel.
C. The experiences of other institutions that have undertaken similar initiatives.
D. The results of a cost analysis around implementing a change in practice.
C
orrect Answer: B. Input from an interdisciplinary panel.
Answer:
Question: An APRN has referred to a clinical practice guideline (CPG) that addresses prenatal screening. The APRN would recognize that which of the following phenomena provides the best rationale for consulting CPGs when planning and providing care?
Answer Choices:
Significant variations in care exist between different regions and institutions
CPGs are a form of directive set to supersede physicians’ expertise
Clinicians frequently lack access to databases and publications
The complexity and volume of research means that clinicians do not have the specialized skills needed to implement research findings
Answer: Significant variations in care exist between different regions and institutions
Question: Which of the following statements most accurately conveys the relationship between systematic reviews and CPGs?
Answer Choices:
CPGs are a more reliable and valid source of guidance than systematic reviews
CPGs and systematic reviews are largely synonymous
In the absence of a relevant and current systematic review, clinicians should base their practice on available CPGs
CPGs normally integrate the results of systematic reviews into their recommendations
Answer: CPGs normally integrate the results of systematic reviews into their recommendations
Question: An APRN has referred to a clinical practice guideline (CPG) that addresses prenatal screening. The APRN would recognize that which of the following phenomena provides the best rationale for consulting CPGs when planning and providing care?
Answer Choices:
Significant variations in care exist between different regions and institutions
CPGs are a form of evidence that is superior to systematic reviews
Clinicians frequently lack access to databases and publications
The complexity and volume of research means that clinicians do not have the specialized skills needed to implement research findings
Answer: Significant variations in care exist between different regions and institutions
Question: The nursing leadership of a university hospital wishes to implement EBP around the prevention of Clostridium difficile infection among inpatients. The team will be following the Model for Evidence-Based Practice Change. Which of the activities below is included in the steps of the model?
Answer Choices:
A. Dissemination of the success or failure of the practice change.
B. All activities listed.
C. Include stakeholders in the early steps of the practice change.
D. Implementing a pilot study.
Answer: B. All activities listed.
Question: Outcomes of quality improvement projects are measured using which of the following criteria?
Answer Choices:
SMART
PDSA
QI
EBP
Answer: SMART
Question: In an effort to create an environment that exemplifies EBP, the nursing leadership has made a concerted effort to include as many caregivers, staff, providers, and administrators from numerous levels in the process. What is the most likely rationale for this aspect of the change process?
Answer Choices:
Promoting engagement.
Identifying and removing barriers.
Generating local goals.
Creating financial reward recognition.
Answer: Promoting engagement.
Question: Caregivers and leaders of a university medical center are pleased that their facility has recently been granted Magnet recognition by the American Nurses Credentialing Center (ANCC). What does this designation indicate about the hospital?
Answer Choices:
The hospital has demonstrated a positive nursing care environment that promotes performance through the use of EBP.
The hospital has met specific outcomes for which KPIs form the foundation.
The hospital has proven to be a site where new research is conducted and new evidence is generated.
The hospital has demonstrated the presence of a cohort of staff committed to providing EBP.
Answer: The hospital has demonstrated a positive nursing care environment that promotes performance through the use of EBP.
Question: Which of the following statements most accurately conveys the relationship between systematic reviews and CPGs?
Answer Choices:
A. CPGs are a more reliable and valid source of guidance than systematic reviews.
B. CPGs and systematic reviews are largely synonymous.
C. In the absence of a relevant and current systematic review, clinicians should base their practices on available CPGs.
D. CPGs normally integrate the results of systematic reviews into their recommendations.
Answer: D. CPGs normally integrate the results of systematic reviews into their recommendations.
Question: A chart audit suggests the need for EBP in an effort to prevent central-line-associated blood infections. In an effort to bring about this change, the leadership team has opted to use the Advancing Research and Clinical practice through close Collaboration (ARCC) model. The team will begin the process by doing which of the following?
Answer Choices:
A. Assessing the readiness of the workplace culture.
B. Consulting experts to guide the change process.
C. Developing and revising the nursing and multidisciplinary failure that addresses line infections.
D. Exploring the problems that have triggered the need for change.
Answer: A. Assessing the readiness of the workplace culture.
Question: Which of the following DOES NOT support an evidenced based practice environment?
Answer Choices:
Cultures with strong, fixed traditions
Quality Improvement Teams
Magnet status
Answer: Cultures with strong, fixed traditions
Question: An oncology unit is evaluating patient satisfaction. They are asking their patients to rate their satisfaction on a scale of 0-5 using a Likert scale. What level of data is this?
Answer Choices:
Nominal
Ordinal
Interval
Ratio
Answer: Ordinal
Question: Outcomes of quality improvement projects are measured using which of the following criteria?
Answer Choices:
SMART
PDSA
QI
EBP
Answer: SMART
Question: The educator on an intensive care unit has drafted a new instrument aimed at gauging patient pain, but clinicians have called into question the validity of the instrument. What is the most likely criticism of the instrument?
Answer Choices:
The instrument does not actually measure pain.
The instrument is more complex than instruments that already exist.
Answer: The instrument does not actually measure pain
Question: When appraising a clinical guideline around interventions for postpartum depression, which of the following is most likely to be of use to a clinician in obstetrics?
Answer Choices:
A. The USPSTF.
B. PubMed.
C. American Nurses Association (ANA) online resources.
D. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument.
Answer: D. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument.