Question: The nurse did not integrate existing evidence into the development of the instrument.
Answer Choices:
True
False
Answer: True
Question: During Phase I of the Outcomes Management Model, the team should complete which of the following?
Answer Choices:
Gather baseline data
Disseminate results
Educate clinicians on new practice initiatives
Appraise evidence
Answer: Gather baseline data
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: While searching an online database for information on the use of drugs to treat hypertension, you are unsatisfied with the quantity and quality of results after searching “beta-blockers.” How should you proceed?
Answer Choices:
Identify the appropriate MeSH term
Search for clinical guidelines in the Cochrane Library
Consult the reference lists in articles that appeared during the search
Search the trade names of specific beta-blocking drugs
Answer: Identify the appropriate MeSH term
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 contributes to the best rationale for consulting CPGs when planning and providing care?
Answer Choices:
A. Significant variations in care exist between different regions and institutions.
B. CPGs are a form of directive set to supersede clinical expertise.
C. Clinicians frequently lack access to databases and publications.
D. The complexity and volume of research means that clinicians do not have the specialized skills needed to implement research findings.
Answer: A. Significant variations in care exist between different regions and institutions.
Question: Which of the following is considered preappraised literature which reduces the amount of time spent in determining reliability of the information?
Answer Choices:
Systematic reviews
Randomized clinical trials
Quality improvement studies
A synopsis of patient experience
Answer: Systematic reviews
Question: Your Quality Improvement Team is searching for relevant EBP for a male client who has breast cancer. The search reveals copious articles dealing with breast cancer. Which of the following should be done to assist with this search?
Answer Choices:
Set more specific inclusion criteria
Limit the database sources
Look at the most recent studies
Look at full articles
Answer: Set more specific inclusion criteria
Question: Nurses are applying the PARIHS framework in order to guide their implementation of evidence-based diabetes education in the hospital. Which of the following considerations will the team examine under the dimension of ‘context’?
Answer Choices:
The character and quality of leadership that exists in the hospital
The similarities between sites where research was conducted and the site where it will be implemented
The significance that a new diagnosis of diabetes has for patients and families
The existing EBP in use in other medical facilities in the neighborhood
Answer: The character and quality of leadership that exists in the hospital
Question: The nurses who provide care on an obstetrical unit of a busy, urban hospital have resolved to amend their practice around the facilitation of breastfeeding for preterm infants. The nurses will be utilizing the Stetler model and will, consequently, conduct a review of relevant studies they have located in which of the following phases of the model?
Answer Choices:
Validation
Translation
Application
Evaluation
Answer: Validation
Question: Which of the following are components of the background questions?
Answer Choices:
The starting place and the outcome of interest
The time frame for implementation and the population
Focus on specific knowledge and practice change drivers
Historical research and writing quality improvement initiatives
Answer: The starting place and the outcome of interest
Question: The effectiveness of change that is implemented according to the PDSA cycle can be best improved by which of the following measures?
Answer Choices:
Collecting quantitative data at multiple stages
Comparing results with a control group
Extending the length of the cycle
Soliciting and incorporating feedback from all staff members
Answer: Collecting quantitative data at multiple stages
Question: A group of nurses is attending the Clinical Scholar program as part of their ongoing professional education. The program will equip the nurses for which of the following tasks?
Answer Choices:
Being familiar with the language of research
Conducting research
Monitoring adherence to EBP
Submitting manuscripts to scholarly publications
Answer: Being familiar with the language of research
Question: The nurse educator on a gerontological unit has recognized the need to implement EBP around the prevention of wandering. The nurse will be implementing the Iowa model of EBP. According to the model, which of the following is a “problem-focused trigger” that most likely prompted the nurse’s desire for changes in practice?
Answer Choices:
The fact that wandering patients have recently fallen or gone missing from the unit
The emergence of new and innovative research around the prevention and management of wandering
The release of new standards by the administration of the hospital
The significance that a new diagnosis of diabetes has for patients and families
Answer: The fact that wandering patients have recently fallen or gone missing from the unit
Question: In light of the large number of gallbladder clients recently admitted to the unit, you are searching PubMed for literature relating to cholecystitis, cholecystectomy, cholelithiasis, and cholecystography. Which of the following would be the best term to identify the most resources for these terms and possibly other related resources?
Answer Choices:
chole*
cholecystitis, cholecystectomy, cholelithiasis, and cholecystography
gall bladder
bile
Answer: chole*
Question: While searching an online database for information on the use of drugs to treat hypertension, you are unsatisfied with the quantity and quality of results after searching “beta-blockers.” How should you proceed?
Answer Choices:
Identify the appropriate MeSH term
Search for clinical guidelines in the Cochrane Library
Consult the reference lists in articles that appeared during the search
Search the trade names of specific beta-blocking drugs
Answer: Identify the appropriate MeSH term
Question: In your literature search, you find a recently published article that recommends a unit practice change around peripheral intravenous sites. How should the findings of this article be best translated into practice?
Answer Choices:
You should search for further evidence before changing unit practices
Unit practices should be amended to reflect the findings of the study
You should combine the study results with staff/provider expertise to create a new guide for practice
You should conduct a trial similar to that in the published study
Answer: You should search for further evidence before changing unit practices
Question: The local hospital has decided to send out questionnaires to clients after their discharge to inquire about their overall experience while a client. One theme appeared frequently, and it raised concern. Which of the following comments could be seen as a benefit to the organization?
Answer Choices:
“I wished I had a better idea of what to do once I got home.”
“I wished I could have left different food.”
“The staff was friendly, but I wished I could have gone home sooner.”
“A private room would have been nice.”
Answer: “I wished I had a better idea of what to do once I got home.”
Question: While searching an online database for information on the use of drugs to treat hypertension, you are unsatisfied with the quantity and quality of results after searching “beta-blockers.” How should you proceed?
Answer Choices:
Modify the appropriate MeSH term
Search for clinical guidelines in the Cochrane Library
Consult the reference lists in articles that appeared during the search
Search the trade names of specific beta-blocking drugs
Answer: Modify the appropriate MeSH term
Question: Which of the following is considered preappraised literature which reduces the amount of time spent in determining reliability of the information?
Answer Choices:
Systematic review
Randomized Clinical Trials
Quality improvement studies
Expert opinion pieces
Answer: Systematic review
Question: A clinician is conducting a search for CPGs that address the management of constipation in the elderly. Which of the following principles should the clinician integrate into the search?
Answer Choices:
A. The nurse should appraise the applicability and relevance of guidelines before implementing them.
B. The geographical origin of the authors and sponsoring body should determine clinical applicability.
C. A high-quality CPG should have universal applicability.
D. The nurse should reject guidelines that have involved Level III and IV evidence.
Answer: A. The nurse should appraise the applicability and relevance of guidelines before implementing them.