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 nicer.”
Answer: “I wished I had a better idea of what to do once I got home.”
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:
The USPSTF
PubMed
American Nurses Association (ANA) online resources
The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument
Answer: The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument
Question: Evidence based practice should address the quadruple aim of healthcare. Which of the following demonstrates the quadruple aim of health care?
Answer Choices:
Enhanced healthcare quality, improvement in patient outcomes, reduction in cost, empowerment of clinicians
Reduction in medical errors, decreased emergency room visits, patient satisfaction, clinician satisfaction
Decreased referrals to specialists, clinician satisfaction, patient preference, increased quality
Improved clinical outcomes, reduction in readmissions, staff satisfaction, improved retention
Answer: Enhanced healthcare quality, improvement in patient outcomes, reduction in cost, empowerment of clinicians
Question: Controversy exists on an intensive care unit regarding the best ways to prevent ventilator-associated pneumonia (VAP). What is the initial step in developing an evidence-based solution to this problem?
Answer Choices:
Formulate a question and conduct a thorough search of the existing evidence
Organize a small-scale clinical trial to test current practices on the unit
Elicit the views of the most senior nurses and nurses who exemplify EBP
Seek input from physicians with expertise in the area of VAP
Answer: Formulate a question and conduct a thorough search of the existing evidence
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: 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: The nurse manager is attempting to implement the use of EBPGs in the clinic. The nurse manager recognizes that which of the following will be critical to ensure success of making the necessary changes? Select all that apply.
Answer Choices:
Let the staff know of changes.
Introduce a new EBPG each week.
Conduct skill-building practice sessions.
Create a positive milieu.
Allow staff to make changes when they are ready.
Answer: s:
Let the staff know of changes.
Conduct skill-building practice sessions.
Create a positive milieu.
Question: During a quality improvement initiative, nursing staff utilized the PDSA cycle. This cycle concludes with which of the following actions?
Answer Choices:
Relying, refining, and repeating the change that was implemented
Publishing or presenting the results of the quality improvement initiative
Analyzing the results of the change in a test prevention practice
Enacting the change in practice on a small scale
Answer: Relying, refining, and repeating the change that was implemented
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: A public health nurse has noted that the U.S. Preventive Services Task Force (USPSTF) recommends screening for chlamydial infection for all sexually active nonpregnant young women aged 24 and younger and for older nonpregnant women who are at increased risk. This recommendation is classified as a grade A recommendation. This primarily means which of the following?
Answer Choices:
A. The recommendation is based solely on randomized controlled trials (RCT).
B. The evidence underpinning the recommendation has been classified as “authoritative”.
C. There is good evidence that doing so improves clients’ health outcomes.
D. The recommendation is based on the fact that implementing the recommendation will not harm clients.
Answer: C. There is good evidence that doing so improves clients’ health outcomes.
Question: A medical center is looking at ways to further decrease medication errors. A focus group has outlined the low model of EBP and finished collecting and analyzing recent EBP guidelines. Which of the following would be the next step for this focus group?
Answer Choices:
Disseminate the results to the staff
Form a team to teach the staff
Inform the stakeholders of the findings
Answer: Disseminate the results to the staff
Question: During a quality improvement initiative, nursing staff utilized the PDSA cycle. This cycle concludes with which of the following actions?
Answer Choices:
Relying, refining, and repeating the change that was implemented
Publishing or presenting the results of the quality improvement initiative
Analyzing the results of the change in a test prevention practice
Enacting the change in practice on a small scale
Answer: Relying, refining, and repeating the change that was implemented
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: Which of the following components of the Cochrane Library is most likely to provide you with the most reliable, evidence-based interventions?
Answer Choices:
Cochrane Database of Systematic Reviews (CDSR)
Cochrane Central Register of Controlled Trials (CENTRAL)
Cochrane Methodology Register
Health Technology Assessment (HTA) Database
Answer: Cochrane Database of Systematic Reviews (CDSR)
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:
Dissemination of the success or failure of the practice change
All activities listed
Include stakeholders in the early steps of the practice change
Implementing a pilot study
Answer: All activities listed
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