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 Options:
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: Asher is selling his house to Mollie Cule. There is an issue as to whether a microwave is a fixture, and thus, is part of the house. Which of the following will be determinative?
Answer Options:
The price of the microwave
Whether the microwave is built into a space such that its removal would cause damage
Whether smart microwaves are used contemporarily, thereby classifying it as a trade fixture
None of the alternatives are correct
Answer: Whether the microwave is built into a space such that its removal would cause damage
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 Options:
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 those 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: Which of the following statements most accurately conveys the relationship between systematic reviews and CPGs?
Answer Options:
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: 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 Options:
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.
Question: Which of the following statements best describes evidence-based clinical practice guidelines?
Answer Options:
A group of practice recommendations that result from a rigorous review of the literature
The result of replication studies of existing research by an impartial third party
A collection of authorized interventions that are required by law
A number of interventions that are the result of a large, publicly funded RCT
Answer: A group of practice recommendations that result from a rigorous review of the literature
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 Options:
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: A nurse has observed that reorienting demented clients as frequently as possible tends to minimize the clients’ level of agitation in the evening. The nurse has shared this observation with a colleague, who is skeptical, stating that, “It’s best to stick to evidence-based practice.” Which of the following is the best response to this colleague?
Answer Options:
“EBP can include clinicians’ personal expertise”
“Personal experience is often more sound than formal EBP”
“Traditional practice and EBP are usually shown to be the same”
“My years of experience can be just as valuable as any literature review or randomized trial”
Answer: “EBP can include clinicians’ personal expertise”
Question: Which of the following DOES NOT support an evidenced based practice environment?
Answer Options:
Cultures with strong traditions
Journal clubs
Quality Improvement Teams
Magnet status
Answer: Cultures with strong traditions
Question: A panel has been established and commissioned with creating a new CPG for the assessment and device selection for vascular access. Which of the following activities should the panel prioritize before beginning their literature review?
Answer Options:
Gaining input from the peer reviewers who will evaluate the finished guideline
Drafting preliminary practice guidelines
Identifying the inclusion and exclusion criteria for evidence
Identifying evidence sources that will address clinicians’ potential reluctance to implement the new guideline
Answer: Identifying the inclusion and exclusion criteria for evidence
Question: A nurse is interested in working for a hospital which facilitates EBP and looks for one which is a magnet-designated hospital. The nurse is aware that this hospital will have which of the following components? Select all that apply.
Answer Options:
Empirical quality results
Transformational leadership
Exemplary professional practice
Enforcement of effective methods
Yearly in-services
Answer: Empirical quality results
Transformational leadership
Exemplary professional practice