Question: Evidence based practice should address the quadruple aim of healthcare. Which of the following demonstrates the quadruple aim of health care?
Answer Options:
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: Eager to begin producing publications, a recently graduated advanced practice nurse is in the process of determining a topic on which to begin researching and writing. Which of the following should guide the nurse’s choice of subject matter?
Answer Options:
The subject focus of the journal in which the nurse would like to publish
The nurse’s particular area of clinical expertise and learning
The specialty area of the nurse’s qualification mentor
High-profile issues that have garnered much attention in the popular media
Answer: The nurse’s particular area of clinical expertise and learning
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: Which of the following white blood cells function in “humoral immunity” and produce antibodies?
Phagocytes
T lymphocytes or T-cells
B lymphocytes or B-cells
Eosinophils
None of the above
Answer:
Question: Which of the following is considered preappraised literature which reduces the amount of time spent in determining reliability of the information?
Answer Options:
Systematic review
Randomized Clinical Trials
Quality improvement studies
Expert opinion pieces
Answer: Systematic review
Question: During a quality improvement initiative, nursing staff utilized the PDSA cycle. This cycle concludes with which of the following actions?
Answer Options:
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: Outcomes of quality improvement projects are measured using which of the following criteria?
Answer Options:
SMART
PDSA
QI
EBP
Answer: SMART
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 Options:
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: Which of the following components of the Cochrane Library is most likely to provide you with the most reliable, evidence-based interventions?
Answer Options:
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: 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 Options:
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.
Question: Which of the following words from this argument is a conclusion indicator?
Answer Options:
Since
Thus
Philosophers
Truth
Answer: Thus
Question: A short unit 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 Options:
Assessing the readiness of the workplace culture
Consulting experts to guide the change process
Developing and revising the nursing and multidisciplinary failure that addresses line infections
Exploring the problems that have triggered the need for change
Answer: Assessing the readiness of the workplace culture
Question: A hospital has appointed a group of clinicians to evaluate the current technique being used for preventing pressure sores. After an extensive review, the group has issued a recommendation for change. Which of the following types of evidence are used in EBP? Select all that apply.
Answer Options:
Evidence from a meta-analysis of relevant RCTs
Evidence-based clinical guidelines
Systematic Internet searches
Traditional practices
Answer: Evidence from a meta-analysis of relevant RCTs
Evidence-based clinical guidelines
Question: The effectiveness of change that is implemented according to the PDSA cycle can be best improved by which of the following measures?
Answer Options:
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: During the process of writing an article on anxiety reduction strategies for intravenous catheterization, a nurse is performing a literature review. How will the nurse know when the search for evidence should be concluded?
Answer Options:
When a peer with research expertise concludes that the search is comprehensive and sufficiently broad
When the nurse no longer finds new references and is knowledgeable with the literature
When the anonymous peer reviewers of the journal approve the nurse’s literature review
After CINAHL, PubMed, and the Cochrane Library have been thoroughly searched
Answer: When the nurse no longer finds new references and is knowledgeable with the literature
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 Options:
The nurse should appraise the applicability and relevance of guidelines before implementing them
The geographical origin of the authors and sponsoring body should determine clinical applicability
A high-quality CPG should have universal applicability
The nurse should reject guidelines that have included Level III and IV evidence
Answer: The nurse should appraise the applicability and relevance of guidelines before implementing them
Question: A clinician has encountered skepticism from colleagues when attempting to introduce CPGs at a long-term care facility. The clinician will attempt to explain the most significant benefit of CPGs is their potential to do which of the following?
Answer Options:
Decrease variability in care
Increase individual clinician autonomy
Improve patient outcomes by introducing cutting-edge treatments
Simplify the documentation process
Answer: Decrease variability in care
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 Options:
The nurse should appraise the applicability and relevance of guidelines before implementing them
The geographical origin of the authors and sponsoring body should determine clinical applicability
A high-quality CPG should have universal applicability
The nurse should reject guidelines that have involved Level III and IV evidence
Answer: The nurse should appraise the applicability and relevance of guidelines before implementing them
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