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:
Make the change process occur more quickly
Personalize care while acknowledging context
Translate research into clinical practice
Increase nurses’ accountability for the care they provide
Answer: Translate research into clinical practice
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 Options:
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: 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: The nurses on a postpartum unit want to create uniform guidelines for promoting breastfeeding on the unit. Which of the following sources is most likely to provide the best evidence?
Answer Options:
Evidence from a systematic review of breastfeeding promotion studies that one of the nurses identified in an electronic database
Evidence from a randomized controlled trial (RCT) that had more than 2,500 participants
Evidence from a study that is widely regarded as a classic within the obstetrical nursing community
The consensus opinion of the most senior nurses on the unit
Answer: Evidence from a systematic review of breastfeeding promotion studies that one of the nurses identified in an electronic database
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 Options:
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: Several professors who teach in the high-acuity specialty program at a school of nursing have applied to the National Institutes of Health (NIH) to fund a study that will address the nursing management of increased intracranial pressure. Which of the following components should the research team integrate into their grant proposal?
Answer Options:
An overseer from the NIH should be included on the research team as a consultant
The sample should include participants from at least two states
The sample should include women, minorities, and children under 21
The results of the study should be disseminated to all relevant federal agencies
Answer: The results of the study should be disseminated to all relevant federal agencies
Question: A public health nurse has completed a research study that introduced and tested an intervention to increase childhood immunization rates. Which of the following dissemination formats is most likely to allow for interaction between the nurse and fellow public health nurses?
Answer Options:
A poster presentation
A podium presentation
Participation in a panel discussion
Participation in a poster presentation
Answer: Participation in a panel discussion
Question: A clinician has consulted a CPG addressing the prevention of foot complications among clients with diabetes. Which of the following considerations should the clinician prioritize when appraising the guideline?
Answer Options:
The author’s affiliations and qualifications
The nature and reputation of the sponsoring body
Validity and reliability of the recommendations
Clinical applicability of the recommendations
Answer: Validity and reliability of the recommendations
Question: Outcomes of quality improvement projects are measured using which of the following criteria?
Answer Options:
SMART
PDSA
QI
EBP
Answer: SMART
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 Options:
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: 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: 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: Which of the following are components of the background questions?
Answer Options:
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 certified nurse educator on a postsurgical unit has recently completed a client chart review after the implementation of a pilot program aimed at promoting early ambulation following surgery. Which of the following components of EBP is the nurse putting into practice?
Answer Options:
Patient preferences
Research utilization
Experience
Answer: Research utilization
Question: A clinician has consulted a CPG addressing the prevention of foot complications among clients with diabetes. Which of the following considerations should the clinician prioritize when appraising the guideline?
Answer Options:
The author’s affiliations and qualifications
The nature and reputation of the sponsoring body
Validity and reliability of the recommendations
Clinical applicability of the recommendations
Answer: Validity and reliability of the recommendations
Question: According to Chapter 1, philosophy is __________.
Answer Options:
equivalent to logic.
something that does not analyze emotions.
something that not everyone can do.
focused on clarifying ideas.
Answer: focused on clarifying ideas.
Question: This British philosopher viewed the child as a tabula rasa (blank slate). His book Two Treatises on Government (1689) introduced ideas that were later used in the U.S. constitution.
Answer Options:
Urie Bronfenbrenner
John Locke
Charles Darwin
Jean Piaget
Answer: John Locke
Question: Which of the following DOES NOT support an evidenced based practice environment?
Answer Options:
Cultures with strong, fixed traditions
Quality Improvement Teams
Magnet status
Answer: Cultures with strong, fixed traditions
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: 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 Options:
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