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: What is the name of the agency within the United States Department of Agriculture (USDA) that was established in 1994 to improve the nutrition and well-being of Americans? (Hint: Refer to “ABOUT US”.)
Answer Options:
[A] Center for Disease Control and Prevention (CDC)
[B] National Institutes of Health (NIH)
[C] Center for Nutrition Policy and Promotion (CNPP)
[D] Food & Drug Administration (FDA)
[E] None of the above
Correct Answer
Center for Nutrition Policy and Promotion (CNPP)
Answer:
Question: Outcomes of quality improvement projects are measured using which of the following criteria?
Answer Options:
SMART
PDSA
QI
EBP
Answer: PDSA
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 Options:
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: Let the staff know of changes.
Conduct skill-building practice sessions.
Create a positive milieu.
Question: One component of a community hospital’s current evidence-based practice (EBP) initiative is the establishment of an on-site journal club for nurses. Which of the following individuals would be the best candidate to lead the club?
Answer Options:
A member of another health discipline who has led such groups before
A nursing professor from a local university who has performed research
An advanced practice nurse who is familiar with research
A staff nurse who is experienced and well regarded by colleagues
Answer: A nursing professor from a local university who has performed research
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: 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 Options:
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: Which of the following is considered preappraised literature which reduces the amount of time spent in determining reliability of the information?
Answer Options:
Systematic reviews
Randomized clinical trials
Quality improvement studies
A synopsis of patient experience
Answer: Systematic reviews
Question: During a quality improvement initiative, nursing staff utilized the PDSA cycle. This cycle concludes with which of the following actions?
Answer Options:
Reviewing, 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 fall prevention practice
Enacting the change in practice on a small scale
Answer: Reviewing, refining, and repeating the change that was implemented
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:
A. The USPSTF.
B. PubMed.
C. American Nurses Association (ANA) online resources.
D. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument.
Answer: D. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument.
Question: A hospital has appointed a group of clinicians to evaluate the current evidence regarding 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: 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 Options:
chole*
cholecystitis, cholecystectomy, cholelithiasis, and cholecystography
gall bladder
bile
Answer: chole*
Question: The updated 2020 – 2025 Dietary Guidelines for Americans are now available within the MyPlate website.
Answer Options:
[A] True
[B] False
Correct Answer
True
Answer:
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 Options:
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