Question: Outcomes of quality improvement projects are measured using which of the following criteria?
Answer Options:
SMART
PDSA
QI
EBP
Answer: SMART
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 nurse educators at a large, tertiary care hospital have proposed a research project that will evaluate the implementation of evidence-based practice around falls prevention. What is the most distinctive characteristic of an evidence-based practice implementation project?
Answer Options:
The study will apply existing knowledge rather than creating new knowledge
The interventions will take clinical expertise and patient preferences into account
The intervention is in action within the scope of independent nursing practice
The results may be applied to settings beyond the study site
Answer: The study will apply existing knowledge rather than creating new knowledge
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 Options:
A. Dissemination of the success or failure of the practice change.
B. All activities listed.
C. Include stakeholders in the early steps of the practice change.
D. Implementing a pilot study.
Answer: B. All activities listed.
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: The world wide web is an information system that
Answer Options:
Displays web pages on computers located anywhere on the local network
Displays text files on computers located anywhere in the world
Displays web pages on computers located anywhere in the world
Displays graphics on computers located anywhere in the world
Answer: Displays web pages on computers located anywhere in the world
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 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: An APRN has referred to a clinical practice guideline (CPG) that addresses prenatal screening. The APRN would recognize that which of the following phenomena provides the best rationale for consulting CPGs when planning and providing care?
Answer Options:
Significant variations in care exist between different regions and institutions
CPGs are a form of directive set to supersede physicians’ expertise
Clinicians frequently lack access to databases and publications
The complexity and volume of research means that clinicians do not have the specialized skills needed to implement research findings
Answer: Significant variations in care exist between different regions and institutions
Question: Nurses are applying the PARiHS framework in order to guide their implementation of evidence-based diabetes education in the hospital. Which of the following considerations will the team examine under the dimension of ‘context’?
Answer Options:
A. The character and quality of leadership that exists in the hospital.
B. The similarities between sites where research was conducted and the site where it will be implemented.
C. The significance that a new diagnosis of diabetes has for patients and families.
D. The existing EBP work in hand in other medical facilities in the neighborhood.
Answer: A. The character and quality of leadership that exists in the hospital.
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: Implementation of a new EBP guideline aimed at reducing urinary incontinence among hospitalized elders has proven difficult because of increased demands on nursing staff. Nurses are using the fact that the guideline requires them to spend more time and effort on the issue to press to increase nurse and patient ratios. Implementation of the guideline underscores the heightened need by which of the following factors?
Answer Options:
Healthcare resources
Patient preferences and actions
Evidence’s clinical status
Clinical expertise
Answer: Healthcare resources
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: 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