Question: Your Quality Improvement Team is searching for relevant EBP for a male client who has breast cancer. The search reveals copious articles dealing with breast cancer. Which of the following should be done to assist with this search?
Answer Choices:
Set more specific inclusion criteria
Limit the database sources
Look at the most recent studies
Look at full articles
Answer: Set more specific inclusion criteria
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 Choices:
A. The fact that wandering patients have recently fallen or gone missing from the unit.
B. The emergence of new and innovative research around the prevention and management of wandering.
C. The release of new standards by the administration of the hospital.
D. Widespread discontent among staff concerning existing procedures.
Answer: A. The fact that wandering patients have recently fallen or gone missing from the unit.
Question: Results of using the instrument will vary greatly from patient to patient.
Answer Choices:
True
False
Answer: False
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 Choices:
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: 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 Choices:
chole*
cholecystitis, cholecystectomy, cholelithiasis, and cholecystography
gall bladder
bile
Answer: chole*
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 Choices:
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: Which of the following components of the Cochrane Library is most likely to provide you with the most reliable, evidence-based interventions?
Answer Choices:
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 public health nurse has noted that the U.S. Preventive Services Task Force (USPSTF) recommends screening for chlamydial infection for all sexually active nonpregnant young women aged 24 and younger and for older nonpregnant women who are at increased risk. This recommendation is classified as a grade A recommendation. This primarily means which of the following?
Answer Choices:
The recommendation is based solely on randomized controlled trials (RCTs)
The evidence underpinning the recommendation has been classified as “authoritative”
There is good evidence that doing so improves clients’ health outcomes
The recommendation is based on the fact that implementing the recommendation will not harm clients
Answer: There is good evidence that doing so improves clients’ health outcomes
Question: Outcomes of quality improvement projects are measured using which of the following criteria?
Answer Choices:
SMART
PDSA
QI
EBP
Answer: PDSA
Question: The staff of a medical unit has agreed to pilot test a new, evidence-based educational initiative to address the increasing local rates of diabetes who have been recently discharged. What is the first step to determine the following?
Answer Choices:
Indicate whether the initiative is feasible to implement and applicable to the population.
Determine whether the existing research on diabetes education is valid and reliable.
Reduce the incidence of type 2 diabetes among local adults.
Gauge whether nurses are qualified to perform client and family teaching related to diabetes.
Answer: Indicate whether the initiative is feasible to implement and applicable to the population.
Question: A clinician notes that a study has a level of evidence B grade. The clinician recognizes that which of the following is true of this study?
Answer Choices:
Level of evidence B is based on expert opinion.
Level of evidence B is based on at least two meta-analyses.
Level of evidence B is based on at least 15 case studies.
Level of evidence B is based on evidence from a single randomized trial.
Answer: Level of evidence B is based on at least two meta-analyses.
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 Choices:
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: 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 dementia, 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 Choices:
Prevalence of patients and families
Input from an interdisciplinary panel
The experiences of other institutions that have undertaken similar initiatives
The results of a cost analysis around implementing a change in practice
Answer: Input from an interdisciplinary panel
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 Choices:
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