Question: A clinic is considering incorporating an EBP that has demonstrated positive clinical outcomes in multiple settings. They believe it will improve the care they are providing to the clients and improve the health of the community. Which of the following is NOT a strategy to engage staff and providers in adopting the EBP?
Answer Choices:
Develop an implementation team of directors and managers.
Identify clinical experts and mentors.
Create short-term attainable goals.
Provide recent scenarios to support the need for the EBP.
Answer: Provide recent scenarios to support the need for the EBP.
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 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 Choices:
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: Which of the following is considered preappraised literature which reduces the amount of time spent in determining reliability of the information?
Answer Choices:
Systematic review
Randomized Clinical Trials
Quality improvement studies
Expert opinion pieces
Answer: Systematic review
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 Choices:
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: 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 Choices:
Healthcare resources
Patient preferences and actions
Evidence’s clinical status
Clinical expertise
Answer: Healthcare resources
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: Which of the following statements is correct regarding Quality Improvement (QI)?
Answer Choices:
QI is a data-driven approach to improve internal systems.
QI is the decision maker when evaluating sources of initiative for evidence.
QI projects do not need outcomes to be successful.
QI only focuses on patients’ clinical outcomes.
Answer: QI is a data-driven approach to improve internal systems.
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 Choices:
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: During Phase I of the Outcomes Management Model, the team should complete which of the following?
Answer Choices:
Gather baseline data.
Disseminate results.
Educate clinicians on new practice initiatives.
Appraise evidence.
Answer: Gather baseline data.
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: The nurses on the unit desire to take recent research findings which demonstrate improved patient responses in preventing ventilator-acquired pneumonia and implement these changes to assist their patients. Before they can proceed, the research needs to be translated into a usable form. Which of the following models will best assist with this translation?
Answer Choices:
ACE Star Model of Knowledge Transformation
JHNEBP model
Clinical Scholar model
Answer: ACE Star Model of Knowledge Transformation