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: 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: 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 Options:
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: 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:
A. The author’s affiliations and qualifications.
B. The nature and reputation of the sponsoring body.
C. Validity and reliability of the recommendations.
D. Clinical applicability of the recommendations.
Answer: C. Validity and reliability of the recommendations.
Question: Which of the following statements most accurately conveys the relationship between systematic reviews and CPGs?
Answer Options:
CPGs are a more reliable and valid source of guidance than systematic reviews
CPGs and systematic reviews are largely synonymous
In the absence of a relevant and current systematic review, clinicians should base their practice on available CPGs
CPGs normally integrate the results of systematic reviews into their recommendations
Answer: CPGs normally integrate the results of systematic reviews into their recommendations
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 Options:
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: 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: The nurses who provide care on an obstetrical unit of a busy, urban hospital have resolved to amend their practice around the facilitation of breastfeeding for preterm infants. The nurses will be utilizing the Stetler model and will, consequently, conduct a review of relevant studies they have located in which of the following phases of the model?
Answer Options:
Validation
Translation
Application
Evaluation
Answer: Validation
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 setting quality improvement initiatives
Answer: The starting place and the outcome of interest
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 Options:
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