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:
A. The recommendation is based solely on randomized controlled trials (RCT).
B. The evidence underpinning the recommendation has been classified as “authoritative”.
C. There is good evidence that doing so improves clients’ health outcomes.
D. The recommendation is based on the fact that implementing the recommendation will not harm clients.
Answer: C. There is good evidence that doing so improves clients’ health outcomes.
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
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 Options:
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: 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 Options:
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: The certified nurse educator on a postsurgical unit has recently completed a client chart review after the implementation of a pilot program aimed at promoting early ambulation following surgery. Which of the following components of EBP is the nurse putting into practice?
Answer Options:
Internal evidence
Patient preferences
Research utilization
Experience
Answer: Research utilization
Question: The effectiveness of change that is implemented according to the PDSA cycle can be best improved by which of the following measures?
Answer Options:
Collecting quantitative data at multiple stages
Comparing results with a control group
Extending the length of the cycle
Soliciting and incorporating feedback from all staff members
Answer: Collecting quantitative data at multiple stages
Question: A group of nurses is preparing a health policy issue brief that addresses H1N1 influenza. Which of the following should the nurses prioritize in the content of the brief?
Answer Options:
The role of the nurse in prevention, treatment, and education around H1N1
The role of the popular media in disseminating misinformation about H1N1
The reliability and validity of current research into H1N1
The practical application of what is currently known about H1N1
Answer: The practical application of what is currently known about H1N1
Question: Which of the following components of the Cochrane Library is most likely to provide you with the most reliable, evidence-based interventions?
Answer Options:
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: 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
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