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Foundations in Nursing Research 6th Edition Nieswiadomy Test Bank

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Foundations in Nursing Research 6th Edition Nieswiadomy Test Bank

ISBN-13: 978-0132118576

ISBN-10: 0132118572

 

Description

Foundations in Nursing Research 6th Edition Nieswiadomy Test Bank

ISBN-13: 978-0132118576

ISBN-10: 0132118572

 

 

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Below you will find some free nursing test bank questions from this test bank:

 

Nieswiadomy, Foundations of Nursing Research, 6/e
Chapter 18

Question 1

Type: MCSA

A nurse is reviewing research articles in an effort to make changes in practice in a medical-surgical unit. To evaluate the quality of the research performed, which source should be recommended?

  1. U.S. Preventive Services Task Force (USPSTF).
  2. The National Guideline Clearinghouse (NGC).
  3. University of Ottawa, Ottawa, Canada.
  4. The Agency for Healthcare Research and Quality (AHRQ).

Correct Answer: 1

Rationale 1: The USPSTF provides a rating system for the research studies. These studies are rated based upon their strength and evidence presented.

Rationale 2: The NGC provides a public resource for evidence-based clinical practice guidelines.

Rationale 3: The University of Ottawa, Ottawa, Canada is the location of an evidence-based practice center.

Rationale 4: The AHRQ is used to promote the use of evidence-based practice. The USPSTF is sponsored by the AHRQ.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 03. Recognize the contribution of the Agency for Healthcare Research and Quality to evidence-based practice.

 

Question 2

Type: MCSA

Which statement, made by a research student, provides evidence that the student understands the mission of the Academic Center for Evidenced-Based Nursing (ACE)?

  1. ACE distributes evidence to clinicians, educators, administrators, and policy makers.
  2. ACE promotes the efforts of evidence-based nursing practice through education, research, and development.
  3. ACE takes evidence-based practice and turns it into improved health care and client outcomes.
  4. ACE is a source of funding for the novice researcher of evidence-based nursing practice.

Correct Answer: 3

Rationale 1: The Sarah Cole Hirsch Institute for Best Nursing Practices is an example of a group that distributes evidence to clinicians, educators, administrators, and policy makers.

Rationale 2: Centre for Evidence Based Nursing, which is located at the University of York in the United Kingdom, is an example of a group that furthers evidence-based nursing through education, research, and development.

Rationale 3: The stated goal of ACE is to disseminate research for action.

Rationale 4: ACE is not a source of funding for novice nursing researchers.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 07. Recall the names of at least two evidence-based nursing practice centers.

 

Question 3

Type: MCSA

If a nurse researcher wanted to study the relationship between a surgical procedure and the length of hospital stay, which source for collection of data would the nurse use?

  1. International standards of care.
  2. Quality improvement and risk data.
  3. Retrospective chart review.
  4. Local standards of care.

Correct Answer: 3

Rationale 1: Standards of care identify information relating to the provision of care expectations and interventions for selected diagnoses/populations.

Rationale 2: Quality improvement is a source of information containing statistical data related to a variety of topics.

Rationale 3: The only source that will provide individualized data is the retrospective chart review.

Rationale 4: Standards of care identify information relating to the provision of care expectations and interventions for selected diagnoses/populations.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 06. Identify some of the nonresearch sources of evidence that are being proposed for making health care decisions.

 

Question 4

Type: MCMA

Which statement(s) should be included in a presentation that discusses the use of systematic reviews of research studies?

Standard Text: Select all that apply.

  1. A systematic review will identify the best studies to use for replication studies.
  2. The systematic review will enhance the quality of the research study.
  3. The systematic review will involve examination of numerous studies relating to a single topical area.
  4. The use of the systematic review will identify problematic research question.
  5. The use of the systematic review integrates the information from a group of original research studies and looks at the studies as a whole.

Correct Answer: 2,3,5

Rationale 1: This is not the purpose of the systematic review.

Rationale 2: The systematic review employs a scientific approach that takes groups of research studies and reviews them as a whole. The review looks at studies to promote evidence-based decisions.

Rationale 3: The systematic review employs a scientific approach that takes groups of research studies and reviews them as a whole. The review looks at studies to promote evidence-based decisions.

Rationale 4: This is not the purpose of the systematic review.

Rationale 5: The systematic review employs a scientific approach that takes groups of research studies and reviews them as a whole. The review looks at studies to promote evidence-based decisions.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 02. Discuss the importance of the Cochrane Collaboration and the Cochrane Nursing Care Field to evidence-based practice.

 

Question 5

Type: MCMA

A nursing faculty is teaching students about Cochrane Centers. What information about these centers should this faculty include in the teaching?

Standard Text: Select all that apply.

  1. There are two centers, one located in the United States and the other located in Germany.
  2. They help to support the Cochrane Collaboration by organizing workshops and seminars.
  3. The centers are all unique and reflect the interests of the individuals in that center.
  4. One of the functions of these centers is to train people to do reviews.
  5. These centers are for-profit health care facilities that provide state-of-the-art medical services.

Correct Answer: 2,3,4

Rationale 1: The centers are located all over the world.

Rationale 2: The Cochrane Centers help to support the Cochrane Collaboration by training people to do reviews, organizing workshops and seminars, and helping people find out about the Collaboration. They are all unique.

Rationale 3: The Cochrane Centers help to support the Cochrane Collaboration by training people to do reviews, organizing workshops and seminars, and helping people find out about the Collaboration. They are all unique.

Rationale 4: The Cochrane Centers help to support the Cochrane Collaboration by training people to do reviews, organizing workshops and seminars, and helping people find out about the Collaboration. They are all unique.

Rationale 5: This is not the purpose of the Cochrane Centers.

Global Rationale:

 

Cognitive Level: Understanding

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 02. Discuss the importance of the Cochrane Collaboration and the Cochrane Nursing Care Field to evidence-based practice.

 

Question 6

Type: MCSA

The nursing unit is implementing a care bundle for patients in septic shock. What should the nurses on this unit expect from this care bundle?

  1. All patients in septic shock will be treated in the exact same manner.
  2. The history of the care of all septic shock patients in the hospital will be entered into a data base that “bundles” the information for research.
  3. The bundle will reflect evidence-based care of patients in septic shock.
  4. Using these care bundles will restrict the influence that nursing knowledge has on the care of patients with sepsis.

Correct Answer: 3

Rationale 1: The care bundle will group evidence-based interventions for the care of patients, but each patient is treated as an individual.

Rationale 2: This is not the use of a care bundle.

Rationale 3: Care bundles group together several evidence-based practices with the idea that the “whole is greater than the sum of its parts.”

Rationale 4: The development of care bundles will direct the care of these patients, but they are not designed to restrict the care provided by any group.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 08. Project possible future developments in the field of evidence-based nursing practice.

 

Question 7

Type: MCMA

Differentiate between evidence-based nursing practice (EBNP) and research utilization (RU) by selecting the correct statements.

Standard Text: Select all that apply.

  1. Research utilization focuses on research into a set of clinical problems.
  2. Research utilization is broader than evidence-based nursing practice.
  3. The number of evidence-based practice centers in nursing is decreasing in the United States while research utilization is expanding.
  4. Nurses play an active role in locating a solution for health care concerns when involved in evidence-based nursing practice.
  5. Research utilization begins with existing research that needs to be implemented in practice.

Correct Answer: 1,4,5

Rationale 1: RU uses the results from specific research studies that concentrate on one clinical problem.

Rationale 2: RU is not as broad in scope as EBNP.

Rationale 3: The numbers of EBNP centers and the use of RU is increasing in the United States.

Rationale 4: Nurses seek to find information about the best solution for identified health care problems in evidence-based nursing practice.

Rationale 5: RU is focused on implementing the research already present, while EBNP seeks a solution to a clinical problem for which there is no apparent solution.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 04. Differentiate between research utilization and evidence-based nursing practice.

 

Question 8

Type: MCSA

Which clinical question reflects the PICOT format?

  1. Do children who must have suture repair of lacerations do better when placed on a papoose board or when held by a parent?
  2. How do 24-hours of postoperative inpatient care compared with 12 hours of postoperative outpatient care affect development of deep vein thrombosis in the first seven days after hysterectomy?
  3. What is the mean heart rate decrease in patients treated with guided imagery rather than being treated with medication for anxiety?
  4. In patients who sustain traumatic head injuries is it better to keep them immobilized in a head vise until they have returned from radiology or is it better to remove the head vise as soon as the x-rays have been read?

Correct Answer: 2

Rationale 1: This question lacks a time element and the word “better” is not measurable.

Rationale 2: T = first seven days post-op

Rationale 3: This statement lacks a time.

Rationale 4: “Better” is not measurable.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 09. Write clinical questions using the PICOT format.

 

Question 9

Type: MCSA

The nurse states, “I have been asked to write a PICOT question for the next evidence-based nursing practice meeting. I am having trouble with the ‘C’ part.” Which question, asked by a peer, will be of most help to this nurse?

  1. What is the cause of the problem you are investigating?
  2. What are you calling for the intervention to do?
  3. What intervention are you comparing to?
  4. Which kind of clinical intervention do you plan to address?

Correct Answer: 3

Rationale 1: “C” does not stand for the cause.

Rationale 2: “C” does not stand for what you are calling for the intervention to do.

Rationale 3: The “C” is the comparison intervention or current practice.

Rationale 4: “C” does not stand for clinical intervention.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 09. Write clinical questions using the PICOT format.

 

Question 10

Type: MCSA

The nursing administration of a health care facility would like to encourage the use of evidence-based practice among the nurses working in the facility. The nurses have asked for Best Practice Information sheets specific to the care of patients in their units. Which source would be the best for the chief nurse to recommend to these nurses?

  1. The Joanna Briggs Institute.
  2. The Agency for Healthcare Research and Quality.
  3. Cochrane Central Register of Controlled Trials.
  4. U.S. Department of Health and Human Services.

Correct Answer: 1

Rationale 1: This institute publishes Best Practice Information sheets useful in direct nursing practice.

Rationale 2: This is the health services research branch of the U.S. Department of Health and Human Services. Its focus is more on funding research than on providing best practice sheets.

Rationale 3: This is one of the six databases of the Cochrane Library and would not be a good source of Best Practice Information sheets.

Rationale 4: Provision of best practice sheets is not the primary work of the HHS.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 06. Identify some of the nonresearch sources of evidence that are being proposed for making health care decisions.

 

Question 11

Type: MCSA

The nurse is interested in attending a certification program that educates nurses on the best practice based on evidence. Which organization would be the nurse’s best choice for this certification?

  1. The Sara Cole Hirsh Institute.
  2. The Journal of Nursing Scholarship.
  3. The U.S. Preventive Services Task Force.
  4. The Cochrane Library.

Correct Answer: 1

Rationale 1: This institute offers a certification program for nurses interested in best practice based on evidence.

Rationale 2: This is a research journal and does not offer this certification.

Rationale 3: The primary mission of this task force is to review the evidence of effectiveness of interventions and treatments and develop recommendations for clinical preventive services.

Rationale 4: The Cochrane Libraryis a collection of databases in medicine and other health care specialties provided by the Cochrane Collaboration and other organizations.

Global Rationale:

 

Cognitive Level: Understanding

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 07. Recall the names of at least two evidence-based nursing practice centers.

 

Question 12

Type: MCMA

The nursing administration of a health care facility wishes to use Stetler’s hierarchy of evidence levels as the basis for its choice of evidence-based practice interventions. What weaknesses in this hierarchy should the group be aware of as it continues in this work?

Standard Text: Select all that apply.

  1. Few randomized clinical trials have been done in nursing.
  2. Nurses do not have the expertise to use these levels of evidence.
  3. There are numerous variables in the daily provision of nursing care.
  4. The levels do not consider quality improvement initiatives.
  5. It is difficult for nursing research to reach the first or second level of evidence.

Correct Answer: 1,3,5

Rationale 1: Since so few randomized clinical trials have been conducted in nursing, it is difficult to reach the first or second level of evidence.

Rationale 2: This is not a true statement.

Rationale 3: Some of these variables are the psychological, social, cultural, and spiritual aspects of patients.

Rationale 4: The fifth level of evidence is based upon program evaluation research and quality improvement projects.

Rationale 5: Since so few randomized clinical trials have been conducted in nursing, it is difficult to reach the first or second level of evidence.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 05. Rank-order sources of evidence according to the hierarchy provided by Stetler and colleagues.

 

Question 13

Type: MCSA

The nurse is reading an article that states the intervention being proposed meets Stetler’s level one evidence. How should the nurse interpret this information?

  1. This is evidence based upon a single experimental study.
  2. There is a great deal of evidence supporting this intervention.
  3. Quasi-experimental studies were used to set this level of evidence.
  4. This is the lowest level of evidence in Stetler’s hierarchy.

Correct Answer: 2

Rationale 1: A single experimental study provides the second level of evidence.

Rationale 2: The first level is meta-analysis studies that provide evidence from multiple studies.

Rationale 3: Quasi-experimental studies provide the third level of evidence.

Rationale 4: This is the highest level of evidence in this hierarchy.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 05. Rank-order sources of evidence according to the hierarchy provided by Stetler and colleague.

 

Question 14

Type: MCMA

A nurse has become very interested in evidence-based nursing practice. As a supporter of the Cochrane Nursing Care Field this nurse wishes to engage others as members. Which groups should the nurse address about membership?

Standard Text: Select all that apply.

  1. Nursing care consumers.
  2. Other nurses.
  3. Researchers.
  4. Formal caregivers.
  5. Informal caregivers.

Correct Answer: 1,2,3,4,5

Rationale 1: Membership is open to consumers of nursing care, nurses, formal caregivers, informal caregivers, other health care professionals, researchers, and others involved in the delivery of nursing care.

Rationale 2: Membership is open to consumers of nursing care, nurses, formal caregivers, informal caregivers, other health care professionals, researchers, and others involved in the delivery of nursing care.

Rationale 3: Membership is open to consumers of nursing care, nurses, formal caregivers, informal caregivers, other health care professionals, researchers, and others involved in the delivery of nursing care.

Rationale 4: Membership is open to consumers of nursing care, nurses, formal caregivers, informal caregivers, other health care professionals, researchers, and others involved in the delivery of nursing care.

Rationale 5: Membership is open to consumers of nursing care, nurses, formal caregivers, informal caregivers, other health care professionals, researchers, and others involved in the delivery of nursing care.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 02. Discuss the importance of the Cochrane Collaboration and the Cochrane Nursing Care Field to evidence-based practice.

 

Question 15

Type: MCMA

Identify the nonresearch sources of evidence depicted in the multidisciplinary evidence-based practice model developed at the University of Colorado Hospital.

Standard Text: Select all that apply.

  1. Cost effectiveness analysis.
  2. Clinical expertise.
  3. Patient preference.
  4. National standards.
  5. Risk data.

Correct Answer: 1,2,3,4,5

Rationale 1: The nine spokes of this model are pathophysiology; cost effectiveness analysis; benchmarking data; clinical expertise; patient preference; infection control data; international, national, and local standards; quality improvement and risk data; and retrospective or concurrent chart review.

Rationale 2: The nine spokes of this model are pathophysiology; cost effectiveness analysis; benchmarking data; clinical expertise; patient preference; infection control data; international, national, and local standards; quality improvement and risk data; and retrospective or concurrent chart review.

Rationale 3: The nine spokes of this model are pathophysiology; cost effectiveness analysis; benchmarking data; clinical expertise; patient preference; infection control data; international, national, and local standards; quality improvement and risk data; and retrospective or concurrent chart review.

Rationale 4: The nine spokes of this model are pathophysiology; cost effectiveness analysis; benchmarking data; clinical expertise; patient preference; infection control data; international, national, and local standards; quality improvement and risk data; and retrospective or concurrent chart review.

Rationale 5: The nine spokes of this model are pathophysiology; cost effectiveness analysis; benchmarking data; clinical expertise; patient preference; infection control data; international, national, and local standards; quality improvement and risk data; and retrospective or concurrent chart review.

Global Rationale:

 

Cognitive Level: Understanding

Client Need:

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: LO 06. Identify some of the nonresearch sources of evidence that are being proposed for making health care decisions.