Evidence Based Practice for Nurses 4th Edition Schmidt Brown Test Bank

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Chapter 01 - Quiz

Multiple Choice

1. The preceptor tells a new nurse to dangle the patient’s legs on the side of the bed before attempting to assist the patient to stand. The new nurse asks the preceptor why the legs need to dangle first, and the preceptor states, “This is how we always get a patient out of bed.” The preceptor’s statement is an example of which type of evidence?

A) Trial and error B) Intuition C) Personal experience D) Tradition Ans: D Complexity: Moderate Ahead: EBP: What Is It? Subject: Chapter 1 Taxonomy: Application Title: What Is Evidence-Based Practice?

2. Why is trial and error not a preferred approach for delivering nursing care?

A) Trial and error is not based on systematic scientific approaches.

TESTBANKSELLER.COM B) The American Nurses Association does not consider trial and error a sanctioned method.

C) Time is wasted using trial and error, and it is not cost-effective.

D) Nursing care should be based on critical thinking, which is not utilized with trial and error.

Ans: A Complexity: Easy Ahead: EBP: What Is It? Subject: Chapter 1 Taxonomy: Analysis Title: What Is Evidence-Based Practice?

3. The Willowbrook studies tried to justify the use of human subjects by doing which of the following?

A) Deliberately infecting children with hepatitis B) Leading volunteers to believe that the procedures were free special medical care C) Obtaining oral consent without documenting it and claiming that it was a standard of care to perform more dangerous procedures without written consent D) Claiming the facility was overcrowded, giving parents no choice but to give permission for their child to participate in the study Ans: D Complexity: Difficult Ahead: Keeping It Ethical Subject: Chapter 1 Taxonomy: Analysis Title: What Is Evidence-Based Practice?

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TESTBANKSELLER.COM Download Full Test bank from link Below Evidence-Based Practice for Nurses: Appraisal and Application of Research, Fourth Edition Nola A. Schmidt, PhD, RN, CNE and Janet M. Brown, PhD, RN 4. The first regulations to protect human subjects in medical research studies were proposed in 1973 by which of the following?

A) American Medical Association B) U.S. Department of Health, Education, and Welfare C) U.S. Food and Drug Administration D) Association of American Universities Ans: B Complexity: Easy Ahead: How Has Nursing Evolved as a Science?

Subject: Chapter 1 Taxonomy: Recall Title: What Is Evidence-Based Practice?

5. The nurse is caring for a patient newly diagnosed with type 1 diabetes mellitus who has a prescription for sliding-scale regular insulin. The physician has adjusted the scale several times based on the patient’s blood sugar levels. The physician is demonstrating the use of which of the following sources of evidence?

A) Personal experience B) Trial and error C) Authority D) Intuition Ans: B Complexity: Moderate Ahead: EBP: What Is It? Subject: Chapter 1 Taxonomy: Application Title: What Is Evidence-Based Practice?

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7. The nurse is preparing to discharge a patient who is requesting information about herbal supplements that will promote sleep. Which of the following actions would be most appropriate for the nurse take in order to save time and provide evidence-based practice (EBP) information for the patient?

A) Ask another nurse who is more familiar with EBP to educate the patient.

B) Provide the patient with the addresses of websites that the patient can read at home.

C) Utilized bedside technology and provide the patient with EBP information.

D) Request the charge nurse monitor all assigned patients and then look up relevant research articles.

Ans: C Complexity: Moderate Ahead: EBP: What Is It? Subject: Chapter 1 Taxonomy: Application Title: What Is Evidence-Based Practice?

8. Which of the following is true with regard to following the steps of the research process?

A) The results cannot be used as evidence-based practice if the steps are not followed in order.

B) The findings are more likely to support the theory if the steps are followed.

C) The findings can actually prove a theory if the steps are followed, rather than only support the theory.

D) The results must be tested more than once if the steps are not followed.

Ans: B Complexity: Moderate Ahead: What Is Nursing Research?

Subject: Chapter 1

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9. What do genetics, chronic illness, symptom management, and health promotion all have in common?

A) They are research topics that will probably be priorities.

B) They are components of the Nazi, Tuskegee, Willowbrook, and Jewish Chronic Disease Hospital studies.

C) They are measures that are on the list of current National Database of Nursing Quality Indicators (NDNQI) D) They are key components of the cycle of scientific development.

Ans: A Complexity: Difficult Ahead: What Lies Ahead?

Subject: Chapter 1 Taxonomy: Analysis Title: What Is Evidence-Based Practice?

10. Which of the following is true regarding replication studies?

A) Results of a study cannot be considered “supportive” unless more than one study has been conducted.

B) Errors can exist in every research study; therefore, the more studies that have been conducted, the more likely the results can be used with confidence.

C) More than one study is necessary for the results to be applied to patient care.

D) Subjects must be chosen in the original study and randomly assigned in subsequent studies in order for the evidence to be reliable.

TESTBANKSELLER.COM Ans: B Complexity: Difficult Ahead: What Is Nursing Research?

Subject: Chapter 1 Taxonomy: Analysis Title: What Is Evidence-Based Practice?

11. A community hospital has just announced it is striving to reach Magnet Recognition. Which of the following actions would most likely help the hospital to achieve this goal?

A) Replace all associate-degree nurses with bachelor-degree nurses.

B) Require at least half of the nurses to be published within 1 year.

C) Hire advanced practice nurses who have a Doctor of Nursing Practice (DNP) degree.

D) Hire nurses who have advanced technology skills.

Ans: C Complexity: Moderate Ahead: What Lies Ahead?

Subject: Chapter 1 Taxonomy: Application Title: What Is Evidence-Based Practice?

12. A staff nurse taking vital signs routinely every 4 hours on all clinically stable patients is an example of what type of an accepted source of evidence?

A) Authority B) Evidence

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Essay

1. Briefly discuss three of the five unethical studies discussed in the chapter and explain how these studies changed the rights of human subjects.

Ans: The Nazi experiments were conducted during World War II; prisoners were exposed to mustard gas, seawater, and extreme cold temperatures to determine the limits of human endurance. Seven physicians were sentenced to death for their role in these experiments and others imprisoned. The Nuremberg Code came about from the verdict and specified what constituted acceptable medical research and ethical conduct. The Tuskegee study involved syphilis; the subjects were denied treatment so the effects of the disease could be studied. The Jewish Chronic Disease Hospital study involved injecting cancer cells into subjects without their consent. Because of these unethical studies conducted on human subjects who were not fully informed of the purpose and/or methods of the study, today, studies must be reviewed to ensure that human subjects are protected. The Willowbrook studies were conducted in the 1960s at the Willowbrook State School, one of the few institutions to care for children with mental disabilities at the time. Children were deliberately infected with infectious hepatitis so the natural progression of the disease TESTBANKSELLER.COM could be observed. Administrators claimed the hospital was overcrowded and would only accept children who participated in the hepatitis program. Many parents had nowhere else to turn and were forced to allow their children to participate in the study. In 2008, Dr. Das was investigated and later found guilty of scientific misconduct. He lied and produced false data for dozens of papers and grant applications that claimed to support the beneficial effects of red wine and other foods on cardiac health. These violations breed public distrust of research findings and of future research studies.

Complexity: Difficult Ahead: Keeping It Ethical Subject: Chapter 1 Taxonomy: Analysis Title: What Is Evidence-Based Practice?

2. Justify, in your own words, how evidence-based practice (EBP) reaffirms the importance of science in nursing.

Ans: Nursing is the artful use of science to promote the health and well-being of individuals, families, and communities. Thus, nursing is based on scientific evidence that provides the framework for practice. The art of nursing is the blending of science with caring to create a therapeutic relationship in which holistic care is delivered. The profession of nursing is shifting the emphasis to EBP, which is why science is so important in nursing.

Complexity: Difficult Ahead: How Has Nursing Evolved as a Science?

Subject: Chapter 1 Taxonomy: Analysis Title: What Is Evidence-Based Practice?

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3. Briefly discuss how different types of research can by classified.

Ans: Categories of research include descriptive, explanatory, or predictive; basic or applied; and quantitative or qualitative. Descriptive research tells us “What is it?” and is classified by its aim.

Explanatory studies address why or how things are related. The goal of explanatory studies is to identify the relationships a phenomenon has with individuals, groups, situations, or events. Predictive studies attempt to forecast precise relationships. A second way to classify research is to consider whether findings can be used to solve real-world problems. Basic research gains knowledge for the sake of gaining knowledge. Applied research is used to find knowledge that can solve a clinical problem.

Qualitative research focuses on the meanings individuals give to their experiences. Quantitative research views the world as objective and focuses on obtaining precise measurements that are later analyzed.

Complexity: Difficult Ahead: Types of Research Subject: Chapter 1 Taxonomy: Analysis Title: What Is Evidence-Based Practice?

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Chapter 02 - Quiz

Multiple Choice

1. The director of nursing (DON) is planning an education conference for the nursing staff to help promote a culture for evidence-based practice (EBP) at the organizational level. Which of the following should the nurse include in the conference?

A) Teach the staff nurses to question current practices more often.

B) Ask for volunteers to join an EBP steering committee.

C) Ask a local librarian from a nursing program to be present.

D) Provide information regarding the National Institute of Nursing Research (NINR) and how to request funds to conduct research for EBP. Ans: B Complexity: Moderate Ahead: The Five Levels of Collaboration Subject: Chapter 2 Taxonomy: Application Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

2. A nurse is interviewing at a local hospital and asks the manager what interventions the organization is doing to help promote evidence-based practice (EBP). Which of the following responses should the TESTBANKSELLER.COM manager make?

A) “We are looking at all of our policies to make sure they are evidence based.”

B) “All of our staff have obligations they must practice by.”

C) “We make sure that any studies to be conducted are done by scientifically qualified persons.”

D) “All of our EBP has been approved by the institutional review board (IRB).”

Ans: A Complexity: Difficult Ahead: The Five Levels of Collaboration Subject: Chapter 2 Taxonomy: Analysis Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

3. The nursing supervisor is planning an education conference about how to move evidence into patient care using the translational research model. Which of the following examples should the supervisor include in the conference?

A) A standard question about spousal abuse was added to the health history interview on the admission form.

B) The facility is now offering tuition reimbursement for staff to further their education.

C) New staff are informed about how policies are developed during the orientation process.

D) Staff nurses, nurse managers, and APNs are encouraged to help develop policies and procedures.

Ans: A Complexity: Moderate Ahead: The Five Levels of Collaboration Subject: Chapter 2 Taxonomy: Application Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

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4. Which of the following do all five levels of collaboration have in common?

A) They are all funded by grants and donations.

B) All five levels can contribute to a culture of evidence-based practice (EBP).

C) They all involve practice changes that can be implemented by a nurse.

D) They all provide specific strategies that can be used to improve patient care.

Ans: B Complexity: Moderate Ahead: The Five Levels of Collaboration Subject: Chapter 2 Taxonomy: Analysis Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

5. The nurse educator is planning a research study related to experiential learning activities regarding care for older adults with cognitive changes. Which type of IRB review is needed?

A) Exempt from review B) Expedited review C) Expanded review D) Full review Ans: B Complexity: Moderate Ahead: Keeping It Ethical Subject: Chapter 2 Taxonomy: Application TESTBANKSELLER.COM Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

6. The nurse is collecting data from patients in a primary care setting as part of a research study on grieving and coping skills. The nurse notes that a patient becomes visibly upset after relating that his son was recently killed in an automobile accident. Which of the following actions would be most appropriate for the nurse to take when the patient states he does not want to talk further about it?

A) Sympathize and explain how his answers will help many others.

B) Weigh the potential greater good for a greater number of people and continue.

C) Support the patient receiving care by ceasing further questioning.

D) Consider the primary duty to advance nursing knowledge and continue questioning after a brief break.

Ans: C Complexity: Difficult Ahead: Keeping It Ethical Subject: Chapter 2 Taxonomy: Application Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

7. A nurse has agreed to assist in collecting data from clients in a long-term–care setting. The nurse becomes concerned upon realizing that many of the clients participating in the study have documented cognitive impairments. Which ethical responsibility is being violated?

A) Beneficence B) Confidentiality C) Voluntary participation D) Informed consent

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8. How might a nurse manager working at a large nursing facility collaborate with other nursing team members to facilitate EBP progress at the individual level?

A) Focus on facility-wide patient education on practice changes.

B) Assist noncompliant nurses in improving their performance.

C) Ensure that other healthcare providers are occupying leadership roles.

D) Participate in ongoing EBP research in the clinical care setting.

Ans: B Complexity: Moderate Ahead: The Five Levels of Collaboration Subject: Chapter 2 Taxonomy: Application Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

9. Which of the following would be an example of embracing a culture of EBP on an organizational level?

A) Adding value statements about EBP to an organization’s mission statement B) Mentoring a new nurse to implement EBP at the appropriate patient care level C) Joining a quality outcome committee to collaborate with other nursing professionals TESTBANKSELLER.COM D) Consulting the Agency for Healthcare Research and Quality to locate EBP resources Ans: A Complexity: Moderate Ahead: The Five Levels of Collaboration Subject: Chapter 2 Taxonomy: Recall Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

10. Why would the respect for persons principle dictate that minor children participating in a research study be entitled to protection, compared to subjects in a research study involving working adults 25 to 45 years of age?

A) Parents are not present with their children.

B) Participants must provide informed consent.

C) Nurses do good and minimize potential harm.

D) Minor children have diminished autonomy.

Complexity: Moderate Ahead: Keeping It Ethical Subject: Chapter 2 Taxonomy: Recall Title: Using Evidence Through Collaboration to Promote Excellence in Nursing Practice

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Chapter 03 - Quiz

Multiple Choice

1. “Completion of an EBP mentorship program by nurses is associated with changes in nursing practice” is an example of which type of hypothesis?

A) Complex B) Statistical C) Directional D) Nondirectional Ans: D Complexity: Moderate Ahead: Developing Hypotheses Subject: Chapter 3 Taxonomy: Application Title: Identifying Research Questions

2. In the process of narrowing a research question, which step most closely follows identification of the research problem?

A) Identification of variables B) Review of the relevant literature TESTBANKSELLER.COM C) Identification of a gap in clinical practice D) Formulation of a hypothesis Ans: B Complexity: Moderate Ahead: How Clinical Problems Guide Research Questions Subject: Chapter 3 Taxonomy: Analysis Title: Identifying Research Questions

3. “Patients who are actively engaged in development of their treatment plans will be more likely to adhere to prescribed treatments.” In the preceding hypothesis, what is the dependent variable?

A) Patient engagement in treatment plan development B) Patient adherence to prescribed treatments C) Development of treatment plans D) Effectiveness of prescribed treatments Ans: B Complexity: Difficult Ahead: Developing Hypotheses Subject: Chapter 3 Taxonomy: Application Title: Identifying Research Questions

4. Variables that confuse the effect of the independent variable on the dependent variable so that the research results do not reflect the true relationship between the variables are what type of variables?

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TESTBANKSELLER.COM Download Full Test bank from link Below Evidence-Based Practice for Nurses: Appraisal and Application of Research, Fourth Edition Nola A. Schmidt, PhD, RN, CNE and Janet M. Brown, PhD, RN A) Extraneous variables B) Random variables C) Within-group variables D) Control variables Ans: A Complexity: Easy Ahead: Developing Hypotheses Subject: Chapter 3 Taxonomy: Recall Title: Identifying Research Questions

5. A hypothesis states that patient participation in an optional fitness program will change when the types of incentives offered for completion of the program change. What type of relationship is the hypothesis identifying between the variables?

A) Associative B) Causal C) Indirect D) Predictive Ans: A Complexity: Moderate Ahead: Developing Hypotheses Subject: Chapter 4 Taxonomy: Application Title: Identifying Research Questions

TESTBANKSELLER.COM 6. A nurse is using the PICOT model to generate an EBP question about how virtual health education, as compared to face-to-face health education, affects information retention and recall in patients ages 5 to 8 years. Which component of PICOT does information retention and recall represent?

A) Patient condition of interest B) Intervention of interest C) Comparison of interest D) Outcome of interest Ans: D Complexity: Moderate Ahead: Formulating EBP Questions Subject: Chapter 3 Taxonomy: Application Title: Identifying Research Questions

7. A study of adults older than 65 years investigated the effect of the use of calming communication techniques by caregivers on the agitation level of patients experiencing stage 2 dementia. The researchers noted that the effectiveness of the calming communication techniques differed based on whether the caregiver was a family member or licensed medical personnel. In this study, what type of variable was the patient–caregiver relationship?

A) Controlled B) Mediator C) Moderator D) Extraneous Ans: C Complexity: Difficult

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8. In which of the following situations would a replication study be most appropriate?

A) Two case studies report on the use of a new intervention.

B) A systematic review reveals a gap in literature about a clinical topic.

C) Clinical curiosity sparks interest in finding a new intervention for a clinical problem.

D) A pilot study indicates that a new intervention may be more effective than an existing intervention.

Ans: D Complexity: Moderate Ahead: How Clinical Problems Guide Research Questions Subject: Chapter 3 Taxonomy: Application Title: Identifying Research Questions

9. Which of the following is the next to be developed after a nurse researcher identifies an area of concern during practice that could be better understood and result in better clinical outcomes through empirical testing?

A) Purpose statement B) Research question C) Problem of interest D) Research problem TESTBANKSELLER.COM Ans: D Complexity: Moderate Ahead: How Clinical Problems Guide Research Questions Subject: Chapter 3 Taxonomy: Recall Title: Identifying Research Questions

10. Which of the following factors interferes with the relationship between the independent and dependent variables?

A) Mediators B) Cofounding variables C) Moderators D) Dependent variables Ans: C Ahead: Developing Hypotheses Complexity: Moderate Subject: Chapter 3 Taxonomy: Recall Title: Identifying Research Questions

11. Why would a nurse not withhold treatment a patient required in order to research the effect of the patient’s illness in the absence of standard medical treatment?

A) The ethical issue of intervention is less than the standard of care.

B) A nurse must consider patient preferences and autonomy.

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D) The researchable question could not be systematically answered.

Ans: A Ahead: Keeping It Ethical Complexity: Moderate Subject: Chapter 3 Taxonomy: Analysis Title: Identifying Research Questions

True/False

1. True or False? In a study investigating the effect of eating a bowl of oatmeal every day for 30 days on serum cholesterol level, serum cholesterol level is the independent variable.

Ans: False Complexity: Moderate Ahead: Developing Hypotheses Subject: Chapter 3 Taxonomy: Application Title: Identifying Research Questions

2. True or False? The following EBP question includes all of the components of the PICOT model: In females age 18 to 25 diagnosed with generalized anxiety disorder, how does a combination of cognitive TESTBANKSELLER.COM behavioral therapy and pharmaceutical therapy compared with pharmaceutical therapy alone affect selfreported anxiety levels after 3 months?

Ans: True Complexity: Difficult Ahead: Formulating EBP Questions Subject: Chapter 3 Taxonomy: Analysis Title: Identifying Research Questions

3. True or False? The nurse notes that among patients who report dissatisfaction with the effectiveness of self-administered medications, a significant number also self-report that they do not always remember to take the medications at the proper time. An appropriate purpose statement related to this problem could be "to determine if use of an electronic reminder application reduces medication self-administration errors and patient dissatisfaction levels."

Ans: True Complexity: Moderate Ahead: How Clinical Problems Guide Research Questions Subject: Chapter 3 Taxonomy: Application Title: Identifying Research Questions

4. True or False? If research indicates that a new intervention for a chronic health condition may offer more benefits than an established intervention, it would be unethical to allow a patient who has been educated about both options to continue using the established intervention.

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