Chapter 01: Discovering the World of Nursing Research
MULTIPLE CHOICE
В небольшом
1. Nurses with a bachelor’s пригороде
degree in nursing жил мальчик
can participate in theпо имени Артём.
implementation Он очень любил
of research
старые
into practice. This means вещи
that и часто
the BSN nurse:бродил по антикварным магазинам в поисках
необычных
a. develops evidence-based предметов. Для него каждая вещь имела свою историю, и он
guidelines.
b. designs researchмечтал
studies узнать,
on whichкто её создавал
protocols и кому она принадлежала.
may be based.
c. evaluates and revises evidence-based protocols.
Однажды
d. reads and critically appraisesАртём нашёл
existing на чердаке старую музыкальную шкатулку. Она
studies.
ANS: D была покрыта пылью и слегка поцарапана, но при этом выглядела
удивительно
Nurses with a Bachelor of Science красиво.
in NursingОн осторожно
(BSN) открыл
degree have её и услышал
knowledge нежную
of the research
process and skills inмелодию,
reading and которая
criticallyнапомнила ему детство.
appraising studies. They useМальчик был очарован и
the best research
evidence in practiceрешил отреставрировать
with guidance. Nurses with aшкатулку.
BSN also assist with problem identification
and data collection. Nurses with a Master of Science in Nursing (MSN) critically appraise and
synthesize findingsПосле нескольких
from studies to reviseдней работы
or develop шкатулка
protocols, снова играла
algorithms, чистую
or policies for useи звонкую
in practice. Nurses мелодию.
with a Doctor Артём понял,
of Nursing что оживление
Practice старых
(DNP) develop, вещей and
implement, приносит радость
не только ему, но и другим. Он начал делиться своей находкой
evaluate evidence-based guidelines. Nurses with a Doctor of Philosophy (PhD) assume a с
друзьями
major role in conducting и соседями, рассказывая им историю шкатулки. С этого дня
research.
мальчик понял, что даже маленькие действия могут подарить людям
DIF: Cognitive Level:счастье
Analysisи вдохновение.
2. A study is designed to test the idea of providing companion dogs to elders in a major hospital,
В малко село до река живееше момиче на име Елена. Тя обичаше да
in order to determine the effect upon the elders’ level of orientation. This type of study can do
рисува и винаги носеше със себе си скицник. Всяка сутрин се
which of the following?
a. Control разхождаше по брега, наблюдавайки как слънцето се отразява в водата и
b. Describe как птиците летят над реката.
c. Explain
d. Predict Един ден Елена видя стара лодка, изоставена край брега. Реши да я
нарисува в своя скицник и да добави всички детайли – счупените дъски,
ANS: A мъха по борда, отраженията във водата. Докато рисуваше, до нея дойде
Control is the ability to manipulate
възрастен theкойто
мъж, situation to produce the desired
я наблюдаваше. Той сеoutcome. Description
оказа бивш рибар и
involves observing and documenting nursing phenomena, providing a snapshot of reality.
започна да • разказва истории за лодката и хората, които са плавали с
Explanation clarifies the relationships among concepts and variables with the goal of
нея.
understanding how they work with each other. Prediction involves estimating the probability
of a specific outcome in a given situation.
Елена слушаше с възхищение и записваше всичко в скицника си.
Историите
DIF: Cognitive Level: оживяха на хартията и тя разбра, че всяка рисунка може да
Application
съхрани спомени и да разказва истории. От този ден нататък тя се
3. A researcher wantsопитваше винаги
to know whether да вижда
children красотата
with autism и смисъла
who are въвinвсичко
hospitalized около себе
a pediatric
си. hours of nursing care than the average child, when the parents or
ward will require more
caregivers are not present. What type of research outcome does this provide?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: D
, Prediction involves estimating the probability of a specific outcome in a given situation.
Control is the ability to manipulate the situation to produce the desired outcome. Description
involves observing and documenting nursing phenomena, providing a snapshot of reality.
Explanation clarifies the relationships among concepts and variables with the goal of
understanding how they work with each other.
DIF: Cognitive Level: Application
4. Despite the presence of an intraventricular drain, the intracranial pressure of a patient in
neurological intensive care remains increased. The nurse recalibrates the machine, makes sure
the monitor is on the same level as the drain, checks all connections, and then notifies the
physician, who comes to the unit and inserts a new drain. What type of reasoning or thinking
prompts the nurse to recalibrate, assure proper placement, and check connections?
a. Abstract thinking
b. Concrete thinking
c. Logical reasoning
d. Dialectical reasoning
ANS: C
Logical reasoning is used to dissect components of a situation or conclusion, examine each
carefully, and analyze relationships among the parts. Abstract thinking is oriented toward the
development of an idea without application to, or association with, a particular instance.
Concrete thinking is oriented toward and limited by tangible things or by events that are
observed and experienced in reality. Dialectical reasoning involves looking at situations in a
holistic way.
DIF: Cognitive Level: Application
5. A nurse with considerable clinical expertise develops a policy for managing agitated patients
in the Emergency Department. The resultant policy emanates from:
a. abstract thinking.
b. concrete thinking.
c. operational reasoning.
d. dialectical reasoning.
ANS: A
Abstract thinking is oriented toward the development of an idea without application to, or
association with, a particular instance. Concrete thinking is oriented toward and limited by
tangible things or by events that are observed and experienced in reality. Operational
reasoning is the identification of and discrimination among many alternatives and viewpoints.
Dialectical reasoning involves looking at situations in a holistic way.
DIF: Cognitive Level: Application
6. A nurse with considerable clinical expertise develops a policy for managing agitated patients
in the Emergency Department. The type of reasoning the nurse uses to do this is:
a. problematic reasoning.
b. operational reasoning.
c. collaborative reasoning.
d. inductive reasoning.
, ANS: D
Inductive reasoning involves reasoning that moves from the specific to the general, whereby
particular instances are observed and then combined into a larger whole or general statement.
Problematic reasoning involves: (1) identifying a problem and factors influencing it, (2)
selecting solutions to the problem, and (3) resolving the problem. Operational reasoning
involves the identification of and discrimination among many alternatives and viewpoints.
Collaborative reasoning occurs when individuals with different perspectives “reason together”
to develop a coordinated plan of action.
DIF: Cognitive Level: Synthesis
7. What is the best explanation of the type of intuition that forms a legitimate source of
knowledge in nursing?
a. It is the result of recognizing patterns in a way that allows rapid conclusions.
b. It is based on a gift from the universe and should be honored when it arrives.
c. It is never inaccurate.
d. It is the process of examining and critiquing one’s thoughts.
ANS: A
Intuition is understanding without rationale. Intuition is described as pattern recognition,
seeing similarities and dissimilarities of a situation and seeing the whole in a way that allows
rapid conclusions. Because intuition is a type of knowing that seems to come unbidden, it may
also be described as a guy feeling, hunch, or sixth sense. Intuition cannot be explained
scientifically, therefore many people discount it or are uncomfortable talking about it. Expert
nurses are more likely to experience intuition, especially when they connect with their patients
and are open to their feelings.
DIF: Cognitive Level: Application
8. Why is operational reasoning necessary for research?
a. Abstract concepts are of no use to nursing.
b. Standard interventions are obtained from operational reasoning.
c. It allows the researcher to devise ways to measure the concepts studied.
d. It facilitates the researcher’s rapport with families.
ANS: C
Operational reasoning involves the identification of and discrimination among many
alternatives and viewpoints. It focuses on the process (debating alternatives) rather than on the
resolution. Nurses use operational reasoning to develop realistic, measurable health goals. In
research, operationalizing a treatment or intervention to implement, comparing measurement
methods, and debating the appropriate data analysis techniques to use in a study require
operational thought.
DIF: Cognitive Level: Application
MULTIPLE RESPONSE
1. Realistically, what might be done in a situation in which a nurse does not know the
appropriate way to use a new ultrasonic bladder scanner (a noninvasive, painless procedure)
but has a new order at 2 a.m. to perform a scan? (Select all that apply.)