N262B Nursing Research Methods Midterm
Examination||Verified Exam!!||, 2026/2027-Question
Research Methods Examination with Verified
Solutions
The primary care provider of a 49 yo male client has
examined and briefly explained the evidence that supports
beginning regular digital rectal exams. Which of the
following factors would justify not performing digital rectal
exams in this client's care?
a. The client is vehemently opposed to undergoing digital
rectal exams
b. clinical practice guidelines for prostate care have not
been published
c. the clinician has been unable to find any large RCTs in a
literature review
d. the clinician has previously waited until clients are 55 to
begin regular digital rectal exams. - Answer-a. The client is
vehemently opposed to undergoing digital rectal exams
(Explanation: Pt preference, such as opposition to a
particular assessment or intervention, should be
implemented in clinical decision making. The lack of a
large RCT or clinical practice guidelines does not
independently justify rejecting the assessment. Likewise,
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the clinician's previous practice traditions do not provide
sound justification.
Which of the following clinical questions demonstrates
understanding of and best exemplifies the PICOT format?
a. what effect does parent's smoking have on the smoking
habits of their children, aged 13-16?
b. Among pts w cancer, what role does meditation, as
compared with the use of benzodiazepines, have on
anxiety levels during the 7 days following hospital
admission?
c. Among undergrad college students, what is the
effectiveness of a sexual health campaign undertaken
during the first 4 weeks of the fall semester as measured
by incidence of new gonorrheal and clamydinl infections
reported to the campus med. center?
d. In clients aged 8-12, is the effectiveness of a pain scale
using faces superior to a numeric rating scale in the ER
context? - Answer-b. Among pts w cancer, what role does
meditation, as compared with the use of benzodiazepines,
have on anxiety levels during the 7 days following hospital
admission?
(Explanation: Only the answer concerning pts w cancer
contains the PICOT elements of Patient population,
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Intervention or Issue of interest, Comparison intervention
or group, Outcome, and Time frame. The answer
concerning smoking lacks and intervention, comparison,
or time frame while the answer concerning undergraduate
college students lacks a comparison. The answer
concerning clients aged 8 - 12 lacks a specific outcome or
time frame.
1. A new administrator for a health clinic is concerned that
some treatments are not as effective as they could be.
After conducting a survey among the staff, it is discovered
that the general consensus is the EBP process is not
effective. Which of the following would be the best step for
the administrator to do next?
a. Leave the current treatments in place
b. Present real-case scenarios in which EBP resulted in
better care and long-term results.
c. change one treatment at a time until EBPs are
implemented
d. assign small focus groups to research EBP to
implement. - Answer-b. Present real-case scenarios in
which EBP resulted in better care and long-term results.
(Explanation: Healthcare providers who do not believe
EBP results in improved care and client outcomes need to
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be exposed to real-case scenarios in which evidence-
based care resulted in better outcomes than care steeped
in traditional practices. If the staff does not believe it will be
a benefit, they will not be receptive to the changes or
implement them. Leaving the current treatments in place
does not benefit the clients in the long term.
When implementing a new, evidence-based infection
control regimen, which should constitute the final step in
the nurses' EBP?
a. calculating the cost savings that will be realized by
using the new regimen
b. sharing their experience with other healthcare
professional
c. implementing enforcement measures to ensure
compliance with the new regimen
d. conducting a meta-analysis of other infection control
measures - Answer-b. Sharing their experience with other
healthcare professionals
(Explanation: The final step in the EBP process is
dissemination of the outcomes of the change. Financial
considerations & enforcement measure are not
components of the EBP process, and a meta-analysis
would have been conducted much earlier in the process.)