n n
Burns and n
Groves The
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Practice of
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Nursing
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Research 9th
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Chapter 1: Discovering the World of Nursing Research n n n n n n n
m Test Bank
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MULTIPLE CHOICE n
1. Nurses with a bachelor’s degree in nursing can participate in the implementation of evidence- n n n n n n n n n n n n n g r r m
g r m r r g based protocols in practice. This means that the BSN nurse
r n n n n n n n n n n
a. Develops evidence-based guidelines n n
b. Designs research studies, on which protocols may be based n n n n n n n n
c. Evaluates and revises evidence-based protocols n n n n
d. Contributes practice wisdom when applying protocols in patient settings n n n n n n n n
e. Mentors PhD researchers in the clinical setting during protocol development n n n n n n n n n
ANS: D n
m m
g Nurses with a BSN degree have knowledge of the research process and skills in reading and n n n n n n n n n n n n n n n rg r m
g critically appraising studies. They assist with the implementation of evidence-based
r m r g r n n n n n n n n n n
m guidelines, protocols, algorithms, and policies in practice. This implies that nurses provide
r g r n n n
m n n n n n
m n n n n
m r their point of view, from the clinician’s vantage, when new protocols are being put into
r r r r r r n n n n n n n n n
m n n n n n n
m practice, and continue to provide feedback, regarding the positive and negative aspects of
r g r n n n n n n n n n n n n n
g rm those protocols.
r r g r m r r g r n n
DIF: Cognitive Level: Analysis n n REF: g rg r
m n rg r m r g r Page 4 n
2. Research is designed to test the idea of providing companion dogs to elders in a major n n n n n n n n n n n n n n n rg r g r m
m r g r n hospital, in order to determine the effect upon the elders’ level of orientation. (The dogs’
n n n n n n n n n n n n n n rg r m
m r r g level of orientation will not be a focus of the research.) This type of study can do which of the
r n n n n n n n n n
m n n n n n n n n n n n
m r g rfollowing?
n
a. Control
b. Describe
c. Explain
d. Predict
ANS: A nr
m m
r
r
Control is the ability to manipulate the situation to produce the desired outcome. Description
g r m r m
n n n n n n n n n n n n n rg r
g
r
r
involves identifying and understanding the nature of nursing phenomena and, sometimes, the
n
g r m r g
n n n n n n n n n n n g
m
r n relationships among them. Explanation clarifies the relationships among phenomena and n n n n n n n n n
m
g r m
identifies the reasons why certain events occur. The ability to estimate the probability of a
r
r
g
g
r
r
n
m r g
n n n n n n n n n n n n n n
r nspecific outcome in a given situation in nursing practice is known as prediction. The n n n n n n n n n n n n
m n r m r g
r n researcher’s focus is on predicting what is likely. n n n n n n n
DIF: Cognitive Level: Application n n REF: g rg r
m n rg r m r g r Page 13 n
3. A researcher wants to find out whether children with autism who are hospitalized on a
n n n n n n n n n n n n n n
m pediatric ward will require more hours of nursing care than average children when the
r r n n n n n n n n n n n n n n
gm nparents or caregivers are not present. What type of research outcome does this provide? n n n n n n n n n n
m n n n
a. Control
b. Description
c. Explantation
d. Prediction
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ANS: D nr
m m
r
r
Control is the ability to manipulate the situation to produce the desired outcome. Description
g r m r m
n n n n n n n n n n n n n rg r
g
r
r
involves identifying and understanding the nature of nursing phenomena and, sometimes, the
n
g r m r g
n n n n n n n n n n n g
m
r n relationships among them. Explanation clarifies the relationships among phenomena and n n n n n n n n n
m
g r m
identifies the reasons why certain events occur. The ability to estimate the probability of a
r
r
g
g
r
r
n
m r g
n n n n n n n n n n n n n n
r specific outcome in a given situation in nursing practice is known as prediction. The
n n n n n n n n n n n n n
m n r m r g
r researcher’s focus is on predicting what is likely.
n n n n n n n n
DIF: Cognitive Level: Application n n REF: g rg r
m n rg r m r g r Page 16 n
4. A researcher who desires to determine the cause-and-effect relationship between requiring
g r
n
m
n n n n n n n n n g r m
g r
r that all children under the age of 8 will ride in special care harnesses and the subsequent
n n n n n n n n n n n n n n n n n gm
r rate of children’s spinal cord injury will consequently utilize which form of nursing
m r g r n n n n n n n n n n n n n
m research?
r r g r n
a. Descriptive research n
b. Outcomes research n
c. Qualitative research n
d. Quantitative research n
ANS: D nr
m m
Quantitative research, the most frequently used method, is a formal, objective, systematic n n
m n n n n n n n n n
m methodology to describe variables, test relationships, and examine cause-and-effect
r r n n n n n n n n n
m interactions. Quantitative research includes experimental research, which is the method for
r g r n n n n n n n n n n n
g r mtesting cause-and-
r r g r m r g r n n
effect relationships between and among specific variables. Qualitative
m
n n n n n
r
n n
r g
r
r
research methods are used for explaining meanings and describing experiences in context.
n
m
n n n n n n n n n n n g
r
rm
g
r
r
Descriptive research involves identifying and understanding the nature of phenomena and,
m
n
r g r m
n n n n n n n n n n r g
g
r n sometimes, the relationships among them. Outcomes research examines the end result of n n n n n n n n n n n gm
r m care in huge populations, most often retrospectively, using a database.
r g r n n n n n
m n n n n n
DIF: Cognitive Level: Application n n REF: g rg r
m n rg r m r g r Page 3 n
5. Despite the presence of an intraventricular drain, the intracranial pressure of an ICU neuro
m
n n n n n n n n n n n n n rg r r g r m
r g
r
r
patient remains increased. The nurse recalibrates the machine, makes sure the monitor is on
n
g
n n
rm
n n n
r g
n n n
r
n
m
n n n n
r g
r the same level as the drain, checks all connections, and then notifies the physician, who
n n n n n
m n n n n n n n n n n r m r g
r comes to the unit and inserts a new drain. What type of reasoning prompts the nurse to
n n n n n n n n n n n n n n n n n
g rm recalibrate, ensure proper placement, and check connections?
r r g r m r r g r n n n n n
m n n
a. Abstract reasoning n
b. Concrete thinking n
c. Logistic reasoning n
d. Reality testing n
ANS: C nr
m m
Logistic reasoning is used to break a whole into parts that can be carefully examined. n n n n n n n n n n n n
m n n
m Concrete thinking is oriented toward and limited by tangible things or by events that are
r g r n n n n n n n n n n n n n n n rg r m
m
g r
observed and experienced in reality. Abstract reasoning is oriented toward the development
m
r
r
g
r g
r n
r m
n n n n n n n n n n n
g r
r n of an idea without application to, or association with, a particular instance. Reality testing is
n n n n n n n n n n n n n n gm
r m used to validate what is observed in the empirical world.
r g r n n n n n n n n n n
DIF: r r Cognitive Level: Application n n REF: g rg r
m n rg r m r g r Page 6 n
6. A nurse with considerable clinical expertise develops a policy for managing agitated patients
n n n n n n n n n n n n g rm
g r m r r g r n in the emergency department. The resultant policy emanates from
n n n n n n n n
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a. Abstract reasoning n
b. Concrete thinking n
c. Logistic reasoning n
d. Reality testing n
ANS: A nr
m m
Abstract reasoning is oriented toward the development of an idea without application to, or n n n n n n n n n n n n n rg r r g r m
m association with, a particular instance. Concrete thinking is oriented toward and limited by
r g r n n n n n n n n n n n n n g rm
m tangible things or by events that are observed and experienced in reality. Logistic reasoning
g rm r
r g
r g
r n
r m
n n n n n n n n n n n n n
g r
r n is used to break a whole into parts that can be carefully examined. Reality testing is used to
n n n n n n n n n n n n n n n n n gm
r m validate what is observed in the empirical world.
r g r n n n n n n n n
DIF: Cognitive Level: Application n n REF: g rg r
m n rg r m r g r Page 7 n
7. A nurse with considerable clinical expertise develops a policy for managing agitated patients
n n n n n n n n n n n n g
r m r g r m r g r n in the emergency department. The type of reasoning the nurse uses to do this is
n n n n n n n n n n n n n n r n r g r m
r g r n r
r r g r n reasoning.
a. Problematic
b. Operational
c. Logistic
d. Inductive
ANS: D nr
m m
rg
r
Inductive reasoning involves reasoning that moves from the specific to the general, whereby
r r gm
n n n n n n n n n n n n
m
r particular instances are observed and then combined into a larger whole or general
n n n n n n n n n n n n n gm
m
m
statement. Problematic reasoning involves (1) identifying a problem and factors influencing
r
r
g
g r n n n n n n n n n n n
r
r
it, (2) selecting solutions to the problem, and (3) resolving the problem. Operational
n
m
n n n n n n n n n n n n rg rm
g reasoning involves the identification of and discrimination among many alternatives and
r n n n n n n n n n n n gm
g viewpoints.
r m r g r n
r Logistic reasoning is used to break the whole into parts that can be carefully examined, as the n n n n n n n n n n n n n n n n rg r m
r g relationships among the parts can also be.
r m r g r n n n n n n n
DIF: Cognitive Level: Synthesis n n REF: g rg r
m n rg r m r g r Page 7 n
8. What is the best explanation of intuition that forms a legitimate source of knowledge in
n n n n n n n n n n n n n n r g r m
g r m r r g nursing? r n
a. It is based on knowledge thoroughly incorporated into thought but seldom
n n n n n n n n n n gm
articulated.
g r m r g r n
b. It is based on a gift from the universe and should be honored when it arrives.
n n n n n n n n n n n n n n n
c. It is never inaccurate.
n n n
d. It is a revisiting of old knowledge, accompanied by deep reflection.
n n n n n n n gm r g r n n n
ANS: A nr
m m
Intuition is the revisiting of old knowledge accompanied by deep reflection. n n n n n n n n n n
DIF: Cognitive Level: Application n n REF: g rg r
m n rg r m r g r Page 5 n
9. Why is operational reasoning necessary for research? n n n n n n
a. Abstract concepts are of no use to nursing. n n n n n n n
b. Standard interventions are obtained from operational reasoning. n n n n n n
c. It allows the researcher to measure the concepts studied. n n n n n n n n
d. It facilitates the researcher’s rapport with families. n n n n n n
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