AND VERIFIED ANSWERS | GRADED A+| PASS ON FIRST ATTEMPT |
Fidelity - ANSWER agreement to keep promises
Veracity - ANSWER telling the truth
Justice - ANSWER Fairness. Often r/t health care resources.
Beneficence - ANSWER taking positive actions to help others + interest of pt above self-
interest
Nonmaleficence - ANSWER avoiding harm or hurt
Negligence - ANSWER conduct that falls below standard of care
Malpractice - ANSWER type of negligence (professional)
Slander vs libel? - ANSWER Slander = verbal gossip/smearing/defamation. Libel = written
Even when disagreement occurs about decisions a client makes, the nurse maintains care of
the client, not abandoning the client. = example of? - ANSWER fidelity
Nurse follows through with care offered to pts, like mnging pain - may need to make
revisions to plan to meet pain goal. = ex of? - ANSWER fidelity
1
,Liver transplants given to people on waiting list according to need and who fits criteria (can't
be current ETOH). Not by who can pay. = ex of? - ANSWER justice (fairness)
RN has busy day, kid asks for pill w/apple sauce even though can swallow whole. You put in
applesauce = ex of? - ANSWER beneficence
Commitment to provide least harmful interventions illustrates = ? - ANSWER
nonmaleficence
Taking extra step to look up options of SNIFF for pt vs educating about palliative care options
over chemo for 95 yr old = what 2 ethics? - ANSWER beneficence & nonmaleficence
A pt asks if their A-fib is really something serious to be concerned about - you answer
truthfully w/educ about stroke risk. = ex of? - ANSWER veracity
Are negligence and malpractice intentional or unintentional torts (suits ag person or
property?) - ANSWER unintentional
Assault vs battery? - ANSWER assault = intentional threat to bring harm. Battery =
intentional touching/contact w/o consent (harmful or only offensive)
Assault or battery? Person sent hateful mail with pictures of beating other person up -
ANSWER Assault
Failure to properly delegate and supervise or a failure to ensure pt safety or hanging wrong
IV = ? - ANSWER professional negligence (malpractice) or negligent acts
To avoid malpractice (prof negligence) follow standards of care, communicate, document, &
what 2 others? - ANSWER know literature, know policies & procedures
2
,Malpractice insurance covers what? - ANSWER liability insurance to provide defense
when RN in lawsuit for professional negligence or med malpractice
What format do you want to frame an EBP clinical question? - ANSWER PICO:
Patient/population, Intervention, Comparison, Outcome
5 Steps of researching and using EBP? - ANSWER Ask the qstn (PICO), Collect evidence,
critically appraise it, integrate w/pt prefs and clinical expertise, evaluate the change once
made
Why are CNLS innovators and early adopters, but not researchers? - ANSWER cnls are
Master's prepared and trained to critique and apply research. But only PHD prepared do
research studies
Most of your floor nurses are ADN prepared. Why is this important to remember when
presenting them with EBP for a change? - ANSWER ADN's never take research class. Help
educate them on how to use it - what it means.
Is it pointless to show a resistor EBP? - ANSWER NO! Important to do so, and to educate
them!
What are 3 main barriers to implementing EBP? - ANSWER Practioners don't understand
the research, lack of admin support, poor quality of research support/findings
What makes a research article good: Large sample, rigor of methods (double blind/IRB
approval), Representative sample, clinical relevance, sufficient lit review...4 others? -
ANSWER strength of findings (p<0.05), bias?, limitations acknowledged? Can be
replicated?
What makes a research article good: strength of findings (p<0.05), bias?, limitations
acknowledged? Can be replicated? + 5 others? - ANSWER Large sample, rigor of methods
(double blind/IRB approval), Representative sample, clinical relevance, sufficient lit review
3
, What are 3 broad questions to consder (Venn diagram) when considering to use EBP or not?
- ANSWER Is the quality of the study good enough to validate results? Are findings
applicable to my practice? What do the results mean to my pts?
What type of biases may result in subjects in sample being unrepresentative of population of
interest? - ANSWER Selection biases (sampling, attrition, exposure, time interval)
Selection biases (sampling, attrition, exposure, time interval) may mean what for the study?
- ANSWER the subjects might be unrepresentative of population of interest (non-random
sample or process of choosing specific pple for study)
Measurement biases (systematic error) result from what? - ANSWER How outcome
measured...poor calibration, or human error.
If instruments in study were poorly calibrated, or observation technique was poor, it could
result in what bias? - ANSWER Measurement bias (systematic error)
What is exposure bias? - ANSWER Involves diffs in how tx intervention was carried out or
how subjects were exposed to factor of interest
Diffs in how tx intervention was carried out or how subjects were exposed to factor of
interest = __ bias? - ANSWER exposure/intervention bias
What are the 7 levels of evidence from high to low? - ANSWER Systematic Review (meta-
analysis, narrative, meta-synthesis), Critically appraised, RCT, Cohort Study, Case-control
study, Expert committee, indvl clinical expertise
Distinguish b/w 3 types of systematic reviews: - ANSWER 1) Meta-analysis (quantitative
and highest) 2) Systematic review including narratives 3) Meta-synthesis (total qualitative)
4
Fidelity - ANSWER agreement to keep promises
Veracity - ANSWER telling the truth
Justice - ANSWER Fairness. Often r/t health care resources.
Beneficence - ANSWER taking positive actions to help others + interest of pt above self-
interest
Nonmaleficence - ANSWER avoiding harm or hurt
Negligence - ANSWER conduct that falls below standard of care
Malpractice - ANSWER type of negligence (professional)
Slander vs libel? - ANSWER Slander = verbal gossip/smearing/defamation. Libel = written
Even when disagreement occurs about decisions a client makes, the nurse maintains care of
the client, not abandoning the client. = example of? - ANSWER fidelity
Nurse follows through with care offered to pts, like mnging pain - may need to make
revisions to plan to meet pain goal. = ex of? - ANSWER fidelity
1
,Liver transplants given to people on waiting list according to need and who fits criteria (can't
be current ETOH). Not by who can pay. = ex of? - ANSWER justice (fairness)
RN has busy day, kid asks for pill w/apple sauce even though can swallow whole. You put in
applesauce = ex of? - ANSWER beneficence
Commitment to provide least harmful interventions illustrates = ? - ANSWER
nonmaleficence
Taking extra step to look up options of SNIFF for pt vs educating about palliative care options
over chemo for 95 yr old = what 2 ethics? - ANSWER beneficence & nonmaleficence
A pt asks if their A-fib is really something serious to be concerned about - you answer
truthfully w/educ about stroke risk. = ex of? - ANSWER veracity
Are negligence and malpractice intentional or unintentional torts (suits ag person or
property?) - ANSWER unintentional
Assault vs battery? - ANSWER assault = intentional threat to bring harm. Battery =
intentional touching/contact w/o consent (harmful or only offensive)
Assault or battery? Person sent hateful mail with pictures of beating other person up -
ANSWER Assault
Failure to properly delegate and supervise or a failure to ensure pt safety or hanging wrong
IV = ? - ANSWER professional negligence (malpractice) or negligent acts
To avoid malpractice (prof negligence) follow standards of care, communicate, document, &
what 2 others? - ANSWER know literature, know policies & procedures
2
,Malpractice insurance covers what? - ANSWER liability insurance to provide defense
when RN in lawsuit for professional negligence or med malpractice
What format do you want to frame an EBP clinical question? - ANSWER PICO:
Patient/population, Intervention, Comparison, Outcome
5 Steps of researching and using EBP? - ANSWER Ask the qstn (PICO), Collect evidence,
critically appraise it, integrate w/pt prefs and clinical expertise, evaluate the change once
made
Why are CNLS innovators and early adopters, but not researchers? - ANSWER cnls are
Master's prepared and trained to critique and apply research. But only PHD prepared do
research studies
Most of your floor nurses are ADN prepared. Why is this important to remember when
presenting them with EBP for a change? - ANSWER ADN's never take research class. Help
educate them on how to use it - what it means.
Is it pointless to show a resistor EBP? - ANSWER NO! Important to do so, and to educate
them!
What are 3 main barriers to implementing EBP? - ANSWER Practioners don't understand
the research, lack of admin support, poor quality of research support/findings
What makes a research article good: Large sample, rigor of methods (double blind/IRB
approval), Representative sample, clinical relevance, sufficient lit review...4 others? -
ANSWER strength of findings (p<0.05), bias?, limitations acknowledged? Can be
replicated?
What makes a research article good: strength of findings (p<0.05), bias?, limitations
acknowledged? Can be replicated? + 5 others? - ANSWER Large sample, rigor of methods
(double blind/IRB approval), Representative sample, clinical relevance, sufficient lit review
3
, What are 3 broad questions to consder (Venn diagram) when considering to use EBP or not?
- ANSWER Is the quality of the study good enough to validate results? Are findings
applicable to my practice? What do the results mean to my pts?
What type of biases may result in subjects in sample being unrepresentative of population of
interest? - ANSWER Selection biases (sampling, attrition, exposure, time interval)
Selection biases (sampling, attrition, exposure, time interval) may mean what for the study?
- ANSWER the subjects might be unrepresentative of population of interest (non-random
sample or process of choosing specific pple for study)
Measurement biases (systematic error) result from what? - ANSWER How outcome
measured...poor calibration, or human error.
If instruments in study were poorly calibrated, or observation technique was poor, it could
result in what bias? - ANSWER Measurement bias (systematic error)
What is exposure bias? - ANSWER Involves diffs in how tx intervention was carried out or
how subjects were exposed to factor of interest
Diffs in how tx intervention was carried out or how subjects were exposed to factor of
interest = __ bias? - ANSWER exposure/intervention bias
What are the 7 levels of evidence from high to low? - ANSWER Systematic Review (meta-
analysis, narrative, meta-synthesis), Critically appraised, RCT, Cohort Study, Case-control
study, Expert committee, indvl clinical expertise
Distinguish b/w 3 types of systematic reviews: - ANSWER 1) Meta-analysis (quantitative
and highest) 2) Systematic review including narratives 3) Meta-synthesis (total qualitative)
4
