CANADA, 4TH EDITION
BY MINA SINGH, RN, RP, BSC, BSCN MED,
PHD, I-FCNEI, CHERYLYN CAMERON, RN,
PHD, GERI LOBIONDO-WOOD, PHD, RN,
FAAN AND JUDITH HABER, PHD, RN, FAAN
Chapter 01: The Role of Research in Nursing
LoBiondo-Wood: Nursing Research in Canada, 4th Edition
MULTIPLE CHOICE
1. What was the focus of most nursing research studies conducted during the first half of the
twentieth century?
a. Nursing education methods and outcomes
b. Effects of sanitation on health promotion and disease prevention
c. Use of epidemiology as a method of identifying risk for specific illnesses
d. Identification of the most effective means to disseminate positive findings from
nursing research
ANS: A
Feedback
A Nursing education has been documented to have been the focus of nursing
research in the early twentieth century.
B Disease prevention was a focus in the 1960s.
C Florence Nightingale used epidemiology in her early research.
D Dissemination of nursing research findings grew in the 1980s.
DIF: Cognitive Level: Knowledge
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion
and Maintenance
2. What was the outcome of the 1932 Weir report?
a. Recognition of research as part of the roles and responsibilities of the registered
, nurse
b. Recommendation of changes to improve standards of education and practice
c. Establishment of multiple entry levels to the nursing profession
d. Publication of the Canadian Journal of Nursing
ANS: B
Feedback
A The focus was on advancing the delivery of nursing education to improve
practice.
B The Weir report identified serious problems in nursing education that affected
nursing practice.
C The standardization of BScN, MSN, and PhD programs was suggested, but it
took 50 years for its full adoption.
D No publication called the Canadian Journal of Nursing exists.
DIF: Cognitive Level: Knowledge
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion
and Maintenance
3. What action or strategy can limit the depth of nursing research?
a. Addressing physiological and psychological responses to actual or potential health
problems
b. Employing both qualitative methods and quantitative methods in the same study
c. Developing programs of research that build on prior investigations
d. Using singular measures to assess phenomena
ANS: D
Feedback
A Addressing the physical and psychological aspects of a phenomenon provides
depth to research outcomes.
B Multiple-method studies can provide greater depth of understanding of a
phenomenon.
C Building on prior research allows for deeper exploration of human phenomena.
D Using a single measure will not allow a researcher to examine the complexity of
human phenomena.
DIF: Cognitive Level: Analysis
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion
and Maintenance
4. Which of the following is the overall value of developing evidence-informed nursing practice?
a.Demonstration of how nursing makes a difference in patient outcomes
b.Implementation of the most cost-effective nursing practice patterns
c.Separation of nursing research from the research of other disciplines
d.Development of new nursing theories
ANS: B
Feedback
, A Evidence-informed practice provides a research foundation for nursing
interventions.
B Implementation of more cost-effective nursing interventions may occur based on
evidence, but it is not the overall value of developing evidence-informed nursing
practice.
C Developing a unique body of nursing knowledge is important but is not the
overall value of developing evidence-informed nursing practice.
D Developing nursing theory is important, but evidence-informed nursing practice
is focused on the more concrete aspects of clinical practice.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion
and Maintenance
5. How does an international research perspective contribute to the discipline and science of
nursing?
a. By unifying the definition of the term health
b. By increasing the dissemination potential of research findings
c. By emphasizing the cultural aspects of nursing care
d. By testing innovative and cost-effective patient care delivery models
ANS: D
Feedback
A Nursing models can be tested in a variety of settings, which strengthens the
credibility of the evidence. Health is a subjective term.
B Dissemination of findings is one of the benefits of an international perspective,
but the primary focus is testing of models.
C Emphasis on cultural considerations is one of the benefits of an international
perspective, but the primary focus is testing of models.
D An international research perspective can lead to the formation of a global
research community.
DIF: Cognitive Level: Comprehension
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion
and Maintenance
6. Which of the following is the identified priority for future nursing research efforts?
a.Improvement in patient quality of life
b.Cost containment of health care delivery
c.Promotion of excellence in nursing science
d.Promotion of advanced education in nursing
ANS: C
Feedback
A Patient quality of life is a desired outcome but not the identified priority for
future nursing research.
B Cost containment is not the identified priority for future nursing research.
C Nursing is rising to the challenge of developing the science to improve health
, care. Advancing nursing science is therefore a priority.
D Promotion of advanced education in nursing is not the identified priority for
future nursing research.
DIF: Cognitive Level: Knowledge
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion
and Maintenance
7. Review the information from four abstracts below and identify which study is an example of
outcome-based research.
a. This study used a school-based community sample (N = 920) to examine
trajectories of depressive symptoms, self-esteem, and expressed anger in the
critical years of emerging adulthood (ages 18 to 25).
b. To identify reasons for lower organ donation rates by knowledge and attitudes
about brain death, donation, and transplantation and trust in the health care system
were examined.
c. An exploratory study was undertaken with a racially diverse group of custodial
grandfathers to fill a gap in the literature about the vulnerability for elder abuse,
exploitation, and neglect as expressed by older Indigenous, Caucasian, and South
Asian custodial grandfathers.
d. A multicentre, international clinical trial was conducted in 3,500 patients with
documented coronary heart disease to determine whether a brief education and
counselling intervention delivered by a nurse can reduce prehospital delay in the
face of symptoms.
ANS: D
Feedback
A Exploration of anger in adulthood is not an outcomes research study.
B Surveying families about consent for organ donation is not an outcomes research
study.
C Exploration of elder abuse is not an outcomes research study.
D Outcomes research examines how nursing interventions affect patient outcomes.
This study examines the effectiveness of nursing interventions.
DIF: Cognitive Level: Evaluation
MSC: NCLEX Client Care Needs Category: Safe and Effective Care Environment; Health Promotion
and Maintenance
8. Why should a nursing research study that demonstrates a positive outcome for a specific
intervention be replicated before the intervention can be accepted for implementation?
a. Findings that are reproducible in a series of replicated studies increase the
generalizability of the results.
b. Being able to replicate existing studies increases the opportunity for nurses to be
involved in nursing research.
c. Replicated studies provide more data for statistical analysis and measurement of
reliability.
d. If a high level of significance is associated with the study results, replication is
unnecessary.