Clinical Decision
Making
Q & A w/ Rationales
2024
,1. Which of the following is a key characteristic of
evidence-based practice (EBP) in clinical decision making?
a) Reliance on personal experience and intuition
b) Utilization of research findings and scientific evidence
c) Dependence on traditional methods and practices
d) Emphasis on trial and error approach
Answer: b) Utilization of research findings and scientific
evidence
Rationale: EBP emphasizes the integration of the best
available research evidence with clinical expertise and
patient preferences to guide decision making.
2. The first step in the evidence-based practice process is:
a) Formulating a clinical question
b) Conducting a literature search
c) Critically appraising the evidence
d) Applying the evidence to practice
Answer: a) Formulating a clinical question
Rationale: Formulating a clear and focused clinical
question helps guide the search for relevant evidence and
facilitates the EBP process.
3. Which of the following study designs is considered the
gold standard for determining cause-and-effect
relationships?
, a) Randomized controlled trial (RCT)
b) Cohort study
c) Case-control study
d) Cross-sectional study
Answer: a) Randomized controlled trial (RCT)
Rationale: RCTs are considered the gold standard for
determining cause-and-effect relationships because they
involve random assignment of participants to intervention
and control groups, minimizing bias and enabling causal
inferences.
4. When critically appraising research evidence, which of
the following is important to consider?
a) Credibility and trustworthiness of the source
b) Personal beliefs and biases
c) The popularity of the study among peers
d) Lengthy and complex methodology descriptions
Answer: a) Credibility and trustworthiness of the source
Rationale: It is crucial to assess the credibility and
trustworthiness of the source of evidence, such as peer-
reviewed journals, reputable research institutions, and
systematic reviews, to ensure the validity and reliability of
the findings.
5. Which of the following best describes the purpose of
systematic reviews and meta-analyses?
a) To generate new research questions
b) To guide individual patient care decisions