Chapter 01: Integrating Research, Evidence-Based Practice, and Quality Improvement
II II II II II II II II
Processes I
Test Bank
II
MULTIPLE CHOICE II
1. Nursing research is significant to the profession of nursing because it promotes what?
II II II II II II II II II II II II
a. More specifically defined nursing practice responsibilities
II II II II II
b. Decreased liability within the practice of nursing II II II II II II
c. Generation of a specialized body of nursing knowledge for use in nursing practice
II II II II II II II II II II II II
d. Expansion of the scope of nursing practice into areas formerly reserved
II II II II II II II II II II
II forother disciplines
I II
ANS: C II
Feedback
ARe search aids in documenting accountability of nurses, but professional
I II II II II II II II II
II guidelines already exist regarding responsibility. Each state has a Nurse
II II II II II II II II II
II PracticeAct with rules and regulations that define scope of practice.
I II II II II II II II II II
B Liability is a legal concept related to a nurse’s legal scope of practice and
I II II II II II II II II II II II II II
professionalstandards of practice. Research does not change a nurse’s liability.
II I II II II II II II II II II
C Nursing research generates a specialized scientific knowledge base that
II II II II II II II II
II empowers the nursing profession to anticipate and meet constantly shifting
II II II II II II II II II
II challenges of health care delivery to multiple populations. It provides a
II II II II II II II II II II
II foundation for evidence-based nursing care and quality improvement
II II II II II II II
II activities.
D Although research can document nursing accountability, each state’s
II II II II II II II
II NursePractice Act defines the scope of nursing practice for that state.
I II II II II II II II II II II
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: I I Page 6 II
2. Which aspect of the scientific investigation of nursing practice is also a
II II II II II II II II II II II
II fundamentalconcept of American Nurses Association (ANA)’s Code for Nurses?
I II II II II II II II II
a. Professional accountability II
b. Standards of care II II
c. Legal scope of practice II II II
d. Advanced practice nursing activities II II II
ANS: A II
, Feedback
A Scientific
II investigation promotes accountability, a hallmark of the
II II II II II II II
II nursingprofession and a fundamental concept of the ANA’s Code for Nurses.
I II II II II II II II II II II
B Standards of care are defined by ANA, as well as specialty nursing
II II II II II II II II II II II II
organizations. The Code for Nurses states that nurses should
II II II II II II II II II
conformto standards, but standards per se are not part of the Code.
II I II II II II II II II II II II II
C Legal scope of practice is defined by each state’s Nurse Practice Act
II II II II II II II II II II II
II andelaborated in its rules and regulations.
I II II II II II
D The II ANA Code applies to nursing practice in general, not advanced practice.
II II II II II II II II II II
DIF: Cognitive Level: Remembering (Knowledge) II II II REF: I I Page 6 II
3. Nurses who do not conduct research need to understand the nursing research process
II II II II II II II II II II II II
II forwhich of these reasons?
I II II II
a. To identify potential subjects for clinical research studies
II II II II II II II
b. To assist as accurate data collectors in clinical research studies
II II II II II II II II II
c. To teach patients and their families about the usefulness of consenting
II II II II II II II II II II
II toparticipate in research
I II II
d. To be able to evaluate nursing research reports for relevance to their own
II II II II II II II II II II II II
II clinicalpractice I
ANS: D II
Feedback
II
A Subject
II II identification is determined by the nurse researcher. II II II II II II
B Data collectors need to understand their role in the study; they do not need
II II II II II II II II II II II II II II
II tounderstand the entire research process.
I II II II II
C Subject recruitment is the responsibility of the nurse researcher.
I II II II II II II II II
D Nurses need to understand the research process in order to critically read
II II II II II II II II II II II II
II research reports and determine if nursing practice should incorporate the
II II II II II II II II II
II research findings as valid evidence. II II II II
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: I I Page 7 II
4. Which of these actions demonstrates the role of a knowledgeable consumer of
II II II II II II II II II II II
II nursingresearch? I
a. Designing a nursing research study II II II II
b. Analyzing data to determine a study’s outcomes II II II II II II
c. Evaluating the credibility of research findings II II II II II
, d. Implementing an intervention found to be effective in one clinical case study II II II II II II II II II II II
ANS: C II
Feedback
II
A A consumer uses and applies research to practice but is not responsible
II II II II II II II II II II II II
II fordesigning a study.
I II II
B A consumer does not conduct data analysis of a study; the study’s
II II II II II II II II II II II II
II primaryinvestigator analyzes data. I II II
C I I A consumer of nursing research needs to understand the research process
II II II II II II II II II II II
II todetermine the merit and relevance of evidence presented in research studies.
I II II II II II II II II II II
D A consumer would not implement an intervention on the basis of a single
II II II II II II II II II II II II II
II casestudy. I
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: I I Page 7 II
5. Members of the nursing staff are to participate in a unit-based clinical research study.
II II II II II II II II II II II II II
Whichresearch-related actions would be expected of a nurse with a baccalaureate nursing
II I II II II II II II II II II II II
degree?
II
a. Using critical appraisal skills to understand and assess the steps of the research
II II II II II II II II II II II II
process
b. Providing expert nursing consultation about the way in which clinical services
II II II II II II II II II II II
II aredelivered I
c. Developing research methods to monitor and evaluate the quality of
II II II II II II II II II II
II nursingpractice in the clinical setting I II II II II
d. Providing leadership in the application of scientific knowledge to II II II II II II II II
II nursingpractice I
ANS: A II
Feedback
II
A A baccalaureate-prepared nurse should be able to use skills of critical appraisal
II II II II II II II II II II II II
II toboth understand and appraise the steps of the research process.
I II II II II II II II II II
B Nurses prepared at the baccalaureate level in nursing are at the bedside
II II II II II II II II II II II II
II implementing protocols, whereas expert consultation is generally reserved for nurses
II II II II II II II II II
II prepared at themaster’s or higher-degree level (advanced education).
II II I II II II II II
C Developing research methods is generally reserved for nurses with
II II II II II II II II II
II advancededucation. I
D Providing leadership in research application is generally reserved for nurses
II II II II II II II II II II
II withadvanced education. I II
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: Page I I
7
II
, 6. Which statement describes the role of the nurse in research?
II II II II II II II II II
a. Nurses must be prepared at the baccalaureate or higher level of education to
II II II II II II II II II II II II
II haveany role in nursing research.
I II II II II
b. Nurses with master’s or higher levels of education are solely responsible
II II II II II II II II II II
II forapplying research to clinical practice.
I II II II II
c. The research role of nurses prepared at both baccalaureate and master’s levels
II II II II II II II II II II II
II ofeducation includes critical appraisal skills.
I II II II II
d. Regardless of the nursing education level, only the nurse with the most
II II II II II II II II II II II II
comprehensive understanding of statistical methods should interpret II II II II II II
researchfindings.
II I
ANS: C II
Feedback
II
A Having a role in nursing research or implementing findings is not limited
II II II II II II II II II II II II
II tonurses with baccalaureate or higher levels of education.
I II II II II II II II
B Nurses with master’s or higher levels of education provide leadership to
II II II II II II II II II II II
supervise how research findings are applied in the clinical area. However,
II II II II II II II II II II II
alllevels of nurses can apply research findings to practice.
II I II II II II II II II II
C To use research in evidence-based practice, the nurse must not necessarily be
II II II II II II II II II II II II
II able to conduct research but should be able to understand and appraise the
II II II II II II II II II II II II
II steps of theresearch process to read the research literature critically and use it
II II I II II II II II II II II II II
II to inform clinical decisions.
II II II
D Data analysis is usually conducted by nurses with master’s or higher levels of
II II II II II II II II II II II II II
II education. However, interpretation of research findings can be performed by
II II II II II II II II II
II anynurse who can critically analyze the research performed.
I II II II II II II II
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: I I Page 7 II
7. What is the primary value of evidence-based nursing practice?
II II II II II II II II
a. Implementing the most cost-effective nursing practices when providing II II II II II II II
II patientcare I
b. Incorporating research findings with clinical expertise when individualizing II II II II II II II
II patientcare I
c. Separating nursing research as unique from the research of other disciplines
II II II II II II II II II II
d. Developing new nursing theories to promote the growth of nursing science
II II II II II II II II II II
ANS: B II
Feedback
II
A Cost-effective nursing interventions can occur based on evidence, but it is not
II II II II II II II II II II II II
II theprimary value of evidence-based nursing practice.
I II II II II II
II II II II II II II II
Processes I
Test Bank
II
MULTIPLE CHOICE II
1. Nursing research is significant to the profession of nursing because it promotes what?
II II II II II II II II II II II II
a. More specifically defined nursing practice responsibilities
II II II II II
b. Decreased liability within the practice of nursing II II II II II II
c. Generation of a specialized body of nursing knowledge for use in nursing practice
II II II II II II II II II II II II
d. Expansion of the scope of nursing practice into areas formerly reserved
II II II II II II II II II II
II forother disciplines
I II
ANS: C II
Feedback
ARe search aids in documenting accountability of nurses, but professional
I II II II II II II II II
II guidelines already exist regarding responsibility. Each state has a Nurse
II II II II II II II II II
II PracticeAct with rules and regulations that define scope of practice.
I II II II II II II II II II
B Liability is a legal concept related to a nurse’s legal scope of practice and
I II II II II II II II II II II II II II
professionalstandards of practice. Research does not change a nurse’s liability.
II I II II II II II II II II II
C Nursing research generates a specialized scientific knowledge base that
II II II II II II II II
II empowers the nursing profession to anticipate and meet constantly shifting
II II II II II II II II II
II challenges of health care delivery to multiple populations. It provides a
II II II II II II II II II II
II foundation for evidence-based nursing care and quality improvement
II II II II II II II
II activities.
D Although research can document nursing accountability, each state’s
II II II II II II II
II NursePractice Act defines the scope of nursing practice for that state.
I II II II II II II II II II II
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: I I Page 6 II
2. Which aspect of the scientific investigation of nursing practice is also a
II II II II II II II II II II II
II fundamentalconcept of American Nurses Association (ANA)’s Code for Nurses?
I II II II II II II II II
a. Professional accountability II
b. Standards of care II II
c. Legal scope of practice II II II
d. Advanced practice nursing activities II II II
ANS: A II
, Feedback
A Scientific
II investigation promotes accountability, a hallmark of the
II II II II II II II
II nursingprofession and a fundamental concept of the ANA’s Code for Nurses.
I II II II II II II II II II II
B Standards of care are defined by ANA, as well as specialty nursing
II II II II II II II II II II II II
organizations. The Code for Nurses states that nurses should
II II II II II II II II II
conformto standards, but standards per se are not part of the Code.
II I II II II II II II II II II II II
C Legal scope of practice is defined by each state’s Nurse Practice Act
II II II II II II II II II II II
II andelaborated in its rules and regulations.
I II II II II II
D The II ANA Code applies to nursing practice in general, not advanced practice.
II II II II II II II II II II
DIF: Cognitive Level: Remembering (Knowledge) II II II REF: I I Page 6 II
3. Nurses who do not conduct research need to understand the nursing research process
II II II II II II II II II II II II
II forwhich of these reasons?
I II II II
a. To identify potential subjects for clinical research studies
II II II II II II II
b. To assist as accurate data collectors in clinical research studies
II II II II II II II II II
c. To teach patients and their families about the usefulness of consenting
II II II II II II II II II II
II toparticipate in research
I II II
d. To be able to evaluate nursing research reports for relevance to their own
II II II II II II II II II II II II
II clinicalpractice I
ANS: D II
Feedback
II
A Subject
II II identification is determined by the nurse researcher. II II II II II II
B Data collectors need to understand their role in the study; they do not need
II II II II II II II II II II II II II II
II tounderstand the entire research process.
I II II II II
C Subject recruitment is the responsibility of the nurse researcher.
I II II II II II II II II
D Nurses need to understand the research process in order to critically read
II II II II II II II II II II II II
II research reports and determine if nursing practice should incorporate the
II II II II II II II II II
II research findings as valid evidence. II II II II
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: I I Page 7 II
4. Which of these actions demonstrates the role of a knowledgeable consumer of
II II II II II II II II II II II
II nursingresearch? I
a. Designing a nursing research study II II II II
b. Analyzing data to determine a study’s outcomes II II II II II II
c. Evaluating the credibility of research findings II II II II II
, d. Implementing an intervention found to be effective in one clinical case study II II II II II II II II II II II
ANS: C II
Feedback
II
A A consumer uses and applies research to practice but is not responsible
II II II II II II II II II II II II
II fordesigning a study.
I II II
B A consumer does not conduct data analysis of a study; the study’s
II II II II II II II II II II II II
II primaryinvestigator analyzes data. I II II
C I I A consumer of nursing research needs to understand the research process
II II II II II II II II II II II
II todetermine the merit and relevance of evidence presented in research studies.
I II II II II II II II II II II
D A consumer would not implement an intervention on the basis of a single
II II II II II II II II II II II II II
II casestudy. I
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: I I Page 7 II
5. Members of the nursing staff are to participate in a unit-based clinical research study.
II II II II II II II II II II II II II
Whichresearch-related actions would be expected of a nurse with a baccalaureate nursing
II I II II II II II II II II II II II
degree?
II
a. Using critical appraisal skills to understand and assess the steps of the research
II II II II II II II II II II II II
process
b. Providing expert nursing consultation about the way in which clinical services
II II II II II II II II II II II
II aredelivered I
c. Developing research methods to monitor and evaluate the quality of
II II II II II II II II II II
II nursingpractice in the clinical setting I II II II II
d. Providing leadership in the application of scientific knowledge to II II II II II II II II
II nursingpractice I
ANS: A II
Feedback
II
A A baccalaureate-prepared nurse should be able to use skills of critical appraisal
II II II II II II II II II II II II
II toboth understand and appraise the steps of the research process.
I II II II II II II II II II
B Nurses prepared at the baccalaureate level in nursing are at the bedside
II II II II II II II II II II II II
II implementing protocols, whereas expert consultation is generally reserved for nurses
II II II II II II II II II
II prepared at themaster’s or higher-degree level (advanced education).
II II I II II II II II
C Developing research methods is generally reserved for nurses with
II II II II II II II II II
II advancededucation. I
D Providing leadership in research application is generally reserved for nurses
II II II II II II II II II II
II withadvanced education. I II
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: Page I I
7
II
, 6. Which statement describes the role of the nurse in research?
II II II II II II II II II
a. Nurses must be prepared at the baccalaureate or higher level of education to
II II II II II II II II II II II II
II haveany role in nursing research.
I II II II II
b. Nurses with master’s or higher levels of education are solely responsible
II II II II II II II II II II
II forapplying research to clinical practice.
I II II II II
c. The research role of nurses prepared at both baccalaureate and master’s levels
II II II II II II II II II II II
II ofeducation includes critical appraisal skills.
I II II II II
d. Regardless of the nursing education level, only the nurse with the most
II II II II II II II II II II II II
comprehensive understanding of statistical methods should interpret II II II II II II
researchfindings.
II I
ANS: C II
Feedback
II
A Having a role in nursing research or implementing findings is not limited
II II II II II II II II II II II II
II tonurses with baccalaureate or higher levels of education.
I II II II II II II II
B Nurses with master’s or higher levels of education provide leadership to
II II II II II II II II II II II
supervise how research findings are applied in the clinical area. However,
II II II II II II II II II II II
alllevels of nurses can apply research findings to practice.
II I II II II II II II II II
C To use research in evidence-based practice, the nurse must not necessarily be
II II II II II II II II II II II II
II able to conduct research but should be able to understand and appraise the
II II II II II II II II II II II II
II steps of theresearch process to read the research literature critically and use it
II II I II II II II II II II II II II
II to inform clinical decisions.
II II II
D Data analysis is usually conducted by nurses with master’s or higher levels of
II II II II II II II II II II II II II
II education. However, interpretation of research findings can be performed by
II II II II II II II II II
II anynurse who can critically analyze the research performed.
I II II II II II II II
DIF: Cognitive Level: Understanding (Comprehension) II II II REF: I I Page 7 II
7. What is the primary value of evidence-based nursing practice?
II II II II II II II II
a. Implementing the most cost-effective nursing practices when providing II II II II II II II
II patientcare I
b. Incorporating research findings with clinical expertise when individualizing II II II II II II II
II patientcare I
c. Separating nursing research as unique from the research of other disciplines
II II II II II II II II II II
d. Developing new nursing theories to promote the growth of nursing science
II II II II II II II II II II
ANS: B II
Feedback
II
A Cost-effective nursing interventions can occur based on evidence, but it is not
II II II II II II II II II II II II
II theprimary value of evidence-based nursing practice.
I II II II II II
