,CHAPTER 1 l
WHAT IS EVIDENCE BASED PRACTICE?
l l l l
MultiplelChoice
Definitionloflresearchl(p.l14)
1. Whichloflthelfollowinglislthelbestldefinitionloflresearch?
a. Criticallylthinkinglaboutlproblemslthatloccurlinlhealthlcareltoldeterminelpossiblelsol
utions.
b. Informationlthatlislbasedlonlpersonallexperiencelorltradition.
c. Plannedlandlsystematiclactivitylthatlleadsltolnewlknowledgeland/orltheldis
coveryloflsolutionsltolproblemslorlquestions.
d. Tryinglalvarietyloflapproachesltolalclinicallproblemlandlsettlinglonlthelapproachlthatl
isleffectivelmoreloftenlthanlnot.
Definitionloflresearchlutilizationl(p.l4)
2. Whichloflthelfollowinglislthelbestldefinitionloflresearchlutilization?
a. Applyinglresearchlfindingslfromlindividuallstudiesltolpractice.
b. Analyzinglmultiplelresearchlstudiesltolsynthesizelfindings.
c. Appreciatinglthelimportanceloflclinicalldecisionlmaking.
d. Usinglpreviouslpersonallexperienceltolbuildlconfidence.
DefinitionloflEBPl(pp.l4-5)
3. Whichloflthelfollowinglislthelbestldefinitionloflevidence-basedlpracticel(EBP)?
a. Applicationloflresearchlfindingslbasedlonlscientificltheorieslinlalclinicallsetting.
b. Researchlstudieslthatlcorrespondltolnationallylestablishedlprioritieslforlhealthcare,lco
nductedlbylexpertslinltheirlfields.
c. Uselofltheory-derived,lresearch-
basedlinformationlinlmakingldecisionslaboutlhealthlcareldelivery,lwithlconsider
ationloflindividuallneedslandlpreferenceslandlthelclinicallexpertiseloflthelprovid
er.
d. Usinglthelindividuallhealthlcarelprovider’slperceptionlofltruthlwithoutlconsciouslatt
entionlorlreasoning.
DifferencelbetweenlresearchlutilizationlandlEBPl(pp.l4-5)
4. WhichloflthelfollowinglbestldescribesltheldifferencelbetweenlresearchlutilizationlandlEB
P?
a. Researchlutilizationlislalprocessloflevaluatinglmultiplelstudieslforlthelmostlgen
eralizablelfindings;lEBPlisluseloflthelmostlrecentlstudylonlaltopic.
b. Researchlutilizationlinvolveslchanginglpracticelbasedlonlfindingsloflalsinglelres
earchlstudy;lEBPlislthelsynthesesloflfindingslfromlmultiplelstudiesltolincorpor
atelwithlpractitionerlskillslandlclientlpreferenceltoldeterminelbestlcare.
c. Researchlutilizationlislthelapplicationloflresearchlfindingsltolhealthlcarelpractice;lEB
Plislconsideredlinlselectinglmedicationloptions.
, d. Researchlutilizationlislreviewloflresearchlpublications;lEBPlislusinglthelhea
lthcarelprovider’slperceptionloflwhatlcarelwouldlbelbestlinlindividuallsituati
ons.
Evidencelfromlotherldisciplinesl(p.l6)
5. Inlwhatlwaylcanlevidencelfromldisciplineslotherlthanlnursinglbelhelpful?
a. Theorylbasedlnon-
nursinglevidencelcanlprovidelalbasislonlwhichltolbuildlnewlevidence.
b. Non-
nursinglevidencelsupportsltheluseloflnursinglknowledgelobtainedlbyltriallandlerro
r.
c. Clinicalldecisionlmakinglcanlbelbasedlonlfindingslfromlsinglelnon-
nursinglresearchlstudies.
d. Alllevidencelislequallylimportantltolthelpracticeloflnursing.
Identificationloflsourcesloflevidencel(p.l6)
6. YoularelalnewlnurselworkinglatlXYZlhospital.lYourlpreceptorltellslyoultoldanglelMs.lJones’ll
egslonlthelsideloflthelbedlbeforelyoulattemptltolassistlherltolalchair.lYoulasklyourlpreceptorlwh
ylthislisldonelandlshelanswers,l“Thislislwhatlwelhavelalwaysldone,lsolgoldolit.”lThislislanlexam
pleloflwhichltypeloflevidence?
a. Triallandlerror
b. Intuition
c. Borrowedlevidence
d. Tradition
Identificationloflsourcesloflevidencel(p.l6)
7. YoularelalnewlnurselworkinglatlXYZlhospital.lYourlpreceptorltellslyoultoldanglelMs.lJones’ll
egslonlthelsideloflthelbedlbeforelyoulattemptltolassistlherltolalchair.lYoulasklyourlpreceptorlwh
ylthislisldonelandlshelanswers,l“BecauselIlsaidlso.”lThislislanlexampleloflwhichltypelofleviden
ce?
a. Intuition
b. Tradition
c. Authority
d. Borrowedlevidence
Identificationloflsourcesloflevidencel(p.l6)
8. Triallandlerrorlislnotlalpreferredlapproachlforldeliveringlnursinglcarelbecause
a. itlislnotlbasedlonlsystematiclscientificlapproaches.
b. itlislnotlalsanctionedlmethodlbylthelAmericanlNurseslAssociation.
c. itlislbasedlonlylonlintuitionlandlthereforelnotlscientificallylbased.
d. patientloutcomeslarelalwayslbasedlonlylonllevell1levidence.
Identificationloflsourcesloflevidencel(p.l8)
9. Manylnurseslinlclinicallsettingslbaselnursinglinterventionslonlinformationlobtainedlfrom
a. levell1levidence.
b. individuallresearchlstudies.
c. colleagues.
, d. thelAmericanlNurseslAssociation.
BarriersltoladoptinglEBPl(p.l8)
10. Studieslhavelshownlthatlthelreasonslthatlnursesldolnotldrawlonlresearchlarelrelatedlto
a. communicationlproblems.
b. individuallandlorganizationallfactors.
c. personalldisinterest.
d. rapidlorganizationallchanges.
EnvironmentlforlEBPltolflourishl(p.l11)
11. WhichloflthelfollowinglpromoteslconsistentlEBPlpracticelchangeslinlanlinstitution?
a. ClinicallexpertslsuchlaslAdvancedlPracticelNursesl(APNs)lshouldlbelthelauthoritylforl
anylchangelinlpractices.
b. Changelchampionslarelneededlonleachlworklshiftltolfacilitatelpracticelch
anges.
c. Nurselmanagerslmustlmandatelresearchlwithinlhealthcarelinstitutions.
d. Opinionlleaderslshouldlenforceladherenceltoltheirlopinions.
EnvironmentlforlEBPltolflourishl(p.l10)
12. Onelmethodlforlovercominglallackloflresourcesltolaccesslevidencelislto
a. devotel15lminuteslaldayltolreadinglevidencelrelatedltolalclinicallproblem.
b. attendlconferenceslwherelclinicallresearchlislpresented..
c. bookmarklimportantlWeblsiteslthatlarelsourcesloflclinicallguidelines.
d. collaboratelwithlalnursinglprogramlforlaccessltolresources.
BarriersltoladoptinglEBPl(p.l9)
13. WhatlstepslcanlbeltakenltolovercomeltheltimelbarrierltoladoptinglanlEBP?
a. Devotel15lminuteslaldayltolreadinglevidencelrelatedltolalclinicallproblem.
b. Subscribeltole-maillsummariesloflresearchlstudieslinlyourlarealoflinterest.
c. Takeladvantageloflavailableltechnologiesltolprovidelquicklandlconvenientlaccessltolr
elevantldatalandlclinicallguidelines.
d. Allloflthelabove
Partsloflalresearchlarticlel(p.l18)
14. Whichlsectionloflalresearchlarticlelprovideslanloverviewloflthelstudy?
a. Abstract
b. Introduction
c. Reviewloflliterature
d. Theoreticallframework
Partsloflalresearchlarticlel(pp.l18)
15. Whichlsectionloflalresearchlarticlelidentifieslthelproblemlbeinglstudiedlandlincludeslalpur
poselstatementlandlbackgroundlinformationlonltheltopic?
a. Discussionlsection
b. Introduction
c. Methodslsection
WHAT IS EVIDENCE BASED PRACTICE?
l l l l
MultiplelChoice
Definitionloflresearchl(p.l14)
1. Whichloflthelfollowinglislthelbestldefinitionloflresearch?
a. Criticallylthinkinglaboutlproblemslthatloccurlinlhealthlcareltoldeterminelpossiblelsol
utions.
b. Informationlthatlislbasedlonlpersonallexperiencelorltradition.
c. Plannedlandlsystematiclactivitylthatlleadsltolnewlknowledgeland/orltheldis
coveryloflsolutionsltolproblemslorlquestions.
d. Tryinglalvarietyloflapproachesltolalclinicallproblemlandlsettlinglonlthelapproachlthatl
isleffectivelmoreloftenlthanlnot.
Definitionloflresearchlutilizationl(p.l4)
2. Whichloflthelfollowinglislthelbestldefinitionloflresearchlutilization?
a. Applyinglresearchlfindingslfromlindividuallstudiesltolpractice.
b. Analyzinglmultiplelresearchlstudiesltolsynthesizelfindings.
c. Appreciatinglthelimportanceloflclinicalldecisionlmaking.
d. Usinglpreviouslpersonallexperienceltolbuildlconfidence.
DefinitionloflEBPl(pp.l4-5)
3. Whichloflthelfollowinglislthelbestldefinitionloflevidence-basedlpracticel(EBP)?
a. Applicationloflresearchlfindingslbasedlonlscientificltheorieslinlalclinicallsetting.
b. Researchlstudieslthatlcorrespondltolnationallylestablishedlprioritieslforlhealthcare,lco
nductedlbylexpertslinltheirlfields.
c. Uselofltheory-derived,lresearch-
basedlinformationlinlmakingldecisionslaboutlhealthlcareldelivery,lwithlconsider
ationloflindividuallneedslandlpreferenceslandlthelclinicallexpertiseloflthelprovid
er.
d. Usinglthelindividuallhealthlcarelprovider’slperceptionlofltruthlwithoutlconsciouslatt
entionlorlreasoning.
DifferencelbetweenlresearchlutilizationlandlEBPl(pp.l4-5)
4. WhichloflthelfollowinglbestldescribesltheldifferencelbetweenlresearchlutilizationlandlEB
P?
a. Researchlutilizationlislalprocessloflevaluatinglmultiplelstudieslforlthelmostlgen
eralizablelfindings;lEBPlisluseloflthelmostlrecentlstudylonlaltopic.
b. Researchlutilizationlinvolveslchanginglpracticelbasedlonlfindingsloflalsinglelres
earchlstudy;lEBPlislthelsynthesesloflfindingslfromlmultiplelstudiesltolincorpor
atelwithlpractitionerlskillslandlclientlpreferenceltoldeterminelbestlcare.
c. Researchlutilizationlislthelapplicationloflresearchlfindingsltolhealthlcarelpractice;lEB
Plislconsideredlinlselectinglmedicationloptions.
, d. Researchlutilizationlislreviewloflresearchlpublications;lEBPlislusinglthelhea
lthcarelprovider’slperceptionloflwhatlcarelwouldlbelbestlinlindividuallsituati
ons.
Evidencelfromlotherldisciplinesl(p.l6)
5. Inlwhatlwaylcanlevidencelfromldisciplineslotherlthanlnursinglbelhelpful?
a. Theorylbasedlnon-
nursinglevidencelcanlprovidelalbasislonlwhichltolbuildlnewlevidence.
b. Non-
nursinglevidencelsupportsltheluseloflnursinglknowledgelobtainedlbyltriallandlerro
r.
c. Clinicalldecisionlmakinglcanlbelbasedlonlfindingslfromlsinglelnon-
nursinglresearchlstudies.
d. Alllevidencelislequallylimportantltolthelpracticeloflnursing.
Identificationloflsourcesloflevidencel(p.l6)
6. YoularelalnewlnurselworkinglatlXYZlhospital.lYourlpreceptorltellslyoultoldanglelMs.lJones’ll
egslonlthelsideloflthelbedlbeforelyoulattemptltolassistlherltolalchair.lYoulasklyourlpreceptorlwh
ylthislisldonelandlshelanswers,l“Thislislwhatlwelhavelalwaysldone,lsolgoldolit.”lThislislanlexam
pleloflwhichltypeloflevidence?
a. Triallandlerror
b. Intuition
c. Borrowedlevidence
d. Tradition
Identificationloflsourcesloflevidencel(p.l6)
7. YoularelalnewlnurselworkinglatlXYZlhospital.lYourlpreceptorltellslyoultoldanglelMs.lJones’ll
egslonlthelsideloflthelbedlbeforelyoulattemptltolassistlherltolalchair.lYoulasklyourlpreceptorlwh
ylthislisldonelandlshelanswers,l“BecauselIlsaidlso.”lThislislanlexampleloflwhichltypelofleviden
ce?
a. Intuition
b. Tradition
c. Authority
d. Borrowedlevidence
Identificationloflsourcesloflevidencel(p.l6)
8. Triallandlerrorlislnotlalpreferredlapproachlforldeliveringlnursinglcarelbecause
a. itlislnotlbasedlonlsystematiclscientificlapproaches.
b. itlislnotlalsanctionedlmethodlbylthelAmericanlNurseslAssociation.
c. itlislbasedlonlylonlintuitionlandlthereforelnotlscientificallylbased.
d. patientloutcomeslarelalwayslbasedlonlylonllevell1levidence.
Identificationloflsourcesloflevidencel(p.l8)
9. Manylnurseslinlclinicallsettingslbaselnursinglinterventionslonlinformationlobtainedlfrom
a. levell1levidence.
b. individuallresearchlstudies.
c. colleagues.
, d. thelAmericanlNurseslAssociation.
BarriersltoladoptinglEBPl(p.l8)
10. Studieslhavelshownlthatlthelreasonslthatlnursesldolnotldrawlonlresearchlarelrelatedlto
a. communicationlproblems.
b. individuallandlorganizationallfactors.
c. personalldisinterest.
d. rapidlorganizationallchanges.
EnvironmentlforlEBPltolflourishl(p.l11)
11. WhichloflthelfollowinglpromoteslconsistentlEBPlpracticelchangeslinlanlinstitution?
a. ClinicallexpertslsuchlaslAdvancedlPracticelNursesl(APNs)lshouldlbelthelauthoritylforl
anylchangelinlpractices.
b. Changelchampionslarelneededlonleachlworklshiftltolfacilitatelpracticelch
anges.
c. Nurselmanagerslmustlmandatelresearchlwithinlhealthcarelinstitutions.
d. Opinionlleaderslshouldlenforceladherenceltoltheirlopinions.
EnvironmentlforlEBPltolflourishl(p.l10)
12. Onelmethodlforlovercominglallackloflresourcesltolaccesslevidencelislto
a. devotel15lminuteslaldayltolreadinglevidencelrelatedltolalclinicallproblem.
b. attendlconferenceslwherelclinicallresearchlislpresented..
c. bookmarklimportantlWeblsiteslthatlarelsourcesloflclinicallguidelines.
d. collaboratelwithlalnursinglprogramlforlaccessltolresources.
BarriersltoladoptinglEBPl(p.l9)
13. WhatlstepslcanlbeltakenltolovercomeltheltimelbarrierltoladoptinglanlEBP?
a. Devotel15lminuteslaldayltolreadinglevidencelrelatedltolalclinicallproblem.
b. Subscribeltole-maillsummariesloflresearchlstudieslinlyourlarealoflinterest.
c. Takeladvantageloflavailableltechnologiesltolprovidelquicklandlconvenientlaccessltolr
elevantldatalandlclinicallguidelines.
d. Allloflthelabove
Partsloflalresearchlarticlel(p.l18)
14. Whichlsectionloflalresearchlarticlelprovideslanloverviewloflthelstudy?
a. Abstract
b. Introduction
c. Reviewloflliterature
d. Theoreticallframework
Partsloflalresearchlarticlel(pp.l18)
15. Whichlsectionloflalresearchlarticlelidentifieslthelproblemlbeinglstudiedlandlincludeslalpur
poselstatementlandlbackgroundlinformationlonltheltopic?
a. Discussionlsection
b. Introduction
c. Methodslsection
