n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
n/
NURSINGTB.COM
, EVIDENCE BASED PRACTICE FOR NURSES 5th EDITION SCHMIDT TEST BANK
n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
Testbank for Schmidt & Brown 5th Edition
n/ n/ n/ n/ n/ n/ n/
Evidence-Based Practice for Nurses: Appraisal and Application of Research
n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
Testbank prepared by: n/ n/ n/ n/
Arlene H. Morris, EdD, RN, CNE and
n/ n/ n/ n/ n/ n/ n/
Debbie Faulk, PhD, RN, CNE
n/ n/ n/ n/ n/ n/
both of Auburn Montgomery School of Nursing
n/ n/ n/ n/ n/ n/ n/
n/
CHAPTER 1 n/ n/
WHAT IS EVIDENCE BASED PRACTICE?
n/ n/ n/ n/ n/
n/
Multiple Choice n/ n/
n/
Definition of research (p. 14)
n/ n/ n/ n/ n/
1. Which of the following is the best definition of research?
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. Critically thinking about problems that occur in health care to determine n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
possible solutions. n/ n/ n/
b. Information that is based on personal experience or tradition. n/ n/ n/ n/ n/ n/ n/ n/ n/
c. Planned and systematic activity that leads to new knowledge and/or the n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
discovery of solutions to problems or questions.
n/ n/ n/ n/ n/ n/ n/ n/
d. Trying a variety of approaches to a clinical problem and settling on then/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
approach that is effective more often than not.
n/ n/ n/ n/ n/ n/ n/ n/ n/
n/ NURSINGTB.COM
Definition of research utilization (p. 4)
n/ n/ n/ n/ n/ n/
2. Which of the following is the best definition of research utilization?
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. Applying research findings from individual studies to practice. n/ n/ n/ n/ n/ n/ n/ n/
b. Analyzing multiple research studies to synthesize findings. n/ n/ n/ n/ n/ n/ n/
c. Appreciating the importance of clinical decision making. n/ n/ n/ n/ n/ n/ n/
d. Using previous personal experience to build confidence. n/ n/ n/ n/ n/ n/ n/
n/
Definition of EBP (pp. 4-5) n/ n/ n/ n/ n/
3. Which of the following is the best definition of evidence-based practice (EBP)?
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. Application of research findings based on scientific theories in a clinical n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
setting. n/ n/
b. Research studies that correspond to nationally established priorities for n/ n/ n/ n/ n/ n/ n/ n/
healthcare, conducted by experts in their fields.
n/ n/ n/ n/ n/ n/ n/ n/
c. Use of theory-derived, research-based information in making decisions
n/ n/ n/ n/ n/ n/ n/
about health care delivery, with consideration of individual needs and
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
preferences and the clinical expertise of the provider.
n/ n/ n/ n/ n/ n/ n/ n/ n/
d. Using the individual health care provider’s perception of truth without
n/ n/ n/ n/ n/ n/ n/ n/ n/
conscious attention or reasoning. n/ n/ n/ n/ n/
n/
Difference between research utilization and EBP (pp. 4-5)
n/ n/ n/ n/ n/ n/ n/ n/
4. Which of the following best describes the difference between research utilization and
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
EBP? n/
a. Research utilization is a process of evaluating multiple studies for the most n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
generalizable findings; EBP is use of the most recent study on a topic.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
NURSINGTB.COM
, EVIDENCE BASED PRACTICE FOR NURSES 5th EDITION SCHMIDT TEST BANK
n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
b. Research utilization involves changing practice based on findings of a n/ n/ n/ n/ n/ n/ n/ n/ n/
single research study; EBP is the syntheses of findings from multiple
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
studies to incorporate with practitioner skills and client preference to
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
determine best care.
n/ n/ n/ n/
c. Research utilization is the application of research findings to health care
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
practice; EBP is considered in selecting medication options.
n/ n/ n/ n/ n/ n/ n/ n/ n/
d. Research utilization is review of research publications; EBP is using the
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
healthcare provider’s perception of what care would be best in individual
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
situations. n/ n/
n/
Evidence from other disciplines (p. 6)
n/ n/ n/ n/ n/ n/
5. In what way can evidence from disciplines other than nursing be helpful?
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. Theory based non-nursing evidence can provide a basis on which to build n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
new evidence. n/ n/ n/
b. Non-nursing evidence supports the use of nursing knowledge obtained by trial n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
and error. n/ n/ n/
c. Clinical decision making can be based on findings from single non-nursingn/ n/ n/ n/ n/ n/ n/ n/ n/ n/
research studies. n/ n/ n/
d. All evidence is equally important to the practice of nursing.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
Identification of sources of evidence (p. 6)
n/ n/ n/ n/ n/ n/ n/
6. You are a new nurse working at XYZ hospital. Your preceptor tells you to dangle
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
Ms. Jones’ legs on the side of the bed before you attempt to assist her to a chair.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
You ask your preceptor why this is done and she answers, “This is what we have
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
always done, so go do NURSINGTB.COM it.” This is an example of which type of
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
evidence?
n/ n/
a. Trial and error n/ n/ n/
b. Intuition n/
c. Borrowed evidence n/ n/
d. Tradition n/
n/
Identification of sources of evidence (p. 6)
n/ n/ n/ n/ n/ n/ n/
7. You are a new nurse working at XYZ hospital. Your preceptor tells you to dangle
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
Ms. Jones’ legs on the side of the bed before you attempt to assist her to a chair.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
You ask your preceptor why this is done and she answers, “Because I said so.” This
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
is an example of which type of evidence?
n/ n/ n/ n/ n/ n/ n/ n/ n/
a. Intuition n/
b. Tradition n/
c. Authority n/
d. Borrowed evidence n/ n/
n/
Identification of sources of evidence (p. 6)
n/ n/ n/ n/ n/ n/ n/
8. Trial and error is not a preferred approach for delivering nursing care because
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. it is not based on systematic scientific approaches.
n/ n/ n/ n/ n/ n/ n/ n/
b. it is not a sanctioned method by the American Nurses Association.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
c. it is based only on intuition and therefore not scientifically based.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
NURSINGTB.COM
, EVIDENCE BASED PRACTICE FOR NURSES 5th EDITION SCHMIDT TEST BANK
n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
d. patient outcomes are always based only on level 1 evidence.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
Identification of sources of evidence (p. 8)
n/ n/ n/ n/ n/ n/ n/
9. Many nurses in clinical settings base nursing interventions on information obtained
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
from a. level 1 evidence.
n/ n/ n/ n/ n/ n/
b. individual research studies. n/ n/ n/
c. colleagues. n/
d. the American Nurses Association. n/ n/ n/ n/
n/
Barriers to adopting EBP (p. 8)
n/ n/ n/ n/ n/ n/
10. Studies have shown that the reasons that nurses do not draw on research are related to
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
a. communication problems. n/ n/
b. individual and organizational factors. n/ n/ n/ n/
c. personal disinterest. n/ n/
d. rapid organizational changes. n/ n/ n/
n/
Environment for EBP to flourish (p. 11)
n/ n/ n/ n/ n/ n/ n/
11. Which of the following promotes consistent EBP practice changes in an institution?
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. Clinical experts such as Advanced Practice Nurses (APNs) should be the n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
authority for any change in practices.
n/ n/ n/ n/ n/ n/ n/
b. Change champions are needed on each work shift to facilitate practice n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
changes. n/ n/
c. Nurse managers must mandate research within healthcare institutions.
n/ n/ n/ n/ n/ n/ n/ n/
d. Opinion leaders should enforce adherence to their opinions. n/ n/ n/ n/ n/ n/ n/ n/
n/ NURSINGTB.COM
Environment for EBP to flourish (p. 10)
n/ n/ n/ n/ n/ n/ n/
12. One method for overcoming a lack of resources to access evidence is to
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. devote 15 minutes a day to reading evidence related to a clinical problem.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
b. attend conferences where clinical research is presented.. n/ n/ n/ n/ n/ n/ n/
c. bookmark important Web sites that are sources of clinical guidelines. n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
d. collaborate with a nursing program for access to resources. n/ n/ n/ n/ n/ n/ n/ n/ n/
n/
Barriers to adopting EBP (p. 9)
n/ n/ n/ n/ n/ n/
13. What steps can be taken to overcome the time barrier to adopting an EBP?
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. Devote 15 minutes a day to reading evidence related to a clinical problem.
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
b. Subscribe to e-mail summaries of research studies in your area of interest. n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
c. Take advantage of available technologies to provide quick and convenient
n/ n/ n/ n/ n/ n/ n/ n/ n/
access to relevant data and clinical guidelines.
n/ n/ n/ n/ n/ n/ n/ n/ n/
d. All of the above n/ n/ n/ n/
n/
Parts of a research article (p. 18)
n/ n/ n/ n/ n/ n/ n/
14. Which section of a research article provides an overview of the study?
n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/ n/
a. Abstract n/
b. Introduction n/
c. Review of literature n/ n/ n/
d. Theoretical framework n/ n/
n/
n/
NURSINGTB.COM