Professional Nursing IV Midterm (Weeks 1-4) Week 1 -
chapter 23,32 Week 2- chapter 1,2,3 Week 3- chapter 5,8,15
Week 4- chapter 4,11 Questions With Complete Solutions
Week Chapter 23: Translating Research Into Practice
The chief nursing officer at a local hospital seeking Magnet
status creates staff development classes concerning research
utilization. What best describes research utilization?
a. Conducting an integrative review of the literature.
b. Searching the literature for a systematic review.
c. Providing the results of research studies to practitioners.
d. Applying the results of a research study to practice Correct
Answer d. Applying the results of a research study to practice
ANS: D Research utilization is the process of synthesizing,
disseminating, and using research-generated knowledge to
influence or change existing practices
The chief nursing officer at a local hospital seeking Magnet
status creates staff development classes about incorporating
evidence-based nursing. What best describes evidence-based
nursing?
a. Applying the results of a research study to practice.
b. Using research findings to develop practice guidelines.
c. Conducting a meta-analysis of a specific research question
Correct Answer b. Using research findings to develop practice
guidelines.
ANS: B Nurse managers use research findings for the
establishment of standards, practices, and patient care models in
the organization
,The nurse manager decides to change staffing schedules in the
intensive care unit. She chooses to use Rogers's (2003) diffusion
of innovations theory to implement the change. What are the
elements of Rogers's diffusion of innovations theory?
a. Assessment, planning, intervention, and evaluation.
b. Preparation, validation, synthesis, and evaluation.
c. Knowledge, persuasion, decision-making, implementation,
and evaluation.
d. Scanning, diagnosis, decision-making, application, and
reevaluation Correct Answer c. Knowledge, persuasion,
decision-making, implementation, and evaluation.
ANS: C Nurse managers disseminate research findings to patient
care team members. Rogers' diffusion of innovations theory is a
useful model for integration of evidence into practice
The nurse manager wants to use evidence-based
recommendations to prevent ventilator-associated pneumonia.
What type of research would provide the strongest evidence for
this clinical issue?
a. A single, large-scale, randomized, clinical trial.
b. A systematic review of research studies.
c. A systematic review of research-based clinical guidelines. '
d. Qualitative meta-synthesis Correct Answer c. A systematic
review of research-based clinical guidelines.
ANS: C The evidence for a particular practice problem can
come from a single research study, an integrative review of the
literature, a meta-analysis, a meta-synthesis, a clinically
appraised topic, a clinical guideline, or a systematic review.
DiCenso, Ciliska, and Guyatt (2005) described a hierarchy for
rating the strength of evidence for treatment decisions, in which
,the strongest evidence is from a systematic review of research
studies
A strategic goal developed by the chief nursing officer is to
implement an evidence-based practice program. What is an
appropriate strategy that can be used by a nurse manager who is
beginning to implement an evidence-based practice program?
a. Conducting a review of adverse events and incident reports.
b. Soliciting input from staff members. c. Reviewing specialty
organization guidelines.
d. Identifying patients with extended lengths of stay. Correct
Answer b. Soliciting input from staff members.
ANS: B Staff members need to be involved early when
initiatives involve direct patient care. Involvement assists in
understanding issues and concerns, motivations, and unmet
needs, and also leading to greater success
The nurse manager of an intensive care unit wants to implement
the revised policy and procedure on central-line catheter care.
What would be the most effective method of getting the staff
nurses to incorporate a new evidence-based practice into their
care?
a. Conducting an interactive educational workshop.
b. Distributing educational materials on clinical units.
c. Sharing the results of a chart audit with staff.
d. Providing staff with a short video on the topic. Correct
Answer a. Conducting an interactive educational workshop.
ANS: A Dobbins, Ciliska, Estabrooks, et al. (2005) suggested
that the most effective strategies involve face-to-face
information sessions in small groups and one-to-one
interactions. Other approaches have mixed or few results
, Before implementation of the new policy and procedure on
central-line catheter care, the nurse manager uses an appraisal
system to evaluate the evidence. What is important in using an
appraisal system to evaluate the evidence gathered in
preparation for development of a new protocol?
a. Limiting the search to randomized clinical trials.
b. Matching the appraisal tool to the type of evidence.
c. Eliminating qualitative research studies.
d. Using only preprocessed evidence Correct Answer b.
Matching the appraisal tool to the type of evidence.
ANS: B Appraisal tools are specific to the number of studies, in
addition to the study design (type of evidence), type of review,
and strategy for determining the applicability of evidence to
your practice
To help staff nurses adjust to using research in practice, what
strategy would the nurse manager use?
a. Attendance at a regional research conference.
b. Formal classes in electronic search techniques.
c. Establishing a journal club.
d. Issuing reports on the adverse consequences of outdated
practices Correct Answer c. Establishing a journal club
ANS: C Journal clubs provide opportunities for generation of
clinical practice problems outside of research articles and active
engagement in ideas, which is considered very effective in
behavioural change.
What is a strategy that can be used by a small community
hospital with limited resources to develop an evidence-based
nursing practice program?
chapter 23,32 Week 2- chapter 1,2,3 Week 3- chapter 5,8,15
Week 4- chapter 4,11 Questions With Complete Solutions
Week Chapter 23: Translating Research Into Practice
The chief nursing officer at a local hospital seeking Magnet
status creates staff development classes concerning research
utilization. What best describes research utilization?
a. Conducting an integrative review of the literature.
b. Searching the literature for a systematic review.
c. Providing the results of research studies to practitioners.
d. Applying the results of a research study to practice Correct
Answer d. Applying the results of a research study to practice
ANS: D Research utilization is the process of synthesizing,
disseminating, and using research-generated knowledge to
influence or change existing practices
The chief nursing officer at a local hospital seeking Magnet
status creates staff development classes about incorporating
evidence-based nursing. What best describes evidence-based
nursing?
a. Applying the results of a research study to practice.
b. Using research findings to develop practice guidelines.
c. Conducting a meta-analysis of a specific research question
Correct Answer b. Using research findings to develop practice
guidelines.
ANS: B Nurse managers use research findings for the
establishment of standards, practices, and patient care models in
the organization
,The nurse manager decides to change staffing schedules in the
intensive care unit. She chooses to use Rogers's (2003) diffusion
of innovations theory to implement the change. What are the
elements of Rogers's diffusion of innovations theory?
a. Assessment, planning, intervention, and evaluation.
b. Preparation, validation, synthesis, and evaluation.
c. Knowledge, persuasion, decision-making, implementation,
and evaluation.
d. Scanning, diagnosis, decision-making, application, and
reevaluation Correct Answer c. Knowledge, persuasion,
decision-making, implementation, and evaluation.
ANS: C Nurse managers disseminate research findings to patient
care team members. Rogers' diffusion of innovations theory is a
useful model for integration of evidence into practice
The nurse manager wants to use evidence-based
recommendations to prevent ventilator-associated pneumonia.
What type of research would provide the strongest evidence for
this clinical issue?
a. A single, large-scale, randomized, clinical trial.
b. A systematic review of research studies.
c. A systematic review of research-based clinical guidelines. '
d. Qualitative meta-synthesis Correct Answer c. A systematic
review of research-based clinical guidelines.
ANS: C The evidence for a particular practice problem can
come from a single research study, an integrative review of the
literature, a meta-analysis, a meta-synthesis, a clinically
appraised topic, a clinical guideline, or a systematic review.
DiCenso, Ciliska, and Guyatt (2005) described a hierarchy for
rating the strength of evidence for treatment decisions, in which
,the strongest evidence is from a systematic review of research
studies
A strategic goal developed by the chief nursing officer is to
implement an evidence-based practice program. What is an
appropriate strategy that can be used by a nurse manager who is
beginning to implement an evidence-based practice program?
a. Conducting a review of adverse events and incident reports.
b. Soliciting input from staff members. c. Reviewing specialty
organization guidelines.
d. Identifying patients with extended lengths of stay. Correct
Answer b. Soliciting input from staff members.
ANS: B Staff members need to be involved early when
initiatives involve direct patient care. Involvement assists in
understanding issues and concerns, motivations, and unmet
needs, and also leading to greater success
The nurse manager of an intensive care unit wants to implement
the revised policy and procedure on central-line catheter care.
What would be the most effective method of getting the staff
nurses to incorporate a new evidence-based practice into their
care?
a. Conducting an interactive educational workshop.
b. Distributing educational materials on clinical units.
c. Sharing the results of a chart audit with staff.
d. Providing staff with a short video on the topic. Correct
Answer a. Conducting an interactive educational workshop.
ANS: A Dobbins, Ciliska, Estabrooks, et al. (2005) suggested
that the most effective strategies involve face-to-face
information sessions in small groups and one-to-one
interactions. Other approaches have mixed or few results
, Before implementation of the new policy and procedure on
central-line catheter care, the nurse manager uses an appraisal
system to evaluate the evidence. What is important in using an
appraisal system to evaluate the evidence gathered in
preparation for development of a new protocol?
a. Limiting the search to randomized clinical trials.
b. Matching the appraisal tool to the type of evidence.
c. Eliminating qualitative research studies.
d. Using only preprocessed evidence Correct Answer b.
Matching the appraisal tool to the type of evidence.
ANS: B Appraisal tools are specific to the number of studies, in
addition to the study design (type of evidence), type of review,
and strategy for determining the applicability of evidence to
your practice
To help staff nurses adjust to using research in practice, what
strategy would the nurse manager use?
a. Attendance at a regional research conference.
b. Formal classes in electronic search techniques.
c. Establishing a journal club.
d. Issuing reports on the adverse consequences of outdated
practices Correct Answer c. Establishing a journal club
ANS: C Journal clubs provide opportunities for generation of
clinical practice problems outside of research articles and active
engagement in ideas, which is considered very effective in
behavioural change.
What is a strategy that can be used by a small community
hospital with limited resources to develop an evidence-based
nursing practice program?
