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NURS 6010 Exam -1 Questions With Correct Answers

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NURS 6010 Exam -1 Questions With Correct Answers

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NURS 6010 Exam #1 Questions With Correct
Answers

In a hospital, nursing tradition dictates that a full set of vital signs be completed
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every shift per physician order. This is an example of which of the following
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phenomena.




A. Evidence-based practice (EBP)
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B. Integration of personal expertise into nursing care
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C. The prioritization of internal evidence over external evidence
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D. Practice that lacks evidence to support its application. - CORRECT
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ANSWER✔✔-d


As we all know, assessment of patient status is one of the two aspects of nursing
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care that cannot be delegated. You can delegate taking the vitals but not the
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assessment of patient condition based on those vitals. Nursing assessment is not
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driven by physician order but by the needs and changes of the patient, or as we
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read in the study "how worried are you?". Orders for vital signs is a hold-over
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from the days in which physicians were told to order vital signs based on "how
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often you want the nurse to check on the patient."
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,a theoretical or conceptual framework is? - CORRECT ANSWER✔✔-compromised
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of a number of interrelated statements that attempt to describe, explain, and/or
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predict a phenomenon | | |




its purpose is to provide a framework for selecting the study's variables, including
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|how they relate to one another, as well as to guide the development of the
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interventions in experimental studies | | |




example of a theoretical framework - CORRECT ANSWER✔✔-As an example, for
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decades, self-regulation theory (Johnson, Fieler, Jones, Wlasowicz, & Mitchell,
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1997) has long provided an excellent theoretical framework for providing
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educational interventions to patients undergoing intrusive procedures (e.g.,
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endoscopy) and chemotherapy/radiation. The basic premise of this theory is that
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the provision of concrete objective information to an individual who is
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confronting a stressful situation or procedure will facilitate a cognitive schema or
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representation of what will happen that is similar to the real-life event. As a result
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|of an individual knowing what he or she is likely to experience, there is an
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increase in understanding, predictability, and confidence in dealing with the
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situation as it unfolds (Johnson et al., 1997), which leads to improved coping
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outcomes.


if the research question or hypothesis concerns itself with the testing effects of
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an intervention or treatment on patient outcomes, the study calls for an ? -
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CORRECT ANSWER✔✔-experimental design | |




purpose of descriptive studies - CORRECT ANSWER✔✔-is to describe, observe, or
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document a phenomenon that can serve as a foundation for developing
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hypothesis or testing theory | | |

,for example a descriptive study design would be appropriate to answer each of
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the following clinical questions - CORRECT ANSWER✔✔-1. what is the incidence
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of complications in women who are on bed rest with preterm labor
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2. what is the average number of depressive symptoms experienced by teenagers
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after a critical care hospitalization
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3. in adults with type 2 diabetes, what are the most common physical
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comorbidites


case control studies are those? - CORRECT ANSWER✔✔-in which group of
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individuals (cases) with a certain condition (migraine headaches) is studied at the
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same time as another group of individuals who do not have the condition
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(controls) to determine an association between one or more predictor variables
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(family hx of migraine headaches, consumption fo red wine) and the condition
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(migraine headaches) |




advantages of case control studies - CORRECT ANSWER✔✔-include an ability to
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determine associations with a small number of subjects, which is especially useful
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|in the study of rare types of diseases and an ability to generate hypotheses for
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future studies |




limitations of case control studies - CORRECT ANSWER✔✔-is bias (inability to
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control the confounding variables that may influence the outcome)
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, cohort study - CORRECT ANSWER✔✔-follows a group of subjects longitudinally
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over a period of time to describe the incidence of a problem or to determine the
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relationship between a predictor variable and an outcome
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an example of a cohort study - CORRECT ANSWER✔✔-finding out whether
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daughters of mothers who had breast cancer have a higher incidence of the
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disease vs those who mothers did not have breast cancer
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two groups of daughters (those with and without a mother breast cancer) would
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be studied over time to determine the incidence of breast cancer in each group
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a major strength (advantage) of prospective cohort studies include - CORRECT
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ANSWER✔✔-being able to determine the incidence of a problem and its possible | | | | | | | | | | | |


cause


a major limitation of cohort studies - CORRECT ANSWER✔✔-is the lengthy nature
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of this type of study the costs of which often become prohibitive
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True experiments or RCTs possesses three characteristics - CORRECT
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ANSWER✔✔-■ An experimental group that receives the treatments or | | | | | | | | |


intervention


■ A control or comparison group that receives standard care or a comparison
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intervention that is different from the experimental interventions
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■ Randomization or random assignment which is the use of a strategy to
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randomly assign subjects to the experimental or control group
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