CHAPTER 1 NUR 335 QUESTIONS D
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question 1
A medical-surgical nurse recognizes a recurring clinical practice issue on the unit
and wishes to investigate whether current scientific data justifies modifying the
existing protocol. When reviewing the hierarchy of evidence, which of the
following individual research study designs delivers the highest statistical power
and strongest level of evidence to justify a clinical practice change?
1. Randomized controlled trial
2. Quasi-experimental study
3. Case-control study
4. Cohort study
✔✔ 1) Randomized controlled trial
Rationale: In the traditional hierarchy of quantitative research evidence, a well-
designed randomized controlled trial (RCT) provides the strongest evidence
among individual primary studies. By randomly assigning participants to an
intervention or control group, RCTs effectively minimize bias and control for
confounding variables, establishing a reliable cause-and-effect relationship.
Quasi-experimental, cohort, and case-control designs carry a higher risk of bias
and offer lower levels of evidence.
Question 2
Following the recent adoption of a patient-centered care delivery model on a busy
medical-surgical unit, the nursing staff is working to integrate its core concepts
into daily routines. Which of the following nursing interventions directly
demonstrates and aligns with the primary philosophy of this specific care model?
1. Evaluating clinical outcomes
2. Assessing physiological needs
, 3. Diagnosing actual or potential health problems
4. Providing genuine compassion
✔✔ 4) Providing genuine compassion
Rationale: While evaluating, assessing, and diagnosing are all critical, standard
components of the clinical nursing process, providing compassion specifically
champions the heart of the patient-centered care model. This framework
emphasizes treating the patient as an individual, respecting their unique
preferences, values, and emotional needs, and fostering a humanistic, empathetic
connection during delivery of care.
3. Which action should the nurse implement when providing patient care in order
to support The Joint Commission's (TJC) National Patient Safety Goals (NPSG)?
1) Silencing a cardiorespiratory monitor
2) Identifying each patient using one source
3) Determining patient safety issues upon admission
4) Decreasing the amount of pain medication administered -ANSWER.....3)
Determining patient safety issues upon admission
4. Which interprofessional role does the nurse often assume when providing
patient care in an acute care setting?
1) Social worker
2) Client advocate
3) Care coordinator
4) Massage therapist -ANSWER.....3) Care coordinator
5. The medical-surgical nurse wants to determine if a policy change is needed for
an identified clinical problem. Which is the first action the nurse should
implement?
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question 1
A medical-surgical nurse recognizes a recurring clinical practice issue on the unit
and wishes to investigate whether current scientific data justifies modifying the
existing protocol. When reviewing the hierarchy of evidence, which of the
following individual research study designs delivers the highest statistical power
and strongest level of evidence to justify a clinical practice change?
1. Randomized controlled trial
2. Quasi-experimental study
3. Case-control study
4. Cohort study
✔✔ 1) Randomized controlled trial
Rationale: In the traditional hierarchy of quantitative research evidence, a well-
designed randomized controlled trial (RCT) provides the strongest evidence
among individual primary studies. By randomly assigning participants to an
intervention or control group, RCTs effectively minimize bias and control for
confounding variables, establishing a reliable cause-and-effect relationship.
Quasi-experimental, cohort, and case-control designs carry a higher risk of bias
and offer lower levels of evidence.
Question 2
Following the recent adoption of a patient-centered care delivery model on a busy
medical-surgical unit, the nursing staff is working to integrate its core concepts
into daily routines. Which of the following nursing interventions directly
demonstrates and aligns with the primary philosophy of this specific care model?
1. Evaluating clinical outcomes
2. Assessing physiological needs
, 3. Diagnosing actual or potential health problems
4. Providing genuine compassion
✔✔ 4) Providing genuine compassion
Rationale: While evaluating, assessing, and diagnosing are all critical, standard
components of the clinical nursing process, providing compassion specifically
champions the heart of the patient-centered care model. This framework
emphasizes treating the patient as an individual, respecting their unique
preferences, values, and emotional needs, and fostering a humanistic, empathetic
connection during delivery of care.
3. Which action should the nurse implement when providing patient care in order
to support The Joint Commission's (TJC) National Patient Safety Goals (NPSG)?
1) Silencing a cardiorespiratory monitor
2) Identifying each patient using one source
3) Determining patient safety issues upon admission
4) Decreasing the amount of pain medication administered -ANSWER.....3)
Determining patient safety issues upon admission
4. Which interprofessional role does the nurse often assume when providing
patient care in an acute care setting?
1) Social worker
2) Client advocate
3) Care coordinator
4) Massage therapist -ANSWER.....3) Care coordinator
5. The medical-surgical nurse wants to determine if a policy change is needed for
an identified clinical problem. Which is the first action the nurse should
implement?
