NURS 4100 WEEK 7 QUIZ: QUALITY
AND SAFETY THROUGH EVIDENCE-
BASED PRACTICE
1. According to the Iowa Model of Evidence-Based Practice, what is the first step when a
‘trigger’ is identified?
A. Determining whether the trigger is a priority for the organization
B. Conducting a systematic review of all literature
C. Forming a multidisciplinary team to change policy
D. Implementing a pilot study in a small clinical unit
Answer: A
Conceptual Explanation: The Iowa Model emphasizes that once a trigger is identified
(either problem-focused or knowledge-focused), the organization must first determine if
the issue is a priority before proceeding with further evidence synthesis or
implementation.
,2. In the context of Quality Improvement, which tool is specifically designed to identify the
frequency of causes for a problem, following the principle that 80% of problems are often due
to 20% of causes?
A. Run Chart
B. Pareto Chart
C. Fishbone Diagram
D. Control Chart
Answer: B
Conceptual Explanation: A Pareto Chart is a bar graph where the values are plotted in
decreasing order of relative frequency. It helps teams identify the ‘vital few’ problems or
causes to address.
3. Which of the following describes a ‘Knowledge-focused trigger’ for an Evidence-Based
Practice project?
A. New clinical practice guidelines published by a national specialty organization
B. An increase in the rate of pressure injuries on a surgical unit
C. High staff turnover rates in the Emergency Department
D. Patient dissatisfaction scores regarding pain management
Answer: A
, Conceptual Explanation: Knowledge-focused triggers are ideas generated by reading
research, listening to scientific presentations, or reviewing new clinical guidelines. The
other options are problem-focused triggers arising from clinical data.
4. A nurse researcher is using the ACE Star Model of Knowledge Transformation. Which stage
involves the integration of research evidence with non-research evidence (such as patient
preference and clinical expertise) to guide practice?
A. Translation to Guidelines
B. Evidence Summary
C. Discovery Research
D. Practice Integration
Answer: A
Conceptual Explanation: In the ACE Star Model, the Translation stage involves moving
from the summary of evidence to clinical practice guidelines or protocols that combine
research with clinical expertise and patient values.
5. When conducting a Root Cause Analysis (RCA) after a sentinel event, what is the primary
goal of the investigative team?
A. To assign blame to the individual responsible for the error
B. To identify systems failures and processes that allowed the error to occur
C. To fulfill legal requirements for malpractice insurance
AND SAFETY THROUGH EVIDENCE-
BASED PRACTICE
1. According to the Iowa Model of Evidence-Based Practice, what is the first step when a
‘trigger’ is identified?
A. Determining whether the trigger is a priority for the organization
B. Conducting a systematic review of all literature
C. Forming a multidisciplinary team to change policy
D. Implementing a pilot study in a small clinical unit
Answer: A
Conceptual Explanation: The Iowa Model emphasizes that once a trigger is identified
(either problem-focused or knowledge-focused), the organization must first determine if
the issue is a priority before proceeding with further evidence synthesis or
implementation.
,2. In the context of Quality Improvement, which tool is specifically designed to identify the
frequency of causes for a problem, following the principle that 80% of problems are often due
to 20% of causes?
A. Run Chart
B. Pareto Chart
C. Fishbone Diagram
D. Control Chart
Answer: B
Conceptual Explanation: A Pareto Chart is a bar graph where the values are plotted in
decreasing order of relative frequency. It helps teams identify the ‘vital few’ problems or
causes to address.
3. Which of the following describes a ‘Knowledge-focused trigger’ for an Evidence-Based
Practice project?
A. New clinical practice guidelines published by a national specialty organization
B. An increase in the rate of pressure injuries on a surgical unit
C. High staff turnover rates in the Emergency Department
D. Patient dissatisfaction scores regarding pain management
Answer: A
, Conceptual Explanation: Knowledge-focused triggers are ideas generated by reading
research, listening to scientific presentations, or reviewing new clinical guidelines. The
other options are problem-focused triggers arising from clinical data.
4. A nurse researcher is using the ACE Star Model of Knowledge Transformation. Which stage
involves the integration of research evidence with non-research evidence (such as patient
preference and clinical expertise) to guide practice?
A. Translation to Guidelines
B. Evidence Summary
C. Discovery Research
D. Practice Integration
Answer: A
Conceptual Explanation: In the ACE Star Model, the Translation stage involves moving
from the summary of evidence to clinical practice guidelines or protocols that combine
research with clinical expertise and patient values.
5. When conducting a Root Cause Analysis (RCA) after a sentinel event, what is the primary
goal of the investigative team?
A. To assign blame to the individual responsible for the error
B. To identify systems failures and processes that allowed the error to occur
C. To fulfill legal requirements for malpractice insurance
