Test Bank Nursing Research Methods and Critical Appraisal for Evidence-Based Practice 9th Edition Nursing Research Questions and Answers Study Guide for Evidence-Based Practice Coursework and Exam Preparation

Chapter 01: Integrating Research, Evidence-Based Practice, and Quality Improvement
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Processes Y1




Tes Bank
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MULTIPLE CHOICE Y 1




1. Nursing research is significant to the profession of nursing because it promotes what?
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a. More specifically defined nursing practice responsibilities
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b. Decreased liability within the practice of nursing JY1 JY1 JY1 JY1 JY1 JY1




c. Generation of a specialized body of nursing knowledge for use in nursing practice JY1 JY1 JY1 JY1 J Y1 JY1 JY1 JY1 JY1 JY 1 JY1 JY1




d. Expansion of the scope of nursing practice into areas formerly reserved for JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




other disciplines JY1




ANS: C JY1




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A Research aids in documenting accountability of nurses, but professional
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guidelines already exist regarding responsibility. Each state has a Nurse Practice
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Act with rules and regulations that define scope of practice.
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BLiability is a legal concept related to a nurse’s legal scope of practice and professional
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standards of practice. Research does not change a nurse’s liability.
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C Nursing research generates a specialized scientific knowledge base that
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empowers the nursing profession to anticipate and meet constantly shifting JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




challenges of health care delivery to multiple populations. It provides a JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




foundation for evidence-based nursing care and quality improvement activities. JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




D Although research can document nursing accountability, each state’s Nurse JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




Practice Act defines the scope of nursing practice for that state.
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DIF: Cognitive Level: Understanding (Comprehension) J Y 1 J Y 1 J Y 1 REF: J Y 1 Page 6 JY1




2. Which aspect of the scientific investigation of nursing practice is also a fundamental
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concept of American Nurses Association (ANA)’s Code for Nurses?
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a. Professional accountability JY1




b. Standards of care JY1 JY1




c. Legal scope of practice JY 1 JY1 JY1




d. Advanced practice nursing activities JY1 JY1 J Y1




ANS: A JY1

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AScientific investigation promotes accountability, a hallmark of the nursing
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profession and a fundamental concept of the ANA’s Code for Nurses. JY1 JY1 JY1 JY1 JY1 J Y1 JY 1 J Y1 JY 1 JY1




B Standards of care are defined by ANA, as well as specialty nursing
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organizations. The Code for Nurses states that nurses should conform JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




to standards, but standards per se are not part of the Code.
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C Legal scope of practice is defined by each state’s Nurse Practice Act and
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elaborated in its rules and regulations. JY1 JY1 JY1 JY1 JY1




D The ANA Code applies to nursing practice in general, not advanced practice.
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DIF: Cognitive Level: Remembering (Knowledge) J Y 1 J Y 1 J Y 1 REF: J Y 1 Page 6 JY1




3. Nurses who do not conduct research need to understand the nursing research process for
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which of these reasons? JY1 JY1 JY1




a. To identify potential subjects for clinical research studies
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b. To assist as accurate data collectors in clinical research studies
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c. To teach patients and their families about the usefulness of consenting to
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participate in research JY1 JY1




d. To be able to evaluate nursing research reports for relevance to their own clinical
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practice

ANS: D JY1




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A Subject
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B Data collectors need to understand their role in the study; they do not need to
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understand the entire research process. JY1 JY1 JY1 JY1




CSubject recruitment is the responsibility of the nurse researcher.
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D Nurses need to understand the research process in order to critically read
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research reports and determine if nursing practice should incorporate the
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research findings as valid evidence. JY1 JY1 JY1 JY1




DIF: Cognitive Level: Understanding (Comprehension) J Y 1 J Y 1 J Y 1 REF: J Y 1 Page 7 JY1




4. Which of these actions demonstrates the role of a knowledgeable consumer of nursing
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research?
a. Designing a nursing research study JY1 JY1 JY1 JY1




b. Analyzing data to determine a study’s outcomes JY1 JY1 JY1 JY1 JY1 JY1




c. Evaluating the credibility of research findings JY1 JY1 JY1 J Y1 JY1

, d. Implementing an intervention found to be effective in one clinical case study JY1 JY1 JY1 JY1 JY 1 JY 1 J Y1 J Y1 JY 1 JY1 JY1




ANS: C JY1




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AA consumer uses and applies research to practice but is not responsible for
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designing a study. JY1 JY1




B Aconsumer does not conduct data analysis of a study; the study’s primary
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investigator analyzes data. JY1 JY1




C J Y 1 A consumer of nursing research needs to understand the
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research process to determine the merit and relevance of evidence presented in
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research studies. J Y1




D A consumer would not implement an intervention on the basis of a single case
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study.




DIF: Cognitive Level: Understanding (Comprehension) J Y 1 J Y 1 J Y 1 REF: J Y 1 Page 7 JY1




5. Members ofthe nursing staff are to participate in a unit-based clinical research study. Which
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research-related actions would be expected of a nurse with a baccalaureate nursing degree? JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




a. Using critical appraisal skills to understand and assess the steps of the research
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process
b. Providing expert nursing consultation about the way in which clinical services are
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delivered


c. Developing research methods to monitor and evaluate the quality of nursing JY1 JY1 JY1 JY1 JY1 JY1 J Y1 JY1 JY1 JY1 JY1




practice in the clinical setting JY1 JY1 JY1 JY1




d. Providing leadership in the application of scientific knowledge to nursing JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




pra ctice




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AA baccalaureate-prepared nurse should be able to use skills of critical appraisal to
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both understand and appraise the steps of the research process.
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B Nurses prepared at the baccalaureate level in nursing are at the bedside implementing
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protocols, whereas expert consultation is generally reserved for nurses prepared at the
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master’s or higher-degree level (advanced education).
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C Developing research methods is generally reserved for nurses with advanced
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education.
D Providing leadership in research application is generally reserved for nurses with
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advanced education. JY1




Cognitive Level: Understanding (Comprehension) Y Y Y

, 6. Which statement describes the role of the nurse in research?
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a. Nurses must be prepared at the baccalaureate or higher level of education to have
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any role in nursing research.
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b. Nurses with master’s or higher levels of education are solely responsible for
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applying research to clinical practice. JY1 JY1 JY1 JY1




c. The research role of nurses prepared at both baccalaureate and master’s levels of
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education includes critical appraisal skills. JY 1 JY1 JY1 J Y1




d. Regardless of the nursing education level, only the nurse with the most JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




comprehensive understanding of statistical methods should interpret research JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




findings.

ANS: C JY1




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AHaving a role in nursing research or implementing findings is not limited to
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nurses with baccalaureate or higher levels of education.
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B Nurses with master’s or higher levels of education provide leadership to
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supervise how research findings are applied in the clinical area. However, all
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levels of nurses can apply research findings to practice.
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C To use research in evidence-based practice, the nurse must not necessarily be able
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to conduct research but should be able to understand and appraise the steps of the
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research process to read the research literature critically and use it to inform
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clinical decisions. JY1




D Data analysis is usually conducted by nurses with master’s or higher levels of
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education. However, interpretation of research findings can be performed by any
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nurse who can critically analyze the research performed.
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DIF: Cognitive Level: Understanding (Comprehension) J Y 1 J Y 1 J Y 1 REF: J Y 1 Page 7 JY1




7. What is the primary value of evidence-based nursing practice?
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a. Implementing the most cost-effective nursing practices when providing patient JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




care


b. Incorporating research findings with clinical expertise when individualizing patient JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




care
c. Separating nursing research as unique from the research of other disciplinesJY1 JY 1 JY 1 JY1 JY 1 JY1 JY 1 J Y1 JY1 JY1




d. Developing new nursing theories to promote the growth of nursing science JY1 JY1 JY1 JY1 JY1 JY 1 J Y1 JY 1 JY1 JY1




ANS: B JY1




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ACost-effective nursing interventions can occur based on evidence, but it is not the
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primary value of evidence-based nursing practice. JY1 JY1 JY1 JY1 JY1