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A nurse is participating in a quality improvement initiative in a health
care setting. Which action represents a critical step in the quality
improvement process?
A. Identifying only the opinions of experienced nurses
B. Adopting a practice change as a new standard of care
C. Eliminating all existing clinical policies
D. Avoiding evaluation after a practice change
Answer: B. Adopting a practice change as a new standard of care
Rationale: Quality improvement involves identifying opportunities for
improvement, implementing appropriate changes, evaluating
outcomes, and incorporating successful changes into routine practice.
When a practice change demonstrates improvement, adopting it as a
new standard of care helps sustain the improvement.
What is the primary value of evidence-based nursing practice?
A. Replacing clinical judgment with research findings
B. Using only information obtained from textbooks
C. Incorporating research findings with clinical expertise when
,individualizing patient care
D. Following identical interventions for every patient
Answer: C. Incorporating research findings with clinical expertise
when individualizing patient care
Rationale: Evidence-based nursing practice combines the best
available research evidence with clinical expertise and patient
preferences. This approach allows nurses to individualize care rather
than applying research findings rigidly to every patient.
Which action demonstrates the role of a knowledgeable consumer of
nursing research?
A. Evaluating the credibility of research findings
B. Accepting every published study as valid
C. Conducting a research study independently
D. Using only personal clinical experience
Answer: A. Evaluating the credibility of research findings
Rationale: Nurses who consume research should critically evaluate
research findings for credibility, relevance, validity, and applicability.
Nurses do not need to conduct every study themselves to use research
knowledge appropriately.
Nursing research is significant to the profession because it promotes
which outcome?
,A. Elimination of clinical judgment
B. Generation of a specialized body of nursing knowledge for use in
nursing practice
C. Replacement of nursing theory
D. Standardization of every patient intervention
Answer: B. Generation of a specialized body of nursing knowledge for
use in nursing practice
Rationale: Nursing research contributes to the development and
expansion of nursing knowledge. This knowledge provides a
foundation for evidence-based practice and supports improved patient
care.
Which concept is both an aspect of scientific investigation in nursing
practice and a fundamental concept of the American Nurses
Association Code of Ethics?
A. Professional accountability
B. Financial reimbursement
C. Organizational marketing
D. Staff scheduling
Answer: A. Professional accountability
Rationale: Professional accountability requires nurses to accept
responsibility for their actions and decisions. Accountability is also
important in nursing research because researchers must conduct
studies responsibly and ethically.
, Why do nurses need to understand the nursing research process?
A. To eliminate the need for evidence-based practice
B. To evaluate nursing research reports for relevance to their clinical
practice
C. To replace clinical experience
D. To guarantee that every research study is applicable to every
patient
Answer: B. To evaluate nursing research reports for relevance to their
clinical practice
Rationale: Understanding the research process helps nurses critically
evaluate research reports and determine whether findings are credible
and applicable to their clinical settings and patient populations.
Members of the nursing staff are participating in a unit-based clinical
research study. Which research-related action would be expected of a
nurse with a baccalaureate nursing degree?
A. Designing national research policy
B. Independently directing a large multicenter clinical trial
C. Using critical appraisal skills to understand and assess the steps of
the research process
D. Approving research funding for an institution
Answer: C. Using critical appraisal skills to understand and assess the
steps of the research process