TEST BANK FOR NURSING RESEARCH METHODS AND CRITICAL APPRAISAL FOR EVIDENCE-BASED PRACTICE 9TH EDITION BY GERI LOBIONDO-WOOD & HABER | CHAPTER 1-21 | COMPLETE LATEST EDITION

TEST BANK FOR NURSING RESEARCH METHODS AND CRITICAL APPRAISAL FOR EVIDENCE-BASED PRACTICE 9TH EDITION BY GERI LOBIONDO-WOOD & HABER | CHAPTER 1-21 | COMPLETE GUIDE A+ 2023/2024. Which statement describes the role of the nurse in research? a. Nurses must be prepared at the baccalaureate or higher level of education to have any role in nursing research. b. Nurses with master’s or higher levels of education are solely responsible for applying research to clinical practice. c. The research role of nursesNpUreRpaSrIedNaGt TboBth.CbaOcMcalaureate and master’s levels of education includes critical appraisal skills. d. Regardless of the nursing education level, only the nurse with the most comprehensive understanding of statistical methods should interpret research findings. ANS: C Feedback A Having a role in nursing research or implementing findings is not limited to nurses with baccalaureate or higher levels of education. B Nurses with master’s or higher levels of education provide leadership to supervise how research findings are applied in the clinical area. However, all levels of nurses can apply research findings to practice. C To use research in evidence-based practice, the nurse must not necessarily be able to conduct research but should be able to understand and appraise the steps of the research process to read the research literature critically and use it to inform clinical decisions. D Data analysis is usually conducted by nurses with master’s or higher levels of education. However, interpretation of research findings can be performed by any nurse who can critically analyze the research performed. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 7 TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD NURSINGTB.COM 7. What is the primary value of evidence-based nursing practice? a. Implementing the most cost-effective nursing practices when providing patient care b. Incorporating research findings with clinical expertise when individualizing patient care c. Separating nursing research as unique from the research of other disciplines d. Developing new nursing theories to promote the growth of nursing science ANS: B Feedback A Cost-effective nursing interventions can occur based on evidence, but it is not the primary value of evidence-based nursing practice. B Evidence-based practice allows the nurse to systematically integrate the best available research evidence with individual clinical expertise, as well as the patient’s values and preferences, when making clinical decisions. C Developing a unique body of nursing knowledge is important, but it is not the primary value of developing evidence-based nursing practice. Also, nurse researchers should be able to collaborate with researchers in other disciplines. D Developing abstract nursing theory is important, but evidence-based nursing is focused on the more concrete application of knowledge in clinical practice. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 14 8. A novice nurse researcher is coNmUpRarSinIgNthGeTpBro.cCesOseMs used in nursing research and in evidence-based practice. What differences, if any, exist between the two processes? a. As scientific processes, they are fundamentally the same and should result in parallel outcomes. b. Both processes involve testing a question with an appropriate design and specific methodology. c. In a research study the question is tested with an appropriate design and specific methodology, whereas in evidence-based practice, the question is used to search the research literature to find answers. d. In evidence-based practice, qualitative studies are critically appraised to answer a clinical question, whereas in nursing research, quantitative studies are reviewed to provide a foundation for the study. ANS: C Feedback A The research process and the evidence-based practice process, though similar, have fundamental differences as well. B This definition applies to the research process, not the evidence-based practice process. C Nursing research includes developing a design for a study, whether quantitative or qualitative, reviewing the literature, and carrying out a specific methodology to find answers to a question. In contrast, evidence-based practice includes a review of completed research studies to identify answers to a clinical question. TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD NURSINGTB.COM D Both the research process and the evidence-based practice process include critical review of quantitative and qualitative studies. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 7 9. A nurse is analyzing a research article. Where in the article is the nurse likely to find the research question and study purpose? a. Introduction b. Data analysis c. Findings d. Data collection ANS: A Feedback A The research question and study purpose is generally found early in the report: in the abstract, the introduction, or at the end of the literature review or conceptual framework section. B The research question and study purpose are defined before the data analysis section of the research article. C The research question and study purpose are defined before the findings section of the research article. D The research question and study purpose are defined before the data-collection section of the research article. PTS: 1 DIF: CogNniUtivReSLIevNelG: TUBCstOanMding (Comprehension) REF: Page 8, Table 1.1 10. The nurse researcher is conducting a research study using subjects who will be interviewed regarding their experience with postpartum depression. Why would the researcher select a qualitative, rather than a quantitative, research design? a. Quantitative research is usually conducted in natural settings using data that are words rather than numbers. b. Qualitative research seeks to explain cause-and-effect relationships between variables. c. Quantitative research typically uses a convenience sample, seeking to answer a clinical question about a human experience. d. Qualitative research collects data from a small number of subjects, allowing for in-depth study of a phenomenon. ANS: D Feedback A Qualitative, not quantitative, research is usually conducted in natural settings using data that are words rather than numbers. B Quantitative, not qualitative, research seeks to explain cause-and-effect relationships between variables. C Qualitative, not quantitative, research seeks to answer a question about a human experience. TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD NURSINGTB.COM D Qualitative research typically collects data from a small number of subjects, thus allowing for in-depth study of a phenomenon while using a subjective approach. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 8 11. The nurse is analyzing a research article. To determine if an integrative review was performed as part of the study, the nurse must understand that this type of review is: a. a summary of research studies on a focused topic that used a specific statistical methodology. b. a synthesis of the research and theoretical literature on a specific area without a statistical analysis. c. a synthesis of qualitative articles on a focused topic using a specific qualitative methodology. d. a summary of articles in an attempt to develop a clinical practice statement or clinical guidelines. ANS: B Feedback A Meta-analysis summarizes articles on a focused topic that used a specific methodology. B An integrative review is a synthesis of research or theoretical literature on a specific area that follows specific steps of literature integration without statistical analysis. C Meta-synthesis is a synthesis of qualitative articles on a focused topic using specific qualitative methodNoUloRgyS.INGTB.COM D Clinical guidelines are practice statements designed to assist clinicians about health care decisions for specific conditions or situations. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 19 12. When assessing the strength of a body of evidence used in a research study for consistency, the nurse should determine: a. extent to which the study’s design, implementation, and analysis minimize bias. b. number of studies that have evaluated the research question, including overall sample size across studies. c. degree to which studies with similar and different designs investigated the same research questions and report similar findings. d. significance of the findings based on the statistical methods used for data analysis. ANS: C Feedback A Quality refers to the extent to which the study’s design, implementation, and analysis minimize bias. B Quantity refers to the number of studies that have evaluated the research question, including overall sample size across studies. C Consistency is the degree to which studies that had similar and different designs TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD NURSINGTB.COM (but investigate the same research question) reported similar findings. D Quantity refers to the strength of the findings in the statistical analyses. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 14 13. The nurse is analyzing a qualitative research article. In which section of the article is the nurse likely to find a summary of legal-ethical issues considered in the study? a. Data collection or procedures b. Findings or results c. Discussion or implications d. Abstract or introduction ANS: A Feedback A Legal-ethical issues are typically discussed in the article’s data-collection or procedures section, usually when discussing the sample. B The research results are typically found in the findings or results sections. C Recommendations are typically found in the discussion or implications sections. D The research question and study purpose are typically found in the abstract or introduction. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 8, Table 1.1 14. The nurse is analyzing a qualitaNtiUvRe SreIseNaGrcTh BCclOe.MIn which section of the article should the nurse expect to find a discussion of the research findings? a. Procedures b. Methods c. Sample d. Results ANS: D Feedback A Data analysis is typically included in the data analysis or procedures section. B Instruments and their validity and reliability are included in the methods or instruments sections. C The research sample and legal-ethical issues are included in the sample or subjects section. D The discussion of the findings will be located in the results or discussion section. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 8, Table 1.1 15. The nurse is using the critical reading process to analyze a research article. The nurse identifies the main theme of the article and states it in two sentences, using the nurse’s own words. The nurse is using a strategy to promote which type of understanding? a. Preliminary TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD NURSINGTB.COM b. Comprehensive c. Analysis d. Synthesis ANS: B Feedback A Strategies for preliminary understanding include activities such as using a dictionary and identifying key variables of the study. B Strategies for comprehensive understanding include restating the main idea or theme of the article in one’s own words. C Strategies for analysis understanding include using criteria to critique the steps of the research process used in the study. D Strategies for synthesis understanding include writing a summary of the strengths and weaknesses of the study. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 12 16. The nurse is using the critical reading process to analyze a research article. The nurse is using a list of criteria to determine how well the researcher performed each step of the research process. The nurse is using a strategy to promote which type of understanding? a. Preliminary b. Comprehensive c. Analysis d. Synthesis ANS: C NURSINGTB.COM Feedback A Strategies for preliminary understanding include activities such as highlighting or underlining identified steps of the research process. B Strategies for comprehensive understanding include restating the main idea or theme of the article in one’s own words. C Strategies for analysis understanding include using criteria to critique the steps of the research process used in the study. D Strategies for synthesis understanding include writing a summary of the strengths and weaknesses of the study. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 10 17. Which of the following is a critical step for the quality improvement process in health care settings? a. Outlining general long-range goals b. Identifying current successful practices c. Testing practice changes slowly and tentatively d. Adopting a practice change as a new standard of care ANS: D TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD NURSINGTB.COM Feedback A Quality improvement includes identifying specific, immediate goals, not long-range goals. B The quality improvement process includes identifying practices that pose problems, rather than identifying successful practices. C Quality improvement includes testing practice changes rapidly, not slowly. D The goal of quality improvement activities is to bring about changes in practice that will make a positive difference in patient care. Therefore, adopting a practice change is a critical step in the process. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 20 MULTIPLE RESPONSE 1. Which statements describe the actions of the baccalaureate nurse graduate as a participant in the nursing research process? (Select all that apply.) a. Administering care at the bedside according to a research protocol b. Providing leadership by helping others apply scientific knowledge to practice c. Sharing with nursing colleagues research findings that are pertinent to practice d. Designing and conducting nursing research studies e. Functioning as a primary investigator for a research study ANS: A, C Feedback Correct Following a researcNh UprRoStoIcoNlGatTtBhe.bCeOdsMide is an activity consistent with the practice of a nurse prepared at the baccalaureate level. Sharing research evidence with colleagues is an activity consistent with the practice of a nurse prepared at the baccalaureate level. Incorrect Leadership related to scientific investigation is more appropriate for a nurse prepared at the master’s or higher-degree level. Designing and conducting research studies are activities more appropriate for a nurse with doctoral preparation. Functioning as a primary investigator is an activity appropriate for a nurse with doctoral preparation. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 7 2. Which aspects of the nursing research process are common to nurses at all educational levels? (Select all that apply.) a. Disseminating research findings in research reports b. Maintaining the protection of patients who are subjects in a study c. Using one’s expertise to develop theoretical explanations for findings d. Knowing the relationship between research and nursing practice e. Being a member of a collaborative team that applies research to practice ANS: B, D, E TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD NURSINGTB.COM Feedback Correct All nurses are responsible for protecting the rights of patients. All nurses should be aware that research is related to practice. All nurses can be a part of a clinical team that applies research to practice. Incorrect Disseminating research in scientific reports is an activity generally performed by nurses with master’s or higher educational preparation. Developing theoretical explanations for findings is an activity generally performed by nurses with master’s or higher educational preparation. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 7 3. For the baccalaureate nursing student, education in nursing research should result in: (Select all that apply.) a. mastering the development of research protocols. b. gaining basic understanding of the research process. c. learning how research is related to clinical nursing practice. d. developing skill as a primary investigator in research. e. becoming a knowledgeable consumer of nursing research. ANS: B, C, E Feedback Correct The student should gain an initial understanding of the importance of research in nursing practice. The student should learn how research is related to clinical nursing practice. NURSINGTB.COM The student should learn skills in the critical analysis of research to assist in decisions about applying research findings in nursing practice. Incorrect Mastery of research protocol development is generally attained at the master’s or higher-degree level of education. Developing skill as a primary investigator is generally attained at the doctoral level of education. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 7 4. Developing nurse researchers at a younger age is a priority for the future in the nursing profession because it should: (Select all that apply.) a. enhance the discipline’s scientific development. b. increase the longevity of research careers. c. receive more research funding for professional organizations. d. promote mentoring opportunities for novice researchers. e. increase nursing’s role in pharmaceutical research. ANS: A, B, D Feedback Correct Developing young researchers increases the number of researchers contributing to the science of the discipline. Introducing nurses to research at a younger age allows them sufficient TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD NURSINGTB.COM time to develop in-depth research programs in their careers. Introducing nurses to research at a younger age allows them time and opportunity to be mentored by experienced researchers, as well as to learn to become mentors themselves. Incorrect Younger researchers do not guarantee research monies. Pharmaceutical studies are medical research and are not considered nursing research studies. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 10 NURSINGTB.COM TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD TESTBANKWORLD.ORG Chapter 02: Research Questions, Hypotheses, and Clinical Questions LoBiondo-Wood & Haber: Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice, 9th Edition MULTIPLE CHOICE 1. The difference between a research question and a hypothesis is: a. a research question is practice based, and a hypothesis is theory based. b. a hypothesis attempts to answer the question posed by the research problem. c. a research problem defines clinical research and a hypothesis defines basic research. d. there is no difference between a research problem and a hypothesis. ANS: B N PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 24 2. How is a hypothesis related to a theory? a. Hypotheses can be developed in the absence of a theoretical framework. b. Hypotheses must be consistent with an existing theoretical framework. c. A theory can determine the validity of a hypothesis. d. A theory can be used to evaluate the merit of a hypothesis. ANS: B Feedback A A hypothesis is a bridge between a theoretical framework and the real world of empirical testing. Therefore, a theoretical framework is required. B A sound hypothesis is consistent with an existing body of theory and research findings. C When tested, a hypothesis can help determine the validity of a theory’s assumptions—the reverse of option C. D When tested, a hypothesis can help evaluate a theory’s merit—the opposite of option D. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 24 TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD Feedback A Although a hypothesis is sometimes theory based, sometimes it is not. Similarly, research questions are not always practice based. Sometimes they originate in educational theory that relates to nursing education research, and sometimes they originate in basic, rather than applied, research. B A hypothesis attempts to answer the research question. C Research problems are present in all types of research, and a hypothesis may be present in basic or applied research. D Hypotheses and research questions are not identical. Hypotheses flow from research questions and suggest the ways the questions can be investigated. TESTBANKWORLD.ORG 3. A nurse makes these statements. Which one has the greatest potential as an area of nursing research? a. “Most of our hospital’s admissions come in at night.” b. “It is difficult to find personnel willing to work the nightshift.” c. “It seems that most of the patient falls on our unit occur during the nightshift.” d. “The personnel on the nightshift are not attending promptly to the needs of our patients.” ANS: C Feedback A This statement is broad and not specific to patient care. It would need to be defined in much more detail to have potential for nursing research. B This broad statement is important to managers responsible for staffing a health care facility. However, it does not show potential for investigation that would contribute to the body of nursing knowledge. C This statement identifies a specific, important patient problem. Its exploration has potential to contribute to the body of nursing knowledge. D This is a broad subjective observation that does not suggest any approach for investigation or potential for contributing to the body of nursing knowledge. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: Page 25, Table 2.1 4. The nurse has identified a clinical problem as a potential research question. The next step should be: N a. identify the variables. b. formulate the research hypothesis. c. perform a literature review. d. determine financial resources for the research project. ANS: C Feedback A It is too early to identify variables. They will be confirmed by the literature review. B Although the researcher may have a preliminary hunch about the hypothesis, it cannot be formulated until the research question is formalized after the literature review is completed. C The literature review helps to further define the research question by identifying gaps in the literature, the need for replication of prior research, or the need to extend the knowledge base in a particular research area. It also identifies variables essential to consider in refining the research question. D The financial resources needed for the project cannot be determined until the study’s design and methodology are finalized. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 25, Table 2.1, page 26 TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD ANS: A Feedback TESTBANKWORLD.ORG 5. In a research study, properties of interest that differ in value are: a. variables. b. concepts. c. hypotheses. d. assumptions. ANS: A Feedback A This is the widely accepted and often-cited definition of variables. B A concept is an abstraction that names an object or phenomenon. C A hypothesis is a prediction that helps to answer a research question. D Assumptions are statements accepted as true. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 29 6. A nurse researcher proposes a study of teenage mothers and their experience with postpartum depression. Considerations that would affect the feasibility of the study would be: a. availability of participants. b. direction of the hypotheses. c. gaps in the literature. d. design of the study. ANS: A Feedback N A A study’s feasibility is determined by practical considerations, such as availability of subjects, equipment, facilities, and money. B The direction of the hypothesis is irrelevant to a study’s feasibility. C Gaps in the literature provide support for the research study and do not affect its feasibility. D The design of the study is shaped by the research question and is not directly related to the study’s feasibility. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Page 27 7. The most significant difference between independent and dependent variables is: a. the dependent variable should change in response to manipulation by the independent variable. b. the independent variable should change in response to manipulation by the dependent variable. c. although both the dependent and independent variables are manipulated, only the dependent variable is considered an intervention. d. although both the dependent and independent variables are manipulated, only the independent variable is considered an intervention. TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD ANS: A Feedback TESTBANKWORLD.ORG A Dependent variables change in response to manipulation of independent variables in experimental research. B The reverse is accurate. Dependent variables change in response to manipulation of independent variables in experimental research. C The independent variable alone is considered an intervention; the dependent variable is the consequence or presumed effect. D The independent variable alone is considered an intervention; the dependent variable is the consequence or presumed effect. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: Page 29 8. When designing a research study, the nurse should recognize regarding independent and dependent variables a. All research problem statements should contain a dependent and an independent variable. b. There should only be one dependent variable associated with a single independent variable. c. The relationship between the independent and the dependent variable in any study should be causal. d. A given characteristic or situation may be the dependent variable in one study and the independent variable in another. ANS: D Feedback A Some descriptive studies mNay have one variable only, and qualitative studies do not include independent and dependent variables. B Many studies include more than one independent variable and more than one dependent variable. C The relationship between independent and dependent variables is not necessarily causal. An association between variables need not indicate causality. D Depending on the particular study, a specific variable may be the dependent or the independent variable. The causal or associative direction between variables determines the classification of the variables as independent or dependent. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF: Pages 29-30 9. A nurse’s research question is, “How does maternal employment among health care professionals affect infant health during the first 6 months of life?” In this question, the dependent variable is: a. infant health. b. maternal employment. c. first 6 months of life. d. health care professionals. TEST BANK FOR NURSING RESEARCH 9TH EDITION BY LOBIONDO-WOOD TESTBANKWORLD.ORG A Infant health is the consequence or presumed effect that changes regarding maternal employment. Thus it is the dependent variable. B Maternal employment is presumed to effect a change in the infant’s behavior (the dependent variable). Thus, maternal employment is the independent variable. C The first 6 months of life refers to the time the subjects (mothers and infants) will be observed in the study. D Health care professionals constitute the population to be studied. PTS: 1 DIF: Cognitive Level: Applying (Application) REF: Page 29 10. A nurse has defined the research question as, “How does oral nutritional supplementation during dialysis treatments affect the serum albumin levels of adult patients who have chronic kidney disease Stage 5?” In this question, the independent variable is: a. adult patients with chronic kidney disease Stage 5. b. oral nutritional supplementation. c. during dialysis treatments. d. serum albumin levels.