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Exam (elaborations)

NUR 342 Final Questions With Complete Solutions

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NUR 342 Final Questions With Complete Solutions

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NUR 342 Final Questions With Complete Solutions

A clinician is using EBP efforts to research new methods of
preventing HAP from occurring in an intensive care unit. What
would be the next appropriate step to take after appraising and
synthesizing the evidence? Correct Answers Integrate the
evidence into own practice

a data collector sat in a grocery store to see grocery shoppers'
reactions to a new food product. what type of data collection
method was applied? Correct Answers observation

a group of nurses have implemented a new evidence-based
protocol related to postoperative patient assessment and
achieved successful outcome based on the evaluations. what is
the most appropriate next step for this project? Correct Answers
tell others about the results of their project and disseminate via
presentation and/or publication

a group of nurses with depression is identified and matched to a
group of nurses without depression... Correct Answers case
control

A hypothesis most commonly involves one variable. Correct
Answers False, should have a least 2

A major controversy involving qualitative research is that a
relatively small amount of research is used Correct Answers
false

,a nurse researcher is interested in the effect radiation exposure...
the study design is: Correct Answers case-control

a researcher calls every 5th person on the michigan yellow page
to participate in his/her study. this type of sampling is: Correct
Answers systematic random sampling

A researcher would describe the limitations of the study in the
results section of the report Correct Answers False, it would be
in discussion

a survey is administered to college students to ask about their
career plans after graduation. This same group of students os
then contacted again 2 years after their graduation to administer
a follow-up survey asking about their career choices. Correct
Answers prospective cohort

a survey was administered to college students to ascertain their
perceptions about their accessibility of learning resources on
campus. Correct Answers cross-sectional

A well formulated PICOT question should specify the
measurable outcomes that need to be addressed Correct
Answers True

advancing research and clinical practice through close
collaboration (ARCC) Correct Answers -Organized conceptual
framework to guide system-wide implementation
-Promotes sustainability at a system level
-Incorporates nurse input about EBP barriers and facilitators
-Uses Cognitive Behavioral Theory

,-Includes assessment of organizational culture and readiness
-Key feature is the use of mentors as a central mechanism for
implementing and sustaining EBP
-4 major assumptions:
(1)There are facilitators and barriers to EBP for individuals and
health care systems
(2)Barriers to EBP must be removed or mitigated, and
facilitators must be put in place for both individuals and health
systems to implement EBP
(3) In order to change practice, clinicians' beliefs about the
value of EBP and their confidence in their ability to implement
it must be strengthened
(4) A culture of EBP requires mentors to advance and sustain
EBP
1. Facilitators and barriers: barriers must be overcome by
facilitators in order to conduct research
2. Mentors: relies on mentorship; culture of mentors that are
"champions" of EBP

aligning payment with quality Correct Answers Adequate
compensation, incentives for quality, transparency for
consumers

an in-depth description of the hospital experience of one
patient's transition from surgical unit to surgical ICU following a
complicated abdominal surgery was reported. Correct Answers
case study

an obstetrical nurse wants to improve fetal monitoring practices
on the unit by conducting a EBP project. what is the first step

, this nurse should take? Correct Answers formulate a clinical
question on fetal monitoring practices

applying evidence: EBP Correct Answers -Integrate evidence
into clinical decision making
-Best, most current clinical evidence
-Literature review
-Synthesis of evidence
-Clinical expertise
-Expertise gained from knowledge and experience
-Patient preferences and values
-Every patient is different
-Patients are complex, rarely have only one issue
-Patients' opinions matter
-Integrating evidence into clinical decision making to change
nursing practice should be guided by:
-Conceptual models and frameworks for EBP

audit trail Correct Answers a systematic collection of
documentation and materials that would allow independent
auditor to draw conclusions, and a decision trial that specifies
decision rules for categorizing data and making analytic
inferences

authenticity Correct Answers -The extent to which the
researchers fairly and faithfully show a range of different
realities and convey the feeling tone of participants' lives as they
are lived (mood, experience, language, context)
-Does the text invite readers into a vicarious experience of the
lives being described and enable a heightened sensitivity to the
issues being depicted?

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