Burns and Grove's The Practice of Nursing Research, 9th Edition (Gray, 2021)
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Burns and Grove's The Practice of Nursing Research, 9th Edition (Gray, 2021)
CHAPTER 01 – Discovering the World of Nursing Research
Theme: Introduces the importance of research in nursing, how it influences
practice, and the link between research and quality patient care.
1. What is the primary purpose of nursing research in modern healthcare?
a. To increase the number of published articles
b. To enhance the knowledge base that informs evidence-based practice
c. To replace clinical judgment with automated protocols
d. To reduce the need for continuing education
✅ ANSWER: B
FEEDBACK: Nursing research generates new knowledge that informs evidence-
based practice (EBP), improving patient outcomes and ensuring clinical
interventions are grounded in scientific evidence. It is not conducted merely for
publication or to replace critical thinking.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 – Explain the role of research in advancing
nursing practice.
KEYWORDS: Nursing research, evidence-based practice, patient outcomes
2. How does evidence-based practice (EBP) differ from traditional nursing
practice?
a. EBP relies solely on expert opinion
b. EBP integrates research evidence, clinical expertise, and patient preferences
c. Traditional practice always uses clinical guidelines
d. EBP eliminates the need for clinical reasoning
✅ ANSWER: B
FEEDBACK: EBP combines the best available research evidence, the clinician’s
expertise, and patient preferences to guide care. Traditional nursing practice may
rely more heavily on routines, habit, or authority-based methods.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.2 – Distinguish between evidence-based and
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Burns and Grove's The Practice of Nursing Research, 9th Edition (Gray, 2021)
traditional nursing practices.
KEYWORDS: Evidence-based practice, clinical expertise, patient-centered care
3. Why is the integration of nursing research into clinical practice important
for patient outcomes?
a. It increases administrative efficiency
b. It ensures care is safe, effective, and tailored to patient needs
c. It reduces the amount of documentation required
d. It standardizes care for all patients regardless of context
✅ ANSWER: B
FEEDBACK: Research-informed interventions improve safety, efficacy, and
patient satisfaction. Integrating research ensures that care decisions are based on
reliable evidence rather than anecdotal experience.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 – Explain how research influences quality
patient care.
KEYWORDS: Patient outcomes, safety, effectiveness
4. Which of the following best describes a characteristic of scientific nursing
research?
a. Based on personal experience and anecdotal evidence
b. Systematic, controlled, empirical, and critical investigation
c. Focused solely on literature reviews
d. Primarily exploratory without defined methods
✅ ANSWER: B
FEEDBACK: Scientific nursing research follows a systematic, controlled,
empirical, and critical approach to generate valid and reliable knowledge,
distinguishing it from anecdotal or casual inquiry.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.3 – Identify the defining characteristics of
scientific nursing research.
KEYWORDS: Systematic investigation, empirical evidence, controlled methods
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Burns and Grove's The Practice of Nursing Research, 9th Edition (Gray, 2021)
5. What is the relationship between nursing research and quality
improvement initiatives?
a. They are identical processes
b. Research provides evidence to inform quality improvement strategies
c. Quality improvement replaces the need for research
d. Research only measures patient satisfaction
✅ ANSWER: B
FEEDBACK: Nursing research produces evidence that informs quality
improvement projects, enhancing care processes, patient outcomes, and efficiency.
Quality improvement focuses on applying evidence rather than generating it.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.4 – Explain how nursing research supports quality
improvement.
KEYWORDS: Quality improvement, evidence-based care, patient safety
6. Which of the following is an example of a nursing research problem?
a. How nurses feel about shift scheduling
b. What is the effect of bedside shift report on patient safety and satisfaction?
c. The history of nursing uniforms
d. The personal preferences of hospital administrators
✅ ANSWER: B
FEEDBACK: A research problem identifies a gap in knowledge that can be
studied systematically, such as the impact of bedside shift reports on patient safety
and satisfaction. Opinions or descriptive topics without measurable outcomes are
less suitable.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.5 – Identify a research problem appropriate for
nursing study.
KEYWORDS: Research problem, measurable outcomes, patient safety
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Burns and Grove's The Practice of Nursing Research, 9th Edition (Gray, 2021)
7. How did the Florence Nightingale era influence modern nursing research?
a. She established formal nursing licensure exams
b. She emphasized data collection and statistical analysis to improve patient care
c. She focused exclusively on nursing education rather than research
d. She advocated for nurse independence without data
✅ ANSWER: B
FEEDBACK: Florence Nightingale is considered a pioneer of nursing research
because she systematically collected and analyzed data on sanitation and mortality,
demonstrating the impact of environmental factors on patient outcomes.
DIFFICULTY: Low
LEARNING OBJECTIVES: 1.6 – Relate historical milestones in nursing
research to contemporary practice.
KEYWORDS: Florence Nightingale, data analysis, patient care
8. What is a key feature of evidence-based nursing practice?
a. Relying exclusively on textbooks for decision-making
b. Using intuition over research findings
c. Integrating research evidence with clinical judgment and patient preferences
d. Standardizing care with no flexibility
✅ ANSWER: C
FEEDBACK: Evidence-based nursing integrates current research, clinical
expertise, and patient preferences to optimize care decisions. It is not limited to
textbooks or intuition alone.
DIFFICULTY: Low
LEARNING OBJECTIVES: 1.2 – Describe the components of evidence-based
practice.
KEYWORDS: Clinical judgment, research integration, patient-centered care
9. Which scenario best illustrates the application of nursing research in
practice?
a. A nurse administers medications based solely on habit
b. A nurse implements a new fall-prevention protocol based on a recent study
showing reduced fall rates
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Burns and Grove's The Practice of Nursing Research, 9th Edition (Gray, 2021)
c. A nurse decides patient rounding is unnecessary
d. A nurse documents care using traditional narrative notes only
✅ ANSWER: B
FEEDBACK: Applying research findings, such as implementing a fall-prevention
protocol proven effective in studies, exemplifies the translation of evidence into
practice, improving patient outcomes.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.1 – Demonstrate how nursing research informs
clinical interventions.
KEYWORDS: Research application, patient safety, practice change
10. What distinguishes nursing research from other healthcare research?
a. Focus on human biology only
b. Emphasis on patient-centered care, nursing interventions, and health outcomes
c. Exclusive use of animal models
d. Absence of ethical considerations
✅ ANSWER: B
FEEDBACK: Nursing research emphasizes patient-centered outcomes and
evaluates interventions within the scope of nursing practice, differing from general
biomedical research, which may focus more broadly on physiology or disease
mechanisms.
DIFFICULTY: Medium
LEARNING OBJECTIVES: 1.3 – Identify the focus and scope of nursing
research.
KEYWORDS: Patient-centered, interventions, health outcomes
11. How does nursing research support clinical decision-making?
a. It replaces the need for nurse judgment entirely
b. It provides evidence that informs interventions and policy decisions
c. It limits care options to one standard approach
d. It focuses only on hospital administration