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Testbank1 3 prepared1 3 by:
Arlene13H.13Morris,13EdD,13RN,13CNE13and1 3 D
ebb13ie13Faulk,13PhD,13RN,13CNE
both1 3 of1 3 Auburn1 3 Montgomery1 3 School1 3 of1 3 Nursing
CHAPTER131
WHAT13IS13EVIDENCE13 BASED13PRACTICE?
Multiple1 3 Choice
Definition1 3 of1 3 research1 3 (p.1 3 14)
1. Which1 3 of1 3 the1 3 following1 3 is1 3 the1 3 best1 3 definition1 3 of1 3 research?
a. Critically13thinking613about13problems13that13occur13in13health13care13to13determine13p
ossib1 3 le13solutions.
b. Information1 3 that1 3 is1 3 based1 3 on1 3 personal1 3 experience1 3 or1 3 tradition.
c. Planned13and13systematic13activity13that13leads13to13new13knowledge13and/or13the
13dis1 3 covery13of13solutions13to13problems13or13questions.
d. Trying13a13variety13of13approaches13to13a13clinical13problem13and13settling13on13the13a
pproa1 3 ch13that613is13effective13more13often13than13not.
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Definition1 3 of1 3 research1 3 utilization1 3 (p.1 3 4)
2. Which1 3 of1 3 the1 3 following1 3 is1 3 the1 3 best1 3 definition1 3 of1 3 research1 3 utilization?
a. Applying1 3 research1 3 findings1 3 from1 3 individual1 3 studies1 3 to1 3 practice.
b. Analyzing1 3 multiple1 3 research1 3 studies1 3 to1 3 synthesize1 3 findings.
c. Appreciating1 3 the1 3 importance1 3 of1 3 clinical1 3 decision1 3 making.
d. Using1 3 previous1 3 personal1 3 experience1 3 to1 3 build1 3 confidence.
Definition1 3 of1 3 EBP1 3 (pp.1 3 4-5)
3. Which1 3 of1 3 the1 3 following1 3 is1 3 the1 3 best1 3 definition1 3 of1 3 evidence-based1 3 practice1 3 (EBP)?
a. Application1 3 of1 3 research1 3 findings1 3 based1 3 on1 3 scientific1 3 theories1 3 in1 3 a1 3 clinical1 3 s
etting
.
b. Research13studies13that13correspond13to13nationally13established13priorities13for13heal
thca13re,13conducted13by13experts13in13their613fields.
c. Use1 3 of1 3 theory-derived,1 3 research-
based13information13in13making13decisions13about13health13care13delivery,13wit
h13con13sideration13of13individual13needs13and13preferences13and13the13clinical13e
xpertise13of13the13provider.
d. Using13the1 3 individual1 3 health1 3 care1 3 provider’s1 3 perception1 3 of13truth1 3 without1 3 c
onsciou13s13attention13or13reasoning.
Difference1 3 between1 3 research1 3 utilization1 3 and1 3 EBP1 3 (pp.1 3 4-5)
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, EVIDENCE1 3 BASED1 3 PRACTICE1 3 FOR1 3 NURSES1 3 6th1 3 EDITION1 3 SCHMIDT1 3 TEST1 3
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4. Which13of13the13following13best13describes13the13difference13between13research13utilization
13and1 3 EBP?
a. Research13utilization13is13a13process13of13evaluating13multiple13studies13for613the13mos
t13gen13eralizable1 3 findings;1 3 EBP1 3 is1 3 use1 3 of1 3 the1 3 most1 3 recent1 3 study1 3 on1 3 a
1 3 topic.
b. Research1 3 utilization1 3 involves13changing1 3 practice13based1 3 on1 3 findings1 3 of13
a13singl13e13research13study;13EBP13is13the13syntheses13of13findings13from613multip
le13studies13to13incorporate13with13practitioner13skills13and13client13preference13t
o13determine13best13care.
c. Research13utilization13is13the13application13of13research13findings13to13health13care13pr
actic1 3 e;13EBP13is13considered13in13selecting13medication13options.
d. Research13utilization13is13review13of13research13publications;13EBP13is13using613the13h
ealth13care1 3 provider’s1 3 perception1 3 of1 3 what1 3 care1 3 would1 3 be1 3 best1 3 in1 3 indivi
dual1 3 situations.
Evidence1 3 from1 3 other1 3 disciplines1 3 (p.1 3 6)
5. In1 3 what1 3 way1 3 can1 3 evidence1 3 from1 3 disciplines1 3 other1 3 than1 3 nursing1 3 be1 3 helpful?
a. Theory1 3 based1 3 non-
nursing1 3 evidence1 3 can1 3 provide1 3 a1 3 basis1 3 on1 3 which1 3 to1 3 build1 3 new1 3 evidence.
b. Non-
nursing13evidence13supports13the13use13of13nursing13knowledge613obtained13by13trial13
and13e1 3 rror.
c. Clinical13decision13making13can13be13based13on13findings13from13single13
non-13nursing13research13studies.
d. All1 3 evidence1 3 is1 3 equally1 3 important1 3 to1 3 the1 3 practice1 3 of1 3 nursing.
Identification1 3 of1 3 sources1 3 of1 3 evidence1 3 (p.1 3 6)
6. You1 3 are613a1 3 new1 3 nurse1 3 working1 3 at1 3 XYZ1 3 hospital.1 3 Your1 3 preceptor1 3 tells1 3 you1 3 to1 3 da
ngle1 3 Ms
.1 3 Jones’1 3 legs1 3 on1 3 the1 3 side1 3 of1 3 the1 3 bed1 3 before1 3 you1 3 attempt1 3 to1 3 assist1 3 her1 3 to1 3 a1 3
chair.1 3 You1 3 as13k1 3 your1 3 preceptor1 3 why13this1 3 is1 3 done13and1 3 she1 3 answers,1 3 “This1 3 is1
3 what1 3 we1 3 have13always1 3 do13ne,1 3 so1 3 go1 3 do1 3 NURSINGTB.COM1 3 it.”1 3 This1 3 is1 3 an1 3 e
xample1 3 of1 3 which1 3 type1 3 of1 3 evidence?
a. Trial1 3 and1 3 error6
b. Intuition
c. Borrowed1 3 evidence
d. Tradition
Identification1 3 of1 3 sources1 3 of1 3 evidence1 3 (p.1 3 6)
7. You1 3 are1 3 a1 3 new1 3 nurse1 3 working1 3 at1 3 XYZ1 3 hospital.1 3 Your1 3 preceptor1 3 tells1 3 you1 3 to1 3 da
ngle1 3 Ms
.1 3 Jones’1 3 legs1 3 on1 3 the1 3 side1 3 of1 3 the1 3 bed1 3 before1 3 you1 3 attempt1 3 to1 3 assist1 3 her1 3 to1 3 a1 3
chair.1 3 You1 3 as13k13your13preceptor13why13this13is13done13and13she13answers,13“Because13I13s
aid13so.”13This13is13an13ex13ample13of13which13type13of13evidence?
a. Intuition
b. Tradition
c. Authority
d. Borrowed1 3 evidence
Identification1 3 of1 3 sources1 3 of1 3 evidence1 3 (p.1 3 6)
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,EVIDENCE1 3 BASED1 3 PRACTICE1 3 FOR1 3 NURSES1 3 6th1 3 EDITION1 3 SCHMIDT1 3 TEST1 3
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8. Trial1 3 and1 3 error1 3 is1 3 not1 3 a1 3 preferred1 3 approach1 3 for1 3 delivering1 3 nursing613care1 3 because
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, EVIDENCE1 3 BASED1 3 PRACTICE1 3 FOR1 3 NURSES1 3 6th1 3 EDITION1 3 SCHMIDT1 3 TEST1 3
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a. it1 3 is1 3 not1 3 based1 3 on1 3 systematic1 3 scientific1 3 approaches.
b. it1 3 is1 3 not1 3 a1 3 sanctioned1 3 method1 3 by1 3 the1 3 American1 3 Nurses1 3 Association.
c. it1 3 is1 3 based1 3 only1 3 on1 3 intuition1 3 and1 3 therefore1 3 not1 3 scientifically1 3 based.
d. patient1 3 outcomes1 3 are1 3 always1 3 based1 3 only1 3 on1 3 level1 3 11 3 evidence.
Identification1 3 of1 3 sources1 3 of1 3 evidence1 3 (p.1 3 8)
9. Many13nurses13in13clinical13settings13base13nursing13interventions13on13information13obtain
ed13fr1 3 om13a.13level13113evidence.
b. individual1 3 research1 3 studies.
c. colleagues.
d. the1 3 American1 3 Nurses1 3 Association.
Barriers1 3 to1 3 adopting1 3 EBP1 3 (p.1 3 8)
10. Studies1 3 have1 3 shown1 3 that1 3 the1 3 reasons1 3 that1 3 nurses1 3 do1 3 not1 3 draw1 3 on1 3 research1 3 are1 3 r
elated1 3 to
a. communication1 3 problems.
b. individual1 3 and1 3 organizational1 3 factors.
c. personal1 3 disinterest.
d. rapid1 3 organizational1 3 changes.
Environment1 3 for1 3 EBP1 3 to1 3 flourish1 3 (p.1 3 11)
11. Which1 3 of1 3 the1 3 following1 3 promotes1 3 consistent1 3 EBP1 3 practice1 3 changes1 3 in1 3 an1 3 institutio
n?
a. Clinical13experts13such13as13Advanced13Practice13Nurses13(APNs)13should13be13the13a
utho1 3 rity13for13any13change13in13practices.
b. Change613champions13are13needed13on13each13work13shift13to13facilitate13practice
13cha13nges.
c. Nurse1 3 managers1 3 must1 3 mandate1 3 research1 3 within1 3 healthcare1 3 institutions.
d. Opinion1 3 leaders1 3 should1 3 enforce1 3 adherence1 3 to1 3 their1 3 opinions.
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Environment1 3 for1 3 EBP1 3 to1 3 flourish1 3 (p.1 3 10)
12. One1 3 method1 3 for1 3 overcoming1 3 a1 3 lack1 3 of1 3 resources1 3 to1 3 access1 3 evidence1 3 is1 3 to
a. devote1 3 151 3 minutes1 3 a1 3 day1 3 to1 3 reading1 3 evidence1 3 related1 3 to1 3 a1 3 clinical1 3 problem
.
b. attend1 3 conferences1 3 where1 3 clinical1 3 research1 3 is1 3 presented..
c. bookmark1 3 important1 3 Web1 3 sites1 3 that1 3 are1 3 sources1 3 of1 3 clinical1 3 guidelines.
d. collaborate1 3 with1 3 a1 3 nursing1 3 program1 3 for1 3 access1 3 to1 3 resources.
Barriers1 3 to1 3 adopting1 3 EBP1 3 (p.1 3 9)
13. What1 3 steps1 3 can1 3 be1 3 taken1 3 to1 3 overcome1 3 the1 3 time1 3 barrier613to1 3 adopting1 3 an1 3 EBP?
a. Devote1 3 151 3 minutes1 3 a1 3 day1 3 to1 3 reading1 3 evidence1 3 related1 3 to1 3 a1 3 clinical1 3 proble
m.
b. Subscribe1 3 to1 3 e-mail1 3 summaries1 3 of1 3 research1 3 studies1 3 in1 3 your1 3 area1 3 of1 3 interest.
c. Take13advantage13of13available13technologies13to13provide13quick13and13convenient13
acce1 3 ss13to13relevant13data13and13clinical13guidelines.
d. All613of1 3 the1 3 above
Parts1 3 of1 3 a1 3 research1 3 article1 3 (p.1 3 18)
14. Which1 3 section1 3 of1 3 a1 3 research1 3 article1 3 provides1 3 an1 3 overview1 3 of1 3 the1 3 study?
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