NURS 6010 Exam #1 questions with |\ |\ |\ |\ |\ |\
answers
In a hospital, nursing tradition dictates that a full set of vital
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
signs be completed every shift per physician order. This is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
example of which of the following phenomena. |\ |\ |\ |\ |\ |\
A. Evidence-based practice (EBP)
|\ |\ |\
B. Integration of personal expertise into nursing care
|\ |\ |\ |\ |\ |\ |\
C. The prioritization of internal evidence over external evidence
|\ |\ |\ |\ |\ |\ |\ |\
D. Practice that lacks evidence to support its application. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔d |\ |\
As we all know, assessment of patient status is one of the two
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspects of nursing care that cannot be delegated. You can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
delegate taking the vitals but not the assessment of patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition based on those vitals. Nursing assessment is not driven
|\ |\ |\ |\ |\ |\ |\ |\ |\
by physician order but by the needs and changes of the patient,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or as we read in the study "how worried are you?". Orders for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vital signs is a hold-over from the days in which physicians were
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
told to order vital signs based on "how often you want the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to check on the patient."
|\ |\ |\ |\
,a theoretical or conceptual framework is? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔compromised of a number of interrelated statements that |\ |\ |\ |\ |\ |\ |\ |\
attempt to describe, explain, and/or predict a phenomenon
|\ |\ |\ |\ |\ |\ |\ |\
its purpose is to provide a framework for selecting the study's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
variables, including how they relate to one another, as well as to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
guide the development of the interventions in experimental
|\ |\ |\ |\ |\ |\ |\ |\
studies
example of a theoretical framework - CORRECT ANSWERS ✔✔As
|\ |\ |\ |\ |\ |\ |\ |\ |\
an example, for decades, self-regulation theory (Johnson, Fieler,
|\ |\ |\ |\ |\ |\ |\ |\
Jones, Wlasowicz, & Mitchell, 1997) has long provided an
|\ |\ |\ |\ |\ |\ |\ |\ |\
excellent theoretical framework for providing educational
|\ |\ |\ |\ |\ |\
interventions to patients undergoing intrusive procedures (e.g., |\ |\ |\ |\ |\ |\ |\
endoscopy) and chemotherapy/radiation. The basic premise of |\ |\ |\ |\ |\ |\ |\
this theory is that the provision of concrete objective information
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to an individual who is confronting a stressful situation or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure will facilitate a cognitive schema or representation of
|\ |\ |\ |\ |\ |\ |\ |\ |\
what will happen that is similar to the real-life event. As a result
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of an individual knowing what he or she is likely to experience,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
there is an increase in understanding, predictability, and
|\ |\ |\ |\ |\ |\ |\ |\
confidence in dealing with the situation as it unfolds (Johnson et
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
al., 1997), which leads to improved coping outcomes.
|\ |\ |\ |\ |\ |\ |\
if the research question or hypothesis concerns itself with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
testing effects of an intervention or treatment on patient
|\ |\ |\ |\ |\ |\ |\ |\ |\
outcomes, the study calls for an ? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔experimental design |\
,purpose of descriptive studies - CORRECT ANSWERS ✔✔is to
|\ |\ |\ |\ |\ |\ |\ |\ |\
describe, observe, or document a phenomenon that can serve as
|\ |\ |\ |\ |\ |\ |\ |\ |\
a foundation for developing hypothesis or testing theory
|\ |\ |\ |\ |\ |\ |\ |\
for example a descriptive study design would be appropriate to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
answer each of the following clinical questions - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1. what is the incidence of complications in women
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who are on bed rest with preterm labor
|\ |\ |\ |\ |\ |\ |\ |\
2. what is the average number of depressive symptoms
|\ |\ |\ |\ |\ |\ |\ |\ |\
experienced by teenagers after a critical care hospitalization |\ |\ |\ |\ |\ |\ |\ |\
3. in adults with type 2 diabetes, what are the most common
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
physical comorbidites |\
case control studies are those? - CORRECT ANSWERS ✔✔in which
|\ |\ |\ |\ |\ |\ |\ |\ |\
group of individuals (cases) with a certain condition (migraine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
headaches) is studied at the same time as another group of |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
individuals who do not have the condition (controls) to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\
an association between one or more predictor variables (family
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hx of migraine headaches, consumption fo red wine) and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition (migraine headaches) |\ |\
advantages of case control studies - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔include an ability to determine associations with a small |\ |\ |\ |\ |\ |\ |\ |\ |\
number of subjects, which is especially useful in the study of rare
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
types of diseases and an ability to generate hypotheses for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
future studies |\
, limitations of case control studies - CORRECT ANSWERS ✔✔is |\ |\ |\ |\ |\ |\ |\ |\ |\
bias (inability to control the confounding variables that may
|\ |\ |\ |\ |\ |\ |\ |\ |\
influence the outcome) |\ |\
cohort study - CORRECT ANSWERS ✔✔follows a group of subjects
|\ |\ |\ |\ |\ |\ |\ |\ |\
longitudinally over a period of time to describe the incidence of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
problem or to determine the relationship between a predictor
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
variable and an outcome |\ |\ |\
an example of a cohort study - CORRECT ANSWERS ✔✔finding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
out whether daughters of mothers who had breast cancer have a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
higher incidence of the disease vs those who mothers did not
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
have breast cancer |\ |\ |\
two groups of daughters (those with and without a mother breast
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cancer) would be studied over time to determine the incidence
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of breast cancer in each group
|\ |\ |\ |\ |\
a major strength (advantage) of prospective cohort studies
|\ |\ |\ |\ |\ |\ |\ |\
include - CORRECT ANSWERS ✔✔being able to determine the
|\ |\ |\ |\ |\ |\ |\ |\ |\
incidence of a problem and its possible cause |\ |\ |\ |\ |\ |\ |\
a major limitation of cohort studies - CORRECT ANSWERS ✔✔is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the lengthy nature of this type of study the costs of which often
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
become prohibitive |\
True experiments or RCTs possesses three characteristics -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔■ An experimental group that receives |\ |\ |\ |\ |\ |\ |\ |\
the treatments or intervention
|\ |\ |\
answers
In a hospital, nursing tradition dictates that a full set of vital
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
signs be completed every shift per physician order. This is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
example of which of the following phenomena. |\ |\ |\ |\ |\ |\
A. Evidence-based practice (EBP)
|\ |\ |\
B. Integration of personal expertise into nursing care
|\ |\ |\ |\ |\ |\ |\
C. The prioritization of internal evidence over external evidence
|\ |\ |\ |\ |\ |\ |\ |\
D. Practice that lacks evidence to support its application. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔d |\ |\
As we all know, assessment of patient status is one of the two
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspects of nursing care that cannot be delegated. You can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
delegate taking the vitals but not the assessment of patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition based on those vitals. Nursing assessment is not driven
|\ |\ |\ |\ |\ |\ |\ |\ |\
by physician order but by the needs and changes of the patient,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or as we read in the study "how worried are you?". Orders for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vital signs is a hold-over from the days in which physicians were
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
told to order vital signs based on "how often you want the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to check on the patient."
|\ |\ |\ |\
,a theoretical or conceptual framework is? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔compromised of a number of interrelated statements that |\ |\ |\ |\ |\ |\ |\ |\
attempt to describe, explain, and/or predict a phenomenon
|\ |\ |\ |\ |\ |\ |\ |\
its purpose is to provide a framework for selecting the study's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
variables, including how they relate to one another, as well as to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
guide the development of the interventions in experimental
|\ |\ |\ |\ |\ |\ |\ |\
studies
example of a theoretical framework - CORRECT ANSWERS ✔✔As
|\ |\ |\ |\ |\ |\ |\ |\ |\
an example, for decades, self-regulation theory (Johnson, Fieler,
|\ |\ |\ |\ |\ |\ |\ |\
Jones, Wlasowicz, & Mitchell, 1997) has long provided an
|\ |\ |\ |\ |\ |\ |\ |\ |\
excellent theoretical framework for providing educational
|\ |\ |\ |\ |\ |\
interventions to patients undergoing intrusive procedures (e.g., |\ |\ |\ |\ |\ |\ |\
endoscopy) and chemotherapy/radiation. The basic premise of |\ |\ |\ |\ |\ |\ |\
this theory is that the provision of concrete objective information
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to an individual who is confronting a stressful situation or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
procedure will facilitate a cognitive schema or representation of
|\ |\ |\ |\ |\ |\ |\ |\ |\
what will happen that is similar to the real-life event. As a result
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of an individual knowing what he or she is likely to experience,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
there is an increase in understanding, predictability, and
|\ |\ |\ |\ |\ |\ |\ |\
confidence in dealing with the situation as it unfolds (Johnson et
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
al., 1997), which leads to improved coping outcomes.
|\ |\ |\ |\ |\ |\ |\
if the research question or hypothesis concerns itself with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
testing effects of an intervention or treatment on patient
|\ |\ |\ |\ |\ |\ |\ |\ |\
outcomes, the study calls for an ? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔experimental design |\
,purpose of descriptive studies - CORRECT ANSWERS ✔✔is to
|\ |\ |\ |\ |\ |\ |\ |\ |\
describe, observe, or document a phenomenon that can serve as
|\ |\ |\ |\ |\ |\ |\ |\ |\
a foundation for developing hypothesis or testing theory
|\ |\ |\ |\ |\ |\ |\ |\
for example a descriptive study design would be appropriate to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
answer each of the following clinical questions - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1. what is the incidence of complications in women
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who are on bed rest with preterm labor
|\ |\ |\ |\ |\ |\ |\ |\
2. what is the average number of depressive symptoms
|\ |\ |\ |\ |\ |\ |\ |\ |\
experienced by teenagers after a critical care hospitalization |\ |\ |\ |\ |\ |\ |\ |\
3. in adults with type 2 diabetes, what are the most common
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
physical comorbidites |\
case control studies are those? - CORRECT ANSWERS ✔✔in which
|\ |\ |\ |\ |\ |\ |\ |\ |\
group of individuals (cases) with a certain condition (migraine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
headaches) is studied at the same time as another group of |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
individuals who do not have the condition (controls) to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\
an association between one or more predictor variables (family
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hx of migraine headaches, consumption fo red wine) and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition (migraine headaches) |\ |\
advantages of case control studies - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔include an ability to determine associations with a small |\ |\ |\ |\ |\ |\ |\ |\ |\
number of subjects, which is especially useful in the study of rare
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
types of diseases and an ability to generate hypotheses for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
future studies |\
, limitations of case control studies - CORRECT ANSWERS ✔✔is |\ |\ |\ |\ |\ |\ |\ |\ |\
bias (inability to control the confounding variables that may
|\ |\ |\ |\ |\ |\ |\ |\ |\
influence the outcome) |\ |\
cohort study - CORRECT ANSWERS ✔✔follows a group of subjects
|\ |\ |\ |\ |\ |\ |\ |\ |\
longitudinally over a period of time to describe the incidence of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
problem or to determine the relationship between a predictor
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
variable and an outcome |\ |\ |\
an example of a cohort study - CORRECT ANSWERS ✔✔finding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
out whether daughters of mothers who had breast cancer have a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
higher incidence of the disease vs those who mothers did not
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
have breast cancer |\ |\ |\
two groups of daughters (those with and without a mother breast
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cancer) would be studied over time to determine the incidence
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of breast cancer in each group
|\ |\ |\ |\ |\
a major strength (advantage) of prospective cohort studies
|\ |\ |\ |\ |\ |\ |\ |\
include - CORRECT ANSWERS ✔✔being able to determine the
|\ |\ |\ |\ |\ |\ |\ |\ |\
incidence of a problem and its possible cause |\ |\ |\ |\ |\ |\ |\
a major limitation of cohort studies - CORRECT ANSWERS ✔✔is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the lengthy nature of this type of study the costs of which often
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
become prohibitive |\
True experiments or RCTs possesses three characteristics -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔■ An experimental group that receives |\ |\ |\ |\ |\ |\ |\ |\
the treatments or intervention
|\ |\ |\
