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NUR621 Exam 1
What are clinical practice guidelines? - ANS-Clinical practice guidelines are
evidence-based when conducted systematically and recommendations formed using
the research evidence.
You are assigned to a team working on reducing central line-associated infections and
have been asked to search for primary sources of evidence. Which of the following
represents a primary source of evidence: systematic review, qualitative analysis,
individual study, micro-analysis - ANS-An individual study.
Evidence comes from many sources. Which source of evidence would best support a
practice change: Expert opinions, published protocols in peer reviewed journals,
editorial reports in a specialty journal, peer reviewed systematic reviews - ANS-Peer
reviewed systematic reviews, combining finding from two or more studies to reach
conclusions about specific issues.
Describe the three types of systematic reviews: - ANS-Integrative: systematic,
combination of quantitative and qualitative studies
Meta-analysis: quantitative
Meta-synthesis: qualitative
Which statement best describes the AGACNPs contribution to evidence-based nursing
(EBN)? - ANS-APPs can identify gaps in care, help in developing evidence-based
protocols, and follow evidence-based protocols.
Evidence based practice decision primarily use:
Descriptive studies with low levels of evidence
Opinion papers by experts
Intervention studies like RCTs
Only one study - ANS-Interventions studies such as RCTs that have higher levels of
evidence
What is evidence based practice? - ANS-Collection, interpretation, and integration of
valid research evidence combined with clinical expertise, and an understanding of
patient and family values and preferences to inform clinical decision making
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Place the following in order of strength of evidence: Clinical practice guidelines,
systematic reviews, clinical protocol, expert opinion, primary studies - ANS-Clinical
protocol
Clinical practice guidelines
Systematic reviews
Primary studies
Expert opinion
Safe effective delivery of patient care requires what three aspects of nursing practice? -
ANS-Clinical expertise
Current best research evidence
Patient preferences and values
What does the acronym PICOTS stand for? - ANS-Population
Intervention
Comparison
Outcomes
Timing
Setting
The adult-gerontology acute care nurse practitioner is asked to join a team to obtain
information about the benefit of seniors, 65 years and older, receiving the flu vaccine for
the prevention of pneumonia during flu season. When writing a PICOT question for this
scenario, where would receiving the flu vaccine be indicated in the acronym? -
ANS-Intervention
You are seeing a 72-year-old woman admitted with pneumonia. She is generally active
and still plays golf despite a history of hypertension and heart failure. What is the priority
for this patient? - ANS-Perform a fall assessment: acute illnesses can result in
alterations predisposing to falls, making prevention of falls the priority
Which of the following are considerations by the AGACNP when conducting a culturally
competent patient assessment? Select all that apply: Cultural, ethnic, and racial identity
Plan of care that reflects diversity
Factors influencing decision making
Patient's preferred language - ANS-Patients cultural, ethnic, and racial identity.
Factors influencing decision making.
Patient's preferred language.
* the POC is not part of the assessment
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When evaluating illness symptoms in older patients, the disease often presents in a
manner different or "atypical" from younger adults because of: - ANS-normal
age-related decline
Which of the following are true about geriatric syndromes? Select all that apply:
Common in older adults
Predispose to worse outcomes
Normal part of aging
Often have multiple causes - ANS-They are common in older adults.
They predispose to worse outcomes.
They often have multiple causes.
Which group of older adults had the highest rate of growth between 1980-2017? -
ANS-100 and over
The primary objective of screening is to - ANS-Detect a disease or condition.
What are three key elements of health promotion - ANS-Good governance of health
Health literacy
Healthy cities
The social cognitive theory believes behavioral change is the result of what? -
ANS-Reciprocal relationships among the environment, personal factors, and attributes
of the behavior itself
Theory of reasoned action/Planned behavior states: - ANS-Behavioral intentions predict
actual behavior and the persons perceived control over the behavior
The best strategy to promote healthy lifestyle and behaviors is to - ANS-Instill a sense
of responsibility in the patient for their own health.
In the older adult, prevention strategies should have a focus on all of the following
EXCEPT: Morbidity
Quality of life
Mortality
Iatrogenesis - ANS-Mortality.
Which health model believes that health is shaped by environmental subsystems? -
ANS-Ecological model
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NUR621 Exam 1
What are clinical practice guidelines? - ANS-Clinical practice guidelines are
evidence-based when conducted systematically and recommendations formed using
the research evidence.
You are assigned to a team working on reducing central line-associated infections and
have been asked to search for primary sources of evidence. Which of the following
represents a primary source of evidence: systematic review, qualitative analysis,
individual study, micro-analysis - ANS-An individual study.
Evidence comes from many sources. Which source of evidence would best support a
practice change: Expert opinions, published protocols in peer reviewed journals,
editorial reports in a specialty journal, peer reviewed systematic reviews - ANS-Peer
reviewed systematic reviews, combining finding from two or more studies to reach
conclusions about specific issues.
Describe the three types of systematic reviews: - ANS-Integrative: systematic,
combination of quantitative and qualitative studies
Meta-analysis: quantitative
Meta-synthesis: qualitative
Which statement best describes the AGACNPs contribution to evidence-based nursing
(EBN)? - ANS-APPs can identify gaps in care, help in developing evidence-based
protocols, and follow evidence-based protocols.
Evidence based practice decision primarily use:
Descriptive studies with low levels of evidence
Opinion papers by experts
Intervention studies like RCTs
Only one study - ANS-Interventions studies such as RCTs that have higher levels of
evidence
What is evidence based practice? - ANS-Collection, interpretation, and integration of
valid research evidence combined with clinical expertise, and an understanding of
patient and family values and preferences to inform clinical decision making
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Place the following in order of strength of evidence: Clinical practice guidelines,
systematic reviews, clinical protocol, expert opinion, primary studies - ANS-Clinical
protocol
Clinical practice guidelines
Systematic reviews
Primary studies
Expert opinion
Safe effective delivery of patient care requires what three aspects of nursing practice? -
ANS-Clinical expertise
Current best research evidence
Patient preferences and values
What does the acronym PICOTS stand for? - ANS-Population
Intervention
Comparison
Outcomes
Timing
Setting
The adult-gerontology acute care nurse practitioner is asked to join a team to obtain
information about the benefit of seniors, 65 years and older, receiving the flu vaccine for
the prevention of pneumonia during flu season. When writing a PICOT question for this
scenario, where would receiving the flu vaccine be indicated in the acronym? -
ANS-Intervention
You are seeing a 72-year-old woman admitted with pneumonia. She is generally active
and still plays golf despite a history of hypertension and heart failure. What is the priority
for this patient? - ANS-Perform a fall assessment: acute illnesses can result in
alterations predisposing to falls, making prevention of falls the priority
Which of the following are considerations by the AGACNP when conducting a culturally
competent patient assessment? Select all that apply: Cultural, ethnic, and racial identity
Plan of care that reflects diversity
Factors influencing decision making
Patient's preferred language - ANS-Patients cultural, ethnic, and racial identity.
Factors influencing decision making.
Patient's preferred language.
* the POC is not part of the assessment
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When evaluating illness symptoms in older patients, the disease often presents in a
manner different or "atypical" from younger adults because of: - ANS-normal
age-related decline
Which of the following are true about geriatric syndromes? Select all that apply:
Common in older adults
Predispose to worse outcomes
Normal part of aging
Often have multiple causes - ANS-They are common in older adults.
They predispose to worse outcomes.
They often have multiple causes.
Which group of older adults had the highest rate of growth between 1980-2017? -
ANS-100 and over
The primary objective of screening is to - ANS-Detect a disease or condition.
What are three key elements of health promotion - ANS-Good governance of health
Health literacy
Healthy cities
The social cognitive theory believes behavioral change is the result of what? -
ANS-Reciprocal relationships among the environment, personal factors, and attributes
of the behavior itself
Theory of reasoned action/Planned behavior states: - ANS-Behavioral intentions predict
actual behavior and the persons perceived control over the behavior
The best strategy to promote healthy lifestyle and behaviors is to - ANS-Instill a sense
of responsibility in the patient for their own health.
In the older adult, prevention strategies should have a focus on all of the following
EXCEPT: Morbidity
Quality of life
Mortality
Iatrogenesis - ANS-Mortality.
Which health model believes that health is shaped by environmental subsystems? -
ANS-Ecological model
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