Research Methods N262B Midterm
Review Exam Questions & Answers
(Grade A+)
When implementing a new, evidence-based infection control
regimen, which should constitute the final step in the nurses' EBP?
a. calculating the cost savings that will be realized by using the new
regimen
b. sharing their experience with other healthcare professional
c. implementing enforcement measures to ensure compliance with
the new regimen
d. conducting a meta-analysis of other infection control measures -
correct answer ✅b. Sharing their experience with other healthcare
professionals
(Explanation: The final step in the EBP process is dissemination of
the outcomes of the change. Financial considerations &
enforcement measure are not components of the EBP process, and
a meta-analysis would have been conducted much earlier in the
process.)
Which of the following is emphasized by the Institute of Medicine's
Roundtable on Evidence-Based medicine?
a. Ensuring that external evidence, rather than internal evidence, is
integrated into care
,Research Methods N262B Midterm
Review Exam Questions & Answers
(Grade A+)
b. Fostering the level of learning that exists in the American
healthcare system.
c. Issuing clinical guidelines to ensure best nursing practices
d. comparing the implementation of EBP in the US with that of
other Western countries -
correct answer ✅b. Fostering the level of learning that exists in the
American healthcare system
(Explanation: The Roundtable is charged w accelerating the
progress toward a learning healthcare system, generating new
evidence to support which healthcare strategies are most effective,
and improving public health awareness and understanding about
EBP. Comparison w other countries, issuing specific practice
guidelines, and denigrating internal evidence are not components
of its role
In the process of advocating for EBP in the unit guidelines, a nurse
has met with skepticism from other members of the nursing staff,
with several stating, "Evidence-based practice is good in theory, but
it's almost impossible to actually search hundreds of journals & find
the evidence." What could the nurse recommend?
a. Self-reflection on the nurses' current practices
b. Accessing the Cochrane Library
,Research Methods N262B Midterm
Review Exam Questions & Answers
(Grade A+)
c. contacting the clinical nurse educator on the unit
d. beginning with lay publication before progressing to peer-
reviewed journals. -
correct answer ✅b. Accessing the Cochrane Library
(Explanation: Databases such as the Cochrane Library and the
National Guideline Clearinghouse can provide nurses with quick,
easily retrievable, systematic reviews, and evidence-based
guidelines to inform their practices. Self-reflection and contact with
an educator may be useful measures but do not necessarily
advance the cause of EBP. It would be inappropriate to recommend
lay publications as a source of evidence.
The primary care provider of a 49 yo male client has examined and
briefly explained the evidence that supports beginning regular
digital rectal exams. Which of the following factors would justify not
performing digital rectal exams in this client's care?
a. The client is vehemently opposed to undergoing digital rectal
exams
b. clinical practice guidelines for prostate care have not been
published
c. the clinician has been unable to find any large RCTs in a literature
review
, Research Methods N262B Midterm
Review Exam Questions & Answers
(Grade A+)
d. the clinician has previously waited until clients are 55 to begin
regular digital rectal exams. -
correct answer ✅a. The client is vehemently opposed to
undergoing digital rectal exams
(Explanation: Pt preference, such as opposition to a particular
assessment or intervention, should be implemented in clinical
decision making. The lack of a large RCT or clinical practice
guidelines does not independently justify rejecting the assessment.
Likewise, the clinician's previous practice traditions do not provide
sound justification.
Which of the following clinical questions demonstrates
understanding of and best exemplifies the PICOT format?
a. what effect does parent's smoking have on the smoking habits of
their children, aged 13-16?
b. Among pts w cancer, what role does meditation, as compared
with the use of benzodiazepines, have on anxiety levels during the
7 days following hospital admission?
c. Among undergrad college students, what is the effectiveness of a
sexual health campaign undertaken during the first 4 weeks of the
fall semester as measured by incidence of new gonorrheal and
clamydinl infections reported to the campus med. center?
Review Exam Questions & Answers
(Grade A+)
When implementing a new, evidence-based infection control
regimen, which should constitute the final step in the nurses' EBP?
a. calculating the cost savings that will be realized by using the new
regimen
b. sharing their experience with other healthcare professional
c. implementing enforcement measures to ensure compliance with
the new regimen
d. conducting a meta-analysis of other infection control measures -
correct answer ✅b. Sharing their experience with other healthcare
professionals
(Explanation: The final step in the EBP process is dissemination of
the outcomes of the change. Financial considerations &
enforcement measure are not components of the EBP process, and
a meta-analysis would have been conducted much earlier in the
process.)
Which of the following is emphasized by the Institute of Medicine's
Roundtable on Evidence-Based medicine?
a. Ensuring that external evidence, rather than internal evidence, is
integrated into care
,Research Methods N262B Midterm
Review Exam Questions & Answers
(Grade A+)
b. Fostering the level of learning that exists in the American
healthcare system.
c. Issuing clinical guidelines to ensure best nursing practices
d. comparing the implementation of EBP in the US with that of
other Western countries -
correct answer ✅b. Fostering the level of learning that exists in the
American healthcare system
(Explanation: The Roundtable is charged w accelerating the
progress toward a learning healthcare system, generating new
evidence to support which healthcare strategies are most effective,
and improving public health awareness and understanding about
EBP. Comparison w other countries, issuing specific practice
guidelines, and denigrating internal evidence are not components
of its role
In the process of advocating for EBP in the unit guidelines, a nurse
has met with skepticism from other members of the nursing staff,
with several stating, "Evidence-based practice is good in theory, but
it's almost impossible to actually search hundreds of journals & find
the evidence." What could the nurse recommend?
a. Self-reflection on the nurses' current practices
b. Accessing the Cochrane Library
,Research Methods N262B Midterm
Review Exam Questions & Answers
(Grade A+)
c. contacting the clinical nurse educator on the unit
d. beginning with lay publication before progressing to peer-
reviewed journals. -
correct answer ✅b. Accessing the Cochrane Library
(Explanation: Databases such as the Cochrane Library and the
National Guideline Clearinghouse can provide nurses with quick,
easily retrievable, systematic reviews, and evidence-based
guidelines to inform their practices. Self-reflection and contact with
an educator may be useful measures but do not necessarily
advance the cause of EBP. It would be inappropriate to recommend
lay publications as a source of evidence.
The primary care provider of a 49 yo male client has examined and
briefly explained the evidence that supports beginning regular
digital rectal exams. Which of the following factors would justify not
performing digital rectal exams in this client's care?
a. The client is vehemently opposed to undergoing digital rectal
exams
b. clinical practice guidelines for prostate care have not been
published
c. the clinician has been unable to find any large RCTs in a literature
review
, Research Methods N262B Midterm
Review Exam Questions & Answers
(Grade A+)
d. the clinician has previously waited until clients are 55 to begin
regular digital rectal exams. -
correct answer ✅a. The client is vehemently opposed to
undergoing digital rectal exams
(Explanation: Pt preference, such as opposition to a particular
assessment or intervention, should be implemented in clinical
decision making. The lack of a large RCT or clinical practice
guidelines does not independently justify rejecting the assessment.
Likewise, the clinician's previous practice traditions do not provide
sound justification.
Which of the following clinical questions demonstrates
understanding of and best exemplifies the PICOT format?
a. what effect does parent's smoking have on the smoking habits of
their children, aged 13-16?
b. Among pts w cancer, what role does meditation, as compared
with the use of benzodiazepines, have on anxiety levels during the
7 days following hospital admission?
c. Among undergrad college students, what is the effectiveness of a
sexual health campaign undertaken during the first 4 weeks of the
fall semester as measured by incidence of new gonorrheal and
clamydinl infections reported to the campus med. center?
