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Chapter 01: Introduction to Nursing Research and Its Importance in Building an
Evidence-Based Practice
Grove: Understanding Nursing Research, 7th Edition
MULTIPLE CHOICE
1. Which statement best describes evidence-based practice (EBP)?
a. A combination of best research evidence, clinical expertise, and the needs and
values of patients
b. A determination of the factors necessary to control patient responses to care and
delivery of care
c. The development of population care guidelines applicable to all patients
d. The utilization of quantitative and qualitative studies to enhance patient outcomes
ANS: A
Evidence-based practice evolves from the integration of the best research evidence with
clinical expertise and patient needs and values. Studies that attempt to find determinants of
patient outcomes are generally experimental or quasi-experimental. They may be used to
guide EBP but do not completely define it. EBP is a combination of guidelines and specific
patient needs and values. Quantitative and qualitative studies applied to the evaluation of
patient outcomes are part of EBP but do not completely define EBP.
DIF: Cognitive level: Remembering (Knowledge)
2. The nurse is collecting data about the sleep patterns of breastfed babies as part of a larger
research study. Which researN
ch mRe t hIo d G
w i l l Bt h.e Cn u rM
s e use when collecting data for this study?
a. Control U S N T O
b. Description
c. Explanation
d. Prediction
ANS: B
Description involves identifying and understanding the nature of nursing phenomena and the
relationships among these phenomena. Control can be described as the ability to write a
prescription to produce the desired results. Explanation clarifies the relationships among
phenomena and identifies why certain events occur. Through prediction, the probability of a
specific outcome can be estimated in a given situation.
DIF: Cognitive level: Understanding (Comprehension)
3. The nurse is participating in a study and is collecting data identifying the number of obese
adults whose parents were also obese or overweight. Which research method is being used in
this study?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: D
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Through prediction, the probability of a specific outcome can be estimated in a given
situation. By knowing the percentage of parents of obese adults who were obese, the
probability of predicting this may be calculated. Control indicates the ability to use a
prescribed intervention to produce the desired results. Description involves identifying and
understanding the nature of nursing phenomena and the relationships among these
phenomena. Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
DIF: Cognitive level: Applying (Application)
4. The nurse reviews a study in which adherence to an asthma action plan is compared among
groups of young adults who received different asthma education. Which research method does
this represent?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: C
Explanation clarifies the relationships among phenomena and identifies why certain events
occur. Control indicates the ability to use a prescribed intervention to produce the desired
results. Description involves identifying and understanding the nature of nursing phenomena
and the relationships among these phenomena. Through prediction, the probability of a
specific outcome can be estimated in a given situation.
DIF: Cognitive level: Applying (Application)
5. A nurse manager is int erest edNiU
nR arI
leS niNngGw
ThBic.hCaOttiMtudes among staff nurses may indicate
relative risk of needle-stick injuries. To study this, the nurse manager will employ which
method of study?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: D
Through prediction, the probability of a specific outcome can be estimated in a given
situation. Control indicates the ability to use a prescribed intervention to produce the desired
results. Description involves identifying and understanding the nature of nursing phenomena
and the relationships among these phenomena. Explanation clarifies the relationships among
phenomena and identifies why certain events occur.
DIF: Cognitive level: Applying (Application)
6. Which is the most important result of Florence Nightingale’s data collection and statistical
analysis during the Crimean War?
a. Bringing awareness of the rigors of war to the general public in relation to care
practices
b. Developing a process for statistical analysis and nursing documentation
c. Identifying and defining the role of nurses in modern health care
d. Using clinical research to evaluate the need for sanitation, clean drinking water,
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and adequate nutrition
ANS: D
Nightingale’s research enabled her to instigate attitudinal, organizational, and social changes,
including the military’s approach to the care of the sick and society’s sense of responsibility
for testing public water, improving sanitation, and preventing starvation to decrease morbidity
and mortality rates. Bringing awareness of the rigors of war to the public, developing a
process for statistical analysis and nursing documentation, and identifying and defining the
role of nurses in modern health care were not the most important results.
DIF: Cognitive level: Understanding (Comprehension)
7. The nurse participates in data collection in a study in which two different pain management
protocols are used with randomly assigned patients to measure differences in postoperative
recovery time. Which method of study is this?
a. Control
b. Correlation
c. Description
d. Explanation
ANS: A
Control indicates the ability to use a prescribed intervention to produce the desired results.
Correlation examines the relationships between different phenomena. Description involves
identifying and understanding the nature of nursing phenomena and the relationships among
these phenomena. Explanation clarifies the relationships among phenomena and identifies
why certain events occur.
DIF: Cognitive level: ApplyinN
gU(ARpS
plI atiG
icN onT) B.COM
8. The nurse reviews a study exploring experiences of nurses’ decision-making processes
regarding reporting a medical error. Which research method does this represent?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: B
Description involves identifying and understanding the nature of nursing phenomena and the
relationships among these phenomena. Control can be described as the ability to write a
prescription to produce the desired results. Explanation clarifies the relationships among
phenomena and identifies why certain events occur. Through prediction, the probability of a
specific outcome can be estimated in a given situation.
DIF: Cognitive level: Understanding (Comprehension)
9. The development of nursing theories and conceptual models in the late 1960s and 1970s
served to
a. determine the effectiveness of nursing interventions.
b. establish the concept of evidence-based practice.
c. provide funding for nursing research.
d. provide direction for nursing research.
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ANS: D
The theories developed in the 1960s and 1970s helped to guide future nursing research and
practice. Outcome studies are used to determine the effectiveness of nursing interventions.
The concept of EBP was developed in the 1970s and promoted by the ANCC Magnet Hospital
Designation program. The NINR seeks to provide funding for nursing research.
DIF: Cognitive level: Understanding (Comprehension)
10. The National Institute of Nursing Research (NINR) began to change its focus to
a. funding nursing rather than medical research.
b. evaluating outcomes rather than process studies.
c. increasing the status and funding for nursing research.
d. supporting the dissemination of nursing research.
ANS: C
The National Center for Nursing Research (NCNR) changed its name to the NINR to increase
the status and funding of nursing research. The change in focus from medical to nursing
research came about with the first nursing programs. Outcomes research emerged in the 1980s
and 1990s to document the effectiveness of healthcare services. The NCNR’s purpose was to
support the conduct and dissemination of knowledge development through nursing research.
DIF: Cognitive level: Remembering (Knowledge)
11. An emphasis of the American Nurses Credentialing Center (ANCC) Magnet Hospital
Designation Program for Excellence in Nursing is
a. research and development of clinical practice guidelines.
b. putting qualitative research into practice in clinical settings.
c. using standard pnursing pcaNreUpR nsIbNaG
laS dpB
seT on.oCuO
tcM
omes presearch.
d. utilizing pevidence-based ppractice pin pnursing.
ANS: p D
ANCC pimplemented pthe pMagnet pHospital pDesignation pProgram pfor pExcellence pin
pNursing pService pin p1990 pthat pemphasized pEBP pfor pnursing. pClinical ppractice
pguidelines pare pa pmore precent pphenomenon, pusing pevidence-based presearch, pexpert
popinion, pand ppatient pneeds pand pvalues pto pstandardize pcare. pQualitative presearch pwas
pintroduced pin pthe plate p1970s pto pgain pinsight pinto pthe pphenomena prelated pto pnursing.
pOutcomes presearch pwas pimportant pin pthe p1980s pto p1990s pto pdocument pthe
peffectiveness pof phealthcare pservices.
DIF: Cognitive plevel: pRemembering p(Knowledge)
12. In pa pposition pstatement pin p2006, pthe pAmerican pAssociation pof pColleges pof pNursing
p(AACN) pidentified pa pneed pto
a. acquire pclinical pknowledge pand pexpertise.
b. focus pon pevidence-based ppractice.
c. fund pacademic pnursing presearch.
d. prepare pa pworkforce pof pnurse pscientists.
ANS: p D
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