Chapter 15: Weighing In On The Evidence
UNIT 5: IMPLEMENTATION
Chapter 16: Transitioning Evidence To Practice
Testbank for Schmidt & Brown 3rd Edition Chapter 17: Developing Oneself As An
Innovator
Evidence-Based Practice for Nurses: Appraisal
and Application of Research UNIT 6: CONFIRMATION
Testbank prepared by: Chapter 18: Evaluating Outcomes Of
Arlene H. Morris, EdD, RN, CNE and
Innovations Chapter 19: Sharing The Insights
Debbie Faulk, PhD, RN, CNE
both of Auburn Montgomery School of Nursing With Others
EVIDENCE BASED PRACTICE FOR NURSES 3RD EDITION SCHMIDT TEST BANK
TABLE OF CONTENTS
CHAPTER 1
WHAT IS EVIDENCE BASED PRACTICE?
UNIT 1: INTRODUCTION TO EVIDENCE BASED PRACTICE
Multiple Choice
Chapter 1: What Is Evidence Based Practice?
Definition of research (p. 14)
Chapter 2: Using Evidence Through Collaboration To Promote Excellence In Nursing Practice 1. Which of the following is the best definition of research?
a. Critically thinking about problems that occur in health care to determine possible
solutions.
UNIT 2: ACQUISITION OF KNOWLEDGE b. Information that is based on personal experience or tradition.
c. Planned and systematic activity that leads to new knowledge and/or the
Chapter 3: Identifying Research Questions discovery of solutions to problems or questions.
Chapter 4: Finding Sources Of Evidence d. Trying a variety of approaches to a clinical problem and settling on the approach
that is effective more often than not.
Chapter 5: Linking Theory, Research, And Practice NURSINGTB.COM
Definition of research utilization (p. 4)
2. Which of the following is the best definition of research utilization?
UNIT 3: PERSUASION a. Applying research findings from individual studies to practice.
b. Analyzing multiple research studies to synthesize findings.
Chapter 6: Key Principles Of Quantitative Designs c. Appreciating the importance of clinical decision making.
d. Using previous personal experience to build confidence.
Chapter 7: Quantitative Designs: Using Numbers To Provide Evidence
Chapter 8: Epidemiologic Designs: Using Data To Understand Definition of EBP (pp. 4-5)
3. Which of the following is the best definition of evidence-based practice (EBP)? a.
Populations Chapter 9: Qualitative Designs: Using Words To Provide Application of research findings based on scientific theories in a clinical setting. b.
Research studies that correspond to nationally established priorities for healthcare,
Evidence conducted by experts in their fields.
c. Use of theory-derived, research-based information in making decisions about
Chapter 10: Collecting Evidence
health care delivery, with consideration of individual needs and preferences
Chapter 11: Using Samples To Provide Evidence and the clinical expertise of the provider.
d. Using the individual health care provider’s perception of truth without conscious
Chapter 12: Other Sources Of Evidence attention or reasoning.
Difference between research utilization and EBP (pp. 4-5)
UNIT 4: DECISION 4. Which of the following best describes the difference between research utilization and
EBP?
Chapter 13: What Do The Quantitative Data Mean? a. Research utilization is a process of evaluating multiple studies for the most
, generalizable findings; EBP is use of the most recent study on a topic. NURSINGTB.COM
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EVIDENCE BASED PRACTICE FOR NURSES 3RD EDITION SCHMIDT TEST BANK Identification of sources of evidence (p. 8)
9. Many nurses in clinical settings base nursing interventions on information obtained from
a. level 1 evidence.
b. individual research studies.
b. Research utilization involves changing practice based on findings of a single c. colleagues.
research study; EBP is the syntheses of findings from multiple studies to d. the American Nurses Association.
incorporate with practitioner skills and client preference to determine best
care. Barriers to adopting EBP (p. 8)
c. Research utilization is the application of research findings to health care practice; 10. Studies have shown that the reasons that nurses do not draw on research are related to
EBP is considered in selecting medication options. a. communication problems.
d. Research utilization is review of research publications; EBP is using the b. individual and organizational factors.
healthcare provider’s perception of what care would be best in individual c. personal disinterest.
situations. d. rapid organizational changes.
Evidence from other disciplines (p. 6) Environment for EBP to flourish (p. 11)
5. In what way can evidence from disciplines other than nursing be helpful? a. Theory 11. Which of the following promotes consistent EBP practice changes in an institution?
based non-nursing evidence can provide a basis on which to build new a. Clinical experts such as Advanced Practice Nurses (APNs) should be the
evidence. authority for any change in practices.
b. Non-nursing evidence supports the use of nursing knowledge obtained by trial b. Change champions are needed on each work shift to facilitate practice
and error. changes.
c. Clinical decision making can be based on findings from single non-nursing c. Nurse managers must mandate research within healthcare institutions.
research studies. d. Opinion leaders should enforce adherence to their opinions.
d. All evidence is equally important to the practice of nursing. NURSINGTB.COM
Environment for EBP to flourish (p. 10)
Identification of sources of evidence (p. 6) 12. One method for overcoming a lack of resources to access evidence is to a.
6. You are a new nurse working at XYZ hospital. Your preceptor tells you to dangle Ms. devote 15 minutes a day to reading evidence related to a clinical problem. b.
Jones’ legs on the side of the bed before you attempt to assist her to a chair. You ask your attend conferences where clinical research is presented..
NURSINGTB.COM c. bookmark important Web sites that are sources of clinical guidelines.
preceptor why this is done and she answers, “This is what we have always done, so go do d. collaborate with a nursing program for access to resources.
it.” This is an example of which type of evidence?
a. Trial and error Barriers to adopting EBP (p. 9)
b. Intuition 13. What steps can be taken to overcome the time barrier to adopting an EBP? a. Devote 15
c. Borrowed evidence minutes a day to reading evidence related to a clinical problem. b. Subscribe to e-
d. Tradition mail summaries of research studies in your area of interest. c. Take advantage of
available technologies to provide quick and convenient access to relevant data and
Identification of sources of evidence (p. 6) clinical guidelines.
7. You are a new nurse working at XYZ hospital. Your preceptor tells you to dangle Ms. d. All of the above
Jones’ legs on the side of the bed before you attempt to assist her to a chair. You ask your
preceptor why this is done and she answers, “Because I said so.” This is an example of Parts of a research article (p. 18)
which type of evidence? 14. Which section of a research article provides an overview of the study?
a. Intuition a. Abstract
b. Tradition b. Introduction
c. Authority c. Review of literature
d. Borrowed evidence d. Theoretical framework
Identification of sources of evidence (p. 6)
8. Trial and error is not a preferred approach for delivering nursing care because
a. it is not based on systematic scientific approaches.
b. it is not a sanctioned method by the American Nurses Association.
c. it is based only on intuition and therefore not scientifically based.
d. patient outcomes are always based only on level 1 evidence. NURSINGTB.COM
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Parts of a research article (pp. 18) Short Answer/Fill-in
15. Which section of a research article identifies the problem being studied and includes a
purpose statement and background information on the topic? Identifying types of research
a. Discussion section
b. Introduction 1. The category of research that addresses why or how phenomena are related is
c. Methods section ____________.
d. Results section Answer: explanatory (p. 15)
Parts of a research article (p. 19) 2. ____________ research aims to forecast when certain phenomena will occur.
16. A major portion of a research article is the methods section, which includes a discussion Answer: predictive (p. 15)
of the study design, the sample, and the ____________ collected.
a. solutions 3. The type of research that analyzes words to focus on the meanings individuals give to their
b. statistics experiences is ____________.
c. data Answer: qualitative (p. 17)
d. theories
4. Quantitative research focuses on collecting ____________ evidence, which is evidence
Parts of a research article (p. 19) gathered through observation using one or more of the five senses.
17. The ____________ section of a research article outlines the methods used to analyze the Answer: empirical (p. 15)
data and notes the findings.
a. results 5. ____________ research is concerned with providing accurate observations of phenomena
b. summary in natural settings
c. introduction Answer: descriptive (p. 15)
d. abstract
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Parts of a research article (p. 20)
18. Which section of a research article provides an interpretation of the study’s results?
a. Abstract
b. Introduction
c. Methods
d. Discussion
Ethical issues (p. 24)
19. The first regulations to protect human subjects in medical research studies were proposed
by the ____________ in 1973.
a. American Medical Association
b. U.S. Department of Health, Education, and Welfare
c. U.S. Food and Drug Administration
d. Association of American Universities
Ethical issues (p. 31)
20. Which of the following forms the basis for ethical conduct in medical research
internationally?
a. Jewish Chronic Disease Hospital study
b. Nuremberg Code
c. Tuskegee studies
d. Willowbrook studies
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CHAPTER TWO d. Act as a role model for younger staff.
USING EVIDENCE THROUGH COLLABORATION TO PROMOTE
EXCELLENCE IN NURSING PRACTICE Nurse manager level (p. 41)
6. How can a nurse manager advance EBP as part of evaluating his or her staff?
a. Set a good example with own behavior.
Multiple choice b. Clearly outline goals for the team.
c. Use performance criteria related to EBP.
EBP levels of collaboration (p. 40) d. Participate in QI initiatives.
1. What are the five EBP levels of collaboration?
a. Organizational, societal, fraternal, national, and international Advanced practice nurse level (p. 41)
b. Individual, organizational, regional, national, and international 7. The advanced practice nurse can work to implement EBP by
c. Professional, educational, organizational, regional, and national a. Serving as a coach and mentor in EBP.
d. Individual, organizational, societal, regional, and international b. Locates relevant evidence and synthesizes evidence for practice.
c. Uses evidence to writes and modify practice standards.
EBP levels of collaboration (p. 40) d. All of the above.
2. Of the situations listed, which is the best example of collaboration between the levels
described in the model of EBP collaboration? Organizational level (p. 43)
a. A health care organization funds a group of nurses to attend a research conference 8. Creating an EBP culture is an example of contribution at the
related to practice areas that have had less than desirable outcomes in the past a. organizational level.
year. b. individual nurse level.
b. An individual nurse searches databases for the best evidence to support practice c. regional level.
with a population of clients on a particular unit. d. international level.
c. A participant at a national nursing organization conference listens attentively to NURSINGTB.COM
presenters related to the most relevant topics for the population served.
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International level (p. 48)
d. A staff nurse uses findings from the Joanna Briggs Institute to support an EBP 9. The Cochrane Collaboration and the Joanna Briggs Institute are examples of which EBP
project, evaluates outcomes, and reports the findings at an international collaboration level?
conference. a. Individual
b. International
Individual nurse level (pp. 40-41) c. Organizational
3. What is one step a staff nurse can take to advance EBP at the point of care? d. Regional
a. Establish the culture for EBP in institutional settings.
b. Identify clinical questions related to current nursing practice. National level (p. 46)
c. Promote consistent practice changes among different shifts. 10. What national organizations can nurses use to locate EBP resources and EBP-based
d. Reward nurses involved in EBP and help those who lack involvement. clinical guidelines?
a. Agency for Healthcare Research and Quality, National Institute of Nursing
Individual nurse level (p. 41) Research, National Nursing Practice Network, and specialty nursing
4. As a staff nurse, what steps can you take to advance EBP as part of your team or unit? organizations.
a. Participate in implementing practice changes based on evidence. b. National Institutes of Health and regional resource centers.
b. Participate as a member of an EBP project team. c. American Nurses Credentialing Center and the American Nurses Association. d.
c. Participate in QI initiatives Department of Health and Human Services, Sigma Theta Tau International, and
d. All of the above. the Joanna Briggs Institute.
Individual nurse level (p. 41) Ethical guidelines (pp. 50-51)
5. As a staff nurse, how can you further educate yourself about EBP? 11. Which international code for ethical conduct by physicians conducting biomedical
a. Read evidence related to your area of practice on a regular basis. research followed the Nuremberg Code and provides more specific guidelines? a.
b. Watch what other nurses do. ANA Code of Ethics
c. Follow the example of your supervisor.
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