,Chapter 01: Introduction to Nursing Research and Evidence-Based Practice
Grove: Understanding Nursing Research, 7th Edition
MULTIPLE CHOICE
1. Which 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.
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
Feedback
A Evidence-based practice evolves from the integration of the best research
evidence with clinical expertise and patient needs and values.
B 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.
C EBP is a combination of guidelines and specific patient needs and values.
D Quantitative and qualitative studies applied to the evaluation of patient outcomes
are part of EBP but do not completely define EBP.
PTS: 1 DIF: Cognitive level: Remembering (Knowledge)
REF: p. 3
2. The nurse is collecting data about the sleep patterns of breastfed babies as part of a larger
research study. Which research method will the nurse use when collecting data for this study?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: B
Feedback
A Control can be described as the ability to write a prescription to produce the
desired outcome.
B Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
C Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
D Through prediction, the probability of a specific outcome can be estimated in a
given situation.
PTS: 1 DIF: Cognitive level: Understanding (Comprehension)
REF: p. 6
,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
Feedback
A Control indicates the ability to use a prescribed intervention to produce a desired
outcome.
B Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
C Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
D 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.
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: pp. 7-8
4. The nurse reviews a study in which adherence to an asthma action plan is compared among
groups of adolescents who received different asthma education. Which research method does
this represent?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: C
Feedback
A Control indicates the ability to use a prescribed intervention to produce a desired
outcome.
B Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
C Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
D Through prediction, the probability of a specific outcome can be estimated in a
given situation.
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: p. 7
,5. A nurse manager is interested in learning which attitudes 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
Feedback
A Control indicates the ability to use a prescribed intervention to produce a desired
outcome.
B Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
C Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
D Through prediction, the probability of a specific outcome can be estimated in a
given situation.
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: pp. 7-8
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.
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 importance of sanitation, clean drinking
water, and adequate nutrition.
ANS: D
Feedback
A This was not the most important result
B This was not the most important result
C This was not the most important result
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.
PTS: 1 DIF: Cognitive level: Understanding (Comprehension)
REF: p. 11
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
Feedback
A Control indicates the ability to use a prescribed intervention to produce a desired
outcome.
B Correlation examines the relationships between different phenomena.
C Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
D Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: p. 8
8. 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.
ANS: D
Feedback
A Outcome studies are used to determine the effectiveness of nursing interventions.
B The concept of EBP was developed in the 1970s and promoted by the ANCC
Magnet Designation program.
C The NINR seeks to provide funding for nursing research.
D The theories developed in the 1960s and 1970s helped to direct future nursing
research.
PTS: 1 DIF: Cognitive level: Understanding (Comprehension)
REF: pp. 11-12
9. Under Ada Sue Hinshaw, 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
Feedback
A The change in focus from medical to nursing research came about with the first
nursing programs. Specialty nursing organizations today and some nursing
, researchers still conduct medical research for specific studies.
B Outcomes research emerged in the 1980s and 1990s to document the
effectiveness of health care services.
C Under Ada Sue Hinshaw, the national Center for Nursing Research (NCNR)
changed its name to the NINR to increase the status and funding of nursing
research.
D The NCNR’s purpose was to support the dissemination of nursing research.
PTS: 1 DIF: Cognitive level: Remembering (Knowledge)
REF: pp. 12-13
10. An qemphasis qof qthe qAmerican qNurses qCredentialing qCenter q(ANCC) qMagnet
qHospital qDesignation qProgram qfor qExcellence qin qNursing qis:
a. research qand qdevelopment qof qclinical qpractice qguidelines.
b. putting qqualitative qresearch qinto qpractice qin qclinical qsettings.
c. using qstandard qnursing qcare qplans qbased qon qoutcomes qresearch.
d. utilizing qevidence-based qpractice qin qnursing.
ANS: q D
Feedback
A Clinical qpractice qguidelines qare qa qmore qrecent qphenomenon, qusing
qevidence- qbased qresearch, qexpert qopinion, qand qpatient qneeds qand
qvalues qto qstandardize qcare.
B Qualitative qresearch qwas qintroduced qin qthe qlate q1970s qto qgain qinsight
qinto qthe qphenomena qrelated qto qnursing.
C Outcomes qresearch qwas qimportant qin qthe q1980s qto q1990s qto qdocument
qthe qeffectiveness qof qhealth qcare qservices.
D ANCC qimplemented qthe qMagnet qHospital qDesignation qProgram qfor
qExcellence qin qNursing qService qin q1990 qthat qemphasized qEBP qfor
qnursing.
PTS: q 1 DIF: Cognitive qlevel: qRemembering
q(Knowledge) qREF: qpp. q12-13
11. In qa qposition qstatement qin q2006, qthe qAmerican qAssociation qof qColleges qof
qNursing q(AACN) q identified qa qneed qto:
a. acquire qclinical qknowledge qand qexpertise.
b. focus qon qevidence-based qpractice.
c. fund qacademic qnursing qresearch.
d. prepare qa qworkforce qof qnurse qscientists.
ANS: q D
Feedback
A Basic qnursing qeducation qfocuses qon qclinical qknowledge qand qexpertise.
B Evidence-based qpractice qis qa qfocus qof qANCC qand qthe qMagnet
qDesignation qProgram qfor qExcellence qin qNursing qService.
C The qNINR qfocuses qon qfunding qfor qnursing qresearch.
, D The qAACN qidentified qthe qimportance qof qcreating qa qresearch qculture,
qproviding qhigh-quality qeducational qprograms qto qprepare qa qworkforce
qof q nurse qscientists,
develop qa qsound qresearch q structure, qand qobtain qfunding qfor qnursing
qresearch.
PTS: q 1 DIF: Cognitive qlevel: qUnderstanding
q(Comprehension) qREF: qp. q14
12. The qlead qagency qdesignated qto qimprove qhealth qcare qquality qis:
a. Agency qfor qHealthcare qResearch qand qQuality q(AHRQ).
b. American qNurses qCredentialing qCenter q(ANCC).
c. Quality qand qSafety qEducation qfor qNurses q(QSEN).
d. National qInstitute qfor qNursing qResearch q(NINR).
ANS: q A
Feedback
A AHRQ qis qa qscientific qpartner qwith qthe qpublic qand qprivate qsectors qto
qimprove qthe qquality qand qsafety qof qpatient qcare.
B ANCC qprovides qcredentialing qfor qadvanced qpractice qnurses qand qfor
qMagnet qDesignation qfor qExcellence q in qNursing qService
C QSEN qis qfocused qon qdeveloping qthe qrequisite qskills, qknowledge, qand
qattitude qstatements qfor qthe qcompetencies qfor qprelicensure qand qgraduate
qeducation.
D The qNational qInstitute qof qNursing qResearch, qoriginally qthe qNational
qCenter qfor qNursing qResearch, qis qa qfederally qfunded qarm qof qthe qNational
qInstitutes qof qHealth, qproviding qnursing qwith qfederal qsupport qfor qnursing
qresearch qpriorities.
PTS: q 1 DIF: Cognitive qlevel: qRemembering
q(Knowledge) qREF: qpp. q12-13
13. To qhelp qfulfill qthe qmission qof qthe qNational qInstitute qfor qNursing qResearch—to
qpromote qand qimprove qthe qhealth qof qindividuals, qfamilies, qcommunities, qand
qpopulations—a qstudy qmay qbe qconducted qwhich:
a. assesses qthe qeffectiveness qof qstrategies qfor qweight qmanagement qin
qpatients qwith qtype q2 qdiabetes.
b. compares qthe qattitudes qof qnurses qtoward qclients qwith qtype q1 qand qtype q2 qdiabetes.
c. generates qup-to-date qnursing qdiagnoses qreflecting qthe qneeds qof qclients
qwith qtype q2 qdiabetes.
d. reviews qhospital qnurses’ qadherence qto qglucose-monitoring qguidelines qfor
qpatients qwith qtype q2 qdiabetes.
ANS: q A
Feedback
A A qstudy qthat qassesses qthe qeffectiveness qof qinterventions qhelps qto
qimprove qthe qhealth qof qpatient qpopulations qby q identifying qappropriate
qstrategies.