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Testbank for Schmidt & Brown 5th Edition gi/ gi/ gi/ gi/ gi/ gi/ gi/
Evidence-Based Practice for Nurses: Appraisal and Application of Research gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
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Testbank prepared by: gi/ gi/ gi/gi/
Arlene H. Morris, EdD, RN, CNE and Deb
gi/ gi/ gi/ gi/ gi/ gi/ gi/gi/
bie Faulk, PhD, RN, CNE
gi/ gi/ gi/ gi/ gi/
both of Auburn Montgomery School of Nursing
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CHAPTER 1 gi/ gi/
WHAT IS EVIDENCE BASED PRACTICE?
gi/ gi/ gi/ gi/ gi/
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Multiple Choice gi/ gi/
gi/
Definition of research (p. 14) gi/ gi/ gi/ gi/ gi/
1. Which of the following is the best definition of research?
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/gi/gi/
a. Critically thinking about problems that occur in health care to determine possib
le solutions. gi/
i a gi/
gi/
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
b. Information that is based on personal experience or tradition. gi/ gi/ gi/
h gi/ gi/ gi/ gi/ gi/ gi/
c. Planned and systematic activity that leads to new knowledge and/or the di gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
scovery of solutions to problems or questions. gi/ gi/ gi/ gi/ gi/ gi/ gi/
d. Trying a variety of approaches to a clinical problem and settling on the approa gi/ gi/ gi/
t gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
ch that is effective more often than not. gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/
Definition of research utilization (p. 4)
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b u
2. Which of the following is the best definition of research utilization?
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
a. Applying research findings from individual studies to practice. gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
b. Analyzing multiple research studies to synthesize findings. gi/ gi/ gi/ gi/ gi/
M gi/ gi/
c. Appreciating the importance of clinical decision making. gi/ gi/ gi/ gi/ gi/ gi/ gi/
d. Using previous personal experience to build confidence. gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/
Definition of EBP (pp. 4-5) gi/ gi/ gi/ gi/ gi/
3. Which of the following is the best definition of evidence-based practice (EBP)?
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
a. Application of research findings based on scientific theories in a clinical settin gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
g. gi/
b. Research studies that correspond to nationally established priorities for healthca gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
re, conducted by experts in their fields. gi/ gi/ gi/ gi/ gi/ gi/ gi/
c. Use of theory-derived, research- gi/ gi/ gi/
based information in making decisions about health care delivery, with co gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
nsideration of individual needs and preferences and the clinical expertise o gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
f the provider. gi/ gi/ gi/
d. Using the individual health care provider’s perception of truth without conscio gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
us attention or reasoning. gi/ gi/ gi/ gi/
gi/
Difference between research utilization and EBP (pp. 4-5)
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
4. Which of the following best describes the difference between research utilization and
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
EBP? gi/
gi/
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, EVIDENCE BASED PRACTICE FOR NURSES 5th EDITION SCHMIDT TEST BANK
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/
a. Research utilization is a process of evaluating multiple studies for the most gen
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
eralizable findings; EBP is use of the most recent study on a topic. gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
b. Research utilization involves changing practice based on findings of a singlgi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
e research study; EBP is the syntheses of findings from multiple studies to
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi
incorporate with practitioner skills and client preference to determine best
/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
care. gi/ gi/
c. Research utilization is the application of research findings to health care practi
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
ce; EBP is considered in selecting medication options.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
d. Research utilization is review of research publications; EBP is using the health
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
care provider’s perception of what care would be best in individual situations.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/
Evidence from other disciplines (p. 6)
gi/ gi/ gi/ gi/ gi/ gi/
5. In what way can evidence from disciplines other than nursing be helpful?
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
a. Theory based non-
nursing evidence can provide a basis on which to build new evidence.
b. Non-
gi/
gi/
i a gi/
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
nursing evidence supports the use of nursing knowledge obtained by trial and e
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
rror. gi/
c. Clinical decision making can be based on findings from single non- gi/ gi/
h gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
nursing research studies. gi/ gi/
t gi/
d. All evidence is equally important to the practice of nursing.
gi/
Identification of sources of evidence (p. 6)
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gi/ gi/ gi/ gi/ gi/ gi/
6. You are a new nurse working at XYZ hospital. Your preceptor tells you to dangle M
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
s. Jones’ legs on the side of the bed before you attempt to assist her to a chair. You
gi/ gi/ gi/
ask your preceptor why this is done and she answers, “This is what we have always
gi/ gi/
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gi/
gi/
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gi/
bgi/
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gi/ gi/
gi/
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done, so go do NURSINGTB.COM it.” This is an example of which type of evidence?
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ M gi/ gi/ gi/ gi/ gi/ gi/
a. Trial and error gi/ gi/ gi/
b. Intuition gi/
c. Borrowed evidence gi/ gi/
d. Tradition gi/
gi/
Identification of sources of evidence (p. 6)
gi/ gi/ gi/ gi/ gi/ gi/ gi/
7. You are a new nurse working at XYZ hospital. Your preceptor tells you to dangle M
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
s. Jones’ legs on the side of the bed before you attempt to assist her to a chair. You
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
ask your preceptor why this is done and she answers, “Because I said so.” This is an
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
example of which type of evidence? gi/ gi/ gi/ gi/ gi/ gi/
a. Intuition gi/
b. Tradition gi/
c. Authority gi/
d. Borrowed evidence gi/ gi/
gi/
Identification of sources of evidence (p. 6)
gi/ gi/ gi/ gi/ gi/ gi/ gi/
8. Trial and error is not a preferred approach for delivering nursing care because
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
a. it is not based on systematic scientific approaches.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
b. it is not a sanctioned method by the American Nurses Association.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/
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, EVIDENCE BASED PRACTICE FOR NURSES 5th EDITION SCHMIDT TEST BANK
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/
c. it is based only on intuition and therefore not scientifically based.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
d. patient outcomes are always based only on level 1 evidence.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/
Identification of sources of evidence (p. 8)
gi/ gi/ gi/ gi/ gi/ gi/ gi/
9. Many nurses in clinical settings base nursing interventions on information obtained fr
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
om a. level 1 evidence.
gi/ gi/ gi/ gi/ gi/
b. individual research studies. gi/ gi/ gi/
c. colleagues. gi/
d. the American Nurses Association. gi/ gi/ gi/ gi/
gi/
Barriers to adopting EBP (p. 8)
gi/ gi/ gi/ gi/ gi/ gi/
10. Studies have shown that the reasons that nurses do not draw on research are related t
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
o gi/
a. communication problems. a gi/ gi/
b. individual and organizational factors. gi/ gi/ gi/ gi/
c. personal disinterest. gi/ gi/
d. rapid organizational changes.
gi/
gi/
i h gi/ gi/
Environment for EBP to flourish (p. 11)
gi/ gi/ gi/ gi/ gi/ gi/ gi/
11. Which of the following promotes consistent EBP practice changes in an institution?
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
a. Clinical experts such as Advanced Practice Nurses (APNs) should be the authogi/ gi/
t gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
rity for any change in practices. gi/ gi/ gi/ gi/ gi/ gi/
b. Change champions are needed on each work shift to facilitate practice cha
nges. gi/
gi/ gi/ gi/
b u gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
c. Nurse managers must mandate research within healthcare institutions.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
d. Opinion leaders should enforce adherence to their opinions. gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/ NURSINGTB.COM M
Environment for EBP to flourish (p. 10)
gi/ gi/ gi/ gi/ gi/ gi/ gi/
12. One method for overcoming a lack of resources to access evidence is to
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
a. devote 15 minutes a day to reading evidence related to a clinical problem.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
b. attend conferences where clinical research is presented.. gi/ gi/ gi/ gi/ gi/ gi/ gi/
c. bookmark important Web sites that are sources of clinical guidelines. gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
d. collaborate with a nursing program for access to resources. gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
gi/
Barriers to adopting EBP (p. 9)
gi/ gi/ gi/ gi/ gi/ gi/
13. What steps can be taken to overcome the time barrier to adopting an EBP?
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
a. Devote 15 minutes a day to reading evidence related to a clinical problem.
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
b. Subscribe to e-mail summaries of research studies in your area of interest. gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
c. Take advantage of available technologies to provide quick and convenient acce
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
ss to relevant data and clinical guidelines.
gi/ gi/ gi/ gi/ gi/ gi/ gi/gi/
d. All of the above gi/ gi/ gi/ gi/
gi/
Parts of a research article (p. 18)
gi/ gi/ gi/ gi/ gi/ gi/ gi/
14. Which section of a research article provides an overview of the study?
gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/ gi/
a. Abstract gi/
b. Introduction gi/
gi/
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