N120 MAJOR QUIZ 1 | QUESTIONS AND ANSWERS |
2026 UPDATE | WITH COMPLETE SOLUTION
Evidence-based practice Answer - a problem-solving approach to the delivery
of health care that integrates the best evidence from studies and patient care
data with clinician expertise and patient preferences and values
What is healthcare like without EBP? Answer - patients don't receive the
highest quality of care
health outcomes are jeopardized
health care costs soar
nurses experience less autonomy in their practices
lower level of job satisfaction
Result of daily IV dressing changes Answer - daily changes led to higher rates
of phlebitis than did less frequent changes
IOM 2020 goal Answer - 90% of all health care decisions in the United States
will be evidence based
Barriers to EBP Answer - inadequate EBP knowledge and skills
a lack of EBP mentors to work with providers at the point of care
inadequate resources and support from higher administration
insufficient time especially when there are demanding patient caseloads and
staff shortages
,EBP Step 0 Answer - Cultivate a spirit of inquiry because questions lay the
groundwork for EBP
EBP Step 1 Answer - Ask clinical questions in PICOT format
EBP Step 2 Answer - Search for the best evidence
Using the PICOT format helps to identify key words or phrases that, when
entered successively and then combined, expedite the location of relevant
articles in massive research databases such as MEDLINE or CINAHL
EBP Step 3 Answer - Critically appraise the evidence
determine which articles are most relevant, valid, reliable, and applicable to
the clinical question
Questions for Rapid Critical Appraisal Answer - Are the results of the study
valid?
What are the results and are they important? Will the results help me care for
my patients?
EBP Step 4 Answer - Integrate the evidence with clinical expertise and patient
preferences and values
EBP Step 5 Answer - Evaluate the outcomes of the practice decisions or
changes based on evidence
After implementing EBP, it's important to monitor and evaluate any changes in
outcomes so that positive effects can be supported and negative ones
remedied
, EBP Step 6 Answer - Disseminate EBP results
Clinicians can achieve wonderful outcomes for their patients through EBP, but
they often fail to share their experiences with colleagues and their own or
other health care organizations. This leads to needless duplication of effort,
and perpetuates clinical approaches that are not evidence based.
How can the library help me research? Answer - Contact librarians in person or
online for research help
Request items from interlibrary loan if the resource you want is not available at
Sac State or if the article does not have full text
When is EBP not the best option? Answer - patient preference should
outweigh the best practice guideline in some cases
EBP Triad Answer - Clinician (Clinical Experience) + Evidence (Clinical Research)
+ Patient (Values, Concerns, and Preferences)
EBN Process Answer - 1. Assess the Patient
2. Ask an answerable clinical question
3. Find the best evidence (clinical research)
4. Appraise the evidence
5. Apply the evidence to patient care
6. Evaluate the patient's outcome and your own performance
Strongest Evidence Answer - Level I: Meta analysis or systematic review of
multiple controlled studies or clinical trials
Level II Evidence Answer - Level II: Individual experimental studies with
randomization
2026 UPDATE | WITH COMPLETE SOLUTION
Evidence-based practice Answer - a problem-solving approach to the delivery
of health care that integrates the best evidence from studies and patient care
data with clinician expertise and patient preferences and values
What is healthcare like without EBP? Answer - patients don't receive the
highest quality of care
health outcomes are jeopardized
health care costs soar
nurses experience less autonomy in their practices
lower level of job satisfaction
Result of daily IV dressing changes Answer - daily changes led to higher rates
of phlebitis than did less frequent changes
IOM 2020 goal Answer - 90% of all health care decisions in the United States
will be evidence based
Barriers to EBP Answer - inadequate EBP knowledge and skills
a lack of EBP mentors to work with providers at the point of care
inadequate resources and support from higher administration
insufficient time especially when there are demanding patient caseloads and
staff shortages
,EBP Step 0 Answer - Cultivate a spirit of inquiry because questions lay the
groundwork for EBP
EBP Step 1 Answer - Ask clinical questions in PICOT format
EBP Step 2 Answer - Search for the best evidence
Using the PICOT format helps to identify key words or phrases that, when
entered successively and then combined, expedite the location of relevant
articles in massive research databases such as MEDLINE or CINAHL
EBP Step 3 Answer - Critically appraise the evidence
determine which articles are most relevant, valid, reliable, and applicable to
the clinical question
Questions for Rapid Critical Appraisal Answer - Are the results of the study
valid?
What are the results and are they important? Will the results help me care for
my patients?
EBP Step 4 Answer - Integrate the evidence with clinical expertise and patient
preferences and values
EBP Step 5 Answer - Evaluate the outcomes of the practice decisions or
changes based on evidence
After implementing EBP, it's important to monitor and evaluate any changes in
outcomes so that positive effects can be supported and negative ones
remedied
, EBP Step 6 Answer - Disseminate EBP results
Clinicians can achieve wonderful outcomes for their patients through EBP, but
they often fail to share their experiences with colleagues and their own or
other health care organizations. This leads to needless duplication of effort,
and perpetuates clinical approaches that are not evidence based.
How can the library help me research? Answer - Contact librarians in person or
online for research help
Request items from interlibrary loan if the resource you want is not available at
Sac State or if the article does not have full text
When is EBP not the best option? Answer - patient preference should
outweigh the best practice guideline in some cases
EBP Triad Answer - Clinician (Clinical Experience) + Evidence (Clinical Research)
+ Patient (Values, Concerns, and Preferences)
EBN Process Answer - 1. Assess the Patient
2. Ask an answerable clinical question
3. Find the best evidence (clinical research)
4. Appraise the evidence
5. Apply the evidence to patient care
6. Evaluate the patient's outcome and your own performance
Strongest Evidence Answer - Level I: Meta analysis or systematic review of
multiple controlled studies or clinical trials
Level II Evidence Answer - Level II: Individual experimental studies with
randomization
