CHAPTER 5: EVIDENCE-BASED PRACTICE {Fundamentals of Nursing 10th Edition; Potter Perry}

MULTIPLE CHOICE 1. A sample of orthopedic clients varies greatly in their requests for postsurgical analgesics. Which type of nursing research would best examine a prospective group of clients in determining what factors affect their alterations in comfort? A. Historical research B. Evaluation research C. Correlational research D. Experimental research ANS: C Correlational research explores the interrelationships among variables of interest (such as factors affecting client comfort) without any active intervention by the researcher. Historical research is designed to establish facts and relationships concerning past events. It would not use prospective groups of clients. Evaluation research tests how well a program, practice, or policy is working. In experimental research, the investigator controls the study variable and randomly assigns subjects to different conditions. PTS: 1 DIF: A REF: 62 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, Effective Care Environment 2. Which of the following research topics best lends itself to the experimental research process method? A. The effects of therapeutic touch on a geriatric client diagnosed with Alzheimers disease B. Prioritizing three nursing diagnoses for a newly admitted client with diabetes mellitus C. Employing humor as an intervention with clients who are recovering from orthopedic surgery D. Determining the blood pressure patterns of a client who recently experienced a cerebrovascular accident (i.e., stroke) ANS: C In experimental research, the investigator controls the study variable (use of humor) and randomly assigns subjects to different conditions (those who receive humor as an intervention, and those who do not). The effect of therapeutic touch on a geriatric client with Alzheimers disease lends itself to the nursing process as a nursing intervention to perhaps assist a client in meeting a goal of preventing social isolation. To use the experimental research process, there would have to be other clients involved (i.e., a group of clients with Alzheimers disease who receive therapeutic touch, and a group of clients with Alzheimers disease who do not receive therapeutic touch) to determine whether or not therapeutic touch had any effect. Prioritizing nursing diagnoses for client care is an example of using the nursing process. Determining the blood pressure patterns of a client who recently had a cerebrovascular accident is a part of the assessment phase of the nursing process. In contrast to an experimental research study, no variable is being controlled by the nurse. PTS: 1 DIF: A REF: 62 OBJ: Comprehension TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Safe, Effective Care Environment 3. The nurse is looking at different strategies for learning and incorporating new information into practice. A strategy that uses problem-solving is demonstrated by: A. Repeatedly practicing vital signs until competence is achieved B. Seeking information from the nurse manager on the clients status C. Reviewing Maslows hierarchy either in a textbook or on the internet D. Trying different types of colostomy dressings for maximum therapeutic effect