Evidence-Based Practice in Nursing, Exams of Nursing

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Module 5: Knowledge Check

According to Brower & Nemec (2017), evidence based practice is based on which of the following?

Clinical expertise, best research, patient preferences

Best research, expert opinion, clinical judgment

Clinical guidelines, best research, patient preferences

Best research, clinical judgment, expert opinion

You are examining results that are comparing two different educational

degrees in nursing (ADN and BSN) to their reported levels of commitment to the profession. The researcher set the alpha level (the level of statistical significance) prior to the study at p< 0.05. Which of the findings below demonstrate statistical significance, based on the researcher's alpha level?

A significant difference was found between associate degree and baccalaureate graduates' scores (t=2.56, p = 0.01).

No decision can be made as to whether a significant difference was found among diploma, associate degree, and baccalaureate graduates' scores.

A significant difference was found between associate degree and baccalaureate graduates' scores (t =1.25, p = 0.24).

No significant difference was found between associate degree and baccalaureate graduates’ scores (t= 1.96, p = 0.04).

Question 2

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Question 3

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A hospital is implementing bedside report. A few nurses are doing bedside

reports, but most are bringing up reasons why it may not work. Using the Transtheoretical Model, discussed in Tucker (2019), what stage of change is

Question 5

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the hospital in? For this question, take the point of view of the hospital as an organization.

Preparation

Pre-contemplation

Contemplation

Maintenance

According to Groves & Gray (2019), which one of the following are

considered barriers to evidence-based practice?

There are adequate resources for implementation of the Evidence Based Practice by nurses.

There is a need to implement a pilot study as a part of following the Iowa model.

The potential for improved outcomes for patients, providers, and healthcare agencies.

There is a need for more translational research.

Question 4

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According to Brower & Nemec (2017), which of the following would be

considered moderate level evidence?

Patient preferences

Cohort studies

Question 7

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Randomized controlled trials

Expert opinion

A nursing student is critiquing a study for her nursing research class. She

feels like the study findings are generalizable to other settings and populations because:

the review of literature was extensive and included a conceptual framework.

it has a small sample size which was obtained by convenience.

there is consistency of the current study's finding with that found in previous research studies.

the sampling criteria for subjects was very narrow and restrictive, to provide a homogenous sample.

External validity is concerned with the extent to which study findings can be generalized beyond the sample used in the study.

According to Tucker (2019), which of the following is characteristic of the

Consolidated Framework for Implementation Research?

A focus on the implementation strategies used

Question 6

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A focus on the characteristics of the evidence

A focus on the population to be served

A focus on the gap between results in research trials and clinical settings

Question 9

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What statistical test would you use to determine a relationship between hours worked by nurses in a week and medication errors?

standard deviation

frequency distribution

r - Pearson product moment

X^2 - chi s q ua red

Statistics used to show associations or relationships is the Pearson product moment- r.

Content validity is defined as:

maintaining research controls as indicated in the study design and hypotheses.

including all of the major elements relevant to the construct being measured.

measuring stability, equivalence, and homogeneity of a questionnaire.

reviewing the inferential and demographics data of the sample.

Validity demonstrates that the measurement measures the concepts that it is suposed to measure. For example, a stress tool should measure stress and not depression to be valid.

Question 8

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Question 10

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According to Tucker (2019), which of the following is an implementation

strategy for the maintenance stage?

Aligning the change with strategic priorities

Question 12

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Managing barriers to change

Monitoring data trends

Flexible self learning modules

According to Makic & Grander (2019), most of the Institute of Medicine (IOM)

goals for 2020 have already been met.

True

False

According to Makic & Grander (2019), which of the following is a way of

measuring the implementation of evidence based practice in an organization?

Financial commitment to evidence based practice

Number of publications

Relevant evidence at point of care

Number of evidence based projects completed

Question 11

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Question 13

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Which type of reliability is the consistency of measurement of two or more

raters?

Content

Question 14

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Question 15

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Accuracy

Interrater

Test-retest

When two or more raters are measured for consistency of data collection it is interrater reliability.

Descriptive statistics should be reported in every study for which of the

following reasons?

To determine validity

As an indication of reliability

To show the sample characteristics

To provide a powerful analysis of data

The researcher needs to obtain as complete a picture of the sample as possible. Frequencies of descriptive variables related to the sample are usually obtained first.

Open-ended questions provide primarily data.

exhaustive

quantitative

confirmatory

Question 16

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Question 17

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qualitative

In order to collect qualitative data open-ended questions are asked.

In the Iowa Model of Evidence Based Practice, if a nurse brings forward a new

res e arch ar ti c l e wi th i de as tha t s he / he wo u l d li ke to co nsi de r i mp l e me nti n g on the unit, this would be considered to be:

a knowledge-focused trigger.

an opportunity for comparative evaluation between two units.

an opportunity to monitor and analyze structure, processes, and outcome data.

a problem-focused trigger.

In the Iowa Model, Knowledge-focused triggers include: new research or other literature, national agencies or organizational standards or guidelines, philosophies of care, and observations from insitutional standards committees

According to Grove & Gray (2019), what is power?

The probability of avoiding a type II error

The probability of making a type II error

The probability of making a type I error

The probability of avoiding a type I error

Question 18

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Question 19

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Question 20

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According to Makic & Granger (2019), which of the following nursing interventions should be deimplimented?

Using pneumatic intermittent pressure devices after surgery.

Early ambulation of older adult patients.

Using aloe vera on skin to prevent or treat radiodermatitis.

Using auscultation of air injected in stomach to determine correct feeding tube placement.

According to Makic & Granger (2019), which of the following is true of

practice traditions?

They are often supported by evidence.

They provide little benefit to patients.

They can be easily abandoned.

Nurses frequently resist carrying them out.

According to Tucker (2019), which of the following is a category of strategy

for successful implementation of evidence based practice?

Compliance

Money

Evidence

Question 21

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Question 22

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Communication

According to Brower & Nemec (2017), which of the following is an important

INSTITUTIONAL factor in the adoption of evidence based practice?

Culture

Attitude

Funding

Time constraints

A researcher notes that although no statistical significance was found, some

elderly nursing home residents with dementia who were exposed to soothing music for 6 hours daily exhibited lower heart rates and less agitation. This finding would have which type of significance?

Inferential statistics

Clinical importance

Statistical significance

General inferences

Clinical significance is related to the practical importance of findings, whereas statistical significance addresses the mathematical findings following statistical analysis of data.

The finding may or may not have general significance.

Further testing would be required before any inferences could be made. No mathematical significance means no statistical significance.

Question 23

Question 24

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Question 25

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4 / 4 pts According to Grove & Gray (2019), what is alpha?

The probability of making a type II error

The probability of avoiding a type I error

The probability of avoiding a type II error

The probability of making a type I error

Cronbach’s alpha is used to determine:

stability of repeated measurement over time.

equivalence of observations.

internal consistency among items on a scale.

triangulation of theories.

The statistical procedure used to examine the extent to which all items in an instrument consistently measure the construct is Cronbach’s alpha coefficient.

Test-retest reliability determines the equivalence of items. Reliability is stable measurements over time.

Triangulation is a term in qualitative research.

According to Brower & Nemec (2017), which of the following is a reason for

the importance of following evidence based practice?

Regulating agencies require the implementation of evidence based practice.

Evidence based practice is required for hospitals to attain magnet status.

Individual practitioners and institutions can be held liable for failure to adhere to evidence based practice policies.

Medicare and insurance providers require evidence based practice for full reimbursement.

Quiz Score: 100 out of 100