Deck 1: Using Evidence in Practice

Question 1

The nurse wants to determine the effects of cardiac rehabilitation program attendance on the level of postmyocardial depression for individuals who have had a myocardial infarction.The type of study that would best capture this information would be a:

A)randomized controlled trial.
B)qualitative study.
C)case control study.
D)descriptive study.

Answer 1

qualitative study.

Question 2

The nurse is not sure that the procedure the patient requires is the best possible for the situation.Utilizing which of the following resources would be the quickest way to review research on the topic?

A)CINAHL
B)PubMed
C)MEDLINE
D)The Cochrane Database

Answer 2

The Cochrane Database

Question 3

Patient fall rates are an example of a ______________ type of study in the evidence hierarchy.

Answer 3

quality improvement data
Data collected within a health care agency offer important trending information about clinical conditions and problems.Staff in the agency review the data periodically to identify problem areas and to seek solutions.

Question 4

When a PICOT question is developed,the letter that corresponds with the usual standard of care is:

A)P.
B)I.
C)C.
D)O.

Question 5

_________________ is a guide for making accurate,timely,and appropriate clinical decisions.

Question 6

A well-developed PICOT question helps the nurse:

A)search for evidence.
B)include all five elements of the sequence.
C)find as many articles as possible in a literature search.
D)accept standard clinical routines.

Question 7

In a clinical environment,evidence-based practice has the ability to improve: (Select all that apply. )

A)the quality of care provided.
B)patient outcomes.
C)clinician satisfaction.
D)patients' perceptions.

Question 8

Evidence-based practice requires good ______________.

Question 9

A systematic review explains whether the evidence that you are searching for exists and whether there is good cause to change practice.In _____________,all entries include information on systematic reviews.Individual randomized controlled trials (RCTs)are the gold standard for research.

Question 10

When evidence-based practice is used,patient care will be:

A)standardized for all.
B)unhampered by patient culture.
C)variable according to the situation.
D)safe from the hazards of critical thinking.

Question 11

The nurse is getting ready to develop a plan of care for a patient who has a specific need.The best source for developing this plan of care would probably be:

A)The Cochrane Database.
B)MEDLINE.
C)NGC.
D)CINAHL.

Question 12

Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:

A)the latest information found in textbooks.
B)systematically conducted research studies.
C)tradition in clinical practice.
D)quality improvement and risk-management data.

Question 13

To use evidence-based practice appropriately,you need to collect the most relevant and best evidence and to critically appraise the evidence you gather.This process also includes: (Select all that apply. )

A)asking a clinical question.
B)applying the evidence.
C)evaluating the practice decision.
D)communicating your results.

Question 14

__________________ are the gold standard for research.

Question 15

____________________ is the extent to which a study's findings are valid,reliable,and relevant to your patient population of interest.

Question 16

Six months after an early mobility protocol was implemented,the incidence of deep vein thrombosis in patients was decreased.This is an example of what stage in the EBP process?

A)Asking a clinical question
B)Applying the evidence
C)Evaluating the practice decision
D)Communicating your results

Question 17

While caring for patients,the professional nurse must question ________________.

Question 18

The researcher explains how to apply findings in a practice setting for the types of subjects studied in the _________________ section of a research article.

Question 19

During the application stage of evidence-based practice change,it is important to consider: (Select all that apply. )

A)cost.
B)the need for new equipment.
C)management support.
D)adequate staff.

Question 20

The nurse has done a literature search and found 25 possible articles on the topic that she is studying.To determine which of those 25 best fit her inquiry,the nurse first should look at:

A)the abstracts.
B)the literature reviews.
C)the "Methods" sections.
D)the narrative sections.