Question 1

The nurse is participating in a committee to address the Institute of Medicine's priority areas for quality improvement. Which of the following are considered priority areas? (Select all that apply.)

Accepted Answer

The priority areas for quality improvement identified by the Institute of Medicine include diabetes, end-of-life organ failures, tobacco dependence, and major depression. Motor vehicle accidents and scoliosis are not identified as priority areas by the Institute of Medicine.

Question 2

The nurse leaders of a health care organization are creating plans to change clinical and organizational practices to support evidence-based practice. Which phase of the ACE Star Model of Knowledge Transformation are the leaders implementing?

Accepted Answer

The Integration phase involves incorporating evidence-based practices into clinical and organizational practices, which aligns with the nurse leaders' plans to change practices to support evidence-based practice.

Question 3

The nurse is planning the care for a client using an unstructured approach. Which of the following approaches did the nurse most likely use?

Accepted Answer

An unstructured approach to care planning involves trial and error, where the nurse may try multiple interventions until finding what works best for the client. Research, nursing theory, and validated orders are all structured approaches to care planning.

Question 4

The nurse is participating on a committee to select evidence-based practice guidelines.Which of the following statements by the nurse indicate a clear understanding of the purpose of these guidelines?

Accepted Answer

Evidence-based practice guidelines provide the best evidence to make decisions about the care of individual clients. B is incorrect because guidelines draw on the evidence from multiple sources, not just one research study. C is incorrect because while ensuring cost-effective care may be a benefit, it is not the primary purpose of evidence-based practice guidelines. D is incorrect because safe staffing ratios may be a topic for guidelines, but not the overarching purpose of guidelines.

Question 5

The nurse identifyies evidence summaries for evidence-based practice. Which of the following are references to types of evidence summaries? (Select all that apply.)

Accepted Answer

A) Review of literature: This provides a summary of the current research and literature on a specific topic.
B) Evidence synthesis: This is a combination of different types of research studies to provide a comprehensive understanding of a topic.
D) Systematic reviews: These provide a thorough and structured summary of all the available evidence on a specific research question or topic.
E) Integrative reviews: These summarize the available evidence from multiple sources and can include both qualitative and quantitative studies. C and F are not references to types of evidence summaries.

Question 6

The nurse is using the scale for rating the strength of research evidence for one research article for potential inclusion in a clinical practice guideline. Which of the following is considered the strongest evidence?

Accepted Answer

Meta-analysis of randomized clinical trials is considered the strongest evidence because it combines the results of multiple high-quality studies to provide more robust and reliable findings. Individual cohort studies are also valuable but may be affected by confounding variables. Expert opinion and case studies are considered weaker forms of evidence as they may be biased or affected by individual experiences.

Question 7

The nurse is implementing evidence-based practice. Which of the following is not a component of this process?

Accepted Answer

The four components of evidence-based practice are patient preference, clinical expertise, research evidence, and available resources. Leader practice is not a component of evidence-based practice.

Question 8

The nurse is considering a research study for inclusion in a clinical practice guideline that has been identified as being sufficient to determine effects on health outcomes. This research study would be considered as being:

Accepted Answer

The answer of The nurse is considering a research study...

Question 9

The nurse is writing a systematic review. After the nurse formulates questions and locates relevant studies, the nurse thing the nurse will do is:

Accepted Answer

After formulating questions and locating relevant studies, the next step in writing a systematic review is to select and appraise the studies. This involves critically analyzing the quality and relevance of each study. Once this is done, the nurse can move on to summarizing and synthesizing the results, interpreting the findings, and updating the review as necessary.

Question 10

The advance practice nurse is writing clinical practice guidelines. Prior to writing these guidelines which of the following will the nurse need?

Accepted Answer

Prior to writing clinical practice guidelines, the advance practice nurse will need evidence summaries to ensure that the guidelines are based on the best available evidence. A current client census, nursing department budget, and staffing ratios may not be applicable or necessary for the development of clinical practice guidelines.

Question 11

The nurse identifies errors and hazards in a care environment and implements basic safety to reduce the likelihood of an adverse event. Which of the following core competencies is this nurse implementing?

Accepted Answer

The nurse is applying the core competency of quality improvement by identifying and addressing errors and hazards in the care environment in order to reduce the likelihood of adverse events.

Question 12

There are impediments that make the practice of evidence-based practice difficult. Which of the following are impediments to evidence-based practice? (Select all that apply.)

Accepted Answer

The answer of There are impediments that make the practice...

Question 13

An advance practice nurse is being consulted to participate during the translation phase of the ACE Star Model of Knowledge Transformation. During this phase, which of the following will the nurse create?

Accepted Answer

During the translation phase of the ACE Star Model of Knowledge Transformation, the advanced practice nurse is responsible for creating clinical practice guidelines that are based on the best available evidence. This involves synthesizing the research evidence and incorporating it into the clinical practice setting, with a focus on ensuring that the guidelines are applicable and feasible for the particular patient population and care context. The nurse must also work collaboratively with other healthcare professionals and stakeholders to ensure that the guidelines are effectively implemented, monitored, and evaluated. Standardized care plans, critical pathways, and checklists are all important tools in the clinical practice setting, but they are generally developed during the implementation or evaluation phases of the model.

Question 14

The nurse is participating in an activity that is the first step of the ACE Star Model of Knowledge Transformation. Which of the following is the nurse doing?

Accepted Answer

Participating in research is considered the first step of the ACE Star Model of Knowledge Transformation, as it involves the generation of new knowledge, which is the foundation for evidence-based practice.

Question 15

The nurse is reviewing evidence-based clinical practice guidelines to use when planning care for a client. One guideline has been graded by the U.S. Preventive Services Task Force as being an A. According to this grade, the nurse should do which of the following?

Accepted Answer

An A grade given by the U.S. Preventive Services Task Force indicates a strong recommendation that the benefits of implementing the guideline outweigh the risks or harms. Therefore, the nurse should use this guideline because the benefit is substantial.

Question 16

The nurse is determining the best way to ensure adherence to the core competencies for health professions. Which of the following competencies will the nurse implement when providing client care? (Select all that apply.)

Accepted Answer

The core competencies for health professions include working in interdisciplinary teams, utilizing informatics, employing evidence-based practice, applying quality improvement, and providing patient-centered care. Implementing basic safety principles is important but not listed as one of the core competencies.

Question 17

A health care organization is determining which clinical practice guidelines to adopt when providing client care. The organization is using the AGREE Instrument for Assessing Guidelines because this checklist helps the organization determine which of the following? (Select all that apply.)

Accepted Answer

The AGREE Instrument for Assessing Guidelines is used to evaluate and determine the quality of clinical practice guidelines in terms of scope and purpose, stakeholder involvement, rigor of development, clarity and presentation, and application. The author credentials are not evaluated through this instrument. Therefore, options A, B, C, D, and F are the best choices.

Question 18

A committee has been developed to implement knowledge transformation when providing client care. The members realize that the purpose of knowledge transformation is to:

Accepted Answer

The purpose of knowledge transformation is to convert research findings into interventions that can impact health outcomes. It is not primarily focused on reducing length of stay, reducing the cost of care, or increasing the number of patients with health insurance.

Quiz 2: Clinical Decision Making and Evidence-Based Practice