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Evidence-Based Practice in Nursing explores the integration of the best current evidence with clinical expertise and patient values to improve healthcare outcomes. This course introduces students to the principles and processes of evidence-based practice, including formulating clinical questions, searching for and appraising research, and applying findings in real-world nursing contexts. Students will learn to critically evaluate scientific literature, understand research methodologies, and address barriers to implementation in diverse healthcare settings. Emphasis is placed on fostering a culture of lifelong inquiry and continuous improvement to enhance patient care, safety, and healthcare quality.
Recommended Textbook Nursing Research 8th Edition by
Geri LoBiondoWood
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Q1) Which of the following is a critical step for the quality improvement process in health care settings?
A) Outlining general long-range goals
B) Identifying current successful practices
C) Testing practice changes slowly and tentatively
D) Adopting a practice change as a new standard of care
Answer: D
Q2) Which statement(s) describe the actions of the baccalaureate nurse graduate as a participant in the nursing research process? (Select all that apply.)
A) Administering care at the bedside according to a research protocol
B) Providing leadership by helping others apply scientific knowledge to practice
C) Sharing with nursing colleagues research findings that are pertinent to practice
D) Designing and conducting nursing research studies
E) Functioning as a primary investigator for a research study
Answer: A, C
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Q1) Which hypothesis fails to meet the criteria of testability?
A) Proper handwashing prevents the spread of infection.
B) Consistent practice of low-impact aerobic exercise will increase coordination among older adults.
C) Patients who used guided imagery during magnetic resonance imaging (MRI) procedures will have reduced perceptions of emotional distress compared with patients who do not use guided imagery during MRI.
D) Postoperative patients who receive around-the-clock scheduled analgesics will have lower levels of pain compared with postoperative patients who receive analgesics on an as-needed (PRN) schedule.
Answer: A
Q2) How is a hypothesis related to a theory?
A) Hypotheses can be developed in the absence of a theoretical framework.
B) Hypotheses must be consistent with an existing theoretical framework.
C) A theory can determine the validity of a hypothesis.
D) A theory can be used to evaluate the merit of a hypothesis.
Answer: B
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Q1) The review of literature is important to the research process for which of these reasons?
A) It guides all steps of the research process.
B) It provides a vehicle to disseminate the findings of the study.
C) It guides only the conceptualization of the problem statement.
D) It identifies only gaps or inconsistencies in the knowledge base.
Answer: A
Q2) When comparing MEDLINE and CINAHL databases, which of these differences will the nurse find?
A) The coverage of MEDLINE dates back to 1975, whereas the coverage of CINAHL dates back to 1980.
B) MEDLINE's journal coverage includes more than 10,000 biomedical journals, whereas CINAHL's coverage includes more than 5000 journals.
C) MEDLINE's database size is more than 21 million records, whereas CINAHL's database size is more than 3.2 million records.
D) MEDLINE has more than 500 Evidence-Based Care Sheets, whereas CINAHL has more than 50 Evidence-Based Care Sheets.
Answer: C
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Q1) How is a model related to a concept or concepts?
A) A model tests conceptual theories.
B) A concept defines the purpose of a model.
C) Relationships between or among concepts are demonstrated in a model.
D) Concepts generate the theoretical basis for knowledge depicted in a model.
Q2) A graphic or symbolic representation of a phenomenon not directly observable, which allows the reader to visualize key constructs and their interrelationships, is called what?
A) A concept
B) A conceptual definition
C) An operational definition
D) A model
Q3) Pender's health promotion model is an example of what type of theory?
A) Grand nursing theory
B) Middle-range nursing theory
C) Situation-specific nursing theory
D) Another discipline's theory applied to nursing
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Q1) A characteristic of qualitative research data is that they are what?
A) In text form
B) Dichotomous
C) Free of patterns
D) Inappropriate for analysis
Q2) A nurse researcher who is considering whether to use a qualitative research design should be aware that the focus of qualitative research is what?
A) Measuring one or more human characteristics
B) Controlling variables that interfere with the phenomenon being studied
C) Viewing human beings as composites of many body systems
D) Studying human experiences that occur within a person's natural setting
Q3) Which of Kearney's categories of qualitative findings describes a synthesis of a shared experience or process or integration of concepts that provides a complex picture of a phenomenon?
A) Restricted by a priori frameworks
B) Descriptive categories
C) Shared pathway or meaning
D) Depiction of experiential variation
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Q1) The nurse researcher opts to use grounded theory as the research method. Which action or behavior should be avoided in such a study?
A) Following hunches about emerging patterns before data collection is completed
B) Expressing the researcher's opinions or values to the participants
C) Changing the way experiences are collected or selected after the study has been initiated
D) Expanding codes or data categories as the study progresses
Q2) The nurse planning to conduct a qualitative research study should have which understanding about ethical issues in naturalistic settings?
A) It is not possible to obtain informed consent from study participants.
B) The emerging nature of the research design may require ongoing negotiation of consent.
C) The researcher-participant interaction is intentionally therapeutic in nature.
D) Validation of data by cross-checking research findings with participants taints the study.
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Q1) The nurse researcher reports that after data collection was completed, a follow-up focus group session with participants was used to validate that the participants agreed the findings were true to their own experiences. What aspect of the study does this support?
A) The study's credibility
B) The study's auditability
C) The study's transferability
D) The study's fittingness
Q2) During the critique of a qualitative research study, the nurse notes the statement, "Saturation was achieved at the completion of 20 interviews." What is the significance of this statement?
A) The investigator should collect additional data.
B) The data collection period has ended.
C) Purposive sampling is now required.
D) Random sampling should be initiated.
Q3) Which activity represents attention to credibility in a qualitative study?
A) Ensuring that all subjects self-identified with a specific ethnic group.
B) Providing direct quotations from study participants.
C) Identifying the basic social psychological process (BSP) under study.
D) Determining usefulness of the data outside of the study.
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Q1) A nurse researcher can control for selection bias in a study by taking which of these actions?
A) Allow subjects to self-select into an experimental or a control group
B) Handpick the subjects for group assignment
C) Use defined selection criteria for approaching potential subjects
D) Have someone other than the researcher select the subjects for the study
Q2) What is the overall purpose of the research design in a quantitative research study?
A) To determine sample size
B) To identify the problem statement
C) To assist the researcher in identifying gaps in the knowledge base
D) To provide the plan for answering the research question
Q3) When reviewing a research report, the nurse determines that all aspects of a study systematically and logically follow from the research problem. Which condition has been met?
A) Accuracy
B) Feasibility
C) Internal validity
D) External validity
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Q1) What is the dependent variable in the research scenario?
A) Program on strategies to resist smoking
B) Elimination of cigarette smoking
C) Weekly supportive phone call
D) No supportive phone call
Q2) In a true experimental study, the control group is the group that does what?
A) Receives the experimental treatment
B) Receives the placebo treatment
C) Experiences the adverse results
D) Experiences the reactive effects
Q3) Control is important in an experimental research study for which of these reasons?
A) It ensures maintenance of participant confidentiality.
B) It introduces one or more constants into the experimental situation.
C) It prevents data collection from extending beyond the original time specified for the study.
D) It ensures a cause-and-effect relationship between independent and dependent variables.
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Q1) Which types of research designs are considered to be relationship-difference studies? (Select all that apply.)
A) Descriptive
B) Exploratory
C) Correlational
D) Developmental
E) Comparative
F) Cross-sectional
Q2) A nurse researcher will choose to use a developmental study design to do what?
A) Allow comparison of the results of qualitative studies of a phenomenon to the results of quantitative studies of the same phenomenon
B) Allow reanalysis of existing data for a secondary purpose not stated in the original research
C) Allow exploration of the changing nature of relationships between variables over time
D) Allow development or refinement of a tool or instrument
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Q1) ___ search methods for finding studies
Q2) ___ background of the question
Q3) ___ discussion
Q4) ___ references and tables
Q5) ___ analysis of the located studies
Q6) Which are methods for searching and integrating the literature related to a specific clinical issue? (Select all that apply.)
A) Meta-analysis
B) Systematic review
C) Cochrane collaboration
D) Integrative review
Q7) ___ results
Q8) ___ abstract
Q9) ___ objectives of the search
Q10) ___ plain language summary
Q11) ___ authors and contact person

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Q12) ___ implications for research and practice
Q14) ___ methods for selecting studies for review
Q15) ___ data collection
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Q1) Which statement is most accurate regarding inclusion and exclusion criteria?
A) These criteria are not needed when the population being studied is composed of events.
B) These criteria serve to ensure that the characteristics of the sample and the population are congruent.
C) Inclusion criteria are used to define the independent variables, and exclusion criteria are used to define dependent variables.
D) Inclusion criteria are used to define the dependent variables, and exclusion criteria are used to define independent variables.
Q2) The nurse researcher selects matching as a technique in a research study. What does the technique of matching in a sampling strategy contribute to the research?
A) Improved overall design of the study
B) Elimination of the need for a control group
C) Increased equivalency of the comparison group
D) Reduced sample size; subjects serve as their own controls
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Q1) An adult participant receives an informed consent form to participate in a study on breast cancer in women younger than the age of 35. The study's informed consent process should include which elements? (Select all that apply.)
A) The participant's meeting the IRB members who approved the study
B) The participant's being informed of risks associated with the study
C) The participant's being informed of the study protocol
D) The participant's being given the right to decline participation at any time
E) The participant's being assured that her confidentiality will be maintained
Q2) The role of an IRB includes which actions? (Select all that apply.)
A) Assisting researchers in maintaining rigor during the data analysis phase of a study
B) Ensuring that human subjects are protected from undue risks
C) Providing approval for studies to be conducted at an institution
D) Interviewing subjects for the informed consent process
E) Ensuring that HIPAA privacy rules are maintained in a study
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Q1) Which data collection method can be assessed by asking, "Is there evidence that subjects were able to answer the questions?"
A) Questionnaires
B) Interviews
C) Physiologic measurement
D) Records and databases
Q2) What is an example of a physiologic measurement?
A) Definition of a type A behavior pattern
B) Description of self-care behavior abilities in patients with dementia
C) Ranges of values on two consecutive arterial blood gas analyses
D) Adjusted scores on the State-Trait Anxiety Scale
Q3) What advantage is shared by both interview and questionnaire data collection methods?
A) Both seek to understand the attitudes, beliefs, and feelings of participants.
B) Both are analyzed by statistical methods selected by the researcher.
C) Both require extensive training of the researcher coordinating the study.
D) Both are paper-and-pencil tests implemented by the researcher.
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Q1) Which type of validity is most difficult to establish?
A) Content validity
B) Construct validity
C) Predictive validity
D) Concurrent validity
Q2) How should the nurse researcher describe variability in test scores attributed to error rather than to actual differences in behavior? (Select all that apply.)
A) Random error
B) Variance error
C) Persistent error
D) Systematic error
Q3) A newly developed instrument is found to have a Cronbach's alpha of 0.82. The nurse researcher interprets this to mean what?
A) The instrument has no internal consistency.
B) The instrument has a low degree of internal consistency.
C) The instrument has a moderate degree of internal consistency.
D) The instrument has a relatively high degree of internal consistency.
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Q1) The nurse researcher is using a nursing degree as a variable in a research study. The level of measurement most appropriate in this case is what?
A) Nominal
B) Ordinal
C) Interval
D) Ratio
Q2) The nurse researcher opts to group frequency data using large interval widths in a research study. Which problem may be encountered by using this type of interval widths?
A) Overlap can occur.
B) Patterns can be obscured.
C) Means cannot be determined.
D) Some data may not fit into any category.
Q3) The nurse researcher is using respiratory rate as a variable in a research study. The level of measurement most appropriate in this case is what?
A) Nominal
B) Ordinal
C) Interval
D) Ratio
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Q1) Which section of the report allows the nurse researcher to determine if bias arose during the study?
A) Results
B) Discussion
C) Literature review
D) Methods
Q2) When discussing the results, what facilitates presentation of large amounts of data?
A) Subjective presentation
B) Inferential statistics
C) Tables and figures
D) Descriptive statistics
Q3) Which section of the report allows the researcher to determine if evidence provided in the findings validates current practice or supports the need for change?
A) Results
B) Discussion
C) Recommendations
D) Methods
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Q1) Why would a study involving continuous handrail support, oxygen uptake, and heart rate in women during submaximal step treadmill exercise be quasi-experimental in design versus experimental?
A) The sample size was small.
B) Randomization was not used in sample selection.
C) The dependent variables were not manipulated.
D) The independent variables were not manipulated.
Q2) A nurse researcher is critically appraising a research report and asks the question "What sources of bias are possible with use of records or existing data sets?" The data collection method(s) and procedure(s) that this question evaluates is what?
A) Physiologic measurement
B) Interviews
C) Available data records
D) Questionnaires
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Q1) To assess the efficacy of a specific intervention, which type of clinical category should the student investigate in appraising study results?
A) Therapy
B) Sensitivity and specificity
C) Prognosis
D) Harm
Q2) Relative risk reduction is most accurately calculated as what?
A) EER + CER
B) EER - CER/CER
C) EER - CER
D) EER/CER
Q3) What is the significance of a diagnostic test with a large positive likelihood ratio?
A) It provides only limited predictive value for disease.
B) It provides a high degree of certainty that the patient has the suspected disorder.
C) It mandates other supportive diagnostic tests.
D) It provides little assistance in clinical decision making.
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Q1) ___ design data collection forms
Q2) ___ provide feedback of analyzed data to staff
Q3) The nurse researcher is reading theoretical and clinical articles to have a broad view of the topic and related concepts before reviewing existing EBP guidelines. The nurse researcher begins the process of reading the articles by doing what?
A) Reading evidence-based guidelines and evidence reports
B) Reading systematic review articles and synthesis reports
C) Reading theory articles to understand theoretical perspectives in critiquing studies
D) Reading research articles including meta-analyses
Q4) To determine the guiding steps involved in actualizing EBP, the researcher should expect to study the Iowa Model of Evidence-Based Practice to Promote Quality Care in conjunction with what?
A) Evidence-Based Medicine Reviews
B) Cochrane Database of Systematic Reviews
C) Rogers' Diffusion of Innovation Model
D) The Agency for Healthcare Research and Quality (AHRQ)'s National Guideline Clearinghouse
Q5) ___ train data collectors
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Q1) Alignment of improvement activities at all levels to an organization's strategic intent
A)Customer focus/patient focus
B)Leadership
C)Involvement of people
D)Process approach
E)System approach to management
F)Continual improvement
G)Factual approach to decision making
H)Mutually beneficial supplier relationships
Q2) Informed decisions
A)Customer focus/patient focus
B)Leadership
C)Involvement of people
D)Process approach
E)System approach to management
F)Continual improvement
G)Factual approach to decision making
H)Mutually beneficial supplier relationships
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