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Exam 45: Evidence-Based Practice

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Question 1

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Which of the following would be considered a foreground question when included in a nursing research project?

A) "Who is at greatest risk for the development of gestational diabetes?"
B) "What are the side effects of this class of antipsychotic medications?"
C) "How does use of behavioral interventions compare to use of pharmacological therapies in treating hypertension?"
D) "What organisms most commonly cause bacterial pneumonia?"

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Question 2

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A nurse manager is encouraging staff on the unit to go back to school and "become professionals,not just workers" by "increasing" their knowledge through education and networking.Which criteria for nursing to be recognized as a profession is the nurse manager highlighting? Select all that apply.

A) Joining professional organizations
B) Following a code of ethics
C) Having specialized education requirements
D) Conducting ongoing research
E) Having autonomy

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Question 3

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The nurse manager for a medical-surgical nursing unit is talking to a group of nursing students.The nurse manager is explaining the types of nursing research studies that are conducted on the unit.Which statement by the students indicates understanding of the nature of nursing research?

Which type of research investigates a question through narrative data that explores the subjective experiences of human beings and can provide nursing with a better understanding of clients' perspectives?

A nursing student who is providing care for an assigned client knows that the information documented in the client's nursing care plan could potentially be used in research to optimize client care.Which type of research is used to convert research knowledge into healthcare applications for improved outcomes?

A home health nurse who is visiting a client to complete a wound dressing notes that the client has a flat affect and is not as responsive as during previous visits.The nurse calls the client's primary healthcare provider for a psychiatric referral.By recognizing the signs and symptoms of possible depression,the nurse is exhibiting which concept associated with evidence-based practice?

A client in the clinic is being asked to participate in a research study.The client asks why a nursing research study is necessary given that research on this subject has already been published by the American Medical Association (AMA) .Which of the following responses should the nurse offer in reply to the client's question?

A nursing preceptor is working with a novice nurse on a medical-surgical unit.During client care,the novice nurse shares an evidence-based wound care technique that is being used with much success.Which of the following is being encouraged when the novice nurse shares this information with the preceptor?

A nurse is planning a research project comparing the use of fingerstick blood glucose testing with the use of alternative sites for adult male clients.Which elements of the PICOT formulation of the clinical question still need to be defined? Select all that apply.

A nurse researcher is preparing to give a presentation about evidence-based practice (EBP) to a group of nursing students.Which of the following statements would be appropriate for the nurse researcher to include in this presentation?

Which of the following measures would be most directly aimed at upholding the principle of respect for persons?

The nurse working in a community hospital is caring for a client who does not seem to be responding well to the current plan of care that has been implemented by the nursing team.Given this information,which actions by the nurse are appropriate? Select all that apply.

A nurse working in a home health agency is asked to participate on a committee that is looking to incorporate evidence-based nursing care.What should be the committee's first step in implementing evidence-based practice (EBP) ?

A nurse is preparing to conduct a research study and wants to do a literature search for relevant articles.Which of the following sections should the nurse expect to find in each search result? Select all that apply.

Which of the following resources would be of least value to a nurse who hopes to employ evidence-based practice (EBP) in support of the Healthy People 2020 objectives for pregnant women?

The nurse is caring for a client with a chronic disease process.The client tells the nurse he recently read an article about funding for the National Institute of Nursing Research (NINR) .He then asks the nurse why the U.S.Congress would fund such an organization.Which response by the nurse is most appropriate?

Prior to conducting research,nurse researchers must have their research protocols approved by which of the following bodies?

The nurse is caring for a client who requires extensive wound care.The client has consented to participate in a nursing research study regarding the wound care.Which client statement indicates understanding of the research goal?

A nurse educator is interacting with a group of nurses who are working toward their graduate degrees.The members of the group are interested in replication studies.Which of the following replication studies would be most appropriate given the changing demographics in the United States?

The nurse is working with a client who has agreed to participate in a research study.Which actions would constitute a violation of the client's right to full disclosure? Select all that apply.