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Leadership and Management for Nurses, 3e (Finkelman)
Chapter 16 Evidence-Based Practice and Management
1) The high school student is very interested in healthcare research and is trying to decide which
healthcare profession to enter. What should this student consider when examining leadership
roles in research that nurses can assume? Select all that apply.
1. Nurses guide their own research.
2. Nurses participate in interprofessional studies.
3. Nurses manage clinical trials.
4. Nurses guide patients who are considering clinical trial participation.
5. Nurses are not generally leaders in healthcare research.
2) The nurse is involved in basic research. Which study topic would the nurse most likely
research?
1. The antiseptic that provides the cleanest environment for intravenous access.
2. The efficacy of diuretic use for pregnancy induced edema.
3. The historic significance of feminism in nursing.
4. The use of nursing self-scheduling in a unit.
3) Which research topics would likely be included in the National Institute of Nursing Research
(NINR) Intramural program? Select all that apply.
1. Use of a specific intervention to reduce shortness of breath in patients with congestive heart
failure
2. How referred pain is associated with pathology
3. What is the best way to disseminate research training
4. Use of knowledge management theory in a free-standing dialysis unit
5. Cost of an education program on prevention of sudden infant death syndrome
4) The nurse executive has instituted a very effective program that encourages nursing staff
involvement in research. Nurses are suggesting research topics, helping to collect data, and have
assisted with data analysis. What should be the nurse executive's next goal for these nurses?
1. Getting the nurses to seek funding for research projects.
2. Helping the nurses consider additional study topics.
3. Involving the nurses in efforts to seek resources and time to conduct more research.
4. Encouraging the nurses to find ways to disseminate the findings of completed studies.
5) A nursing research team from a hospital would like to quickly disseminate findings from its
study to the nurses in its local area. Which strategy should this team employ?
1. Work to get the findings published in a research journal.
2. Apply to present the findings as a poster presentation in a national conference.
3. Organize a research day at the hospital.
4. Get the findings published in a practice journal.
6) Which patient would be considered to belong to a vulnerable population when included in
research? Select all that apply.
1. A healthy newborn delivered at 38-week's gestation.
2. A 45-year-old woman with diagnosed bipolar disease.
3. A 28-year-old woman who is 16-weeks pregnant.
4. A 35-year-old man who is hospitalized with renal colic.
5. A 58-year-old female inmate who was injured in a prison fight.
7) The nurse researcher is interested in conducting research into a specific clinical problem. The
research design will require that the participants be deceived about the purpose of an
intervention. What should the researcher consider about this design?
1. Deception of study participants is illegal.
2. The Institutional Review Board (IRB) will likely not approve this study.
3. Deception of study participants is a common part of most research designs and is appropriate
if the deception does not cause the patient to be harmed.
4. The researcher must prove to the Institutional Review Board (IRB) that this deception is
critical to the study design.
8) The staff nurse has long wondered if some common nursing interventions are helpful to
patient outcomes. Where would this nurse find evidence-based practice information to help solve
this dilemma? Select all that apply.
1. Research journals
2. Expert nursing opinion
3. Established nursing theories
4. Tradition
5. Clinical expertise
9) The nurse executive wishes to encourage the use of evidence-based practice (EBP) in the
clinical areas of the hospital. When talking to nurse managers about this decision what benefits
of EBP should the nurse executive emphasize? Select all that apply.
1. EBP helps to control the cost of healthcare.
2. EBP takes decision making out of planning patient care.
3. EBP improves healthcare quality.
4. EBP makes care more patient-centered.
5. EBP encourages third party payer involvement in healthcare decisions.
10) Which option best fulfills the "P" portion of a PICO question?
1. Middle-aged Caucasian men who have been treated for Type I Diabetes Mellitus for over 1
year
2. Infants who are breast-fed
3. Women who are breast cancer survivors
4. African American women who are poor and who have lived in the western United States for
11) The nurse researcher is developing a PICO question for a study. Which consideration should
be made when writing the "O" section of this question?
1. What happened to the study group?
2. What treatment is being studied?
3. Were any other treatments done?
4. Who is being studied?
12) Arrange the five steps of the evidence-based practice process in order of their use.
Choice 1. Evaluate practice decisions.
Choice 2. Collect best evidence.
Choice 3. Integrate the evidence.
Choice 4. Appraise the evidence.
Choice 5. Write a PICO question.
13) Which example of best practice review would likely be assigned a Level I?
1. Information from the only existing study of an intervention.
2. Information from review of several randomized controlled trials of an intervention.
3. Information from the opinion of a person widely recognized as an expert in the use of the
intervention.
4. Information from a non-randomized well-designed controlled trial of the intervention.
14) The newly licensed nurse is concerned about the rapidity with which nursing care
information changes. What characteristic would be best to help manage this concern?
1. Ability to use general Internet search engines to obtain information.
2. Knowledge of where and how to find the best possible sources of evidence.
3. Ability to use library print resources to find good information.
4. A good working relationship with experienced nurses.
15) The nurse is overwhelmed with the amount of information concerning vitamin D
supplementation in post-menopausal women. Which strategy would be the most appropriate for
this nurse to use to find the best practice information on this topic?
1. Use any popular Internet search engine to initiate a search of the topic.
2. Read as many nursing journal articles about the topic as possible.
3. Read about the topic on a site such as Joanna Briggs.
4. Search for the topic on the World Health Organization (WHO) website.
