Chapter 10: The Nurse’s Role in Evidence-Based Health Care

Chapter 10: The Nurse’s Role in Evidence-Based Health Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

What are the purposes of scientific research? (Select all that apply.)

1. Description
2. Review
3. Exploration
4. Explanation
5. Prediction

Correct Answer: 1, 3, 4, 5

Rationale: The purposes of scientific research are description, exploration, explanation, and prediction and control. Review is not one of these purposes as listed in the text.

Cognitive Level: Remembering

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essential Competencies: III.2. Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.

NLN Competencies: Knowledge and Science; Practice; Retrieve research findings and other sources of information; Critique research to judge its value and usefulness; Evaluate the strength of evidence for application of research findings to clinical practice.

Nursing/Integrated Concepts: Planning; Nursing Process

Learning Outcome: 1. Discuss the trend toward evidence-based practice in nursing.

Page Number: p. 193

 

Question 2

Why is research important in nursing?

1. Nurses are expected to adopt evidence-based practice into their decision making.
2. Outcomes are more important than process.
3. The nurses’ prime consideration should be cost-effectiveness.
4. It uses the scientific approach.

Correct Answer: 1

Rationale: Nurses are expected to be knowledgeable about research in the field and to use evidence-based findings in their decision making. Outcomes are never more important than the process in health care; the ends do not justify the means. Although cost-effectiveness is important, patient well-being is the nurse’s prime consideration. Although research does use the scientific approach, that alone does not justify it as being important to nursing.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essential Competencies: III.2. Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.

NLN Competencies: Knowledge and Science; Practice; Retrieve research findings and other sources of information; Critique research to judge its value and usefulness; Evaluate the strength of evidence for application of research findings to clinical practice.

Nursing/Integrated Concepts: Planning; Nursing Process

Learning Outcome: 1. Discuss the trend toward evidence-based practice in nursing.

Page Number: p. 194

 

Question 3

The nurse is interested in implementing evidence-based care in practice and is conducting a search for pertinent research studies. Which type of research is most likely to produce best evidence?

1. Literature review of the topic
2. Randomized clinical trial
3. Research that explains phenomena
4. Descriptive research

Correct Answer: 2

Rationale: Randomized clinical trials are typically the gold standard for producing the best evidence. Literature reviews and descriptive research may provide ideas for the nurse to consider when looking for evidence-based topics. Research that explains phenomena is interesting, but less likely to produce best evidence practices.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: III.A.2. Describe EBP to include the components of research evidence, clinical expertise, and patient/family values.

AACN Essential Competencies: III.2. Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.

NLN Competencies: Knowledge and Science; Practice; Retrieve research findings and other sources of information; Critique research to judge its value and usefulness; Evaluate the strength of evidence for application of research findings to clinical practice.

Nursing/Integrated Concepts: Planning; Nursing Process

Learning Outcome: 1. Discuss the trend toward evidence-based practice in nursing.

Page Number: p. 200

 

Question 4

In the 1970s there was a focus on translating research findings into practice. What term was used to describe this focus?

1. Evidence-based practice
2. Randomized clinical trials
3. Research utilization
4. Scientific evidence

Correct Answer: 3

Rationale: During the 1970s, research utilization became a buzzword and a focus for translating research findings into practice. It was not until much later when that effort began to be called evidence-based practice. Randomized clinical trials are a way to develop EBP. Scientific evidence is the result of scientific research.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: III.A.2. Describe EBP to include the components of research evidence, clinical expertise, and patient/family values.

AACN Essential Competencies: III.2. Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.

NLN Competencies: Knowledge and Science; Practice; Retrieve research findings and other sources of information; Critique research to judge its value and usefulness; Evaluate the strength of evidence for application of research findings to clinical practice.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Discuss the trend toward evidence-based practice in nursing.

Page Number: p. 200