Chapter 2--Clinical Decision Making and Evidence-Based Practice

Chapter 2–Clinical Decision Making and Evidence-Based Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

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

1.	Patient preference
2.	Clinical expertise
3.	Research evidence
4.	Leader practice

 

 

ANS:  4

Evidence-based practice is the combination of applying research findings, creating clinical guidelines, and the individualization of the plan of care to meet the patient’s needs and desired. Leader practice is not a component of the evidence-based process.

 

PTS:   1                    DIF:    Analyze         REF:   The Process of EBP

 

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

1.	Research
2.	Trial and error
3.	Nursing theory
4.	Validated order

 

 

ANS:  2

Examples of unstructured approaches to plan client care include trial and error, tradition, and authority. The approaches of research, nursing theory, and validated order all represent a structured approach to planning client care.

 

PTS:   1                    DIF:    Analyze         REF:   Knowledge Bases for Clinical Decisions

 

3. 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?

1.	Creating evidence summaries
2.	Evaluating outcomes
3.	Integrating findings into practice
4.	Participating in research

 

 

ANS:  4

The ACE Star Model of Knowledge Transformation depicts the transfer of knowledge according to five sequential steps. The first step is primary research. Subsequent steps are: 2) evidence summary, 3) translation, 4) integration, and 5) evaluation.

 

PTS:   1                    DIF:    Analyze         REF:   EBP in Nursing

 

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

1.	reduce length of stay.
2.	convert research findings to impact health outcomes.
3.	reduce the cost of care.
4.	increase the number of patients with health insurance.

 

 

ANS:  2

The core concept of the ACE Star Model is knowledge transformation. Knowledge transformation is the conversion of research findings to have an impact on health outcomes by way of evidence-based care. Knowledge transformation is not a method to reduce length of stay, reduce the cost of care, or increase the number of patients with health insurance.

 

PTS:   1                    DIF:    Analyze         REF:   Definition of Knowledge Transformation

 

5. 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?

1.	Standardized care plans
2.	Critical pathways
3.	Clinical practice guidelines
4.	Checklists to streamline documentation

 

 

ANS:  3

In the third step of the ACE Star Model of Knowledge Transformation, experts are consulted to consider the evidence summaries, fill in gaps, and merge research knowledge with expertise to produce clinical practice guidelines. The nurse is not creating standardized care plans, critical pathways, or checklists to streamline documentation since these items are not a part of the ACE Star Model of Knowledge Transformation.

 

PTS:   1                    DIF:    Apply            REF:   Star Point 3: Translation