Module 45 Evidence-Based Practice

Module 45   Evidence-Based Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

The Concept of Evidence-Based Practice

1) The nurse is caring for a client who requires extensive wound care. The client has consented to participating in a nursing research project regarding the wound care. The nurse determines that the client understands the goal of the research when the client states which of the following?

1. A) “This research will not influence my care.”
2. B) “Nursing care is based solely on research.”
3. C) “I will be paid to participate in the research project.”
4. D) “I will be helping to validate nursing care.”

Answer:  D

Explanation:

1. A) Improving nursing care and establishing the profession’s credibility are two goals of nursing research. The research project will probably change the normal routine of the client’s care. Clients do not receive pay for participating in research. Nursing care is based on intuition and the experience of the nurse as well as research.
2. B) Improving nursing care and establishing the profession’s credibility are two goals of nursing research. The research project will probably change the normal routine of the client’s care. Clients do not receive pay for participating in research. Nursing care is based on intuition and the experience of the nurse as well as research.
3. C) Improving nursing care and establishing the profession’s credibility are two goals of nursing research. The research project will probably change the normal routine of the client’s care. Clients do not receive pay for participating in research. Nursing care is based on intuition and the experience of the nurse as well as research.
4. D) Improving nursing care and establishing the profession’s credibility are two goals of nursing research. The research project will probably change the normal routine of the client’s care. Clients do not receive pay for participating in research. Nursing care is based on intuition and the experience of the nurse as well as research.

Page Ref: 2585

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Evaluation

Learning Outcome:  2. Explain the benefits of evidence-based care and implications for client outcomes.

2) A nursing instructor has assigned a group of students to perform a literature review on evidence-based practice (EBP). Which of the following statements demonstrates that the student understands the benefits of EBP?

1. A) “This project will allow me to teach other students about literature searches.”
2. B) “Clients at risk for skin breakdown should be repositioned every 2 hours.”
3. C) “Literature searches allow nurses to find problems to implement EBP.”
4. D) “I will be able to present a paper about skin assessment from my query.”

Answer:  B

Explanation:

1. A) In evidence-based practice, the nurse integrates research findings with clinical experience, the client’s preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.
2. B) In evidence-based practice, the nurse integrates research findings with clinical experience, the client’s preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.
3. C) In evidence-based practice, the nurse integrates research findings with clinical experience, the client’s preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.
4. D) In evidence-based practice, the nurse integrates research findings with clinical experience, the client’s preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.

Page Ref: 2585

Cognitive Level:  Applying

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  5. Conduct a literature search for current evidence.

3) The nurse is caring for a client who has been admitted to the community hospital. The client does not seem to be responding well to the current plan of care that has been implemented by the nursing team. The nurse plans to help the client by taking which of the following actions?

Select all that apply.

1. A) Accessing research journals for evidence that would support a change in the plan of care
2. B) Proposing a nursing research project to the manager
3. C) Networking online with other nurses giving similar care
4. D) Asking the doctor for a new nursing approach to care
5. E) Trying a different approach to care against policy

Answer:  A, C

Explanation:

1. A) The nurse in a community hospital may not have access to the latest in nursing research. In order to improve care, the nurse might access research journals or network with other nurses to determine if there is any evidence that would support changes in the client’s nursing care. The nurse should not breach hospital policy even if the client were to benefit. Proposing a research project is an excellent way to improve client care, but this nurse needs a more immediate solution to the client’s problems. The physician is not involved in solving nursing problems.
2. B) The nurse in a community hospital may not have access to the latest in nursing research. In order to improve care, the nurse might access research journals or network with other nurses to determine if there is any evidence that would support changes in the client’s nursing care. The nurse should not breach hospital policy even if the client were to benefit. Proposing a research project is an excellent way to improve client care, but this nurse needs a more immediate solution to the client’s problems. The physician is not involved in solving nursing problems.
3. C) The nurse in a community hospital may not have access to the latest in nursing research. In order to improve care, the nurse might access research journals or network with other nurses to determine if there is any evidence that would support changes in the client’s nursing care. The nurse should not breach hospital policy even if the client were to benefit. Proposing a research project is an excellent way to improve client care, but this nurse needs a more immediate solution to the client’s problems. The physician is not involved in solving nursing problems.
4. D) The nurse in a community hospital may not have access to the latest in nursing research. In order to improve care, the nurse might access research journals or network with other nurses to determine if there is any evidence that would support changes in the client’s nursing care. The nurse should not breach hospital policy even if the client were to benefit. Proposing a research project is an excellent way to improve client care, but this nurse needs a more immediate solution to the client’s problems. The physician is not involved in solving nursing problems.
5. E) The nurse in a community hospital may not have access to the latest in nursing research. In order to improve care, the nurse might access research journals or network with other nurses to determine if there is any evidence that would support changes in the client’s nursing care. The nurse should not breach hospital policy even if the client were to benefit. Proposing a research project is an excellent way to improve client care, but this nurse needs a more immediate solution to the client’s problems. The physician is not involved in solving nursing problems.

Page Ref: 2584

Cognitive Level:  Applying

Client Need:  Physiological Integrity

Nursing Process:  Evaluation

Learning Outcome:  7. Begin implementing strategies for EBP.

4) A client in the clinic is being asked to participate in a research project. The client asks why the nursing research project is necessary because research on this subject has already been published by the American Medical Association (AMA). The nurse explains to the client that a goal of nursing research is to:

1. A) Support the medical profession.
2. B) Validate nursing through medical research.
3. C) Compare products used in nursing care.
4. D) Validate nursing care, not medical care.

Answer:  D

Explanation:

1. A) Many people do not understand that nursing is a separate profession from the medical profession. One reason that nursing research is undertaken is to ensure the credibility of the nursing profession as separate from medicine with the potential to make valuable contributions to client care. Nursing research validates nursing, not medicine. Nursing research is not established to compare products but to improve client care. Nursing research does not seek to support the medical profession but the nursing profession.
2. B) Many people do not understand that nursing is a separate profession from the medical profession. One reason that nursing research is undertaken is to ensure the credibility of the nursing profession as separate from medicine with the potential to make valuable contributions to client care. Nursing research validates nursing, not medicine. Nursing research is not established to compare products but to improve client care. Nursing research does not seek to support the medical profession but the nursing profession.
3. C) Many people do not understand that nursing is a separate profession from the medical profession. One reason that nursing research is undertaken is to ensure the credibility of the nursing profession as separate from medicine with the potential to make valuable contributions to client care. Nursing research validates nursing, not medicine. Nursing research is not established to compare products but to improve client care. Nursing research does not seek to support the medical profession but the nursing profession.
4. D) Many people do not understand that nursing is a separate profession from the medical profession. One reason that nursing research is undertaken is to ensure the credibility of the nursing profession as separate from medicine with the potential to make valuable contributions to client care. Nursing research validates nursing, not medicine. Nursing research is not established to compare products but to improve client care. Nursing research does not seek to support the medical profession but the nursing profession.

Page Ref: 2585

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Evaluation

Learning Outcome:  2. Explain the benefits of evidence-based care and implications for client outcomes.

5) The nurse manager for a medical-surgical nursing group 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 about the nature of nursing research?

1. A) “Nursing research does not include nursing education.”
2. B) “Nursing research does not include the study of nurses themselves.”
3. C) “Nursing research impacts nursing by adding knowledge and changing nursing practice.”
4. D) “Nursing research is used to enhance medical treatment.”

Answer:  C

Explanation:

1. A) The student who states that nursing research impacts the profession by adding knowledge and changing nursing practice understands what nursing research is. Nursing research includes the study of nurses themselves. Nursing research does not enhance medical treatment but enhances nursing care. Research also includes the educational aspects of nursing.
2. B) The student who states that nursing research impacts the profession by adding knowledge and changing nursing practice understands what nursing research is. Nursing research includes the study of nurses themselves. Nursing research does not enhance medical treatment but enhances nursing care. Research also includes the educational aspects of nursing.
3. C) The student who states that nursing research impacts the profession by adding knowledge and changing nursing practice understands what nursing research is. Nursing research includes the study of nurses themselves. Nursing research does not enhance medical treatment but enhances nursing care. Research also includes the educational aspects of nursing.
4. D) The student who states that nursing research impacts the profession by adding knowledge and changing nursing practice understands what nursing research is. Nursing research includes the study of nurses themselves. Nursing research does not enhance medical treatment but enhances nursing care. Research also includes the educational aspects of nursing.

Page Ref: 2584

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Evaluation

Learning Outcome:  2. Explain the benefits of evidence-based care and implications for client outcomes.