N405 Exam 1 questions with correct answers
most definitions of evidence-based practice include what 3 components?
Correct Answer-research-based information
clinical expertise
patient preferences
what is evidence based practice? Correct Answer-the conscientious,
explicit, and judicious use of theory-derived, research-based information
in making decisions about care delivery to individuals or groups of
patients and in consideration of individual needs and preferences
to participate in EBP, nurses must do what three things? Correct
Answer-use critical thinking to review research publications and other
sources of info
evaluate information
use clinical decision-making skills to apply evidence to patient care
what is research utilization? Correct Answer-using the results of a single
research study to change practice
what are 7 sources of evidence? Correct Answer-traditional
authority
trial and error
personal experiences
intuition
,borrowed evidence
scientific research
true or false?
traditional and authoritative sources of evidence are usually reliable
Correct Answer-false
what source of evidence is based on the notion that a certain way of
doing things is "the way we've always done it"? Correct Answer-
traditional
what source of evidence is based on policies and procedures? Correct
Answer-authority
how can personal experiences increase use of EBP? Correct Answer-can
increase confidence in evidence
what source of evidence is based on prior experience and a situation that
"doesn't seem right"? Correct Answer-intuition
why is borrowed evidence a useful source of evidence in pediatrics?
Correct Answer-fewer studies done in the younger population, so
oftentimes base evidence on guidelines for the adult population
,what is the best source of evidence? Correct Answer-scientific research
what must nurses do to practice EBP? (3) Correct Answer-use scientific
research to build body of knowledge
emphasize theory-driven, research-based info to guide practice
use evidence hierarchy to appraise evidence and research designs
arrange the following from highest to lowest level of evidence:
1)RCT
2)cohort studies/case-controlled studies
3)systematic review of descriptive studies/qualitative studies (meta-
synthesis) or correlational studies
4)meta-analysis/systematic review of RCTs/current practice guidelines
5)opinions of authorities/reports of expert committees/manufacturer
recommendations/traditional literature reviews
6)controlled trials without randomization (quasi-experimental)
7)single descriptive study/qualitative study or case series studies/case
reports/concept analysis Correct Answer-4, 1, 6, 2, 3, 7, 5
what are 6 barriers to adopting an evidence-based practice? Correct
Answer-money, time, tradition, transfer of knowledge to team,
organization/department resistant to change, no support
, what two types of factors cause nurses to not draw on research? Correct
Answer-individual and organizational
what does the model of diffusion of innovations define diffusion as? (4
parts of definition) Correct Answer-an innovation/change,
communicated through certain channels (presentations, over time
(people gain knowledge and change occurs), among the members of a
social system
page 11-12 list Correct Answer-
what is research? Correct Answer-a planned and systematic activity that
leads to new knowledge and/or discovery of solutions to
problems/questions; it means to search again and uses
deliberate/organized search to examine relevant questions; ongoing and
builds upon itself
research can be categorized in what three ways? Correct Answer-aims:
descriptive/explanatory/predictive
use: basic/applied
quantitative/qualitative
true or false?
a research study can be both descriptive and explanatory Correct
Answer-true
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