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NURS4040 MAKING EVIDENCE-BASED DECISIONS EXAM Q & A WITH RATIONALES 2024
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NURS4040 MAKING EVIDENCE-BASED DECISIONS EXAM Q & A WITH RATIONALES 2024
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NURS4040Making Evidence-Based
Decisions
Q & A w/ Rationales
2024
,1. A nurse is conducting a systematic review of randomized
controlled trials on the effectiveness of acupuncture for
chronic pain. She searches several databases and finds 10
relevant studies. She then assesses the quality of each study
using a standardized tool. What is the next step in her
systematic review process?
a) Summarize the results of each study in a table
b) Perform a meta-analysis to combine the results of the
studies
c) Write a conclusion based on the findings of the studies
d) *Synthesize the findings of the studies and identify any
gaps or inconsistencies*
Rationale: The next step after assessing the quality of the
studies is to synthesize the findings and identify any gaps
or inconsistencies that may affect the validity or
generalizability of the results. A meta-analysis is a
statistical technique that can be used to synthesize the
findings, but it is not always appropriate or feasible. A
summary table and a conclusion are part of the final report,
but they are not the next step in the process.
2. A nurse is caring for a patient with diabetes who has a
foot ulcer. She wants to use an evidence-based practice
guideline to inform her wound care. She searches online
and finds a guideline from a reputable source that was
published two years ago. What should she do before
applying the guideline to her patient?
a) *Appraise the guideline for its quality, relevance, and
applicability*
, b) Compare the guideline with other guidelines on the same
topic
c) Implement the guideline as it is without any
modifications
d) Ask the patient's opinion about the guideline
Rationale: Before applying a guideline to a patient, the
nurse should appraise it for its quality, relevance, and
applicability to the patient's condition, preferences, and
values. Comparing the guideline with other guidelines may
be helpful, but it is not necessary. Implementing the
guideline without any modifications may not be
appropriate for the patient's individual needs. Asking the
patient's opinion about the guideline is part of shared
decision making, but it is not sufficient to ensure that the
guideline is evidence-based.
3. A nurse is evaluating a quality improvement project that
aimed to reduce catheter-associated urinary tract infections
(CAUTIs) in an intensive care unit. She collects data on the
number of CAUTIs, catheter days, and adherence to aseptic
technique before and after the project. What type of
analysis should she use to measure the impact of the
project?
a) Descriptive analysis
b) Inferential analysis
c) *Comparative analysis*
d) Predictive analysis
Rationale: A comparative analysis is used to compare two
or more groups or conditions on one or more outcomes. In
this case, the nurse can compare the data before and after
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