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Exam 45: Evidence-Based Practice

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Question 1

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The home health nurse visiting a client to complete a wound dressing notes that the client has a flat affect and is not as responsive as during previous visits.The nurse calls the primary healthcare provider for a psychiatric referral.By recognizing the signs and symptoms of possible depression,the nurse is exhibiting which concept of evidence-based practice?

A) Clinical decision making
B) Advocacy
C) Professional behaviors
D) Accountability

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Question 2

Multiple Choice

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The nursing student providing care for an assigned client knows that the information documented in the client's nursing care plan could potentially be used in research to optimize client care.Which type of research is used to convert research knowledge into healthcare applications for improved outcomes?

A) Translational research
B) Transformational research
C) Quantitative research
D) Qualitative research

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Question 3

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A client in the clinic is being asked to participate in a research study.The client asks why a nursing research study is necessary because research on this subject has already been published by the American Medical Association (AMA) .Which goal of nursing research will the nurse share with this client regarding the goal of nursing research?

A nurse working in a home health agency is asked to participate on a committee that is looking to incorporate evidence-based nursing care.Which is the next step in implementing evidence-based practice?

A nurse is preparing to conduct a research study and wants to do a literature search of relevant articles.Which are elements will the nurse look for as part of an article based on research? Select all that apply.

The nurse is caring for a client with a chronic disease process.The client tells the nurse about reading an article about funding for the National Institute of Nursing Research (NINR) and asks the nurse why the U.S.Congress would fund such an organization.Which response by the nurse is the most appropriate?

A nurse educator is working with a group of nurses who are working toward earning a graduate degree.The group is interested in replication studies.Which study would be the most appropriate given the changing demographics in the United States?

A staff nurse with a bachelor's degree has decided to concentrate on nursing research,as the nurse believes that research can greatly improve client outcomes.Which is true of the nurse with a bachelor's degree in regards to nursing research? Select all that apply.

A nursing preceptor is working with a novice nurse on a medical-surgical unit.During client care,the novice nurse shares an evidence-based wound care technique that is being used with much success.Which is being encouraged when the novice nurse shares this information with the preceptor?

The nurse is caring for a client who requires extensive wound care.The client has consented to participating in a nursing research study regarding the wound care.Which client statement indicates understanding of the goal related to the research?

A nursing instructor assigns a literature review on evidence-based practice (EBP) to a group of students.Which statement demonstrates that the students understands the benefits of EBP?

The director of nursing at a university-based hospital is interested in assisting the nursing staff to comply with American Nurses Association (ANA) nursing research standards.Which does the director plan to establish in order to comply with the ANA standards?

The nurse is working with a client who has agreed to participate in a research study.Which actions would constitute a violation of disclosure for the client? Select all that apply.

The nurse working in a community hospital is caring for a client who does not seem to be responding well to the current plan of care that has been implemented by the nursing team.Which actions by the nurse are appropriate based on this data? Select all that apply.

The nurse manager for a medical-surgical nursing unit 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?

A nurse is planning a research comparing the use of finger-stick blood glucose testing with the use of alternative sites for adult male clients.Which elements of the PICOT formulation of the clinical question will still need to be defined? Select all that apply.

The nurse manager is encouraging staff on the unit to go back to school and "become professionals,not just workers" by "increasing" their knowledge through education and networking.Which criteria for nursing to be recognized as a profession is the nurse manager highlighting? Select all that apply.