Esmeralda Espitia
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Leadership test 1 (Leadership test 1) Quiz on Chapter 24, created by Esmeralda Espitia on 08/02/2020.

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Esmeralda Espitia
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Chapter 24

Question 1 of 25

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1. The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?

Select one of the following:

  • a. Conducting an integrative review of the literature

  • b. Searching the literature for a systematic review

  • c. Providing the results of research studies to practitioners

  • d. Applying strategies that aid in adoption of research in practice

Explanation

Question 2 of 25

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2. The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes about incorporating evidence-based practice in nursing. What best describes evidence-based practice?

Select one of the following:

  • a. Applying best research evidence to care of patients

  • b. Using research-based information to develop practice guidelines

  • c. Conducting a randomized control trial to determine effectiveness of handwashing
    techniques

  • d. Developing standards for practice

Explanation

Question 3 of 25

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3. As a nurse manager, you trial a new pain scale on your unit that is supported by numerous research studies. You compare the patient outcomes with the new scale against the existing scale. Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

Select one of the following:

  • a. efficacy.

  • b. effectiveness.

  • c. practice failure.

  • d. comparative error.

Explanation

Question 4 of 25

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4. The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. What is the critical first step to effectively gather evidence for guiding practice?

Select one of the following:

  • a. Develop the clinical question.

  • b. Identify the databases to be used.

  • c. Appraise the evidence.

  • d. Integrate available evidence with unit expertise.

Explanation

Question 5 of 25

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5. A strategic goal for nursing in the facility developed by the chief nursing officer is to
N R I G B.C M
implement an evidence-based pUracSticeNproTgram. WOhat is an appropriate strategy that can be
used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?

Select one of the following:

  • a. Conducting a review of adverse events and incident reports

  • b. Soliciting input from staff members

  • c. Reviewing specialty organization guidelines

  • d. Identifying patients with extended lengths of stay

Explanation

Question 6 of 25

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6. The nurse manager of an ICU wants to implement the revised policy and procedure on central line catheter care. What would be the most effective method of getting the staff nurses to incorporate a new evidence-based practice into their care?

Select one of the following:

  • a. Conducting an interactive educational workshop

  • b. Distributing educational materials on clinical units

  • c. Sharing the results of a chart audit with staff

  • d. Providing staff with a short DVD on the topic

Explanation

Question 7 of 25

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7. Before implementation of the new policy and procedure on central line catheter care, the nurse manager uses an appraisal system to evaluate the evidence. What is important in using an appraisal system to evaluate the evidence gathered in preparation for development of a new protocol?

Select one of the following:

  • a. Limiting the search to randomized clinical trials

  • b. Matching the appraisal tool to the type of evidence

  • c. Eliminating qualitative research studies

  • d. Using only preprocessed evidence

Explanation

Question 8 of 25

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8. To help staff nurses adjust to using research in practice, what strategy would the nurse manager use?

Select one of the following:

  • a. Attendance at a regional research conference

  • b. Formal classes in electronic search techniques

  • c. Establishing a journal club

  • d. Issuing reports on the adveUrse cSonsNequTences oOf outdated practices

Explanation

Question 9 of 25

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9. What is a strategy that can be used by a small community hospital with limited resources to develop an evidence-based nursing practice program?

Select one of the following:

  • a. Hiring a nurse researcher

  • b. Partnering with nurse researchers at a local university

  • c. Subscribing to journals devoted to evidence-based nursing

  • d. Including research competencies in managers’ job descriptions

Explanation

Question 10 of 25

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10. Tara, the unit manager, is explain to her colleague her recent project, which involves seeking the most effective approaches to incontinence care, with the intention of adopting evidence-supported approaches on her dementia care unit. Her colleague suggests that translation of research into practice is:

Select one of the following:

  • a. less important than knowledge-generating research, which is required to advance the nursing profession.

  • b. a priority of all healthcare practitioners to improve patient care.

  • c. characterized by lack of knowledge about how to use evidence to guide practice.

  • d. so difficult that it is useless to begin the query in the first place.

Explanation

Question 11 of 25

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11. After searching the literature, Tara, the unit manager develops a table that outlines the findings of studies on management of incontinence. She then examines the studies in terms of risk and whether the findings fit within her practice context and for her population of moderately to severely cognitively impaired patients. This is which phase of a research utilization model?

Select one of the following:

  • a. Preparatory

  • b. Validation

  • c. Evaluation

  • d. Application

Explanation

Question 12 of 25

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12. The clinical guidelines for management of incontinence developed by the Registered Nurses Association of Ontario (RNAO):

Select one of the following:

  • a. reflect practice that is fiscally directed and sound.

  • b. articulate practice recommendations developed from synthesis and review of
    evidence.

  • c. are intended to increase awareness of issues in incontinence management.

  • d. reflect a compilation of information from a variety and range of sources related to
    incontinence.

Explanation

Question 13 of 25

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13. Marie is a long-term staff nurse on the rehab floor. Her unit manager has been eager to adopt evidence-based recommendations related to family-centered care on the unit. Marie’s response has been that she rarely has time to provide care to patients, let alone families, and that there is no good reason to do anything different than what she is already doing. An approach that may gain Marie’s support of the idea is to:

Select one of the following:

  • a. invite Marie to review the studies for herself.

  • b. suggest that she does not need to provide family-centered care.

  • c. avoid discussion of the idea with her until she initiates it.

  • d. secure the support of her closest colleagues on the unit.

Explanation

Question 14 of 25

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14. You are excited by evidence supporting the use of workstations on wheels (WOWs) at the bedside to improve documentation and patient outcomes. You have disseminated the information through discussions and e-mails and are now ready to begin the process of considering implementation on the unit. To develop positive attitudes toward the use and implementation of the technology, you would discuss your ideas with (Rogers’ diffusion of innovations theory):

Select one of the following:

  • a. Harvey, RN, a technology guru, who enthusiastically tries on all new software.

  • b. Berta, RN, who thoughtfully considers evidence and regularly uses it to try new
    approaches in her practice.

  • c. Carol, LPN, who is positive about new ideas but looks to her friends for their ideas
    about whether or not to try something new.

  • d. Ben, a 10-year veteran of the unit, who wonders why technology should be used at
    all. He says that he will use it when there is no chance of security breaks.

Explanation

Question 15 of 25

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15. The implementation of saline flushes for capped angiocatheters across all areas of practice in the facility is an example of:

Select one of the following:

  • a. how multilevel and interprofessional application of a procedure can slow adoption
    of EBP.

  • b. how competition among disciplines can lead to negative patient outcomes.

  • c. the reluctance of hospital administrators to act on recommendations from EBP.

  • d. how a safe, well-known practice outweighs the benefits of adopting a newer
    practice.

Explanation

Question 16 of 25

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16. Which of the following would be most effective in implementing the findings of a new clinical treatment for problems associated with bowel motility for the staff nurses?

Select one of the following:

  • a. Lecture by a nurse practitioner

  • b. Workshop for surgical nurses that involves discussion of case studies and application of evidence

  • c. Discussion of the findings on the bulletin boards at the workstation

  • d. Education of unit opinion leaders regarding the evidence presented in the studies

Explanation

Question 17 of 25

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17. Which of the following is an effective approach in the appraisal of research studies?

Select one of the following:

  • a. Accept only studies that use a RCT design.

  • b. When ranking research studies, choose RCTs over qualitative studies.

  • c. Select only studies with a large sample size.

  • d. Evaluate the quality of the research against the standards for that type of research.

Explanation

Question 18 of 25

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18. Within a multisite healthcare system, the most appropriate strategy for translation of research would be:

Select one of the following:

  • a. widespread development of protocols using EBP at unit levels.

  • b. dissemination of EBP and recommendations to individuals, units, and the
    organization.

  • c. development of the skills of individual managers on how to build guidelines based
    on EBP.

  • d. establishment of an interdisciplinary center to guide and lead the translation of
    research findings into practice.

Explanation

Question 19 of 25

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19. At an organizational level, which of the following strategies would assist in ensuring that EBP is incorporated into nursing care?

Select one of the following:

  • a. Formation of nursing-only implementation teams

  • b. Restriction of evidence to RCTs

  • c. Formation of a network of individuals doing research and/or interested in research utilization

  • d. Avoidance of partnership with experienced researchers

Explanation

Question 20 of 25

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20. Which of the following is most accurate regarding evidence-based practice?

Select one of the following:

  • a. Evidence-based practice replaces continuous quality improvement.

  • b. Evidence-based practice began with medicine and assists in determining which
    medical models can be applied in nursing practice.

  • c. Effective and efficient care can already be demonstrated, which means that EBP
    will soon become redundant

  • d. EBP is generally recognized across disciplines and by policymakers as
    state-of-the-art clinical practice.

Explanation

Question 21 of 25

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21. Which of the following is a meta-analysis?

Select one of the following:

  • a. Review of 35 studies on nurse work satisfaction to determine the significance of
    the aggregated research findings

  • b. Review of multiple chart audits to determine which errors are being reduced through implementation of evidence-based guidelines

  • c. RCT comparing the effectiveness of a local anesthetic in reducing the pain of
    venipuncture in young children

  • d. Analysis of factors contributing to nurse burnout and dissatisfaction at emergency
    room sites

Explanation

Question 22 of 25

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22. Once evidence related to the use of prompted voiding in patients with cognitive impairment has been appraised and integrated with practice, it is important to:

Select one of the following:

  • a. consider whether patients’ families see this as necessary for the well-being of
    family members.

  • b. search large databases such as CINAHL to amass further evidence.

  • c. clarify the clinical practice question.

  • d. solicit input regarding integration with practice.

Explanation

Question 23 of 25

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23. As the unit manager, you are interested in determining whether patient autonomy is preserved through informed consent in surgical settings. You determine that participatory action research is the best method to address this question. Which of the following is consistent with a participatory action research design?

Select one of the following:

  • a. You interview 125 patients who have recently undergone surgery and transcribe the interviews to determine themes. Themes are validated with an expert in informed consent.

  • b. You circulate a questionnaire to patients who recently underwent surgery and ask for their opinions regarding consent. Data is analyzed and the findings distributed to administration and other groups.

  • c. An audit is undertaken of signed consents for treatment, to determine if the consent is properly witnessed and signed. Findings are used to inform changes in policies.

  • d. You meet with a patient group to determine which questions should be asked about patient informed consent and what issues might be encountered and addressed during the research.

Explanation

Question 24 of 25

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24. Volunteers in a study are assigned randomly to groups. Some of the volunteers receive an herbal supplement that is reputed to control nausea, and some of the volunteers are assigned to a control group where a placebo is administered. This is an example of a(n):

Select one of the following:

  • a. longitudinal study.

  • b. RCT.

  • c. meta-analysis.

  • d. appraisal tool.

Explanation

Question 25 of 25

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1. A nurse manager introduces prompted voiding into nursing practice on a unit, which is supported by clinical guidelines based on evidence-based practice. The nurses on the unit resist implementation, indicating that the bathroom facilities are too far away for efficient implementation of the guidelines, and that resources are too few to accomplish the initial voiding observations. For the nurse manager in this situation, it is important to have further discussion with the staff regarding: (Select all that apply.)

Select one or more of the following:

  • a. compatibility of this intervention with the values of staff on the unit.

  • b. advantages of prompted voiding over incontinence products and catheterizations.

  • c. usefulness of prompted voiding with the particular population of patients on the
    unit.

  • d. feasibility of the program with respect to unit design.

Explanation

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