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Chapter 01: Integrating Research, Evidence-Based Practice, and Quality Improvement
Processes
Test Bank
MULTIPLE CHOICE
1. Nursing research is significant to the profession of nursing because it promotes what?
a. More specifically defined nursing practice responsibilities
b. Decreased liability within the practice of nursing
c. Generation of a specialized body of nursing knowledge for use in nursing practice
d. Expansion of the scope of nursing practice into areas formerly reserved for
other disciplines
ANS: C
Feedback
A Research aids in documenting accountability of nurses, but professional
guidelines already exist regarding responsibility. Each state has a Nurse Practice
Act with rules and regulations that define scope of practice.
B Liability is a legal concept related to a nurse’s legal scope of practice and professional
standards of practice. Research does not change a nurse’s liability.
C Nursing research generates a specialized scientific knowledge base that
empowers the nursing profession to anticipate and meet constantly shifting
challenges of health care delivery to multiple populations. It provides a
foundation for evidence-based nursing care and quality improvement activities.
D Although research can document nursing accountability, each state’s Nurse
Practice Act defines the scope of nursing practice for that state.
2. Which aspect of the scientific investigation of nursing practice is also a fundamental
concept of American Nurses Association (ANA)’s Code for Nurses?
a. Professional accountability
b. Standards of care
c. Legal scope of practice
d. Advanced practice nursing activities
ANS: A
, Feedback
A Scientific investigation promotes accountability, a hallmark of the nursing
profession and a fundamental concept of the ANA’s Code for Nurses.
B Standards of care are defined by ANA, as well as specialty nursing
organizations. The Code for Nurses states that nurses should conform
to standards, but standards per se are not part of the Code.
C Legal scope of practice is defined by each state’s Nurse Practice Act and
elaborated in its rules and regulations.
D The ANA Code applies to nursing practice in general, not advanced practice.
3. Nurses who do not conduct research need to understand the nursing research process for
which of these reasons?
a. To identify potential subjects for clinical research studies
b. To assist as accurate data collectors in clinical research studies
c. To teach patients and their families about the usefulness of consenting to
participate in research
d. To be able to evaluate nursing research reports for relevance to their own clinical
practice
ANS: D
Feedback
A Subject identification is determined by the nurse researcher.
B Data collectors need to understand their role in the study; they do not need to
understand the entire research process.
C Subject recruitment is the responsibility of the nurse researcher.
D Nurses need to understand the research process in order to critically read
research reports and determine if nursing practice should incorporate the
research findings as valid evidence.
4. Which of these actions demonstrates the role of a knowledgeable consumer of nursing
research?
a. Designing a nursing research study
b. Analyzing data to determine a study’s outcomes
c. Evaluating the credibility of research findings
, d. Implementing an intervention found to be effective in one clinical case study
ANS: C
Feedback
A A consumer uses and applies research to practice but is not responsible for
designing a study.
B A consumer does not conduct data analysis of a study; the study’s primary
investigator analyzes data.
C A consumer of nursing research needs to understand the research process to
determine the merit and relevance of evidence presented in research studies.
D A consumer would not implement an intervention on the basis of a single case
study.
5. Members of the nursing staff are to participate in a unit-based clinical research study. Which
research-related actions would be expected of a nurse with a baccalaureate nursing degree?
a. Using critical appraisal skills to understand and assess the steps of the research
process
b. Providing expert nursing consultation about the way in which clinical services are
delivered
c. Developing research methods to monitor and evaluate the quality of nursing
practice in the clinical setting
d. Providing leadership in the application of scientific knowledge to nursing
practice
ANS: A
Feedback
A A baccalaureate-prepared nurse should be able to use skills of critical appraisal to
both understand and appraise the steps of the research process.
B Nurses prepared at the baccalaureate level in nursing are at the bedside implementing
protocols, whereas expert consultation is generally reserved for nurses prepared at the
master’s or higher-degree level (advanced education).
C Developing research methods is generally reserved for nurses with advanced
education.
D Providing leadership in research application is generally reserved for nurses with
advanced education.
, 6. Which statement describes the role of the nurse in research?
a. Nurses must be prepared at the baccalaureate or higher level of education to have
any role in nursing research.
b. Nurses with master’s or higher levels of education are solely responsible for
applying research to clinical practice.
c. The research role of nurses prepared at both baccalaureate and master’s levels of
education includes critical appraisal skills.
d. Regardless of the nursing education level, only the nurse with the most
comprehensive understanding of statistical methods should interpret research
findings.
ANS: C
Feedback
A Having a role in nursing research or implementing findings is not limited to
nurses with baccalaureate or higher levels of education.
B Nurses with master’s or higher levels of education provide leadership to
supervise how research findings are applied in the clinical area. However, all
levels of nurses can apply research findings to practice.
C To use research in evidence-based practice, the nurse must not necessarily be able
to conduct research but should be able to understand and appraise the steps of the
research process to read the research literature critically and use it to inform
clinical decisions.
D Data analysis is usually conducted by nurses with master’s or higher levels of
education. However, interpretation of research findings can be performed by any
nurse who can critically analyze the research performed.
7. What is the primary value of evidence-based nursing practice?
a. Implementing the most cost-effective nursing practices when providing patient
care
b. Incorporating research findings with clinical expertise when individualizing patient
care
c. Separating nursing research as unique from the research of other disciplines
d. Developing new nursing theories to promote the growth of nursing science
ANS: B
Feedback
A Cost-effective nursing interventions can occur based on evidence, but it is not the
primary value of evidence-based nursing practice.
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