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PRACTITIONER’S GUIDE TO USING RESEARCH FOR EVIDENCE BASED PRACTICE 2ND EDITION By RUBIN - Test Bank
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,Test Bank Questions for Chapter 1Multiple-Choice Questions
1. Which of the following statements is/are true about the use of research in practice before the emergence of
EBP?
a. Nobody believed that research findings should guide practice decisions.
b. Some studies concluded that one of the most important factors influencing service effectiveness is the
quality of the practitioner–client relationship.
c. Everyone believed that practice experience alone was a sufficient basis to guide practice decisions.
d. No studies had questioned the effectiveness of psychotherapy or other forms of human service.
e. All of the above.
2. Which of the following statements is true about prior research on practitioner effectiveness?
a. It can be influenced by the type of intervention employed as well as practitioner–client relationship
factors.
b. All the credible evidence shows that it is influenced only by the type of intervention employed.
c. All the credible evidence shows that it is influenced only by the quality of the practitioner–client
relationship.
e. None of the above.
3. According to its current and most widely accepted definition, EBP decisions should be based on which of
the following components?
a. Practitioner judgment.
b. Client values and preferences.
c. The best available scientific evidence.
d. All of the above.
4. Which of the following statements is NOT correct?
a. Evidence-based practitioners should adhere to a list of approved interventions.
b. Evidence-based practitioners should critically appraise emerging scientific evidence.
c. Evidence-based practitioners should integrate the best evidence with their practice expertise and client
values and preferences.
d. None of the above. (That is, all of the above statements are correct.)
e. All of the above. (That is, all of the above statements are incorrect.)
5. EBP decisions about which intervention to provide should be made in light of:
a. the most rigorous scientific evidence available.
b. the practitioner’s practice expertise.
c. client attributes, values preferences, and circumstances.
d. All of the above.
6. Which of the following statements is/are true about the EBP process?
a. Knowing that the selected intervention has the best scientific evidence from prior studies removes the
need to monitor client progress with the selected intervention.
b. Once the intervention with the best scientific evidence is chosen, the practitioner should stick with it
regardless of his or her observations of client progress.
c. If the intervention supported by the best evidence does not appear to be effective with a particular
client, the practitioner should consider replacing it with an alternative intervention even if it has less
scientific support from earlier studies.
d. Both a and b are true.
7. Which of the following statements is true about EBP decisions?
, a. They are limited to questions about the effectiveness of specific interventions.
b. They might pertain to evidence about client needs.
c. They might pertain to what measures to use in assessment and diagnosis.
d. Both b and c are true.
8. An EBP outlook involves:
a. conforming to what esteemed practitioners advise about practice and how to intervene.
b. disrespecting the practice wisdom of more experienced practitioner authorities.
c. being vigilant in trying to recognize the unfounded beliefs and assumptions in the testimonials from
esteemed practitioner authorities.
d. None of the above.
9. Which of the following statements is/are true about searching for, finding, or using the best scientific
evidence to guide practice decisions?
a. It can be time consuming.
b. The best evidence may not easily guide your practice decisions.
c. Sometimes equally strong studies reach conflicting conclusions.
d. All of the above.
10. If you can’t find highly rigorous evidence supporting the effectiveness of an intervention with clients just
like yours, you should;
a. look for less rigorous evaluations that have involved clients like yours and which—while not offering
the “best” evidence from a scientific standpoint—are not fatally flawed and thus offer some credible
evidence supporting a particular intervention.
b. use your practice judgment in deciding whether an intervention supported by the best evidence with
clients unlike yours seems to be worth proposing to your client.
c. Both a and b are correct.
d. Neither a nor b is correct.
11. Which of the following is an EBP question?
a. What type of play therapy is most effective with traumatized children?
b. What client and therapist characteristics best predict the quality of the therapist–client relationship?
c. What is it like to sleep in a shelter for the homeless?
d. What existing measurement instrument is the most valid for diagnosing whether a client has PTSD?
e. All of the above.
12. When considering using an assessment instrument, the practitioner should ask whether it is:
a. reliable.
b. valid.
c. sensitive.
d. feasible.
e. All of the above.
True–False Questions
1. The main ideas underlying EBP are really quite old.
2. Many studies lack credibility due to fatal flaws in their research designs and methods.
3. Some studies have found that practitioner effectiveness is influenced by the type of intervention
employed as well as relationship factors.
4. EBP is primarily a cost-cutting tool used by third-party payers that involves a rigid decision-tree
approach to making intervention choices irrespective of clinical judgment.
5. EBP is primarily a static list of interventions that have a “seal of approval” and thus should be
provided by practitioners regardless of what practitioners know about client idiosyncrasies.
, 6. Almost all past reviews of research on the effectiveness of psychotherapy have agreed that it is overall
very effective.
7. Although following the EBP process makes a practitioner more scientific, it risks making them less
ethical.
8. Worrying about scientific evidence makes practitioners less compassionate.
9. Engaging in the EBP process requires rejecting the dodo bird argument.
10. EBP questions might ask about costs or harmful effects of an intervention, program, or policy.
Essay Questions
1. Contrast EBP with authority-based practice.
2. Explain why EBP is not a mechanistic, cookbook process.
3. Explain why engaging in EBP makes one a more ethical and compassionate practitioner.
4. Describe what a practitioner should do when he or she cannot find the best evidence supporting the
effectiveness of an intervention for a particular client.
5. Describe the criteria you would use in selecting an assessment instrument.
Answer Key—Chapter 1
Multiple-Choice Questions
1. b
2. a
3. d
4. a
5. d
6. c
7. d
8. c
9. d
10. c
11. e
12. e
True–False Questions
1. T
2. T
3. T
4. F
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