Test Bank Leading and Managing in Nursing 6th Edition Yoder-Wise |Chapters 21 – 25|
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Course
Leading and Managing in Nursing
Institution
Leading And Managing In Nursing
Chapter 21: Translating Research into Practice
Chapter 22: Consumer Relationships
Chapter 23: Conflict: The Cutting Edge of Change
Chapter 24: Managing Personal/Personnel Problems
Chapter 25: Workplace Violence and Incivility
Test Bank Leading and Managing in
Nursing 6th Edition Yoder-Wise
Chapters 21 – 25
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
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?
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
ANS: D
The science of how research is adopted is known as translation science, the science of
translating research into practice (TRIP). The primary aim of research utilization is
to activate the change process to move research findings into practice to improve
patient outcomes.
REF: Page 394 TOP: AONE competency: Leadership
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?
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
ANS: A
Evidence-based medicine is derived from evidence-based medicine and involves
integration of the best research evidence with clinical expertise and the patient’s
unique values and circumstances in making decisions about the care of individual
patients. It is focused on searching for, appraising, and synthesizing the best evidence
to address a particular clinical practice problem.
REF: Page 385
, TOP: AONE competency: Knowledge of the Health Care Environment
3. The nurse manager decides to change staffing schedules in the intensive care unit. She
chooses to use Rogers’ diffusion of innovations theory to implement the change. What
are the elements of Rogers’ diffusion of innovations theory?
a. Assessment, planning, intervention, and evaluation
b. Preparation, validation, synthesis, and evaluation
c. Knowledge, persuasion, decision, implementation, and evaluation
d. Scanning, diagnosis, decision making, application, and re-evaluation
ANS: C
Nurse managers disseminate research findings to patient care team members. Rogers’
diffusion of innovations theory provides a useful model for integration of evidence
into practice.
REF: Page 391 TOP: AONE competency: Leadership
4. 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:
a. Efficacy.
b. Effectiveness.
c. Practice failure.
d. Comparative error.
ANS: B
Comparing the effectiveness of interventions can help to address the needs of
clinicians in determining best practices for their patients. Comparative effectiveness
research (CER) is the "generation and synthesis of evidence that compares the
benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a
clinical condition or to improve the delivery of care" (Institute of Medicine, 2009, p.
29). Efficacy is testing an intervention or treatment in a traditional randomized
clinical trial under carefully controlled conditions and is used to determine whether an
intervention or treatment works, whereas effectiveness is testing whether the
intervention or treatment works in the real world of practice.
REF: Page 389
TOP: AONE competency: Knowledge of the Health Care Environment
5. The nurse manager wants to use evidence-based recommendations to prevent ventilator
associated pneumonia. In order to effectively gather evidence to guide practice, what is
the critical first step?
a. Develop the clinical question.
b. Identify the databases to be used.
c. Appraise the evidence.
d. Integrate available evidence with unit expertise.
ANS: A
, Identifying the question may be the most challenging part of the process. Once the
clinical question has been identified, writing it down will help in moving on to the
next step of gathering evidence.
6. A strategic goal developed by the chief nursing officer is to implement an evidence-
based practice program. What is an appropriate strategy that can be used by a nurse
manager who is beginning to implement an evidence-based practice program?
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
ANS: B
Stakeholders need to be involved early, and staff members need to be involved when
initiatives involve direct patient care. Involvement assists in understanding issues and
concerns, motivations, and unmet needs.
REF: Page 398
TOP: AONE competency: Communication and Relationship-Building
7. 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?
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
ANS: A
Dobbins et al. suggest that effective strategies for promoting behavioral change in
health professionals include active involvement strategies such as face-to-face
information sessions in small groups and one-to-one interactions. Other approaches
have mixed or few results.
REF: Page 394
TOP: AONE competency: Communication and Relationship-Building
8. 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?
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 pre-processed evidence
ANS: B
Appraisal tools are specific to the number of studies, as well as to the study design
, (type of evidence), type of review, and strategy for determining the applicability of
evidence to your practice.
REF: Page 397
TOP: AONE competency: Knowledge of the Health Care Environment
9. To help staff nurses adjust to using research in practice, what strategy would the nurse
manager use?
a. Attendance at a regional research conference
b. Formal classes in electronic search techniques
c. Establishing a journal club
d. Issuing reports on the adverse consequences of outdated practices
ANS: C
Journal clubs provide opportunities for engagement in reading research and
considering how it might be applied to clinical practice problems, which is considered
very effective in behavioral change.
REF: Page 402
TOP: AONE competency: Communication and Relationship-Building
10. What is a strategy that can be used by a small community hospital with limited
resources to develop an evidence-based nursing practice program?
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
ANS: B
Partnering with nurse researchers assists in providing nurse researcher expertise and
leadership to organizations that do not have the size or the resources to hire nurse
researchers.
REF: Page 400
TOP: AONE competency: Communication and Relationship-Building
11. Tara, the unit manager, is telling her colleague about 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:
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.
ANS: B
The National Institutes of Health identified translational research, or getting research
into the hands of practitioners to improve patient care, as a priority.
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