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,Chapter 01: Discovering the World of Nursing Research
Gray: Burns and Grove’s The Practice of Nursing Research, 9th Edition
MULTIPLE CHOICE
1. Nurses with a bachelor’s degree in nursing can participate in the implementation of research into practi
nurse:
a. develops evidence-based guidelines.
b. designs research studies on which protocols may be based.
c. evaluates and revises evidence-based protocols.
d. reads and critically appraises existing studies.
ANS: D
Nurses with a Bachelor of Science in Nursing (BSN) degree have knowledge of the research process an
critically appraising studies. They use the best research evidence in practice with guidance. Nurses wit
problem identification and data collection. Nurses with a Master of Science in Nursing (MSN) criticall
findings from studies to revise or develop protocols, algorithms, or policies for use in practice. Nurses
Practice (DNP) develop, implement, and evaluate evidence-based guidelines. Nurses with a Doctor of
major role in conducting research.
DIF: Cognitive Level: Analysis
2. A study is designed to test the idea of providing companion dogs to elders in a major hospital, in order
the elders’ level of orientation. This type of study can do which of the following?
a. Control
b. Describe
c. Explain
d. Predict
ANS: A
Control is the ability to manipulate the situation to produce the desired outcome. Description involves
nursing phenomena, providing a snapshot of reality. Explanation clarifies the relationships among conc
goal of understanding how they work with each other. Prediction involves estimating the probability of
given situation.
DIF: Cognitive Level: Application
3. A researcher wants to know whether children with autism who are hospitalized in a pediatric ward will
nursing care than the average child, when the parents or caregivers are not present. What type of resear
provide?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: D
Prediction involves estimating the probability of a specific outcome in a given situation. Control is the
situation to produce the desired outcome. Description involves observing and documenting nursing phe
snapshot of reality. Explanation clarifies the relationships among concepts and variables with the goal
work with each other.
DIF: Cognitive Level: Application
4. Despite the presence of an intraventricular drain, the intracranial pressure of a patient in neurological in
increased. The nurse recalibrates the machine, makes sure the monitor is on the same level as the drain
then notifies the physician, who comes to the unit and inserts a new drain. What type of reasoning or th
recalibrate, assure proper placement, and check connections?
a. Abstract thinking
b. Concrete thinking
,5. A nurse with considerable clinical expertise develops a policy for managing agitated patients in the Em
resultant policy emanates from:
a. abstract thinking.
b. concrete thinking.
c. operational reasoning.
d. dialectical reasoning.
ANS: A
Abstract thinking is oriented toward the development of an idea without application to, or association w
Concrete thinking is oriented toward and limited by tangible things or by events that are observed and
Operational reasoning is the identification of and discrimination among many alternatives and viewpoi
involves looking at situations in a holistic way.
DIF: Cognitive Level: Application
6. A nurse with considerable clinical expertise develops a policy for managing agitated patients in the Em
type of reasoning the nurse uses to do this is:
a. problematic reasoning.
b. operational reasoning.
c. collaborative reasoning.
d. inductive reasoning.
ANS: D
Inductive reasoning involves reasoning that moves from the specific to the general, whereby particular
then combined into a larger whole or general statement. Problematic reasoning involves: (1) identifyin
influencing it, (2) selecting solutions to the problem, and (3) resolving the problem. Operational reason
identification of and discrimination among many alternatives and viewpoints. Collaborative reasoning
with different perspectives “reason together” to develop a coordinated plan of action.
DIF: Cognitive Level: Synthesis
7. What is the best explanation of the type of intuition that forms a legitimate source of knowledge in nur
a. It is the result of recognizing patterns in a way that allows rapid conclusions.
b. It is based on a gift from the universe and should be honored when it arrives.
c. It is never inaccurate.
d. It is the process of examining and critiquing one’s thoughts.
ANS: A
Intuition is understanding without rationale. Intuition is described as pattern recognition, seeing similar
situation and seeing the whole in a way that allows rapid conclusions. Because intuition is a type of kn
unbidden, it may also be described as a guy feeling, hunch, or sixth sense. Intuition cannot be explaine
many people discount it or are uncomfortable talking about it. Expert nurses are more likely to experie
when they connect with their patients and are open to their feelings.
DIF: Cognitive Level: Application
8. Why is operational reasoning necessary for research?
a. Abstract concepts are of no use to nursing.
b. Standard interventions are obtained from operational reasoning.
c. It allows the researcher to devise ways to measure the concepts studied.
d. It facilitates the researcher’s rapport with families.
ANS: C
Operational reasoning involves the identification of and discrimination among many alternatives and v
process (debating alternatives) rather than on the resolution. Nurses use operational reasoning to develo
health goals. In research, operationalizing a treatment or intervention to implement, comparing measur
the appropriate data analysis techniques to use in a study require operational thought.
DIF: Cognitive Level: Application
, 2. What are the connections between evidence-based practice and nursing research? (Select all that apply
a. Evidence-based care cannot be provided to patients without the nurse
understanding something of research.
b. A synthesis of current evidence within an area of nursing is used to improve care
in that area.
c. All patients with a given diagnosis should be cared for based solely on research
knowledge.
d. The best research evidence, clinical expertise, and patient preferences merge to
produced evidence-based practice.
e. Nursing research provides evidence that allows us each to practice with the same
style and capability.
ANS: A, B, D
Evidence-based practice in nursing requires a strong body of research knowledge that nurses must synt
quality care for their patients, families, and communities. In order to synthesize and use research appro
understand it. A nurse must explore the best research evidence about a practice problem before using h
diagnose and manage an individual patient’s health problem. Not all patients are treated in the same wa
that reality varies with perception and that individual truth is relative, so they would not try to impose t
reality on patients. Rather, they would accept their patients’ views of the world and help them seek hea
worldviews, which is a critical component of evidence-based practice.
DIF: Cognitive Level: Analysis
3. What might a nursing research study address? (Select all that apply.)
a. Whether having a nurse practitioner manage care is effective in decreasing
length-of-stay
b. Whether nursing students learn better in an online course format, or by actual
lecture attendance
c. Comparison of four types of leadership used by nurse managers, and comparison
of their employees’ job satisfaction, absenteeism rates, and error rates
d. Three different commonly performed surgical procedures and the mortality rate of
each
e. Learning specific things about the liver failure patient that can be applied to
nursing practice
ANS: A, B, C, E
Nursing research is defined as a scientific process that validates and refines existing knowledge and ge
directly and indirectly influences the delivery of evidence-based nursing. Many nurses hold the view th
focus on acquiring knowledge that can be directly implemented in clinical practice, which is sometime
research or practical research. Some nurses may not see the value of basic research that is not immedia
However, research to determine effective teaching-learning strategies, the resources needed for effectiv
strategies to prevent burnout are critical to having an adequate number of well-prepared nurses to prov
DIF: Cognitive Level: Application
4. Which of these are suitable foci for a nursing research study? (Select all that apply.)
a. The ways in which clinical nurse specialists contribute to patient outcomes
b. Which elements of a nursing school curriculum remain useful for current practice,
after students graduate
c. Whether requiring nurse managers to supervise more than four units is cost
effective
d. What styles of physician teaching produce better diabetic compliance
e. Whether patients with exacerbation of CHF are best managed with inpatient or
outpatient treatment
f. What the personality characteristics are of nurses in various inpatient areas
ANS: A, B, C, F
Nursing research is defined as a scientific process that validates and refines existing knowledge and ge
directly and indirectly influences the delivery of evidence-based nursing. Many nurses hold the view th