NUR621 Exam 1
What are clinical practice guidelines? - ANS-Clinical practice guidelines are
evidence-based when conducted systematically and recommendations formed using
the research evidence.
You are assigned to a team working on reducing central line-associated infections and
have been asked to search for primary sources of evidence. Which of the following
represents a primary source of evidence: systematic review, qualitative analysis,
individual study, micro-analysis - ANS-An individual study.
Evidence comes from many sources. Which source of evidence would best support a
practice change: Expert opinions, published protocols in peer reviewed journals,
editorial reports in a specialty journal, peer reviewed systematic reviews - ANS-Peer
reviewed systematic reviews, combining finding from two or more studies to reach
conclusions about specific issues.
Describe the three types of systematic reviews: - ANS-Integrative: systematic,
combination of quantitative and qualitative studies
Meta-analysis: quantitative
Meta-synthesis: qualitative
Which statement best describes the AGACNPs contribution to evidence-based nursing
(EBN)? - ANS-APPs can identify gaps in care, help in developing evidence-based
protocols, and follow evidence-based protocols.
Evidence based practice decision primarily use:
Descriptive studies with low levels of evidence
Opinion papers by experts
Intervention studies like RCTs
Only one study - ANS-Interventions studies such as RCTs that have higher levels of
evidence
What is evidence based practice? - ANS-Collection, interpretation, and integration of
valid research evidence combined with clinical expertise, and an understanding of
patient and family values and preferences to inform clinical decision making
,Place the following in order of strength of evidence: Clinical practice guidelines,
systematic reviews, clinical protocol, expert opinion, primary studies - ANS-Clinical
protocol
Clinical practice guidelines
Systematic reviews
Primary studies
Expert opinion
Safe effective delivery of patient care requires what three aspects of nursing practice? -
ANS-Clinical expertise
Current best research evidence
Patient preferences and values
What does the acronym PICOTS stand for? - ANS-Population
Intervention
Comparison
Outcomes
Timing
Setting
The adult-gerontology acute care nurse practitioner is asked to join a team to obtain
information about the benefit of seniors, 65 years and older, receiving the flu vaccine for
the prevention of pneumonia during flu season. When writing a PICOT question for this
scenario, where would receiving the flu vaccine be indicated in the acronym? -
ANS-Intervention
You are seeing a 72-year-old woman admitted with pneumonia. She is generally active
and still plays golf despite a history of hypertension and heart failure. What is the priority
for this patient? - ANS-Perform a fall assessment: acute illnesses can result in
alterations predisposing to falls, making prevention of falls the priority
Which of the following are considerations by the AGACNP when conducting a culturally
competent patient assessment? Select all that apply: Cultural, ethnic, and racial identity
Plan of care that reflects diversity
Factors influencing decision making
Patient's preferred language - ANS-Patients cultural, ethnic, and racial identity.
Factors influencing decision making.
Patient's preferred language.
* the POC is not part of the assessment
, When evaluating illness symptoms in older patients, the disease often presents in a
manner different or "atypical" from younger adults because of: - ANS-normal
age-related decline
Which of the following are true about geriatric syndromes? Select all that apply:
Common in older adults
Predispose to worse outcomes
Normal part of aging
Often have multiple causes - ANS-They are common in older adults.
They predispose to worse outcomes.
They often have multiple causes.
Which group of older adults had the highest rate of growth between 1980-2017? -
ANS-100 and over
The primary objective of screening is to - ANS-Detect a disease or condition.
What are three key elements of health promotion - ANS-Good governance of health
Health literacy
Healthy cities
The social cognitive theory believes behavioral change is the result of what? -
ANS-Reciprocal relationships among the environment, personal factors, and attributes
of the behavior itself
Theory of reasoned action/Planned behavior states: - ANS-Behavioral intentions predict
actual behavior and the persons perceived control over the behavior
The best strategy to promote healthy lifestyle and behaviors is to - ANS-Instill a sense
of responsibility in the patient for their own health.
In the older adult, prevention strategies should have a focus on all of the following
EXCEPT: Morbidity
Quality of life
Mortality
Iatrogenesis - ANS-Mortality.
Which health model believes that health is shaped by environmental subsystems? -
ANS-Ecological model
What are clinical practice guidelines? - ANS-Clinical practice guidelines are
evidence-based when conducted systematically and recommendations formed using
the research evidence.
You are assigned to a team working on reducing central line-associated infections and
have been asked to search for primary sources of evidence. Which of the following
represents a primary source of evidence: systematic review, qualitative analysis,
individual study, micro-analysis - ANS-An individual study.
Evidence comes from many sources. Which source of evidence would best support a
practice change: Expert opinions, published protocols in peer reviewed journals,
editorial reports in a specialty journal, peer reviewed systematic reviews - ANS-Peer
reviewed systematic reviews, combining finding from two or more studies to reach
conclusions about specific issues.
Describe the three types of systematic reviews: - ANS-Integrative: systematic,
combination of quantitative and qualitative studies
Meta-analysis: quantitative
Meta-synthesis: qualitative
Which statement best describes the AGACNPs contribution to evidence-based nursing
(EBN)? - ANS-APPs can identify gaps in care, help in developing evidence-based
protocols, and follow evidence-based protocols.
Evidence based practice decision primarily use:
Descriptive studies with low levels of evidence
Opinion papers by experts
Intervention studies like RCTs
Only one study - ANS-Interventions studies such as RCTs that have higher levels of
evidence
What is evidence based practice? - ANS-Collection, interpretation, and integration of
valid research evidence combined with clinical expertise, and an understanding of
patient and family values and preferences to inform clinical decision making
,Place the following in order of strength of evidence: Clinical practice guidelines,
systematic reviews, clinical protocol, expert opinion, primary studies - ANS-Clinical
protocol
Clinical practice guidelines
Systematic reviews
Primary studies
Expert opinion
Safe effective delivery of patient care requires what three aspects of nursing practice? -
ANS-Clinical expertise
Current best research evidence
Patient preferences and values
What does the acronym PICOTS stand for? - ANS-Population
Intervention
Comparison
Outcomes
Timing
Setting
The adult-gerontology acute care nurse practitioner is asked to join a team to obtain
information about the benefit of seniors, 65 years and older, receiving the flu vaccine for
the prevention of pneumonia during flu season. When writing a PICOT question for this
scenario, where would receiving the flu vaccine be indicated in the acronym? -
ANS-Intervention
You are seeing a 72-year-old woman admitted with pneumonia. She is generally active
and still plays golf despite a history of hypertension and heart failure. What is the priority
for this patient? - ANS-Perform a fall assessment: acute illnesses can result in
alterations predisposing to falls, making prevention of falls the priority
Which of the following are considerations by the AGACNP when conducting a culturally
competent patient assessment? Select all that apply: Cultural, ethnic, and racial identity
Plan of care that reflects diversity
Factors influencing decision making
Patient's preferred language - ANS-Patients cultural, ethnic, and racial identity.
Factors influencing decision making.
Patient's preferred language.
* the POC is not part of the assessment
, When evaluating illness symptoms in older patients, the disease often presents in a
manner different or "atypical" from younger adults because of: - ANS-normal
age-related decline
Which of the following are true about geriatric syndromes? Select all that apply:
Common in older adults
Predispose to worse outcomes
Normal part of aging
Often have multiple causes - ANS-They are common in older adults.
They predispose to worse outcomes.
They often have multiple causes.
Which group of older adults had the highest rate of growth between 1980-2017? -
ANS-100 and over
The primary objective of screening is to - ANS-Detect a disease or condition.
What are three key elements of health promotion - ANS-Good governance of health
Health literacy
Healthy cities
The social cognitive theory believes behavioral change is the result of what? -
ANS-Reciprocal relationships among the environment, personal factors, and attributes
of the behavior itself
Theory of reasoned action/Planned behavior states: - ANS-Behavioral intentions predict
actual behavior and the persons perceived control over the behavior
The best strategy to promote healthy lifestyle and behaviors is to - ANS-Instill a sense
of responsibility in the patient for their own health.
In the older adult, prevention strategies should have a focus on all of the following
EXCEPT: Morbidity
Quality of life
Mortality
Iatrogenesis - ANS-Mortality.
Which health model believes that health is shaped by environmental subsystems? -
ANS-Ecological model
