NU 2520 exam 5 OE COMPLETE
QUESTIONS AND ANSWERS (VERIFIED)
[Ch. 5]
A RN researcher studies the effectiveness of a new program designed to educate
parents to promote the immunization of children. The RN divides the parents
randomly into 2 groups. One group receives the typical educational program & the
other group receives the new program. This is an example of which type of study?
a. Historical
b. Qualitative
c. Correlational
d. Experimental - CORRECT ANSWER-D
(Experimental; in experimental studies, the subjects are randomly assigned into
groups with one group receiving the standard treatment & the other group receiving
the intervention)
[Ch. 5]
A RN who works on a pediatric unit asks, "I wonder if children who interact with
therapy dogs have reduced anxiety when they are in the hospital." In this example of
a PICOT question, which of the following is the O?
a. Children.
b. Therapy dogs.
c. The pediatric unit.
d. Anxiety. - CORRECT ANSWER-D
(O stands for outcome; in this PICOT question, the outcome the RN is concerned
about is anxiety)
(Population: Bariatric adolescents considering or undergoing gastric bypass surgery.
Intervention: The nurse's role as a primary member of the multidisciplinary team
regarding perioperative care of the bariatric adolescent patient.
Comparison: The nurse's role as a secondary member of the multidisciplinary team
without any specialized training and is only involved in perioperative care of the
bariatric adolescent patient.
Outcome: When the nurse is involved as one of the primary members in the
multidisciplinary team approach, the bariatric adolescent patient has better continuity
of care.
Time: perioperative including the 6 weeks post recovery)
[Ch. 5]
A RN researcher wants to know what factors are associated with a person's decision
to exercise. The RN distributes a survey to people who recently joined an exercise
wellness program & analyzes the data to determine what factors & characteristics
,are most significantly linked to the decision to start exercising. What type of a
research study is this?
A. Qualitative
B. Descriptive
C. Correlational
D. Randomized controlled trial - CORRECT ANSWER-C
(Correlational: in this study the RN researcher is correlating characteristics or factors
with the decision to start exercising)
[Ch. 5]
A group of nurses have identified that the elderly patients on their unit have a high
incidence of pressure ulcers after they have a stroke. During a unit meeting, they
discuss different interventions they think may reduce the development of pressure
ulcers. What is the nurses' next step to investigate this clinical problem further?
a. Conduct a literature review.
b. Share the findings with others.
c. Conduct a statistical analysis.
d. Create a well-defined PICOT question. (population intervention comparision
outcome & time) - CORRECT ANSWER-D
(In this case, the nurses need to develop a PICOT question next to search for
appropriate evidence that might offer answers to this clinical problem)
- pt population of interest
- Intervention of interest
- Comparison of interest
- Outcome
- Time
[Ch. 5]
What is the appropriate order for the following steps of evidence-based practice
(EBP)?
1. Integrate the evidence.
2. Ask the burning clinical question.
3. Create a spirit of inquiry
4. Evaluate the practice decision or change.
5. Share the results with others.
6. Critically evaluate the evidence you gather.
7. Collect the most relevant & best evidence.
a. 2, 3, 7, 6, 4, 1, 5
b. 3, 2, 7, 1, 6, 5, 4
c. 3, 2, 7, 6, 1, 4, 5
d. 2, 3, 6, 7, 1, 4, 5 - CORRECT ANSWER-C
(1. Create a spirit of inquiry
2. Ask the burning clinical question.
, 3. Collect the most relevant & best evidence.
4. Critically evaluate the evidence you gather.
5. Integrate the evidence.
6. Evaluate the practice decision or change.
7. Share the results with others.)
[Ch. 5]
When recruiting subjects to participate in a study about the effects of an educational
program to help patients at home take their medications as ordered, the researcher
tells the subjects that their names will not be used & no one but the research team
will have access to their information & responses. This is an example of:
a. Bias.
b. Anonymity.
c. Confidentiality.
d. Informed consent. - CORRECT ANSWER-C
(Confidentiality - Confidentiality guarantees that any information a subject provides
will not be reported in any manner that identifies the subject & will not be accessible
to people outside the research team)
[Ch. 5]
Nurses in a community clinic have seen an increase in the numbers of obese
children. The nurses who care for children are discussing ways to reduce childhood
obesity. One RN asks a colleague, "I wonder what the most effective ways are to
help school-aged children maintain a healthy weight?" This question is an example
of a/an:
a. Hypothesis.
b. PICOT question.
c. Problem-focused trigger.
d. Knowledge-focused trigger. - CORRECT ANSWER-C
(A problem-focused trigger is a clinical problem you face while caring for patients;
the nurses in this question have identified a clinical problem which they desire to
investigate further)
[Ch. 5]
The RN's on a med unit have seen an increase in the # of med errors on their unit.
They decide to evaluate the med admin process based on data gained from chart
reviews & direct observation of RN's administering medications.
Which process are the RN's using?
A. Evidence-based practice.
B. Research.
C. Quality improvement.
D. Problem identification. - CORRECT ANSWER-C
(Quality improvement studies evaluate how processes work in an organization. The
nurses in this example are evaluating the medication administration process)
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