UNDERSTANDING NURSING RESEARCH
7TH EDITION BY GROVE TEST BANK
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TEST BANK FOR UNDERSTANDING NURSING RESEARCH 6TH EDITION BY GROVE
Chapter 01: Introduction to Nursing Research and Evidence-Based Practice
Grove: Understanding Nursing Research, 6th Edition
MULTIPLE CHOICE
1. Which best describes evidence-based-practice (EBP)?
a. A combination of best research evidence, clinical expertise, and the needs and
values of patients.
b. A determination of the factors necessary to control patient responses to care.
c. The development of population care guidelines applicable to all patients.
d. The utilization of quantitative and qualitative studies to enhance patient outcomes.
ANS: A
Feedback
A Evidence-based practice evolves from the integration of the best research
evidence with clinical expertise and patient needs and values.
B Studies that attempt to find determinants of patient outcomes are generally
experimental or quasi-experimental. They may be used to guide EBP but do not
completely define it.
C EBP is a combination of guidelines and specific patient needs and values.
D Quantitative and qualitative studies applied to the evaluation of patient outcomes
are part of EBP but do not completely define EBP.
PTS: 1 DIF: Cognitive level: Remembering (Knowledge)
REF: p. 3
2. The nurse is collecting data about the sleep patterns of breastfed babies as part of a larger
research study. Which research method will the nurse use when collecting data for this study?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: B
Feedback
A Control can be described as the ability to write a prescription to produce the
desired outcome.
B Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
C Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
D Through prediction, the probability of a specific outcome can be estimated in a
given situation.
PTS: 1 DIF: Cognitive level: Understanding (Comprehension)
REF: p. 6
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3. The nurse is participating in a study and is collecting data identifying the number of obese
adults whose parents were also obese or overweight. Which research method is being used in
this study?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: D
Feedback
A Control indicates the ability to use a prescribed intervention to produce a desired
outcome.
B Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
C Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
D Through prediction the probability of a specific outcome can be estimated in a
given situation. By knowing the percentage of parents of obese adults who were
obese, the probability of predicting this may be calculated.
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: pp. 7-8
4. The nurse reviews a study in which adherence to an asthma action plan is compared among
groups of adolescents who received different asthma education. Which research method does
this represent?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: C
Feedback
A Control indicates the ability to use a prescribed intervention to produce a desired
outcome.
B Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
C Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
D Through prediction, the probability of a specific outcome can be estimated in a
given situation.
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: p. 7
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5. A nurse manager is interested in learning which attitudes among staff nurses may indicate
relative risk of needle-stick injuries. To study this, the nurse manager will employ which
method of study?
a. Control
b. Description
c. Explanation
d. Prediction
ANS: D
Feedback
A Control indicates the ability to use a prescribed intervention to produce a desired
outcome.
B Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
C Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
D Through prediction, the probability of a specific outcome can be estimated in a
given situation.
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: pp. 7-8
6. Which is the most important result of Florence Nightingale’s data collection and statistical
analysis during the Crimean War?
a. Bringing awareness of the rigors of war to the general public.
b. Developing a process for statistical analysis and nursing documentation.
c. Identifying and defining the role of nurses in modern health care.
d. Using clinical research to evaluate the importance of sanitation, clean drinking
water, and adequate nutrition.
ANS: D
Feedback
A This was not the most important result
B This was not the most important result
C This was not the most important result
D Nightingale’s research enabled her to instigate attitudinal, organizational, and
social changes, including the military’s approach to the care of the sick and
society’s sense of responsibility for testing public water, improving sanitation,
and preventing starvation to decrease morbidity and mortality rates.
PTS: 1 DIF: Cognitive level: Understanding (Comprehension)
REF: p. 11
7. The nurse participates in data collection in a study in which two different pain management
protocols are used with randomly assigned patients to measure differences in postoperative
recovery time. Which method of study is this?
a. Control
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b. Correlation
c. Description
d. Explanation
ANS: A
Feedback
A Control indicates the ability to use a prescribed intervention to produce a desired
outcome.
B Correlation examines the relationships between different phenomena.
C Description involves identifying and understanding the nature of nursing
phenomena and the relationships among these phenomena.
D Explanation clarifies the relationships among phenomena and identifies why
certain events occur.
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: p. 8
8. The development of nursing theories and conceptual models in the late 1960s and 1970s
served to:
a. determine the effectiveness of nursing interventions.
b. establish the concept of evidence-based practice.
c. provide funding for nursing research.
d. provide direction for nursing research.
ANS: D
Feedback
A Outcome studies are used to determine the effectiveness of nursing interventions.
B The concept of EBP was developed in the 1970s and promoted by the ANCC
Magnet Designation program.
C The NINR seeks to provide funding for nursing research.
D The theories developed in the 1960s and 1970s helped to direct future nursing
research.
PTS: 1 DIF: Cognitive level: Understanding (Comprehension)
REF: pp. 11-12
9. Under Ada Sue Hinshaw, the National Institute of Nursing Research (NINR) began to change
its focus to:
a. funding nursing rather than medical research.
b. evaluating outcomes rather than process studies.
c. increasing the status and funding for nursing research.
d. supporting the dissemination of nursing research.
ANS: C
Feedback
A The change in focus from medical to nursing research came about with the first
nursing programs. Specialty nursing organizations today and some nursing
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researchers still conduct medical research for specific studies.
B Outcomes research emerged in the 1980s and 1990s to document the
effectiveness of health care services.
C Under Ada Sue Hinshaw, the national Center for Nursing Research (NCNR)
changed its name to the NINR to increase the status and funding of nursing
research.
D The NCNR’s purpose was to support the dissemination of nursing research.
PTS: 1 DIF: Cognitive level: Remembering (Knowledge)
REF: pp. 12-13
10. An emphasis of the American Nurses Credentialing Center (ANCC) Magnet Hospital
Designation Program for Excellence in Nursing is:
a. research and development of clinical practice guidelines.
b. putting qualitative research into practice in clinical settings.
c. using standard nursing care plans based on outcomes research.
d. utilizing evidence-based practice in nursing.
ANS: D
Feedback
A Clinical practice guidelines are a more recent phenomenon, using evidence-
based research, expert opinion, and patient needs and values to standardize care.
B Qualitative research was introduced in the late 1970s to gain insight into the
phenomena related to nursing.
C Outcomes research was important in the 1980s to 1990s to document the
effectiveness of health care services.
D ANCC implemented the Magnet Hospital Designation Program for Excellence
in Nursing Service in 1990 that emphasized EBP for nursing.
PTS: 1 DIF: Cognitive level: Remembering (Knowledge)
REF: pp. 12-13
11. In a position statement in 2006, the American Association of Colleges of Nursing (AACN)
identified a need to:
a. acquire clinical knowledge and expertise.
b. focus on evidence-based practice.
c. fund academic nursing research.
d. prepare a workforce of nurse scientists.
ANS: D
Feedback
A Basic nursing education focuses on clinical knowledge and expertise.
B Evidence-based practice is a focus of ANCC and the Magnet Designation
Program for Excellence in Nursing Service.
C The NINR focuses on funding for nursing research.
D The AACN identified the importance of creating a research culture, providing
high-quality educational programs to prepare a workforce of nurse scientists,
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develop a sound research structure, and obtain funding for nursing research.
PTS: 1 DIF: Cognitive level: Understanding (Comprehension)
REF: p. 14
12. The lead agency designated to improve health care quality is:
a. Agency for Healthcare Research and Quality (AHRQ).
b. American Nurses Credentialing Center (ANCC).
c. Quality and Safety Education for Nurses (QSEN).
d. National Institute for Nursing Research (NINR).
ANS: A
Feedback
A AHRQ is a scientific partner with the public and private sectors to improve the
quality and safety of patient care.
B ANCC provides credentialing for advanced practice nurses and for Magnet
Designation for Excellence in Nursing Service
C QSEN is focused on developing the requisite skills, knowledge, and attitude
statements for the competencies for prelicensure and graduate education.
D The National Institute of Nursing Research, originally the National Center for
Nursing Research, is a federally funded arm of the National Institutes of Health,
providing nursing with federal support for nursing research priorities.
PTS: 1 DIF: Cognitive level: Remembering (Knowledge)
REF: pp. 12-13
13. To help fulfill the mission of the National Institute for Nursing Research—to promote and
improve the health of individuals, families, communities, and populations—a study may be
conducted which:
a. assesses the effectiveness of strategies for weight management in patients with
type 2 diabetes.
b. compares the attitudes of nurses toward clients with type 1 and type 2 diabetes.
c. generates up-to-date nursing diagnoses reflecting the needs of clients with type 2
diabetes.
d. reviews hospital nurses’ adherence to glucose-monitoring guidelines for patients
with type 2 diabetes.
ANS: A
Feedback
A A study that assesses the effectiveness of interventions helps to improve the
health of patient populations by identifying appropriate strategies.
B A comparison of attitudes is a descriptive study that does not improve outcomes.
C A study to generate nursing diagnoses does not directly affect patient outcomes.
D A study reviewing adherence to guidelines seeks to provide data for quality
assurance.
PTS: 1 DIF: Cognitive level: Applying (Application)
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REF: pp. 14-15
14. Which best describes the Quality and Safety Education for Nurses (QSEN) competency for
evidence-based practice (EBP)?
a. Adhering to published guidelines to provide care for a specific population.
b. Empowering clients to choose among effective disease management strategies.
c. Relying on expert knowledge to guide care plan development for an individual
patient.
d. Using evidence gained solely from experimental studies to guide care.
ANS: B
Feedback
A Strict adherence to guidelines does not take the patient/family preferences into
account.
B The QSEN competency for EBP is defined as integrating the best evidence with
clinical expertise and patient/family preferences.
C EBP does not rely solely on expert knowledge or experimental studies.
D Although experimental studies provide the highest level of study data, EBP does
not rely soley on experiemental studies..
PTS: 1 DIF: Cognitive level: Applying (Application)
REF: p. 15
15. Through knowledge gained from her phenomenological qualitative study identifying levels of
experience of professional nurses, Patricia Benner would identify which nurse as an expert?
a. A hospice nurse who values the unique wishes of each patient when providing
palliative care.
b. A medical-surgical nurse who organizes care for a group of patients to ensure
timely administration of medications.
c. A neonatal intensive care nurse who is skilled in inserting peripherally inserted
central catheters.
d. A pediatric nurse who notes subtle changes and intervenes to prevent respiratory
failure.
ANS: D
Feedback
A The proficient nurse views the patient as a whole and recognizes that each
patient responds differently to illness and health.
B The competent nurse is able to achieve goals and plans and to take conscious
actions to organize and provide efficient care.
C The NIC nurse is also an example of a competent nurse who is skilled in a
procedure.
D The expert nurse has an extensive background of experience and is able to
identify and accurately intervene skillfully in a situation. The pediatric nurse in
this case recognizes subtle changes and is able to act to prevent serious
circumstances.
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