Exam (elaborations)
NUR 401 Final Exam NEW UPDATE 2024 LATEST with Correct Questions and Answers
- Course
- Institution
NUR 401 Final Exam NEW UPDATE 2024 LATEST with Correct Questions and Answers
[Show more]
Content preview
NUR 401 Final Exam NEW UPDATE 2024 LATEST withCorrect Questions and Answers
Individuals with which of the following personality styles are most likely to be comfortable in a
leadership role?
A. D
B. I
C. S
D. C
Answer - A. D
Individuals with "D" (Driver) personality styles like to take charge of projects and are highly task oriented,
making them well-suited to positions of leadership.
What model of organizational change would be most likely to prioritize changing nurses' feelings over
presenting them with new information?
A. The Transtheoretical Model of Health Behavior Change
B. Kotter and Cohen's Model of Change
C. The Change Curve Model
D. Diffusion of Innovations Model
Answer - B. Kotter and Cohen's Model of Change
Rationale: Kotter and Cohen proposed that the key to organizational change lies in helping people to feel
differently (i.e., appealing to their emotions). They assert that individuals change their behavior less
when they are given facts or analyses that change their thinking than when they are shown truths that
influence their feelings.
T/F: A SCOT analysis helps clarify the goals and beliefs that underlie a proposed change to EBP.
Answer - False
pg. 1
,Rationale: A SCOT analysis aids in the strategic planning for the execution of proposed change.
Identification of the goals and beliefs that inform the change should take place prior to formal strategic
planning.
Feedback loops are a central component of which of the following models for evidence-based practice
change?
A. The Model for Evidence-Based Practice Change
B. The Clinical Scholar Model
C. The ARCC Model
D. The Iowa Model
Answer - D. The Iowa Model
Rationale: The Iowa Model includes multiple feedback loops that refer the user back to earlier points in
the process. This is not a central feature of the ARCC Model, the Clinical Scholar Model, or The Model for
Evidence-Based Practice Change.
T/F: Both The Model for Evidence-Based Practice Change and the Iowa Model include the use of a small-
scale pilot study during the process of introducing an evidence-based change in practice.
Answer - True
Rationale: Pilot studies are explicit components of both The Model for Evidence-Based Practice Change
and the Iowa Model.
When the Stetler Model is used to guide an evidence-based practice change, which of the following
activities will constitute the final phase of the process?
A. Disseminating the results of the practice change
B. Publishing the findings that result from implementation
C. Evaluating the outcomes of the change in practice
D. Implementing a change in practice based on evidence
Answer - C. Evaluating the outcomes of the change in practice
pg. 2
,Rationale: The Stetler Model of Evidence-Based Practice culminates with an evaluation of the change in
practice. Dissemination is not prescribed in the model and implementation does not form the "end
point" of the implementation process.
T/F: Evidence-based clinical decision-making considers the constraints of a patient's geographic location
while a research utilization (RU) model does not address this parameter.
Answer - True
Rationale: Evidence-based clinical decision-making takes into account patient variables such as setting.
RU is a more simplistic paradigm that solely encompasses the findings of research.
A rating scale asks patients to gauge their nausea by describing it as "no nausea," "slightly nauseous,"
"significantly nauseous," or "severely nauseous." This scale provides the nurse with data at what level?
A. Nominal
B. Ordinal
C. Interval
D. Ratio
Answer - B. Ordinal
Rationale: Likert-type scales like the one presented provide ordinal level data. Phenomena are scaled in
an ascending manner, but it is not possible to extrapolate insights from the data mathematically.
Which of the following would be the best source for measuring the outcomes related to a proposed
change in the skills mix in the nursing care at a hospital?
A. Finance
B. Human resources
C. Quality management
D. Administration
Answer - B. Human resources
Rationale: Human resource departments are a key source of data surrounding skills mix, staffing levels,
staff demographics, recruitment, and retention. Departments such as finance, administration, and
quality management would be less likely to provide data on the current skills mix at the hospital.
pg. 3
, T/F: The Health Outcomes Institute's Outcomes Management Model provides a four-step process for the
critical appraisal of evidence.
Answer - False
Rationale: The Health Outcomes Institute's Outcomes Management Model delineates a process that can
be used to guide measurement of the impact of new interventions on improving healthcare outcomes. It
does not provide a specific process for critical appraisal of the literature.
Which of the following evaluation indicators can be quantified and statistically analyzed?
A. Environmental changes
B. Professional expertise
C. Outcome measures
D. Patient-centered quality care
Answer - C. Outcome measures
Rationale: Outcome measures are quantifiable healthcare results, such as health status, death, disability,
iatrogenic effects of treatment, health behaviors, and the economic impact of therapy and illness
management. Environmental changes, professional expertise, and patient-centered quality care are
measures that equally important, but which are more qualitative in nature.
What is the most effective strategy for engaging care providers in a proposed EBP change?
A. Disseminate the evidence that underlies the change
B. Remind staff of their obligation to provide optimal care
C. Bring in EBP experts to speak to staff members
D. Organize discussions and meetings with EBP mentors
Answer - D. Organize discussions and meetings with EBP mentors
Rationale: Interactive discussions between EBP mentors and care providers are an effective way to
increase knowledge and address attitudinal barriers. Other strategies, such as bringing in outsiders to
teach, disseminating research findings, or telling caregivers that they are obliged to change, are less
likely to engage them and foster genuine change.
pg. 4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PastPapers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76462 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
