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NUR401 - Midterm Exam Questions And 100% Correct Answers
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NUR401 - Midterm Exam Questions And 100%Correct Answers
Which of the following personality styles of individuals would most likely feel
comfortable being in a leading role?
A. D
B. I
C. S
D. C - Answer A. D
Those with "D" are Driver personality types who prefer leading projects and are very
task-oriented; hence, leading roles are especially fitted to them.
Which model of organizational change would most likely focus on changing nurses'
feelings rather than on 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 entrance to organizational change is
through helping people to feel differently-that is, through their emotions. They said,
"People change their behavior less because they are given an analysis that shifts their
thinking than because they are shown a truth that influences their feelings.".
T/F: A SCOT analysis helps articulate the goals and beliefs that drive a change to EBP. -
Answer False
,Rationale: A SCOT analysis assists with the strategic planning for implementation of the
proposed change. Determination of the goals and the beliefs driving the change should
occur before 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 contains numerous feedback loops that point the user back
to previous steps in the process. This is not a key 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 use
incorporation of a small-scale pilot study as part of the process to introduce an
evidence-based change in practice. - Answer True
Rationale: Pilot studies are overt parts 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 comprise the last step in the process?
A. Disseminating the results of the practice change
B. Publishing findings that result from implementation
C. Evaluating the outcomes of the change in practice
D. Implement a change in practice based on evidence - Answer C. Evaluating the
outcomes of the change in practice
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 considers patient variables
including setting. RU is a more simplistic paradigm that only includes the results of
research findings.
A rating scale asks patients to rate their nausea as "no nausea," "slightly nauseous,"
"significantly nauseous," or "severely nauseous." The data this scale provides to the
nurse is at what level?
A. Nominal
B. Ordinal
C. Interval
D. Ratio - Answer B. Ordinal
Rationale: The scale is a Likert-type scale that presents ordinal level data. Phenomena
are scaled in an ascending manner, but it is impossible to mathematically extrapolate
insights from the data.
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 significant source of data surrounding
skills mix, staffing levels, staff demographics, recruitment and retention. Finance,
administration, or quality management is less likely to make available to the current
skills mix at the hospital.
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