Answered Correctly!!
Prior to evidence-based medicine/practice, physicians made medical decisions
based on
Intuition
What a pt. requested
Recommendations from pharmaceutical companies
Only randomized clinical control trials Answer- intuition
True or False. The highest level of evidence is systematic reviews Answer- true
True or False. You should spend hours searching the literature for prices of evidence
"gold" Answer- False
If you have a choice between a treatment that has no evidence and one that has
been proven to work, which one would be considered evidence-based practice?
No evidence on an intervention
Proven intervention Answer- proven intervention
True or False. Expert opinions are considered a high level of evidence? Answer-
False
True or False. You will be able to do a critical appraisal of the literature by the end of
this course Answer- True
True or False. One way to focus your approach to searching the literature is by
asking a question using PICO to find relevant research Answer- True
True or False. Evidence-based practice does not take into account the experience of
the clinician Answer- False
Evidence-based practice consists of the following:
Current best evidence
Pt./client values
Clinician expertise
All the above Answer- all the above
, True or False. Evidence-based practice rejects any evidence that is not a
randomized controlled trial? Answer- False
A research study that involves minimal risk studying social skills in children with
Autism Spectrum Disorder would requires what level of review from the IRB?
Exempt
Full
Expedited Answer- expedited
Institutional Review Boards (IRB) were established to ensure that human participants
in research projects were adequately protected from the following EXCEPT:
Financial benefit
Confidentiality
Unnecessary risk
Safety Answer- financial benefit
A client is referred to therapy in the home health setting after suffering a stroke. After
evaluating the client, the therapist determined that the client had recovered to prior
levels of function before he/she suffered the stroke. The Home Health company
indicated that the client is authorized for 6 visits so the therapist wrote up a Plan of
Care that included seeing the liens for those 6 visits because they has been
previously authorized and they had the time on their schedule to see the client
because they has just discharged two other patients
The Principle of Autonomy
The Principle of Utility
The Principle of Nonmaleficence
The Principle of Beneficence Answer- the principle of beneficence
In a research study, they were looking to see the effectiveness of a drug on
decreasing morning sickness in pregnant women. During the study, the researchers
observed that a disproportionate number of women in the experimental group who
took the drug were giving birth to children with severe birth defects. Despite this
observation, they did not discontinue the study and the use of this drug.
The Principle of Utility
The Principle of Nonmaleficence
The Principle of Autonomy
The Principle of Beneficence Answer- the principle of nonmaleficence
A research project is studying a drug that may decrease spasticity in individuals who
have suffered a Traumatic Brain Injury. The researchers stated in the participant
exclusion criteria in the IRB that individuals with a TBI that DO NOT have spasticity
should not participate. They had difficulty recruiting an adequate number of
participants and therefore admitted some participants with TBI that DID NOT have
spasticity in order to increase the number of participants
The Principle of Nonmaleficence