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NURS 201 - Chapter 2
Theory, Research, and Evidence-Based Practice
| Question | Answer |
|---|---|
| A community health nurse visits diabetic client . Nurse determines that spouse does not understand how to prepare meals for prescribed diabetic diet. Using Dorothea Orem's Self-Care Theory, how can the nurse help meet the needs of this client? | Arrange an evaluation appointment with a dietitian |
| New nurse is sharing a newly published research article which outlines a different approach in preventing a wound infection after surgery with a colleague and states the nurse is going to try this new method. Which is the best response from the colleague? | Wait until the method analyzed to ensure it will be appropriate for their clients |
| A group of nurses is planning to investigate the effectiveness of turning immobilized stroke clients more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which element will the "O" question refer to? | Preventing skin breakdown |
| What is the "PICOT" format of asking questions? | P=Patient/Population/Problem of interest I=Intervention of interest C=Comparison of interest O=Outcome of interest T=Time |
| Using the PICOT format in preparation for a research study: "In overweight clients, how do chromium supplements compared to no supplements help with weight loss?" Which part of the question reflects the intervention? | Chromium supplements |
| Which is the theory that describes the maturation of humans through stages? | Developmental theory |
| A nurse caring for clients in a hospital setting focuses on the ill person in the health care setting. The nurse also provides care based on helping clients to adapt to the health care environment. Whose nursing theory principle is the nurse following? | Myra E. Levine |
| Which theory emphasizes the relationships between the whole and the parts, and describes how parts function and behave? | General systems theory |
| To ensure that a research study is ethical, a nurse researcher must observe which human rights for participants? Select all that apply. | -Self-determination -Privacy -Anonymity -Fair treatment |
| What type of research study would a hospital conduct to explore clients' and families' perceptions of receiving care? | Qualitative |
| A nurse is planning to conduct a nursing research study and is seeking federal funding. Which institution would be most helpful for the nurse to contact regarding acquiring funding? | National Institute of Nursing Research |
| Evidence-based care emphasizes decision making based on the best available evidence and: | Use of outcome studies to guide decisions |
| ICU nurses noticed that clients required fewer interventions for pain when it was quiet. Asked a researcher to design a study about the effects of noise on pain levels. How does this demonstrate the ultimate goal of expanding knowledge? | Nursing research helps improve ways to promote and maintain health |
| A nurse who works in a pediatric practice assesses the developmental level of children of various ages to determine their psychosocial development. These assessments are based on the work of: | Erikson |
| Which theory describes, explains, predicts, and controls outcomes in nursing practice? | Nursing theory |
| Which is a focus of medical research rather than nursing research? | Drug metabolism |
| The second step in implementation of evidence-based practice includes systematic review. To complete a systematic review of the literature, what must the nurse do? | Summarize findings from multiple studies that are related to a particular nursing practice |
| When looking at a model for evidence-based practice, what is the final step of the process? | Evaluating practice change |
| Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment? | Florence Nightingale |
| What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered? | Nursing care now uses EBP as a means of ensuring quality care |
| A Latino client states, "My grandmother always told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what? | Traditional knowledge |
| What are the Goals of Nursing Research? | -Improve care of people in clinical setting -Study people and the nursing process -Develop greater autonomy and strength as a profession -Provide EBP |
| What are the Methods of Nursing Research? | -Quantitative -Qualitative -Basic Research (generate new knowledge) -Applied Research (solve problems) |
| What are the three Sources of Knowledge? | -Traditional (passed from generations) -Authoritative (changing the ways things have been done) -Scientific (proven scientific data; Scientific Theory) |
| Theories are derived through two principal methods: | -Deductive Reasoning (making a conclusion based on existing theory) -Inductive Reasoning (makes specific observations, then makes a conclusion) |
| General Systems Theory | Breaking a whole into parts and seeing how parts react (Betty Neuman) |
| Adaptation Theory | How person/organism interact with changes around them (Castilla Roy) |
| Developmental Theory | Orderly, predictive growth throughout development |
| What is the purpose of Nursing Theory? | It explains predictable events so we can provide us the WHY for better care |
| What is Evidence Based Practice? | Problem-solving approach to making clinical decisions using the best evidence available ; HOW we know what decisions to make ; blends the art and science of nursing |
| What is the foundation of EBP in nursing practice? | RESEARCH |
| Steps to implement EBP: | -Find what the problem is -Develop question -Solve it |
Created by:
kmeans34
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