Introduction to Nursing Research

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One of the primary foundations for evidence-based nursing practice is
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Research results
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Within the process of providing evidence-based nursing care, which types of research results are incorporated to ascertain the plan of treatment
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Personal experiences and client values
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As a novice nurse on a medical-surgical hospital unit, you do want to get involved in a research study that is being proposed for your unit. Because your hospital is involved with evidence-based nursing practice, which aspects of EBP are essential for you to have
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Method for accessing published information
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Evidence comes in many forms. Examples of the data that could best be utilized for EBP are
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Quality improvement data and integrated reviews
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When developing a question to drive the compilation of evidence for a specific practice situation, the 5 components that can be used to focus the investigation are
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Patient, intervention, comparison, outcome, and time
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A nurse working in a cancer follow-up setting has been asked to consider the development of a transition program to help young people adjust to the adult program. The initial question suggested for use in focusing the identification of evidence is "What is it like to have care transferred form a pediatric center to an adult clinic?" Which aspects of this question need to be strengthened to make it more searchable?
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Population and intervention
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Research utilization has often been
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Reported in the literature
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Obstacles to using nursing research in practice include lack of
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Education, beliefs/attitudes, and support/resources
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As a nurse on a medical-surgical hospital unit, you begin to question the amount of time your hospital policy requires for taking a patient's oral temperature. Your hospital uses an EBP approach to nursing care. Which hospital resources would you expect to be able to connect with to assist with the accessing of a computer?
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Librarian or library
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You are a BSN-prepared nurse who wants to initiate a research project on your unit. To get the other nurses to participate, you would
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Check the educational level of other nurses on the unit
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In the past, nurses were often taught that while research might be a good thing to do, only faculty could do research because
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Most nurses have not been taught research
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Many nurses don't understand research because
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Research is like a foreign language
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Research is often not valued because
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It costs too much
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Nurses have a responsibility to use research because
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Research is the "hallmark of a profession"
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The research role of the BSN RN includes
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Identifying clinical problems that require investigation, assisting experienced investigators to gain access to clinical sites, and collecting data
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The ANA position statement acknowledges that
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Clinicians identify clinical problems and researchers design them
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Clinical pathways are developed by
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Multidisciplinary teams
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Professional care models give nurses
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All of the above (Accountability, Authority, Responsibility)
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Best practice is an excellent example of which kind of testing?
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Reality
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Applied research builds a body of knowledge for nursing practice because it is the basis of?
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EBP
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Best practices in nursing can be defined as
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Nursing actions that produce desirable patient outcomes
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The IOM's publication Keeping Patients Safe focuses on
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Transforming the work environment for nurses
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Theories are
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A guide for research and practice
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When developing a nursing research project, why is it important to remember the ethical constraints?
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The protection of human subjects underlies all human research projects
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The atrocities performed on prisoners in Nazi Germany violated which ethical principles?
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Value of life, justice, and respect
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Why does an ethical research environment assist with ensuring scientific integrity?
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Federal regulations related to ethical standards are adhered to, increasing the likelihood of integrity
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Why do federal regulations specify that the makeup of the institutional review board should reflect cultural and gender diversity and an awareness of local mores?
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This practice ensures that all research projects presented to the IRB will receive fair examination and not be denied without discussion
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Why is it important that the researcher be competent to conduct research?
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It is not ethically appropriate for an incompetent person to conduct research
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What is the issue of greatest concern when developing a research project?
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The protection of the vunerable subject
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Why do research question have to be developed carefully?
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Carefully developed and refined questions focus the research project
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Informed consent is a crucial issue in research projects because
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The consenting subject will understand what the research is about and will have the choice to participate (or not)
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Scientific misconduct on the part of the researcher is very serious. What constitutes scientific misconduct?
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Fabrication, falsification of data, and plagiarism
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Privacy and confidentiality are always issues in human subject research. What are the important steps to ensure that they are protected?
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All data are kept securely locked in a safe place and may be destroyed only according to IRB instructions
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Both the International Council of Nurses ant the ANA make it clear that the ethical standards of the profession require the same obligations from the nurse researcher. Why?
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For the protection of vulnerable clients and patients
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Which of the following characteristics is not part of a quantitative research design
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Saturation
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Nonexperimental designs generate ______ and ______ designs
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questions; experimental
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One of the most common and important characteristics of a quantitative design is
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Control
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Randomization helps to eliminate
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Bias
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Generalization can ________ a study
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strengthen
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A correlational study looks at the
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Relationship of 2 or more variables
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Meta-analysis is the examination of multiple studies through statistical analysis to establish
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New data sets for analysis
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The initial baseline measurement in a nonequivalent control group is used to determine if the subjects assigned to the group are
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Similar
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The research design that collects data at various intervals is called a
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Time-series study
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In EBP, a nurse using quantitative research for clinical decision making must be most knowledgeable about how
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A study design applies to practice
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Using research in practice requires the nurse to be most aware of
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Generalizability of the results to current practice
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Qualitative research examines which of the following characteristics of a phenomenon?
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Quality
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Which of the following best illustrates the emic perspective in research?
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Exploring the way members of a group view themselves
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Combining qualitative and quantitative methods in a single study is known as
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Triangulation
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A research explores the phenomenon of how nurses make decisions about when to discuss end-of-life issues with clients. From this research, a model is developed to explain the decision-making process. Which type of research does this represent?
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Grounded theory
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A researcher examines the norms, rules, and values of the staff of a large long-term care facility. Which type of research does this represent?
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Ethnography
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A researcher conducts a study in which participants are asked to describe the lived experience of being a caregiver of a parent with Alzheimer's disease. Which type of qualitative study does this represent?
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Phenomenology
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Which of the following statements is true with regard to comparing qualitative and quantitative research methods?
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Qualitative research is often inductive in nature, whereas quantitative research is deductive in nature
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When writing up a research project, the researcher describes in detail how biases, assumptions, and personal perspectives were identified and set aside, or bracketed. Which criterion for reliability and validity was met?
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Confirmability
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The researcher collecting data notices that she is beginning to hear the same things repeatedly and that no new themes are emerging. The researcher recognizes that what has occurred?
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Saturation
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A literature review is
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An analytical summary of research findings
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The purpose of the literature review is to
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All of the above (Identify a problem that has not been resolved, Clarify the importance of a research problem, Identify gaps in the literature)
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The literature review should occur
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Early in the research process
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When conducting a literature review, it is advisable to
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Seek assistance from a librarian
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Evidence-based nursing literrature provides the nurse with the ability to
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Describe and analyze published research results
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The database that is considered the premier bibliographic database for providing access in the North Americas for biomedical literature is
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MEDLINE
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It is appropriate to use key word searches in which of the following contexts?
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Ovid
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The purpose section of a research study usually
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Tells why the study was done
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Gaps in the literature are
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All of the above (Missing pieces in the knowledge of the research area, Questions about the research that have not been explained, Suggestions for future research made by the author)
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The main difference between a research article and a non-research article is
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A research article describes research by the original author
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Most research studies begin with
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A problem the researcher would like to solve
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To be considered researchable, a problem
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Must be amenable to study by collecting and analyzing data
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Which of the following questions is important to ask when determining the significance of the research problem?
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Will the findings be applicable to nursing practice?
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Which of the following elements would be in appropriate in a researchable problem?
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An ethical issue
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Which of the following best represents a well-constructed problem statement?
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Does peer pressure affect the use of tobacco in adolescent females?
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What are the 2 essential parts of the research problem statement?
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The variable and the population
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Your hypothesis is "Nursing home residents ages 65-90 years who have Alzheimer's disease die at an earlier age than those who do not have Alzheimer's disease." Which answer best represents the independent variable?
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Having Alzheimer's disease
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What is a confounding variable?
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An extraneous variable that cannot be controlled
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Which of the following best represents a categorical variable?
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Ethnic origin
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Which of the following statements best describes the difference between a research question and a hypothesis?
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One questions a relationship; the other predicts a relationship
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A conceptual definition of a variable is one that is
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Broad and abstract
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Sampling criteria may be defined as
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The identification of eligibility or ineligibility to participate in a study
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Another term for cluster sampling is
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Multistage sampling
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You are to select a set of five subjects using systematic random sampling and a random numbers table. The total population includes 50 subjects. Your pencil was initially placed on the fifth column from the left and third row down. The decision is to move across the columns to the right. 13 25 31 40 23 29 10 17 12 32 49 42 21 48 38 14 35 34 07 02 45 15 26 11 06 24 04 44 40 50 08 22 20 35 01 43 09 33 28 16 03 37 19 54 47 18 43 27 46 05
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06, 24, 04, 44, 40
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Which of the following types of studies would require the largest sample size?
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Correlational
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A researcher has decided to conduct a satisfaction survey among all of the patients who presented to the ER over a 2 month period of time. This is an example of
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Convenience sampling
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A total of 20 nursing students are randomly selected from a random sample of 5 nursing programs in one state. This is an example of
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Cluster sampling
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Determination of the appropriate sample size in qualitative research is based on the principles of
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Saturation and redundancy
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Which of the following samples is least likely to be representative of the overall population?
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Convenience
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In interpreting quantitative research results, the representativeness of the sample is most closely tied to
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External validity
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Which of the following examples is not a data collection source used as a mechanism for amassing the information
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Work excitement instrument
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Which of the following processes is not a major method of data collections
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Open-ended questions
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The Hawthorne effect is defined as
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A process in which the participant modifies his or her behavior as a result of engagement in the study
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Age ranges 20-25; 25-30; 30-35; 35-40 Which problem is evident in this set?
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The categories are not mutually exclusive
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Which of the following are tenets for use when designing a questionnaire?
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Both A & B (Use a variety of items and approaches to appraise conceptual ideas, Ensure that the tool addresses the research purpose
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Which of the following is a method of data collection?
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Observation
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When developing questions for an instrument, a researcher should be careful in the wording to
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Use single-topic questions
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Both open-ended and closed-ended questions are used to collect data for research endeavors. Which of the following statements is true?
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Closed-ended questions are used to collect quantitative data information, because the researcher provides the answers for selection
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Open-ended questions provide primarily _________ data
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qualitative
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Which of the following statements is true concerning observation?
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Clear directions related to the operational definitions of the selected behavior must be determined
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When creating a questionnaire, it is essential to do each of the following except
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[Except] Use double-negative questions regularly within the tool
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A researcher decides to use observation as the data collection method for a study. To effectively collect the needed data from college-age students, the researcher enrolls in a selected college course to be able to observe and collect data about the behaviors of the students. The researcher is using which observational role?
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Complete participant
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A class of preschool children is observed via a one-way mirror for a research project designed to determine the aggressive behaviors of boys and girls. The parents of the students are not informed about the research project, as no intervention is planned. Which type of data is being collected?
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Covert
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Which of the following terms best describes data compiled for another reason and applied in a different manner?
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Secondary data
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Which of the following biophysiological tests is an example of in vivo data?
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Respiratory Rate
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Another term used within literature for mixed method design is
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Multimethod design
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When a researcher endeavors to use mixed method design to answer an identified research problem, the blending of the methods is based on
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Combining the methods to capitalize on their strong points while negating their flaws
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The research designs are merged within which sections of the report on the research project?
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Sampling, data collection, and analysis
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The primary restrictions related to the researcher that prevent the use of mixed method research are
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Lack of vision and risk taking
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Which of the following groups of data collection methods represents a mixed method format
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Likert scale tool with focus group discussion
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The determination of the mixed method design approach must address the meshing of the qualitative and quantitative methodologies through the use of which of the following criteria?
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Implementation, prioritization, and integration
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A researcher has elected to conduct a mixed method research project. Within this project, the decision has been made to conduct the 2 types of data collection concurrently, with each type of data having equal weight within the analysis process. Based on these decisions, what must the researcher make sure is done for the reporting of the process?
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Document the rationale for the decisions made within the process
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Triangulation in mixed method research is utilized for the purposes of supporting ________ validity
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convergent
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The data collected in mixed method research and the emphasis given to each type of data should be determined by the ______ and goals of the study
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research problem
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Qualitative data analysis seeks __________ in understanding of a phenomenon
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depth
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A primary reason for using mixed research methodologies is the opportunity to _______ that might otherwise be overlooked
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catch complexities
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In mixed method research, the collection of quantitative and qualitative data is often treated
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independently
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An advantage of using a mixed method design for a research study is to
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Impart rigor to the examination of the intricacies of the problem under study
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Limitations related to the use of mixed method strategies include the
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Cost and additional time required
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When making good decisions in EBP, _____ of the data is necessary
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trustworthiness
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Reliability is defined as the case in which an instrument
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Consistently measures the same thing
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Reliability and relevance may exist
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Independently of validity
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A valid test will _____ have some degree of reliability and relevance
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always
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When measuring blood pressure, the actual score is the
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Observed score on the instrument
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Reliability coefficients greater than _____ are considered to be high
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0.80
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As an example of consistency and stability in EBP, when a urinalysis is done 4 times in a 24-hour period, the urine sample needs to be the _______ amount
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same
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Dividing scores on a pain questionnaire (with 0-5 items) into odd and even numbered scores is a mechanism that can be used to determine
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Internal consistency
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Nurses on a med-surg unit were asked to record their judgments of skin color...This process is an example of which area of reliability measurement?
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Objectivity
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To establish a test as an accurate measurement of reliability, the test scores need a relatively _____ standard deviation and a _____ reliability coefficient
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low; high
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Factors that can affect the reliability, objectivity, and accuracy of a too or test include
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Practice, timing, and environment
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Validity can be classified as
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Logical
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A criterion for content-related validity determination is
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A well-defined protocol for data collection
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A researcher was comparing alternative methods for establishing a child's core body temperature for a study. The testing included the measurement of anal, oral, and aural temperatures. This example reflects which type of validity determination?
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Criterion-related validity
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A study presented the results from the development of a new tool. This tool was established to measure the level of anxiety perceived by children Which type of validity would this study need to document for the tool?
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Construct-related validity
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Which statistic is often used for nominally scaled variables?
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Chi-square
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What level of measurement is most often associated with categorical data such as gender?
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Nominal
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Inferential statistics are used to decide if differences among treatment groups are due to the
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Independent variable
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Selection of the appropriate statistical technique is based on
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All of the above (The research question, Level of measurement of the independent or dependent variable(s)
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What do statistically significant findings imply?
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The results are likely due to real differences among groups
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A researcher investigated the relationship between vitamin C (none, 500 mg, 1,000 mg) and workers (office, outdoors) in terms of the frequency of colds. Which of the following is the dependent variable?
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Colds
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The standard deviation is
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The square root of the variance
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The t-test is used to
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Test whether 2 groups differ significantly
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Use of a one-tailed versus a two-tailed test of significance of the difference between 2 samples is determined by
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Whether the difference is expected to be in one direction only
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Nurses must critically assess research studies to
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Determine the applicability of their findings to practice
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Of the 9 types of critiques, which of the following are considered essential to EBP
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Student, practicing nurse, and peer review critiques
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The purpose of a study applies to EBP when it
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Adds to the body of nursing knowledge
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An essential component of a critique is a description of how the data were collected. Which of the following statements provides the best data collection description?
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The data was collected at 2-week intervals using a pre-test/post-test procedure
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Results of the study should include
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Unexpected findings
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A research study recommendation should include
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Ways to change practice based on results
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Although many aspects are discussed within a research critique, the basic aspects that the critique is attempting to identify are
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Strengths and limitations
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Evidence-based nursing practice requires that nurses initiate a pattern to facilitate effective utilization of research results. The best method for improving a nurse's ability to incorporate research results into practice is
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Assessing at least one research report on a weekly basis
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Several basic guidelines can be used to make the research critiquing procedure less threatening. Which of the folloing reflects the utilization of these guidelines?
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The nurse reads the entire study meticulously to acquire a general understanding of the research report
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Quantitative research design tends to be easier to critique due to the
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Concreteness of the research design
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When attempting to critique a qualitative research endeavor, individuals must be able to
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Carefully assess the data collection and management processes
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Which of the EBP components carries the greatest weight in determining the management of the clinical situation
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The situation
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Power analysis is conducted to
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Estimate sample size
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