Midterm Exam Readiness Guide for Evidence-Based Practice in Nursing & Health Informatics, Exams of Nursing

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EBP in Nursing & Health Informatics

MIDTERM EXAM READINESS

GUIDE

Q & S

1. Multiple Choice: Which model is most commonly used in Evidence-Based Practice (EBP) to translate research findings into clinical practice? a) The Iowa Model b) The PDSA Cycle c) The ACE Star Model of Knowledge Transformation d) The Stetler Model Correct Answer : c) The ACE Star Model of Knowledge Transformation
2. Fill-in-the-Blank: The process of systematically finding, appraising, and using research findings as the basis for clinical decisions is known as ____________. Correct Answer : Evidence-Based Practice
3. True/False: In Health Informatics, 'interoperability' refers to the ability of different information systems, devices, and applications to access, exchange, integrate, and cooperatively use data in a coordinated manner. Correct Answer : True
4. Multiple Response: Select all that apply. Which of the following are key components of Health Informatics? a) Data collection b) Data analysis c) Data security d) Data monetization Correct Answer s: a) Data collection, b) Data analysis, c) Data security
5. Multiple Choice: What does the term 'informatics' refer to in the context of nursing and healthcare?

and information science in the management and processing of health data, information, and knowledge. Correct Answer : Health Informatics

11. True/False: Evidence-Based Practice only utilizes quantitative research findings. Correct Answer : False
12. Multiple Response: Effective Evidence-Based Practice requires which of the following skills? a) Critical thinking b) Statistical analysis c) Clinical judgment d) Financial accounting Correct Answer s: a) Critical thinking, b) Statistical analysis, c) Clinical judgment
13. Multiple Choice: The 'Meaningful Use' criteria in Health Informatics were established to: a) Reduce healthcare costs b) Improve patient care outcomes c) Increase healthcare provider satisfaction d) All of the above Correct Answer : d) All of the above
14. Fill-in-the-Blank: The _________ model emphasizes the integration of clinical expertise, patient values, and the best research evidence into the decision-making process for patient care. Correct Answer : EBP (Evidence-Based Practice)
15. True/False: Big Data analytics has no significant impact on decision-making in nursing practice.

Correct Answer : False

16. Multiple Response: Select all that apply. Which of the following technologies have impacted Health Informatics? a) Electronic Health Records (EHRs) b) Wearable health monitors c) Blockchain d) Social media Correct Answer s: a) Electronic Health Records (EHRs), b) Wearable health monitors, c) Blockchain
17. Multiple Choice: In the context of EBP, what does the acronym PICO stand for? a) Population, Intervention, Comparison, Outcome b) Problem, Information, Collaboration, Operation c) Patient, Identity, Care, Organization d) Pathology, Investigation, Cure, Observation Correct Answer : a) Population, Intervention, Comparison, Outcome
18. Fill-in-the-Blank: The use of EHRs to improve quality, safety, and efficiency in healthcare is known as _________. Correct Answer : Health Information Technology
19. True/False: Only randomized controlled trials (RCTs) are considered valid evidence in Evidence-Based Practice. Correct Answer : False
20. Multiple Response: What are the essential steps in the EBP process? a) Asking the clinical question b) Acquiring the evidence c) Appraising the evidence

c) To develop a new intervention d) To collect data from a large sample size Answer : a) To synthesize findings from multiple studies Which of the following is a key characteristic of a high-quality systematic review? a) A clear search strategy b) A focus on a specific clinical question c) An assessment of the quality of included studies d) All of the above Answer : d) All of the above Fill-in-the-Blank The process of translating research findings into practice is known as __. Answer : Knowledge Translation A __ is a tool used to assess the quality of research evidence. Answer : Critical Appraisal Tool __ refers to the ability of a research study to produce consistent results. Answer : Reliability The __ is a widely used framework for implementing evidence- based practice. Answer : Iowa Model __ is a type of health informatics system that allows healthcare providers to access and share patient data. Answer : Electronic Health Record (EHR)

True/False A meta-analysis is a type of systematic review that uses statistical methods to combine data from multiple studies. Answer : True Qualitative research is primarily concerned with measuring and quantifying phenomena. Answer : False The PICO framework is a tool used to formulate clinical questions for evidence-based practice. Answer : True A single study is sufficient to change clinical practice. Answer : False Health informatics systems can be used to improve patient safety and reduce medical errors. Answer : True Multiple Response Which of the following are key challenges to implementing evidence-based practice in nursing? a) Lack of time b) Lack of resources c) Lack of research skills d) Resistance to change Answer : a, b, c, d Which of the following are examples of health informatics tools? a) Electronic Health Records (EHRs)

evidence C. To eliminate variations in patient care D. To increase the use of technology in patient care Answer : B. To guide clinical decision-making based on research evidence

2. What is the first step in the Evidence-Based Practice process? A. Critically appraising the evidence B. Asking a clinical question C. Implementing the change in practice D. Evaluating the outcomes Answer : B. Asking a clinical question
3. A systematic review is characterized by: A. A large number of patients involved B. Randomization of participants C. A comprehensive summary of existing literature on a topic D. Longitudinal observation over several years Answer : C. A comprehensive summary of existing literature on a topic
4. Which of the following is a key component of Health Informatics? A. Patient follow-ups B. Documentation and data management C. Bedside manner D. Nutrition and diet recommendations: Answer : B. Documentation and data management
5. Which technology is essential for integrating EBP into clinical decision-making? A. Telemedicine systems B. Electronic Health Records (EHR)

C. Robotic surgery systems D. Mobile health apps Answer : B. Electronic Health Records (EHR)

Fill-in-the-Blank Questions

6. In PICO format, "I" stands for ________. Answer : Intervention
7. The process of aggregating patient data to identify patterns and trends is known as data ________. Answer : Analysis
8. A framework that combines best research evidence, clinical expertise, and patient values is called the ________ Model. Answer : Evidence-Based Practice
9. ________ is the first step in adopting Health Informatics to improve patient care outcomes. Answer : Assessing needs
10. The use of clinical decision support systems (CDSS) falls under the umbrella of health ________. Answer : Informatics

True/False Questions

11. T/F: Evidence-Based Practice eliminates the need for clinical expertise in decision-making. Answer : False
12. T/F: Meta-analysis is a statistical technique used to combine findings from multiple independent studies. Answer : True

A. Enhancing patient safety B. Supporting clinical decisions C. Increasing medication errors D. Improving communication Answer : A. Enhancing patient safety; B. Supporting clinical decisions; D. Improving communication

19. Which of the following are true for Randomized Controlled Trials (RCTs) in the context of EBP? (Select all that apply) A. High level of evidence B. Lack of participant blinding C. Random assignment of participants D. Observational study design Answer : A. High level of evidence; C. Random assignment of participants
20. Key barriers to implementing Health Informatics systems in healthcare settings include: (Select all that apply) A. High operational costs B. Lack of user training C. Improved data security D. Resistance to change Answer : A. High operational costs; B. Lack of user training; D. Resistance to change

Explanatory True/False Questions

21. T/F: A lack of high-quality research evidence is a common barrier to implementing Evidence-Based Practice. Explain why this is the case. Answer : True. High-quality research evidence is essential for making informed, effective clinical decisions. Without it, nurses cannot confidently implement EBP strategies that are proven to improve patient outcomes.

22. T/F: When implementing EBP, consideration of the cost- effectiveness of interventions is not necessary. Explain your reasoning. Answer : False. Evaluating the cost-effectiveness of interventions is crucial to ensure that healthcare resources are used efficiently and that interventions deliver measurable health benefits relative to their costs.
23. T/F: An EHR can facilitate research by providing structured data for analysis. Explain how this happens. Answer : True. EHR systems collect and store patient data in a structured format, which can be easily retrieved and analyzed to identify trends, conduct epidemiological studies, and facilitate research.
24. T/F: Continuing education for healthcare professionals has little impact on the successful adoption of EBP. Answer : False. Continuing education ensures healthcare professionals are up to date with the latest research and techniques, fostering a culture of continuous improvement and effective implementation of EBP.
25. T/F: Health Informatics primarily deals with patient-clinician interactions and not administrative processes. Explain why or why not. Answer : False. Health Informatics encompasses both clinical and administrative processes, as it involves managing vast amounts of data, improving communication, and optimizing healthcare operations overall.

Advanced Application Questions

26. Evaluate the ethical considerations in implementing a new