NURSING RESEARCH

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final exam

Nursing research is a scientific process that

Validates existing knowledge, refines existing knowledge, and generates new knowledge

Evidence-Based practice in nursing should be based

On the synthesis of findings from a collection of research studies addressing nursing practice

Which of the following is a synonym for the concept of research

Systematic inquiry

What are the three abstract thought process that are important to nursing

Institution, role modeling, and reasoning

What is the role of institution in the research process

Institution may be valuable in linking ideas while interpreting findings

What type of reasoning is represented in the following example? Premises

Patients with untreated right-sided heart failure experience shortness of breath. Mr. Jones experiences shortness of breath.: Deductive reasoning

Which type of reasoning moves from the specific to the general

Inductive reasoning

The following set of statements is an example of what type of reasoning? An altered level of comfort is experienced with facial surgery. Therefore, all surgeries result in an altered level of comfort

Inductive reasoning

Research is conducted for which of the following reasons?

To test theory, to develop new knowledge, and to generate theory

What is the most significant way of acquiring knowledge to develop an empirical knowledge base for nursing practice?

Research

Who is identified as the first nursing research?

Florence Nightingale

For nursing as a discipline to be effective in research, which of the following should be the focus of research-directed activity?

Creating a culture within nursing that value, uses, and supports research

Which of the following research methodologies is (are) being used to generate nursing knowledge?

Outcomes research, qualitative research, and quantitative research

Which of the following characteristics is not descriptive of quantitative research?

It is used to develop a theory

What characteristics are descriptive of quantitative research?

Basic elements of analysis are numbers, data are analyzed with statistics, and generalization of findings is important

Which of the following is a characteristics of qualitative research?

Analysis of the data involves individual interpretation

What type of research involves the systematic investigation of relationships among variables?

Correlational research

Which of the following describes the basis of grounded theory methodology used in research?

Research continually use data to reformulate, revise, and test propositions until a theory evolves from the data

Which of the following research methodologies is used to study lived experiences?

Phenomenology

What type of quantitative research is conducted to generate knowledge that will directly influence clinical practice?

Applied research

Which of the following statements about sampling is true?

Random or probability sampling methods require more rigor and research control

Experimental studies are most often conducted in which of the following settings?

Highly controlled setting

What term is used to describe the specific goal or aim of a study?

Study purpose

The purpose of a study was to identify caring behaviors desired by patents with (AIDS) or (HIV) infection. This purpose statement indicates that the study probably is an example of

Descriptive research

Sources of research problems for nursing research include

Nursing practice, Areas of health concern, and the literature

Which of the following statements about research objectives, questions, and hypotheses is true?

They are used to link the research problem and purpose to the study methods and analysis strategies

The statement "People want control of their own health problems" is an example of which of the following?

Assumption

A small urepresentative sample s an example of which of the following?

Methodologcal limitation

Data analyses are conducted to reduce, organize, and give meaning to the data. Data analyses are used to produce which of the following?

Results

Extraneous variables may be controlled by

Selecting a homogeneous sample

Which of the following are the four major parts most often included in a research report?

Introduction, methods, results, discussion

Which section of a quantitative research report includes the implications of the findings for nursing practice and theory and the recommendation for further research?

Discussion

The "Methods" section of a research report should include a subsection on the measurement methods used. Which of the following statements related to the information to be included in this subsection?

Sufficient information about the instrument must be provided for he reader to see the link between the concept and the way it was operationalized in the study

Research outcomes should focus on

specific recommendations for implementation (or not) of the findings in practice, what the findings contribute to building knowledge, and specific recommendations for future research

Which of the following are measured in research?

Variables

Which of the following statements correctly describes a true experiment?

Making modifications to true experimental designs decreases their internal and external validity

Which of the following statements is a belief reflective of the worldview on which qualitative research is based?

There is not a single reality

Scientific rigor in qualitative studies requires

Openness in collecting data

The research question of a phenomenological study of the birth of a first child might be

What is the meaning of a woman's lived experience of having a first child

Grounded theory is based on the belief that

It is possible to understand the process by which something happens, rather that just describing what is happening

The emic approach to ethnographic research involves studying

Behavior from within the culture

Which of the following statements about historical research is true?

Triangulation of data collection methods and verification from other sources make life histories more valuable

Data collection and data analysis occur simultaneously in qualitative research. One technique that is used to help the research to not misinterpret the phenomenon as the subject experiences it is to set aside what is known about the experiences. This technique is called

Bracketing

Which qualitative research methodology requires the understanding of culture before initiating data collection?

Ethnographic

The process of external criticism is used in which of the following qualitative research methodologies?

Historical

Internal criticism in historical research refers to

Identifying possible biases, which threaten the accuracy of what was said

Which type of qualitative research method was used by the theorist Benner in her study of nursing practice?

Phenomenological

Which type of qualitative research method was used by the theorist Leinger in her study of nursing practice?

Ethnographic

Which type of qualitative research was used by Fagerhaugh and Strauss in their study of pain management?

Grounded theory

The reliability and validity of historical research are based on which of the following concerns?

the reliability of the primary data source

Which of the following statements describes the special relationship between the participants and the researcher in qualitative research?

the participants are considered to be colleagues

A research problem is

an area of concern or situation in need of a solution

Research problems occur when there are gaps in knowledge about how to address a significant clinical problem. Which of the following would indicate that current knowledge is insufficient and that additional study of a clinical problem is needed?

Little is known about the variables, findings of previous studies have been inconclusive and/or conflicting, and ethnic minority and women subjects have not been included in many states

Which of the following statements correctly describes the research problem and purpose of the study in a quantitative study?

the purpose statement is very specific about what will be studied, whereas the problem statement is more abstract

The focus of significant research problems and purposes are

addressing research priorities in nursing, building on previous research, potential impact on clinical practice

Which of the following most accurately describes the focus of outcomes research?

comparing and contrasting groups on selected preexisting variables

As the researcher develops the research problem and purposes of the study, he or she must take into consideration the feasibility of the study. Which of the following statements best describes the concept of feasibility?

It is an evaluation of whether the researcher has the ability and resources (e.g. facilities, time, potential subjects) and ethical protections for participants to carry out the study as proposed

A researcher identified modifiable risk factors that had an impact on smoking. If you wanted to do an approximate replication of that study, could you change the operational definition of the concept of "smoking"?

Yes, but the new operationalization would need to be similar to the conceptual definition

The purpose statement of a qualitative study is expected to identify

the focus of the investigation (e.g. an event, a phenomenon, a culture)

Which of the following statements about clarifying and refining a research problem is true?

several alternative problems should be evaluated before one is selected for study

In some studies, researchers make a formal statement of the expected relationship between two or more variables in a specified population. This formal statement is a

Research hypothesis

Research hypotheses may be classified as either associative or casual. Which of the following is a characteristic of associative research hypothesis?

It identifies variables that vary or change together in an identified population

Research hypotheses also may be classified in terms of being simple or complex. Which of the following statements correctly describes a study designed to test a simple hypothesis?

Two variables are included in the hypothesis to be addressed

The directional hypothesis for a study is

Substantive theory and/or previous research

Adults using guided-imagery relaxation have a lower heart rate, blood pressure, and perceived anxiety level that adults not using a relaxation technique. Which of the following set of characteristics best describes this hypothesis?

Complex, casual, research hypothesis

Research studies include both a research hypothesis, which states what the researcher thinks will be found, and a null hypothesis is true?

The null hypothesis states that no interaction occurs between variables or that no relationship exists among the variables being studied

Which of the following states the primary characteristic(s) of variables that separate them from concepts?

Values of variables must be able to be measured or manipulated, and the values must vary among the objects, people, or situations in the study

In a study examining cause-and-effect interactions, the cause portion of the interaction is represented by the

Independent variable

Demographic variables are attributes of subjects that are collected to allow the researcher to

develop a description or profile of the sample

What is the independent variable in the following hypothesis? Adults using guided-imagery relaxation have a lower heart rate, blood pressure, and perceived anxiety level than those in adults not using a relaxation technique

Guided-imagery relaxation/no relaxation

A variable that can interfere with an intervention but cannot be controlled is a(an)

Confounding variable

A research study report states that "Heart rate was recorded using a cardiac monitor." This statement is an example of

an operational definition

Which of the following statements about operational definitions is true?

Operational definitions are developed so that variables can be measured in research

In published research literature, a primary source refers to

An article written by the people who did the study

Regarding citation dates of literature to be included in a literature review for a research study, which of the following statements is true?

The literature review should include backgrounds on the variables in the study

Which of the following indexes(indices) is the most helpful in locating sources for a nursing research proposal?

Cumulative Index to Nursing & Allied Health Literature (CINAHL)

In searching databases, it is important that the researcher identify keywords to enter into the search process. Which of the following statements about these keywords is true?

The researcher may need to find synonyms of alternate terms to describe the concepts

Sometimes a search strategy identifies too many sources. How might the researcher limit the number of citations to retrieve and critique?

Limit the years from which the researcher wishes to use citations usually the most recent, combine concepts using AND so that only citations that address all of the concepts are identified, and Request citations only for articles that can be downloaded as the full-text version

Reading and critiquing research reports constitutes an important step in the review of literature. The first step in reading a research report is to review it by

Skimming the article to get an overall sense of the content

The process of reading and critiquing an article includes

Highlighting or noting important content and ideas throughout the article

Which of the following qualitative research methods uses a minimal literature review?

Grounded theory

The literature may be actual source of data in which of the following qualitative methodologies?

Historical research

What is a landmark study?

A study that changes the literature

In performing a complex literature search using a computerized database, what term should be between each of the keywords?

AND

When a full-text article is found in a bibliographic citation database, how does the researcher obtain the article?

Clicking on the link

Readers of theoretical literature often experiences confusion in the use of the terms "conceptual model" and "theory." Which of the following statements reflect(s) general consensus about the use of these terms in nursing?

theories present a view of phenomenon that is specific enough to be used to guide research, the scope of the theories is limited in comparison with that of conceptual models, and conceptual models are broad and abstract and reflect a philosophical position

Which of the following is a concept?

Restlessness

Concepts identified in a study may or may not be variables in that specific study. In which of the following studies would the concept "gender" also be a variable?

A study comparing men and women in their response to an intervention

A relational statement says that a relationship of some kind exists between two or more concepts. For the statement "the relationship between two concepts is positive," which of the following is an accurate translation?

As the values of Concept A increase, values of Concept B can be expected to increase

Which of the following statements about frameworks in research is true?

Frameworks are important in both qualitative and quantitative research

What is the best definition of intervention theories?

they show why a procedure works

From what field(s) did many nursing theories derive their ideas?

Psychology, physiology, sociology

A variable in a study is characterized by which of the following essential elements?

a concept, a conceptual definition, a method of measurement

Theories link interrelated concepts to present a view of phenomenon or something that is happening in nursing. Which of the following statements about theories is (are) true?

Theories begin when research findings are organized and synthesized to explain what is happening in an identified situations, theories may originate from abstract ideas, institution, or personal experiences, and many theories are needed to stimulate new and different nursing interventions or protocols

Philosophy influences the way in which people view the world, what they consider to be real, and the beliefs, values, and attitudes they hold. Which of the following statements about nursing philosophy, practice, and research is true?

the philosophies of the nursing support both quantitative and qualitative approaches to research

Which of the following was developed in the late 1940s to address ethical conduct of biomedical research?

Nuremberg Code

Which of the following is not a human right that requires protection during the conduct of a study?

Right to experience the treatment

Which of the following potential research subjects have diminished autonomy and are considered incompetent to give informed consent?

Children, Mentally ill, cognitively impaired elderly

Which of the following statements about obtaining permission to study children is true?

Children aged 7 or older, with normal cognitive development, may be asked to assent to participating in research

When a subject's identity cannot be linked, even by the researcher, with his or her individual responses, this subject is said to have

Anonymity

A study requires diabetic subjects to perform one or more blood glucose determinations per day. The level of discomfort or risk for the subjects is rated as

Temporary discomfort

Which of the following is not part of the balancing of benefits and risk for a study?

Eliminating all risk of the study

Essential elements of informed consent include which of the following

disclosure of essential information regarding the study, comprehension of essential study information, and competency to give consent

Subjects with diminished autonomy require which of the following types of documentation of informed consent?

Formal written consent document signed by the subject and/or parent or legal guardian

Written informed consent may be waived in some circumstances that present no more than minimal risk to the potential subject-for example, completion of questionnaires not asking for sensitive data. What is the researcher's responsibility in this case?

The researcher is obliged to inform the potential subject of all of the usual elements of consent (e.g., disclosure of the purpose of the study, obligations of the participant, and voluntary nature of participation) in a cover letter or in some other identified fashion

Institutional review boards (IRBs) I universities, clinical agencies, and managed care centers are responsible for reviewing studies involving human subjects for the express purpose of

Determining if potential benefits of the investigation outweigh any risk that may be present to the subject

For a study that involves a chart review to obtain information abut a patient's smoking history, age, gender, and incidence of cardiovascular disease, which of the following types of review by an institutional review board (IRB) will be required?

Exempt review

Which act requires that the privacy of people's health information be Protected?

Health Insurance Portability and Accountability (HIPPA)

What level of institutional review board (IRB) review should be undertaken for a study in which the subjects participate in a clinical trial of new medications?

Complete review by only IRB

What level of institutional review board (IRB) review should be undertaken for a study in which the participants complete anonymous questionnaires?

Exempt status

What level of review by an institutional review board (IRB) should be undertaken for a study in which subjects participate in interviews about their lived experience f being a nurse?

Expedited review

A researcher who makes up results of a study is guilty of

Fabrication

Which of the following regulations is(are) used to protect animals in research studies?

Public health service policy on humane care and use of laboratory animals, animal welfare assurance statement, state and federal law

the consent form in a research proposal needs to include all the following except

Treatments provided to the control group

What is the initial question the researcher should ask when selecting a research design for a particular study?

What is the primary reason for the study?

which of the following is a condition for determining causality in research studies?

The effect should not occur unless the cause is, or has been, present

In health sciences it is unlikely that researchers will be able to establish absolute causality. Therefore, most nursing research studies must deal with relative cause and probabilities of a cause leading to an effect. Which of the following statements about probability is true?

The researcher investigates the likelihood that an effect will occur under specific circumstances

Manipulation is a term used in research to mean

The ability to determine the various treatments given to groups in quasi-experimental and experimental studies

Bias is a term used to indicate that data in a study are being distorted or slanted away from reality by some influencing factor. Which of the following statements about bias in research s true?

Preconceived ideas about what the findings of a study may be could lead to bias in interpreting data

Controlling the treatment is one of the elements of a good design. Which of the following statements about this element is true?

Controlling the treatment is enhanced with a clear description of all steps of the treatment

the design for a study to gain more information about characteristics within a particular field of a study should be

Descriptive

Case study designs can involve in-depth study of

A single institution, Small groups of subjects, A family

Which of the following can be achieved using a correlational design?

Testing of relationships proposed in a theoretical proposition

Which of the following statements about quasi-experimental designs is true?

They are an alternative for establishing causality when an experimental study might not be ethical or feasible

Which of the following statements about replication studies is true?

Replication studies extent knowledge even if they do not confirm previous study findings

Which of the following elements are required in an experimental design?

Random assignment of subjects to groups, control of variance in sampling, and carefully defined variables

A randomized clinical trial is used to study what kind of effect?

Treatment outcome

The most critical goal of proper research design is

Consistency

Other than data related to the concepts being measured to address the research objectives, questions, or hypotheses, what data can be controlled in the data collection process?

Demographic data such as age, gender, and the like, Information related to the diagnosis (For clinical studies), and Cormorbid conditions or problems in addition to the admitting diagnosis

Several problems can occur during data collection. Which f the following is a researcher-related problem?

Bias

Comparison groups are a feature of which of the following research designs?

Quas-experimental study

The funding agency that focuses most on outcomes research is

The agency of Healthcare Policy and Research

The sampling method most desired for outcome studies is

Convenience sampling using large heterogeneous samples

The process of describing clinical problems, identifying possible courses action, assessing the probability of outcomes, and calculating a optimal course of action is referred to as

Clinical decision analysis

a unique characteristic of prospective cohort studies is that

Data are collected from subjects who are at risk for, but do not currently have the problem identified

Which of the following statements about outcome variables is true?

Available measuring instruments must be sensitive enough to detect changes over time

Outcomes in nursing research are considered time dependent for which of the following reasons?

Some findings may not be apparent for a long time, The results may be only temporary, and Outcomes in some instances are immediately seen

According to sampling theory, findings can be generalized to

the target population

the definition of target population is

A list of all members of the population

the definition of a set of sampling criteria is

A list of the characteristics essential to be a member of the target population

The term representativeness means that

the sample must be like the population in as many ways as possible

Which of the following statements gives the major difference between control groups and comparison groups in experimental research?

Random selection of subjects for the sample and random assignment to groups are hallmarks of true control groups

the definition of sampling frame is

A list of every member of the population

When subjects are selected because they happen to be in the right place at the right time, the sampling method is referred to as

convenience sampling

When subjects area selected randomly on the basis of their fir in categories of variables important to the study, the sampling method is referred to as

Stratified random sampling

Nonprobability quota sampling is most closely related to which of the following probability sampling techniques?

Stratified random sampling

Sample size in quantitative studies is best determined by

Power analysis

In studies, the intervention is expected to have a small effect size. Which of the following statements about effect size is true?

Differences between groups will be more difficult to detect

Which of the following statements describes a heterogeneous study?

Members of a sample have different values on study variables

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