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Total Questions : 48

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Question 1:

A nurse-researcher is investigating the effects of teaching with a group of adolescents who have type 1 diabetes. The teenaged subjects were taught about nutrition, wound care, and maintenance of normal blood sugar levels. Which research design provides the best indication of the effects of this teaching?

A. Longitudinal. B. Experimental, C. Cross-sectional. D. Descriptive.

Answer and Explanation

Choice A:

Longitudinal studies follow the same group of subjects over a long period, which may not be feasible or practical for investigating the immediate effects of teaching.

Choice B:

Experimental designs involve the manipulation of an independent variable (teaching about nutrition, wound care, and maintenance of normal blood sugar levels) to observe its effects on a dependent variable (such as knowledge retention or behavior change). This design allows for the comparison of outcomes between a group that receives the intervention and a control group, providing the best indication of the effects of the teaching intervention.

Choice C:

Cross-sectional studies examine different groups at a single point in time and may not provide the best indication of the effects of teaching over time.

Choice D:

Descriptive studies aim to describe characteristics or behaviors of a population but do not typically involve interventions or manipulation of variables.

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Question 2:

The nurse plans to investigate coping abilities of clients who are undergoing chemotherapy for stage IV ovarian cancer. Which data collection methodology and research design would be best to use when investigating this research question?

"How do clients who exhibit the trait of hardiness while receiving chemotherapy for an advanced cancer explain their capabilities of coping with their current situation?"

A. Transcripts of interviews with long-term cancer survivors receiving chemotherapy; qualitative. B. Responses to an attitude survey that uses a Likert-style questionnaire; quantitative. C. Field notes from observations of clients receiving chemotherapy in an outpatient clinic; qualitative. D. Scores from a psychological instrument that measures hardiness; quantitative.

Answer and Explanation

Choice A:

Qualitative research aims to explore and understand phenomena in depth, making it suitable for investigating complex experiences such as coping abilities. Interviews allow for open-ended exploration of participants' experiences and perspectives.

Choice B:

Quantitative research typically involves the measurement of variables using numerical data, which may not capture the nuanced experiences and explanations of coping abilities as effectively as qualitative methods.

Choice C:

Observational field notes may provide valuable insights into behaviors and interactions but may not capture clients' explanations of their coping abilities in the same depth as interviews.

Choice D:

While scores from a psychological instrument measuring hardiness provide quantitative data, they may not fully capture clients' explanations of their coping abilities and the context of their experiences.

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Question 3:

In which part of the research report should this statement be placed?

"Organizational attributes associated with a professional nursing practice environment have been defined within magnet hospital studies and have been found to be highly valued by U.S. nurses across a variety of hospital settings and geographic locations."

A. Findings. B. Conclusions. C. Methodology. D. Review of the Literature.

Answer and Explanation

Choice A:

Findings typically present the results of the study, not background information or existing literature.

Choice B:

Conclusions summarize the study's findings and their implications, not background information or existing literature.

Choice C:

Methodology describes the methods used to conduct the study, not background information or existing literature.

Choice D:

Review of the Literature is the section of the research report where background information, existing literature, and theoretical frameworks relevant to the study are discussed. This statement provides background information about organizational attributes associated with a professional nursing practice environment, which would be appropriately placed in the Review of the Literature section.

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Question 4:

A nurse wishes to study client adherence to instructions about medication administration.

Which statement represents a significant nursing-focused research question?

A. Are clients who have pets more responsible about taking medications than those without pets? B. Why do clients have a tendency to forget to take their morning medications while they are on vacation? C. Which flavored syrups do clients choose most often for prescribed cough elixirs: strawberry or grape? D. What discharge medication instruction can clients most often re-state at the first follow-up clinic visit?

Answer and Explanation

Choice A:

This question focuses on the correlation between pet ownership and medication adherence, but it may not address significant nursing concerns or contribute significantly to nursing practice.

Choice B:

While this question addresses an aspect of medication adherence, it focuses on client behavior during vacation and may not be directly relevant to nursing practice or interventions.

Choice C:

This question focuses on client preferences for flavored syrups, which may be of interest but does not directly address medication adherence or nursing practice.

Choice D:

This question directly addresses medication adherence and nursing practice by assessing clients' ability to recall discharge medication instructions at a follow-up clinic visit, which is crucial for ensuring safe and effective medication management.

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Question 5:

Which is the main reason that researchers use samples rather than populations?

A. It is difficult to develop eligibility criteria for populations. B. Data from a sample are more accurate than data from a population. C. It is more economical and efficient to work with samples. D. Populations cannot be stratified and samples can.

Answer and Explanation

Choice A:

Developing eligibility criteria for populations is not typically a reason for using samples instead of populations.

Choice B:

While data from a sample can sometimes be more manageable and easier to analyze, it's not accurate to say they are inherently more accurate than data from a population.

Choice C:

Working with samples is often more practical, economical, and efficient than attempting to gather data from an entire population, especially in large or geographically dispersed populations.

Choice D:

Populations can be stratified, but sampling allows researchers to select specific subgroups of interest from a population, making it easier to study specific characteristics or variables.

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Question 6:

Which statement reflects an operational definition for the term "nurse" used in this research question?

"Are nurses who work as full-time staff members more likely to retire before age 65 than nurses who work as full-time managers of the same units?"

A. Practical nurses giving clients their baths and administering medications. B. Registered nurses who work 40 hours per week on a telemetry unit. C. Certified nurse practitioners working in an internal medicine practice. D. Employees of an accredited hospital within a major medical center.

Answer and Explanation

Choice A:

This statement describes a task performed by practical nurses but does not specify the employment status or other criteria relevant to the research question.

Choice B:

This statement provides a specific operational definition by defining "nurse" as registered nurses who work full-time (40 hours per week) on a telemetry unit. This definition clarifies the population being studied in relation to the research question.

Choice C:

This statement describes a specific role (certified nurse practitioner) but does not specify the employment status or other criteria relevant to the research question.

Choice D:

This statement describes employees of a hospital but does not specify the role or employment status of the individuals, which is necessary for the operational definition in the research question.

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Question 7:

A convenience sample was used to study nurses' experience with workplace violence. Findings indicated that nurses and those who received peer support were more likely to report incidences of workplace violence than nurses who feared reprisal for reporting incidents of workplace violence. Based on this study, which action is best for a nurse manager to take who works at a different hospital?

A. Review the hospital's definition of workplace violence. B. Develop a system for reporting workplace violence anonymously. C. Repeat the study at the nurse manager's hospital. D. Encourage peer support among the nursing staff to report issues.

Answer and Explanation

Choice A:

Reviewing the hospital's definition of workplace violence is important to ensure consistency with the findings of the study conducted elsewhere. This action will help the nurse manager understand how workplace violence is defined in their own hospital and whether changes need to be made based on the study's findings.

Choice B:

Developing a system for reporting workplace violence anonymously may be beneficial, but it is not directly supported by the findings of the study. It's important to first review the hospital's definition of workplace violence before implementing changes to reporting systems.

Choice C:

Repeating the study at the nurse manager's hospital may not be necessary and could be resource-intensive. Reviewing the existing literature and findings from other institutions can provide valuable insights without the need for replication.

Choice D:

Encouraging peer support among the nursing staff to report issues is a good practice, but it may not address the specific findings of the study regarding factors associated with reporting workplace violence.

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Question 8:

Several research designs are being considered to investigate this research question: "What is the difference in pain perception reported by clients on their first day postoperative when different types of pain management are provided?" Which research design should be dropped from further consideration because it involves unethical practice?

A. A qualitative study comparing responses of African-American and Caucasian clients about the levels of pain they experienced on their first postoperative day. B. A quantitative, experimental design study used to detect pain level differences of groups receiving IM or patient-controlled analgesia (PCA) narcotics and a control group receiving placebos. C. A retrospective 30-day chart audit that identifies frequency of narcotic administration to clients one day following surgery. D. A prospective study that compares female and male clients' responses about their expectations of postoperative pain.

Answer and Explanation

Choice A:

This study involves a qualitative approach comparing responses of different racial groups about pain perception, which does not involve unethical practice.

Choice B:

This study involves administering placebos to a control group, which could involve withholding effective pain management from participants, making it unethical.

Choice C:

This study involves a retrospective chart audit, which does not involve unethical practice.

Choice D:

This study involves comparing responses about expectations of postoperative pain between male and female clients, which does not involve unethical practice.

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Question 9:

The nurse is conducting a qualitative research study, designed to answer the question: "What is the experience of stress reduction techniques on adolescents with diabetes?" Which data should the nurse include in this study?

A. Interviews with the adolescents' parents about the children's behavior after learning stress reduction techniques. B. Videos of the adolescents using stress reduction techniques to assess their behavioral reactions to stress. C. Survey of the adolescents' feelings before and after using stress reduction techniques. D. The adolescent subjects' glycosylated hemoglobin (A1C) findings for the past year.

Answer and Explanation

Choice A:

While interviews with the adolescents' parents may provide valuable insights, they do not directly capture the adolescents' experiences with stress reduction techniques, which is the focus of the study.

Choice B:

Videos of the adolescents using stress reduction techniques could offer observational data, but they may not capture the subjective experiences and feelings of the adolescents themselves, which are central to a qualitative study.

Choice C:

Surveys of the adolescents' feelings before and after using stress reduction techniques would directly capture their subjective experiences and perceptions, making them valuable data for a qualitative study.

Choice D:

Glycosylated hemoglobin (A1C) findings provide objective physiological data related to diabetes management but do not capture the adolescents' experiences with stress reduction techniques, which is the focus of the study.

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Question 10:

Which is the dependent variable in this statement of the purpose of a research study?

"To examine barriers and aids to maintaining the nutritional health of community-dwelling older residents based on their perspectives."

A. Older residents. B. Those who live in community-dwellings. C. Barriers and aids to maintaining nutritional health. D. Nutritional health.

Answer and Explanation

Choice A:

Older residents and those who live in community-dwellings are the population of interest but are not the variables being examined in this study.

Choice B:

Those who live in community-dwellings is a descriptor of the population rather than a variable being examined in the study.

Choice C:

The dependent variable is what the study aims to measure or investigate. In this case, the study aims to examine barriers and aids to maintaining nutritional health, making it the dependent variable.

Choice D:

Nutritional health is a concept being explored but is not the dependent variable specifically mentioned in the purpose statement.

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Review Hesi RN Nursing Research (2024)

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Total Questions : 48

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Hesi RN Nursing Research

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