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In the exemplar e-b guideline about vitamin supplements for prevention of cardiovascular disease and cancer (Moyer, 2014) , what can be said about the methods used to produce the review?


A) Scant information about methodology is provided.
B) Information about methodology is available via a link cited in the article.
C) This is a leading national organization and we should trust their methodology.
D) Information in the report is adequate to learn about the methodology.

Correct Answer

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Which of the following characteristics of a clinical practice guideline is the best indicator that the recommendations are truly evidence-based?


A) The producers of the guideline will say so and a reference list is provided.
B) The producers used a levels of evidence hierarchy to characterize the types of supporting evidence.
C) A computerized database search was conducted before the recommendations were developed.
D) The evidence for each recommendation is summarized and referenced.

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Which statement best describes how evidence-based clinical practice guidelines are mainly and most often used?


A) As an educational tool for nurses and other providers
B) To inform patients of the care they should expect
C) To guide agencies in developing protocols specific to their setting
D) As a standard for nurse performance appraisal

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C

Which of the following is the best reason for a project team that is updating a clinical protocol to start by looking for an evidence-based clinical practice guideline rather than individual studies?


A) It could save time and effort.
B) It is the route to a clinical protocol preferred by accrediting organizations.
C) It is required for Medicare reimbursement.
D) An evidence-based clinical practice guideline can be used as is-without adaptation.

Correct Answer

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Which of the following panel profiles best portrays a panel that has what it takes to produce an evidence-based clinical practice guideline?


A) A panel comprised of members with clinical expertise and resources for producing the guideline
B) A panel headed by a researcher who understands the steps involved in producing an evidence-based guideline and is comprised of members who understand statistics and how to read research articles
C) A panel comprised of members with clinical expertise, research knowledge, production resources, and knowledge of sound methods for producing evidence-based clinical practice guidelines
D) A panel whose members know how to search computerized healthcare databases and read research articles

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Which of the following is an important feature of all evidence-based clinical practice guidelines?


A) They should be based on randomized clinical trials.
B) They should explicitly indicate the amount, level, and quality of evidence supporting each recommendation.
C) They should be based on conclusions from meta-analysis.
D) They should link pathophysiology to clinical actions.

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B

From the following possible methodological steps for producing evidence-based clinical practice guidelines, which combination includes widely accepted core principles? 1) They are carried out by members of the affected disciplinary groups. 2) A systematic review is identified or conducted prior to development of recommendations. 3) Only studies with a sample size greater than 100 are considered. 4) Recommendations are explicitly linked with supporting evidence. 5) Recommendations are set forth only for those issues for which there are two or more randomized controlled trials.


A) 1, 3, and 4
B) 2, 4, and 5
C) 1, 3, and 5
D) 1, 2, and 4

Correct Answer

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In the exemplar e-b guideline about vitamin supplements for prevention of cardiovascular disease and cancer (Moyer, 2014) , which statement best describes its recommendations?


A) It made no recommendations because of insufficient evidence.
B) It made 3 recommendations with varying evidence grades.
C) It made 2 no-recommendation-possible due to inadequate evidence and one against-recommendation.
D) It made 3 B-level recommendations, meaning: recommends the service and there is moderate certainty regarding its net benefit.

Correct Answer

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Which statement is true of the scope of evidence-based clinical practice guidelines?


A) The broader the scope of the guideline, the more useful it is.
B) The more focused the guideline, the more useful it is.
C) An intermediate scope is most useful.
D) Broad guidelines and focused guidelines can both be useful.

Correct Answer

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The quality of evidence in support of a recommendation depends on which of the following?


A) The p values of the supporting findings
B) The diversity of the studies and types of statistics supporting the recommendation
C) The scientific soundness, number, and type of the supporting studies and the consistency of supporting findings
D) The strength of the correlations found in the studies

Correct Answer

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C

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