A charge nurse on a postoperative unit wants to do a literature search about the effectiveness of rocking-chair motion on adult clients who have a postoperative ileus. Which clinical question should the nurse use to search for the most pertinent articles?
How do postoperative clients who have had abdominal surgery perceive rocking-chair motion after surgery?
What are the most commonly used methods to decrease postoperative ileus in adults who have had abdominal surgery?
Should rocking-chair motion be included in the care of clients who have a postoperative ileus following abdominal surgery?
How does rocking-chair motion compare to standard care in treatment of adults with a postoperative ileus?
The Correct Answer is D
A. This question explores perceptions, which is more qualitative and less focused on effectiveness.
B. This question is broader and does not focus specifically on rocking-chair motion.
C. This question is more opinion-based and less precise for finding comparative evidence.
D. This question directly compares rocking-chair motion to standard care, which is ideal for searching effectiveness studies.
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Correct Answer is C
Explanation
A. p = .001 indicates a 0.1% chance of the result occurring by chance, which is more stringent than the 1% stated.
B. The findings are not inconclusive since the probability of chance is low (1%).
C. A 1% chance of findings occurring by chance corresponds to p = .01, indicating statistical significance.
D. Saying "99% of the time this finding would be accurate" is a misinterpretation of p-values and should be avoided.
Correct Answer is A
Explanation
A. The 9/11 attacks represent an external event that could influence participants' attitudes about personal safety, thus posing a threat to internal validity by affecting the study’s outcomes. Reporting this helps contextualize the findings.
B. Postponing the study is not always feasible or necessary; rather, acknowledging the event’s impact is key.
C. Instructing subjects to disregard feelings related to a major event like 9/11 is unrealistic and could compromise authentic responses.
D. While 9/11 could affect results, it does not inherently compromise the study’s reliability; the study can still yield valuable insights if the event is considered in the analysis.
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