A nurse who works in a gerontology clinic is asked to examine the effectiveness of Vitamin D in improving bone mineral density among older clients. The nurse evaluates four recent studies on the topic.
Which study provides the best evidence to support the use of vitamin D?
A meta-analysis that concluded that bone density improved among individuals who took Vitamin D.
A cross-sectional study that found a strong relationship between Vitamin D intake and bone density.
A cohort study that concluded low levels of Vitamin D were linked to decreased bone mineral density.
A time series design study that reported that those who took Vitamin D had improved bone density.
The Correct Answer is A
Choice A rationale:
A meta-analysis that concluded that bone density improved among individuals who took Vitamin D. Rationale: A meta-analysis provides the highest level of evidence among the options listed. It synthesizes data from multiple studies, often randomized controlled trials (RCTs), to draw conclusions about the effectiveness of an intervention. In this case, the meta-analysis concluded that bone density improved among individuals who took Vitamin D, suggesting strong evidence to support its use.
Choice B rationale:
A cross-sectional study that found a strong relationship between Vitamin D intake and bone density. Rationale: Cross-sectional studies can identify associations between variables but cannot establish causality. While this study found a strong relationship, it does not provide as strong evidence as a meta-analysis of RCTs.
Choice C rationale:
A cohort study that concluded low levels of Vitamin D were linked to decreased bone mineral density. Rationale: Cohort studies can provide valuable evidence, but they may have limitations, such as confounding variables. While this study suggested a link, it may not be as robust as a meta-analysis of RCTs.
Choice D rationale:
A time series design study that reported that those who took Vitamin D had improved bone density. Rationale: Time series designs can be useful for assessing changes over time, but they may have limitations in terms of establishing causality. Additionally, the strength of evidence from a single time series study may not be as high as that from a meta-analysis of multiple RCTs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: The statement in question does identify the variables being investigated. It mentions that the study aims to evaluate whether short-term, cultural immersion, clinical experiences could affect change in cultural sensitivity and cultural self-efficacy. Both cultural sensitivity and cultural self-efficacy are the variables of interest in this research.
Choice B rationale: While the statement does mention the independent variable (short-term, cultural immersion, clinical experiences), it also includes the dependent variables (cultural sensitivity and cultural self-efficacy). So, the independent variable is indeed identified in the statement.
Choice C rationale: The missing characteristic in the research statement is the population being studied. It does not specify who the participants or subjects of the study are. The population being studied is a crucial element in a research statement because it helps define the scope and applicability of the research findings.
Choice D rationale: The statement does imply the possibility of empirical testing by stating that "a study was conducted," indicating that there was likely data collection and analysis involved. Therefore, the possibility of empirical testing is not missing from the statement.
Correct Answer is A
Explanation
Choice A rationale:
This study design allows for the manipulation of independent and dependent variables. In this case, the independent variable is the type of pain management (PCA-delivered narcotics vs. intermittent IM narcotics), and the dependent variable is the range of motion following joint replacement surgery. The researcher can control and manipulate the type of pain management administered to the participants, making it an experimental study design.
Choice B rationale:
Providing logbooks to clients with fibromyalgia to record their actions does not involve manipulation of independent and dependent variables. It is an observational or self-report study design where participants' actions are recorded but not actively manipulated by the researcher.
Choice C rationale:
Conducting interviews with nurse managers about their job satisfaction does not involve manipulation of independent and dependent variables. It is an observational or qualitative study design focused on gathering information and identifying themes but not manipulating variables.
Choice D rationale:
Randomly selecting medical records to identify the frequency of discharges to skilled nursing facilities is an observational study design. It does not involve manipulation of independent and dependent variables but rather the collection of existing data from medical records.
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