Which of the following designs has the greatest strength in determining whether an intervention is effective?
Randomized controlled trial (RCT)
Case study
Expert opinion
Clinical guidelines
The Correct Answer is A
Choice A reason: RCTs are considered the gold standard for evaluating intervention efficacy because they minimize bias through randomization and control groups, providing high-quality evidence of causality.
Choice B reason: Case studies provide descriptive information about individual patients but lack control groups, making it impossible to determine causality.
Choice C reason: Expert opinion is based on clinical experience and lacks empirical testing, making it a weaker form of evidence for intervention effectiveness.
Choice D reason: Clinical guidelines synthesize evidence but rely on the strength of underlying studies; they do not directly provide experimental evidence themselves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Durham v. U.S. established the “Durham rule” for insanity defense, not competency to stand trial.
Choice B reason: O'Connor v. Donaldson addressed involuntary hospitalization, not competency for trial.
Choice C reason: Rennie v. Klein pertains to rights of psychiatric patients, not trial competency.
Choice D reason: Dusky v. U.S. set the legal standard requiring defendants to have a rational and factual understanding of proceedings and the ability to consult with their attorney, establishing competency to stand trial.
Correct Answer is C
Explanation
Choice A reason: Critical thinking involves analyzing and evaluating information to make decisions. While it is important in clinical practice, it does not necessarily involve self-reflection or personal insight into one’s experiences.
Choice B reason: Research utilization involves applying findings from scientific studies to clinical practice. This focuses on evidence application rather than personal reflection or insight.
Choice C reason: Reflective practice is the process of self-examination and contemplation of one’s clinical experiences to gain deeper understanding, improve decision-making, and promote professional growth. It emphasizes learning from experience and developing insight into one’s practice patterns.
Choice D reason: Evidence-based practice integrates clinical expertise, patient values, and the best research evidence. While it is central to quality care, it does not inherently include self-reflective evaluation of one’s experiences.
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