Chapter 3: Individual Competence and Evidence-Based Practice

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. Which statement about critical reflection is true?

1. Critical reflection helps free the professional from prejudice.
2. Critical reflection is intended for the patient, not the health professional.
3. Critical reflection is the same as cultural competence.
4. Critical reflection is the same as cultural sensitivity.
____ 2. Standards of Practice for Culturally Competent Nursing Care include all of the following except
1. Aggregate data on individual cultures.
2. Cross-cultural communication.
3. Policy development.
4. Market justice.
____ 3. A statement that alerts the health-care provider that a patient may not have adequate heath literacy is
1. I usually take my medication every morning.
2. My spouse keeps all this information; I will take the form home to complete.
3. I prefer to get my information from the Internet; I can remember it better.
4. I think I understand the information; I will call you if I have additional questions.
____ 4. When unable to find best evidence in systematic reviews, the New York Academy of Medicine is another
source where the provider can obtain
1. Grey literature.
2. The Cochrane library.
3. Evidence-based practice journals.
4. PubMed.
____ 5. Each component of Quality and Safety Education for Nurses (QSEN) has all but the following:
1. Knowledge.
2. Skills.
3. Attitudes.
4. Risk.
____ 6. A good source for finding systematic reviews for evidence-based practice is
1. The World Health Organization.
2. Health Sciences online.
3. Campbell Collaboration Library.
4. Scirus for scientific information.
Chapter 3: Individual Competence and Evidence-Based Practice
Answer Section

MULTIPLE CHOICE

1. ANS: 1

Feedback
1 Correct. Critical reflection helps free the professional from prejudice.
2 Incorrect. Critical reflection is intended for the health professional, not the patient.
3 Incorrect. Critical reflection is not the same as cultural competence.
4 Incorrect. Critical reflection is not the same as cultural sensitivity.

PTS: 1
2. ANS: 4

Feedback
1 Incorrect. Aggregate data are part of Standard 3: knowledge of cultures.
2 Incorrect. Cross-cultural communication is part of Standard 9: cross cultural
communication.
3 Incorrect. Policy Development is Standard 11.
4 Correct. The standards are based on social justice, not market justice.

PTS: 1
3. ANS: 2

Feedback
1 Incorrect. This statement by itself does not indicate that the patient has a health literacy
problem.
2 Correct. This is a statement that alerts the provider to a possible health literacy
concern, and he or she should investigate further.
3 Incorrect. This statement does not indicate that the patient has a health literacy
problem.
4 Incorrect. This statement by itself does not indicate that the patient has a health literacy
problem.

PTS: 1
4. ANS: 1

Feedback
1 Correct. The New York Academy of Medicine is a good source for grey literature.
2 Incorrect. The Cochrane Library is not part of the New York Academy of Medicine.
3 Incorrect. Evidence-based practice journals are part of the New York Academy of
Medicine.
4 Incorrect. PubMed is a database of referred journal articles.

PTS: 1
5. ANS: 4
 Feedback
1 Incorrect. Knowledge is part of each component.
2 Incorrect. Skills are part of each component.
3 Incorrect. Attitudes are part of each component.
4 Correct. Risk is not part of each component.

PTS: 1
6. ANS: 3

Feedback
1 Incorrect. The World Health Organization is a good source for grey literature.
2 Incorrect. Health Sciences online is a good source for grey literature.
3 Correct. This is a good source for systematic reviews.
4 Incorrect. Scirus for scientific information is a good source for grey literature.

PTS: 1