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(Download PDF) Practice of Nursing Research Appraisal Synthesis and Generation of Evidence 7th Edition Grove Test Bank Full Chapter
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Chapter 10: Understanding Quantitative Research Design
Test Bank
MULTIPLE CHOICE
1. What is the best research approach for investigating the actual representation of Hispanic
managers within health care institutions, and the workplace beliefs and prejudices that
perpetuate their disproportionate representation?
a. Triangulated approach
b. Quantitative approach
c. Qualitative approach
d. Outcomes approach
ANS: A
Triangulation is the combined use of two or more theories, methods, data sources,
investigators, or analysis methods in the study of the same phenomenon. Five types of
triangulation are proposed: (1) data triangulation, (2) investigator triangulation, (3) theoretical
triangulation, (4) methodological triangulation, and (5) analysis triangulation. Multiple
triangulation is the combination of more than one of these types. In the example,
methodological triangulation should be used in the study of the research problem.
Triangulation is used to ensure that the most comprehensive approach is taken to solve a
research problem.
5. Thirty patients with psoriasis are treated with ultraviolet light B phototherapy, delivered by a
therapist. Their symptoms become worse at first, and then improve. During the summer their
symptoms become better without treatment. Then fall arrives, and symptoms worsen. Patients
go back to UVL B, and they improve. Why, according to Hume, can the relationship between
UVL B phototherapy and symptom severity not be considered a classically causal one?
a. Ultraviolet light B phototherapy wasn’t invented during Hume’s lifetime.
b. There must be a strong relationship between the proposed cause and the effect.
c. The cause (phototherapy) has to be present whenever the effect occurs.
d. The cause must precede the effect in time.
ANS: C
Some of the ideas related to causation emerged from the logical positivist philosophical
tradition. Hume, a positivist, proposed that the following three conditions must be met to
establish causality: (1) there must be a strong relationship between the proposed cause and the
effect, (2) the proposed cause must precede the effect in time, and (3) the cause has to be
present whenever the effect occurs. Cause, according to Hume, is not directly observable but
must be inferred.
6. John Stuart Mill’s insistence that in order for causation to be demonstrated, there must be no
alternative explanation for why a change in one variable leads to a change in the other
variable. This concept of alternative explanations is the idea that underlies which type of
validity?
a. Statistical conclusion validity
b. Internal validity
c. Construct validity
d. External validity
ANS: D
External validity is concerned with the extent to which study findings can be generalized
beyond the sample used in the study. Statistical conclusion validity is concerned with whether
the conclusions about relationships or differences drawn from statistical analysis are an
accurate reflection of the real world: did the researcher use the right statistical tests in the
proper way? Internal validity is the extent to which the effects detected in the study are a true
reflection of reality rather than the result of extraneous variables: did the change in one
variable really account for the change in the other variable? Construct validity examines the fit
between the conceptual definitions and operational definitions of variables: are the study ideas
measured in a way that makes sense?
7. John Stuart Mill and the essentialists insisted that a cause be necessary and sufficient for an
effect to occur. In a modern study alcohol dependency is found to lead eventually to
permanent liver damage, except when the alcoholic consumes a diet plentiful in the
B-vitamins. In addition, liver damage can emerge in the absence of alcohol dependency. What
would John Stuart Mill and essentialists say about the causative relationship between alcohol
dependency and liver damage?
a. The proposed cause is necessary, but not sufficient.
b. The proposed cause is neither necessary nor sufficient.
c. The proposed cause is sufficient, but not necessary.
d. The proposed cause is both necessary and sufficient.
ANS: B
A philosophical group known as essentialists proposed that two concepts must be considered
in determining causality: necessary and sufficient. The proposed cause must be necessary for
the effect to occur. (The effect cannot occur unless the cause first occurs.) The proposed cause
must also be sufficient (requiring no other factors) for the effect to occur. This leaves no room
for a variable that may sometimes, but not always, serves as the cause of an effect.
9. The researcher divides his lab rats into two groups and administers IV methamphetamine to
one of the groups, in order to determine its effect on the fear-flight response. This is an
example of which of the following?
a. Bias
b. Control
c. Correlation
d. Multicausality
ANS: B
Control means having the power to direct or manipulate factors to achieve a desired outcome.
The idea of control is very important to research, particularly to experimental and
quasi-experimental studies. The greater the amount of control the researcher has of the study
situation, the more credible the study findings. The purpose of the research design is to
maximize control factors in the study situation. The term bias means to slant away from the
true or expected. A biased opinion has failed to include both sides of the question.
Correlational research examines linear relationships between two or more variables and
determines the type (positive or negative) and degree (strength) of the relationship, not cause.
10. A researcher is comparing a new and less expensive treatment with an established treatment,
in hopes of showing that there is no difference in outcome. The researcher does not perform a
power analysis and, consequently, selects a sample size that is smaller than what would be
recommended for an analysis of variance. The results show that there is no significant
difference in outcome between the two treatments. Which type of validity is affected by this?
a. Statistical conclusion validity
b. Internal validity
c. Construct validity
d. External validity
ANS: A
Statistical conclusion validity is concerned with whether the conclusions about relationships
or differences drawn from statistical analysis are an accurate reflection of the real world: did
the researcher use the right statistical tests in the proper way? Internal validity is the extent to
which the effects detected in the study are a true reflection of reality rather than the result of
extraneous variables: did the change in one variable really account for the change in the other
variable? Construct validity examines the fit between the conceptual definitions and
operational definitions of variables: are the study ideas measured in a way that makes sense?
External validity is concerned with the extent to which study findings can be generalized
beyond the sample used in the study.
11. A researcher is comparing a new and less expensive treatment with an established treatment,
in hopes of showing that there is no difference in outcome. The researcher does not perform a
power analysis and, consequently, selects a sample size that is smaller than what would be
recommended for an analysis of variance. The results show that there is a significant
difference in outcome between the two treatments, and that the new treatment has poorer
outcomes. What is the negative result of the researcher’s decision to use a smaller sample?
a. The statistical conclusions reached are incorrect.
b. There is no negative result.
c. The study will have to be replicated, because its sample was small.
d. The researcher is guilty of misconduct.
ANS: B
Statistical conclusion validity is concerned with whether the conclusions about relationships
or differences drawn from statistical analysis are an accurate reflection of the real world: did
the researcher use the right statistical tests in the proper way? The test was used in the proper
way, and the results established a difference in outcomes between the established treatment
and the new one, meaning that the difference in outcomes must have been quite pronounced
for this to be evident with a small sample. The results dramatically underscore this.
12. A researcher tests a new intervention for nausea associated with chemotherapy, in hospitalized
patients. At the same time a new over-the-counter medication containing natural herbs is
marketed aggressively, and some of the hospital patients are given this herbal remedy by their
families. This is a threat to which type of validity?
a. Statistical conclusion validity
b. Internal validity
c. Construct validity
d. External validity
ANS: B
Construct validity examines the fit between the conceptual definitions and operational
definitions of variables: are the study ideas measured in a way that makes sense? Statistical
conclusion validity is concerned with whether the conclusions about relationships or
differences drawn from statistical analysis are an accurate reflection of the real world: did the
researcher use the right statistical tests in the proper way? Internal validity is the extent to
which the effects detected in the study are a true reflection of reality rather than the result of
extraneous variables: did the change in one variable really account for the change in the other
variable? External validity is concerned with the extent to which study findings can be
generalized beyond the sample used in the study.
13. A researcher tests a new intervention for nausea associated with chemotherapy, in hospitalized
patients. He does not want to suggest nausea to the patients, so as his dependent variable, he
uses the answer the patients give to the question, “How are you feeling this morning?” This is
a threat to which type of validity?
a. Statistical conclusion validity
b. Internal validity
c. Construct validity
d. External validity
ANS: C
Construct validity examines the fit between the conceptual definitions and operational
definitions of variables: are the study ideas measured in a way that makes sense? It makes
little sense to measure nausea by asking a social question. Statistical conclusion validity is
concerned with whether the conclusions about relationships or differences drawn from
statistical analysis are an accurate reflection of the real world: did the researcher use the right
statistical tests in the proper way? Internal validity is the extent to which the effects detected
in the study are a true reflection of reality rather than the result of extraneous variables: did
the change in one variable really account for the change in the other variable? External
validity is concerned with the extent to which study findings can be generalized beyond the
sample used in the study.
14. A researcher conducts research and uses a small sample that is not randomly selected. When
he replicates the study, twice, he again uses the same site and another small sample that is not
randomly selected. This is a threat to which type of validity?
a. Statistical conclusion validity
b. Internal validity
c. Construct validity
d. External validity
ANS: D
Construct validity examines the fit between the conceptual definitions and operational
definitions of variables: are the study ideas measured in a way that makes sense? Statistical
conclusion validity is concerned with whether the conclusions about relationships or
differences drawn from statistical analysis are an accurate reflection of the real world: did the
researcher use the right statistical tests in the proper way? Internal validity is the extent to
which the effects detected in the study are a true reflection of reality rather than the result of
extraneous variables: did the change in one variable really account for the change in the other
variable? External validity is concerned with the extent to which study findings can be
generalized beyond the sample used in the study.
15. If a researcher plans to study graduate-level achievement in all students who were educated
under the Vermont public school system, in a small town that used both state-mandated texts
and enrichment texts of the school board’s choosing, the researcher would be using a fairly
small sample, bound by geography and time. Which type of validity is decreased by a study
like this one?
a. Construct validity
b. Statistical conclusion validity
c. External validity
d. Internal validity
ANS: C
External validity is concerned with the extent to which study findings can be generalized
beyond the sample used in the study. If the sample IS the historical population, the findings
can be generalized only to predict accomplishment in subsequent cohorts. Statistical
conclusion validity is concerned with whether the conclusions about relationships or
differences drawn from statistical analysis are an accurate reflection of the real world: did the
researcher use the right statistical tests in the proper way? Internal validity is the extent to
which the effects detected in the study are a true reflection of reality rather than the result of
extraneous variables: did the change in one variable really account for the change in the other
variable? Construct validity examines the fit between the conceptual definitions and
operational definitions of variables: are the study ideas measured in a way that makes sense?
16. What is the essential difference between a control group and a comparison group?
a. A control group’s data is collected at the same time as the experimental group’s
data. A comparison group’s data is collected before that of the experimental group.
b. A control group is larger in size than a comparison group.
c. A control group exists only is a basic lab situation. All nursing studies use
comparison groups.
d. A control group is randomly assigned. A comparison group is not.
ANS: D
If the study involves an experimental treatment, the design usually calls for a comparison.
Outcome measures for individuals who receive the experimental treatment are compared with
outcome measures for those who do not receive the experimental treatment. This comparison
requires a control group—subjects who do not receive the experimental treatment. However,
in nursing studies, all patients require care, and those who do not receive the study
intervention receive standard care. Nurse researchers often refer to the group receiving
standard care, but no treatment, as the comparison group rather than the control group.
Essentially, the main difference between these terms is that control groups are nearly identical
to their experimental groups, except for assignment. Comparison groups differ, because of the
time at which data are collected, the way they are constituted, or other circumstances that
make them less likely to be nearly identical, leading to a higher occurrence of threats to
internal validity.
17. A school nurse researcher studying bullying discovers that the type of victimization she is
observing is different for different racial groups and genders within her school district. She
wants to study the effect of peer support on bullying and chooses to make sure that the
experimental and control groups, although randomly assigned, contain equal percentages of
children of all races. What does this strategy exemplify?
a. Carryover
b. Blocking
c. Counterbalancing
d. Sequencing
ANS: B
In blocking, the researcher includes subjects with various levels of an extraneous variable in
the sample but controls the numbers of subjects at each level of the variable and their random
assignment to groups within the study. Designs using blocking are referred to as randomized
block designs. The extraneous variable is then used as an independent variable in the data
analysis. Therefore, the extraneous variable must be included in the framework and the study
hypotheses.
18. A researcher uses matching to constitute his control group, while performing a study on
psychotherapy as an adjunct treatment for substance addiction. What type of validity might be
enhanced by matching, in this instance?
a. Construct validity
b. Statistical conclusion validity
c. External validity
d. Internal validity
ANS: D
Matching is used when a subject in the experimental group is randomly selected and then a
subject similar in relation to important extraneous variables is randomly selected for the
control group. For example, subjects in the experimental and control groups might be matched
for age, gender, severity of illness, or number of chronic illnesses. Statistical conclusion
validity is concerned with whether the conclusions about relationships or differences drawn
from statistical analysis are an accurate reflection of the real world: it is not affected by use of
matching. Internal validity is the extent to which the effects detected in the study are a true
reflection of reality rather than the result of extraneous variables: matching can increase
internal validity if the researcher can correctly identify the principal extraneous variables.
Construct validity examines the fit between the conceptual definitions and operational
definitions of variables: matching has no effect on this. External validity is concerned with the
extent to which study findings can be generalized beyond the sample used in the study;
matching does not affect external validity, to any extent.
19. Immediately after the intervention in an experimental study of the negative effects of smoking
tobacco, the state tax on cigarettes increases the cost from $4 to $8 per pack. Which threat to
internal validity does this pose?
a. Mortality
b. History
c. Testing
d. Selection
ANS: B
History is an event that is not related to the planned study but that occurs during the time of
the study. History could influence a subject's response to the treatment and alter the outcome
of the study. The attrition threat is due to subjects who drop out of a study before completion.
The circumstances in which a study is conducted (history) influence the treatment and thus the
generalizability of the findings. Sometimes, the effect being measured (testing) can be due to
the number of times the subject’s responses have been tested. The subject may remember
earlier, inaccurate responses and modify them, thus altering the outcome of teh study.
20. Subjects in a multiple group experimental study are tested for how much time it takes them to
navigate a maze and find the chocolate. The maze is reconstructed after each run, and three
different floor plans are used. Each group is tested eight times in eight hours. at a different
time of day. The runs later in the day have faster times than the earlier ones. Which threat to
internal validity might account for this difference?
a. Instrumentation
b. Selection
c. Maturation
d. Statistical regression toward the mean
ANS: C
Effects can be due to changes in measurement instruments (instrumentation) between the
pretest and the posttest rather than a result of the treatment. Selection addresses the process by
which subjects are chosen to take part in a study and how subjects are grouped within a study.
Maturation is defined as growing older, wiser, stronger, hungrier, more tired, or more
experienced during the study. The subkects in this study may have been through the three
different floor plans enough times to learn them. Such unplanned changes can influence the
findings of the study. Experimenter expectancy occurs when a researcher expects a particular
intervention to relieve pain.
21. A researcher believes that therapy is more effective if patients exercise. He tells his patients
that he has arranged for them to use the hospital gym, if they so desire—and that if they are
interested, they will then be in the experimental group. This represents which threat to internal
validity?
a. Maturation
b. Reliability of the implementation
c. History
d. Selection
ANS: D
Selection addresses the process by which subjects are chosen to take part in a study and how
subjects are grouped within a study. A selection threat is more likely to occur in studies in
which random assignment is not possible. In some studies, people selected for the study may
differ in some important way from people not selected for the study. In other studies, the
threat is due to differences in subjects selected for study groups. In this study, subjects choose
to be in the experimental group because they were willing to exercise; in this way, they differ
from the rest of the group—possibly they are less depressed—and this could introduce bias
into the study.
25. A researcher tests the effect of a new laparoscopic treatment for chronic shoulder dislocation.
The results are statistically significant, and the researcher states in his findings that there is
evidence that the treatment has promise for widespread application. A subsequent replication
study fails to show statistical significance. A third study produces the same effects as the
second. What is the most likely explanation here?
a. Type I error occurred in the first study.
b. Type II error occurred in the second and third studies.
c. Random error produced insufficient power.
d. Bias was introduced by replicating the study.
ANS: A
A serious concern in research is incorrectly concluding that a relationship or difference exists
when it does not (type I error, rejecting a true null). If only one of three studies supported the
new treatment, it is most likely that a type I error occurred in the first study. Low statistical
power increases the probability of concluding that there is no significant difference between
samples when actually there is a difference (Type II error, failing to reject a false null). A type
II error is most likely to occur when the sample size is small ro when the power of the
statistical test to determine differences is low. Random error has no effect on power.
Replication of research identifies areas of bias; it does not introduce bias.
MULTIPLE RESPONSE
1. Threats to statistical conclusion validity include which of the following? (Select all that
apply.)
a. Fishing
b. Low statistical power
c. Maturation
d. Violated assumptions of statistical tests
e. History threat
ANS: A, B, D
Statistical conclusion validity is concerned with whether the conclusions about relationships
or differences drawn from statistical analysis are an accurate reflection of the real world. Low
statistical power increases the probability of concluding that there is no significant difference
between samples when actually there is a difference (type II error, failing to reject a false null)
(see Chapter 8 for discussion of the null hypothesis). Most statistical tests have assumptions
about the data collected, which include the following: (1) the data are at least at the interval
level, (2) the sample was randomly obtained, and (3) the distribution of scores was normal. If
these assumptions are violated, the statistical analysis may provide inaccurate results. The risk
of type I error increases when the researcher conducts multiple statistical analyses of
relationships or differences; this procedure is referred to as fishing.
2. Causality is tested through which of the following? (Select all that apply.)
a. Grounded theory research
b. Experimental research
c. All quantitative research
d. Mixed methods research
e. Quasi-experimental research
ANS: B, E
The first assumption you must make in examining causality is that causes lead to effects. The
only two of the primary quantitative methods that routinely examine classic causality are
experimental and quasi-experimental research.
4. Which of the following statements would lend support to the hypothesis that increasing
scientific knowledge allows humans to grasp multicausality, when single causation was
previously assumed to be the case in the time of the essentialists? (Select all that apply.)
a. Adolescents and young adults with entitlement issues may have been raised with
deprivation, not indulgence.
b. Scientific knowledge is increasing, as the gene is mapped.
c. The weather cannot be controlled, but it can be affected by geologic events such as
volcanic eruption.
d. Gender of the fetus, although determined by the father, may be more likely to be
either male or female, depending on the timing of sexual relations.
e. Genetic migrations can be tracked fairly effectively, by calculating the relative
frequency of various Landsteiner blood types in different countries.
ANS: A, C, E
A philosophical group known as essentialists proposed that two concepts must be considered
in determining causality: necessary and sufficient. The proposed cause must be necessary for
the effect to occur. (The effect cannot occur unless the cause first occurs.) The proposed cause
must also be sufficient (requiring no other factors) for the effect to occur. This leaves no room
for a variable that may sometimes, but not always, serves as the cause of an effect. “Spare the
rod and spoil the child.” “Everybody talks about the weather, but nobody does anything about
it.” “The father effectively “decides” the gender of the child by passing on either an X or a Y
to the offspring.”
DIF: Cognitive Level: Application REF: Page 209
5. In which instances could bias in measuring embarrassment be decreased? (Select all that
apply.)
a. Use more than only one way of collecting the data (such as a verbal response + an
external rater).
b. Use more than only one question to elicit the response (such as Yes–No + how
much).
c. Use more than only one modality of measurement (such as Yes–No + a
physiologic instrument).
d. Hypnotize subjects, so that they give absolutely honest answers.
e. Replicate the study.
ANS: A, B, C
Mono-operation bias occurs when only one method of measurement is used to assess a
construct. When only one method of measurement is used, fewer dimensions of the construct
are measured. Construct validity greatly improves if the researcher uses more than one
instrument. It is often possible to apply more than one measurement of the dependent variable
with little increase in time, effort, or cost. In monomethod bias, the researcher uses more than
one measure of a variable, but all the measures use the same method of recording.
6. A researcher wants to make sure that his experimental group and his control group are
equivalent, so he uses random sampling followed by random assignment to group. What else
must the researcher do to assure the consumers of his research that the groups were
equivalent? (Select all that apply.)
a. Report the sameness or difference of potentially extraneous variables, using post
hoc statistical testing.
b. Eliminate all other extraneous variables from the analysis.
c. Rebalance the samples, controlling for all potentially extraneous variables, by
moving subjects back and forth until both groups have the same distribution of all
variables.
d. Randomly assign the sample again, hoping for a better outcome the second time.
e. Report the sameness or difference of subgroups possessing unequal proportions of
any potentially extraneous variable, with respect to the dependent variable.
ANS: A, E
The most effective strategy for achieving equivalence is random sampling followed by
random assignment to groups. However, this strategy does not guarantee equivalence. Even
when randomization has been used, the researcher must examine the extent of equivalence by
measuring and comparing characteristics for which the groups must be equivalent. This
comparison is usually reported in the description of the sample.
7. A researcher plans to study graduate-level achievement in all students who were educated
under the Vermont public school system, in a small town that used both state-mandated texts
and enrichment texts of the school board’s choosing. Considering the limitations to
generalizability, how can the researcher justify conducting the study to the institutional review
board? (Select all that apply.)
a. The researcher does not have to justify conducting the study. It has not been
performed before, and so there is a gap in the literature.
b. The researcher could argue that if graduate-level achievement is markedly lower in
this group, the results could cautiously suggest revision of the town’s educational
practices.
c. The researcher could write a proposal to study all towns in Vermont, so as to have
been generalizability, and then study only this one.
d. The researcher could justify conducting the study on the basis that it might
enlighten the public school system in its decisions to mandate chosen texts.
e. The researcher could reason that if graduate-level achievement is markedly higher
in this group, the results could cautiously suggest a similar educational approach
for other similar communities.
ANS: B, D, E
External validity is concerned with the extent to which study findings can be generalized
beyond the sample used in the study. With the most serious threat, the findings would be
meaningful only for the group being studied. To some extent, the significance of the study
depends on the number of types of people and situations to which the findings can be applied.
Sometimes, the factors influencing external validity are subtle and may not be reported in
research reports; however, the researcher must be responsible for these factors. Generalization
is usually narrower for a single study than for multiple replications of a study using different
samples, perhaps from different populations in different settings.
9. Aside from random assignment using a large sample, what are ways to structure a design that
control for known extraneous variables? (Select all that apply.)
a. Matching
b. Selection of a heterogeneous sample
c. Selecting a homogeneous sample
d. Blocking
e. Stratification
ANS: A, C, D, E
Homogeneity is a more extreme form of equivalence in which the researcher limits the
subjects to only one level of an extraneous variable to reduce its impact on the study findings.
To use this strategy, you must have previously identified the extraneous variables. Matching is
used when a subject in the experimental group is randomly selected and then a subject similar
in relation to important extraneous variables is randomly selected for the control group.
Heterogeneity is designed to increase generalizability of the study findings, not to control for
extraneous variables. In blocking, the researcher includes subjects with various levels of an
extraneous variable in the sample but controls the numbers of subjects at each level of the
variable and their random assignment to groups within the study. Stratification involves the
distribution of subjects throughout the sample, using sampling techniques similar to those
used in blocking, but the purpose of the procedure is even distribution throughout the sample.
The extraneous variable is not included in the data analysis. Distribution of the extraneous
variable is included in the description of the sample.
10. What is the most effective way to minimize the effect of all extraneous variables between the
experimental group and the control group? (Select all that apply.)
a. Match the groups by hand.
b. Randomly assign subjects to group.
c. Use a large sample.
d. Place subjects into groups according to the extraneous variables they possess.
e. Allow subjects to choose the groups to which they want to belong.
ANS: B, C
Design strategies used to control extraneous variables include random sampling, random
assignment to groups, selecting subjects that are homogeneous in terms of a particular
extraneous variable, selecting a heterogeneous sample, blocking, stratification, matching
subjects between groups in relation to a particular variable, and statistical control. Random
sampling increases the probability that subjects with various levels of an extraneous variable
are included and are randomly dispersed throughout the groups within the study (Thompson,
2002). This strategy is particularly important for controlling unidentified extraneous variables.
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