Test Bank For Evidence-Based Practice in Nursing & Healthcare 4th Edition by Bernadette Mazurek Melnyk; Ellen Fineout-Overholt, Chapters 1-23, A+ guide.

,Chapter 1 Making the Case for Evidence-
z7 z7 z7 z7 z7 z7

Based Practice and Cultivating a Spirit of In z7 z7 z7z7 z7 z7 z7 z7

quiry




In the hospital where Nurse L. provides care, tradition d
z7 z7 z7 z7 z7 z7 z7 z7 z7

ictates that oral temperatures be included in every set o
z7 z7 z7 z7 z7 z7 z7 z7 z7

f patient vital signs, regardless of patient diagnosis or
z7 z7 z7 z7 z7 z7 z7 z7 z7

acuity. This is most likely an example of which of the fol
z7 z7 z7 z7 z7 z7 z7 z7 z7 z7 z7

lowing phenomena? z7

A) The prioritization of internal evidence over external evidence
z7 z7 z7 z7 z7 z7 z7

B) Practice that lacks evidence to support its application
z7 z7 z7 z7 z7 z7 z7

C) The integration of personal expertise into nursing care
z7 z7 z7 z7 z7 z7 z7

D) Evidence-based practice z7




2. The clinical nurse educator (CNE) on a postsurgical u
z7 z7 z7 z7 z7 z7 z7 z7

nit has recently completed a patient chart review afte
z7 z7 z7 z7 z7 z7 z7 z7

r the implementation of a pilot program aimed at pro
z7 z7 z7 z7 z7 z7 z7 z7 z7

moting early ambulation following surgery. Which of
z7 z7 z7 z7 z7 z7

z7the following components of EBP is the nurse putting
z7 z7 z7 z7 z7 z7 z7 z7 z

7into practice?z7

A) Patient preferences z7

B) Research utilization z7

C) Experience
D) Internal evidence z7




3. Nurse R. has observed that reorienting demented patient
z7 z7 z7 z7 z7 z7 z7

s as frequently as possible tends to minimize the patien
z7 z7 z7 z7 z7 z7 z7 z7 z7

ts' level of agitation in the evening. The nurse has share
z7 z7 z7 z7 z7 z7 z7 z7 z7 z7

d this
z7

, observation with a colleague, who is skeptical, stating tha
z7 z7 z7 z7 z7 z7 z7 z7

t, “It's best to stick to evidence-
z7 z7 z7 z7 z7 z7

based practice.” How can Nurse R. best respond?
z7 z7 z7 z7 z7 z7 z7

A) “EBP can include clinicians' personal expertise.”
z7 z7 z7 z7 z7

B) “Personal experience is often more sound than form
z7 z7 z7 z7 z7 z7 z7

al evidence-based practice.”
z7 z7

C) “Traditional practice and EBP are usually shown to be t
z7 z7 z7 z7 z7 z7 z7 z7 z7

he same.”
z7

D) “My years of experience can be just as valuab
z7 z7 z7 z7 z7 z7 z7 z7

le as any literature review or randomized trial
z7 z7 z7 z7 z7 z7 z7

.”


4. Which of the following factors provides the most im
z7 z7 z7 z7 z7 z7 z7 z7

portant rationale for the consistent implementation of
z7 z7 z7 z7 z7 z7 z7

EBP?
A) EBP provides for the most cost-effective patient care.
z7 z7 z7 z7 z7 z7 z7

B) EBP is accessible to all healthcare clinicians.
z7 z7 z7 z7 z7 z7

C) EBP provides consistency in care across healthcare settings.
z7 z7 z7 z7 z7 z7 z7

D) EBP improves patient outcomes.
z7 z7 z7

, 5. The Institute of Medicine's Roundtable on Evidence-
z7 z7 z7 z7 z7 z7

Based Medicine has beenestablished to address
z7 z7 z7 z7 z7 z7

EBP. Which of the following issues is the Roundta
z7 z7 z7 z7 z7 z7 z7 z7 z7

ble emphasizing?
z7

A) Ensuring that external evidence, rather than intern z7 z7 z7 z7 z7 z7

al evidence, is integrated into care
z7 z7 z7 z7 z7

B) Fostering the level of learning that exists in the Americ
z7 z7 z7 z7 z7 z7 z7 z7 z7

an healthcare system z7 z7

C) Issuing clinical guidelines to ensure best nursing practice
z7 z7 z7 z7 z7 z7 z7

D) Comparing the implementation of EBP in the Unit z7 z7 z7 z7 z7 z7 z7

ed States with that of other Western countries
z7 z7 z7 z7 z7 z7 z7




6. You have become frustrated with some aspects of patie
z7 z7 z7 z7 z7 z7 z7 z7

nt care that you believe are outdated and ineffective a
z7 z7 z7 z7 z7 z7 z7 z7 z7

t the long-
z7 z7

term care facility where you have recently begun pract
z7 z7 z7 z7 z7 z7 z7 z7

icing. Consequently, you have resolved to examine so
z7 z7 z7 z7 z7 z7 z7

me of these practices in light of evidence. Which of the
z7 z7 z7 z7 z7 z7 z7 z7 z7 z7 z

7following should occur first in the steps of EBP?
z7 z7 z7 z7 z7 z7 z7 z7

A) Conducting an electronic search of the literature and ranki z7 z7 z7 z7 z7 z7 z7 z7

ng individual sources
z7 z7

B) Creating “buy- z7

in” from the other clinicians who provide care at the facil
z7 z7 z7 z7 z7 z7 z7 z7 z7 z7

ity
C) Developing an inquisitive and curious mindset z7 z7 z7 z7 z7

D) Assessing whether the practices in question may, in fact, b
z7 z7 z7 z7 z7 z7 z7 z7 z7

e evidence-based
z7




7. Which of the following clinical questions best exemplifies t
z7 z7 z7 z7 z7 z7 z7 z7

he PICOT format?
z7 z7

A) What effect does parents' smoking have on t
z7 z7 z7 z7 z7 z7 z7

he smoking habits of their children, ages 13 t
z7 z7 z7 z7 z7 z7 z7 z7

o 16? z7

B) Among cancer patients, what role does meditatio
z7 z7 z7 z7 z7 z7