Test Bank For Evidence-Based Practice in Nursing & Healthcare A
/= /= /= /= /= /= /= /= /=
Guide to Best Practice 5th Edition
/= /= /= /= /=
by Bernadette Mazurek Melnyk, Ellen Fineout-
/= /= /= /= /=
Overholt Chapter 1 - 23 Complete
/= /= /= /= /=
,Chapter 1 Making the Case for Evidence-
/= /= /= /= /= /=
Based Practice and Cultivating a Spirit of Inqui /= /=/= /= /= /= /= /=
ry
In the hospital where Nurse L. provides care, tradition dictates that oral temperatures b
/= /= /= /= /= /= /= /= /= /= /= /= /=
e included in every set of patient vital signs, regardless of patient diagnosis or acuity. T
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
his is most likely an example of which of the following phenomena?
/= /= /= /= /= /= /= /= /= /= /=
A) The prioritization of internal evidence over external evidence
/= /= /= /= /= /= /=
B) Practice that lacks evidence to support its application /= /= /= /= /= /= /=
C) The integration of personal expertise into nursing care
/= /= /= /= /= /= /=
D) Evidence-based practice /=
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a pa
/= /= /= /= /= /= /= /= /= /= /= /= /=
tient chart review after the implementation of a pilot program aimed at promoting ear
/= /= /= /= /= /= /= /= /= /= /= /= /=
ly ambulation following surgery. Which of the following components of EBP is the nu
/= /= /= /= /= /= /= /= /= /= /= /= /=
rse putting into practice?
/= /= /=
A) Patient preferences /=
B) Research utilization /=
C) Experience
D) Internal evidence /=
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends
/= /= /= /= /= /= /= /= /= /= /= /=
to minimize the patients' level of agitation in the evening. The nurse has shared this o
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
bservation with a colleague, who is skeptical, stating that, “It's best to stick to evidence
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
-based practice.” How can Nurse R. best respond?
/= /= /= /= /= /= /=
A) “EBP can include clinicians' personal expertise.”
/= /= /= /= /=
B) “Personal experience is often more sound than formal evidence-based practice.”
/= /= /= /= /= /= /= /= /=
C) “Traditional practice and EBP are usually shown to be the same.” /= /= /= /= /= /= /= /= /= /=
D) “My years of experience can be just as valuable as any literature review or
/= /= /= /= /= /= /= /= /= /= /= /= /=
randomized trial.”
/= /=
4. Which of the following factors provides the most important rationale for the consistent
/= /= /= /= /= /= /= /= /= /= /= /=
implementation of EBP?
/= /= /=
A) EBP provides for the most cost-effective patient care.
/= /= /= /= /= /= /=
B) EBP is accessible to all healthcare clinicians.
/= /= /= /= /= /=
C) EBP provides consistency in care across healthcare settings.
/= /= /= /= /= /= /=
D) EBP improves patient outcomes. /= /= /=
,5. The Institute of Medicine's Roundtable on Evidence-
/= /= /= /= /= /=
Based Medicine has been established to address EBP. Which of the followin
/= /= /= /= /= /= /= /= /= /= /=
g issues is the Roundtable emphasizing?
/= /= /= /= /=
A) Ensuring that external evidence, rather than internal evidence, is integrated into
/= /= /= /= /= /= /= /= /= /= /
care =
B) Fostering the level of learning that exists in the American healthcare system
/= /= /= /= /= /= /= /= /= /= /=
C) Issuing clinical guidelines to ensure best nursing practice /= /= /= /= /= /= /=
D) Comparing the implementation of EBP in the United States with that of other /= /= /= /= /= /= /= /= /= /= /= /=
Western countries
/= /=
6. You have become frustrated with some aspects of patient care that you believe are out
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
dated and ineffective at the long-
/= /= /= /= /=
term care facility where you have recently begun practicing. Consequently, you have r
/= /= /= /= /= /= /= /= /= /= /= /=
esolved to examine some of these practices in light of evidence. Which of the followin
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
g should occur first in the steps of EBP?
/= /= /= /= /= /= /= /=
A) Conducting an electronic search of the literature and ranking individual sources /= /= /= /= /= /= /= /= /= /=
B) Creating “buy-in” from the other clinicians who provide care at the facility
/= /= /= /= /= /= /= /= /= /= /=
C) Developing an inquisitive and curious mindset /= /= /= /= /=
D) Assessing whether the practices in question may, in fact, be evidence-based /= /= /= /= /= /= /= /= /= /=
7. Which of the following clinical questions best exemplifies the PICOT format?
/= /= /= /= /= /= /= /= /= /=
A) What effect does parents' smoking have on the smoking habits of their children,
/= /= /= /= /= /= /= /= /= /= /= /= /
ages 13 to 16?
= /= /= /=
B) Among cancer patients, what role does meditation, rather than benzodiazepines,
/= /= /= /= /= /= /= /= /= /
have on anxiety levels during the 7 days following hospital admission?
= /= /= /= /= /= /= /= /= /= /=
C) Among undergraduate college students, what is the effectiveness of a sexual health
/= /= /= /= /= /= /= /= /= /= /=
campaign undertaken during the first 4 weeks of the fall semester as measured b
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
y incidence of new gonorrheal and chlamydial infections reported to the campus
/= /= /= /= /= /= /= /= /= /= /= /=
medical center? /=
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
a numeric rating scale in the emergency room context?
/= /= /= /= /= /= /= /=
8. After formulating a clinical question, a nurse has proceeded to search for evidence for
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
ways to foster restful sleep in patients who are receiving care in the intensive care unit
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /
(ICU). The nurse has identified a relevant meta-
= /= /= /= /= /= /= /=
analysis in an electronic database. What will this source of evidence consist of?
/= /= /= /= /= /= /= /= /= /= /= /=
A) A statistical summary of the results from several different studies
/= /= /= /= /= /= /= /= /=
B) An examination of the theoretical and conceptual underpinnings of the issue
/= /= /= /= /= /= /= /= /= /=
C) An interdisciplinary analysis of the clinical question
/= /= /= /= /= /=
D) A qualitative study of different interventions related to the clinical question
/= /= /= /= /= /= /= /= /= /=
, 9. The nurses on a postpartum unit have noted that many primiparous (first-
/= /= /= /= /= /= /= /= /= /= /=
time) mothers are giving up on breastfeeding within the 24 hours following delivery, a
/= /= /= /= /= /= /= /= /= /= /= /= /=
nd the nurses want to create uniform guidelines for promoting breastfeeding on the unit
/= /= /= /= /= /= /= /= /= /= /= /= /=
. Which of the following sources is most likely to provide the best evidence in their qu
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
est for an intervention?
/= /= /=
A) Evidence from a randomized control trial that had more than 2500 participants/= /= /= /= /= /= /= /= /= /= /=
B) Evidence from a study that is widely regarded as a classic within the obstetrical
/= /= /= /= /= /= /= /= /= /= /= /= /=
nursing community
/= /=
C) Evidence from a systematic review of breastfeeding- /= /= /= /= /= /=
promotion studies that one of the nurses identified in an electronic database /= /= /= /= /= /= /= /= /= /= /=
D) The consensus opinion of the most senior nurses on the unit
/= /= /= /= /= /= /= /= /= /=
10. The nurse educator on an acute medicine unit is advocating for the use of
/= /= /= /= /= /= /= /= /= /= /= /= /=
evidence-
based clinical practice guidelines on wound care in order to standardize and optimize
/= /= /= /= /= /= /= /= /= /= /= /=
the practice of the nurses on the unit. Which of the following statements best describ
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
es clinical practice guidelines?
/= /= /=
A) The result of replication studies of existing research by an impartial third party
/= /= /= /= /= /= /= /= /= /= /= /=
B) A collection of authorized interventions that are required by law
/= /= /= /= /= /= /= /= /=
C) A number of interventions that are the result of a large, publically-funded RCT
/= /= /= /= /= /= /= /= /= /= /= /=
D) A group of practice recommendations that result from a rigorous review of the
/= /= /= /= /= /= /= /= /= /= /= /= /
literature =
11. A nurse is conducting a literature review on the evidence regarding the use of vacuum
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
dressings on stage IV pressure ulcers. After locating a recent study that appears to be r
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
elevant, which of the following questions would the nurse consider first when critically
/= /= /= /= /= /= /= /= /= /= /= /= /=
appraising the study? /= /=
A) “Are the findings of this study cost-effective in our clinical context?”
/= /= /= /= /= /= /= /= /= /=
B) "How would the implementation of this intervention affect our staffing needs?"
/= /= /= /= /= /= /= /= /= /=
C) “Were the patients in the study similar to the patients on my unit?”
/= /= /= /= /= /= /= /= /= /= /= /=
D) “Are the findings of the study significantly different from what we are currently
/= /= /= /= /= /= /= /= /= /= /= /=
doing on the unit?
/= /= /= /=
12. The primary care provider of a 49-year-
/= /= /= /= /= /=
old male patient has examined and briefly explained the evidence that supports begin
/= /= /= /= /= /= /= /= /= /= /= /=
ning regular digital- /= /=
rectal exams. Which of the following factors would justify not performing digital-
/= /= /= /= /= /= /= /= /= /= /=
rectal examinations in this patient's care?
/= /= /= /= /=
A) The patient is vehemently opposed to undergoing a digital-rectal exam.
/= /= /= /= /= /= /= /= /=
B) Clinical practice guidelines for prostate care have not been published.
/= /= /= /= /= /= /= /= /=
C) The clinician has been unable to find any large RCTs in a literature review.
/= /= /= /= /= /= /= /= /= /= /= /= /=
D) The clinician has previously waited until patients are 55 to begin regular
/= /= /= /= /= /= /= /= /= /= /= /
digital-rectal exams.
= /=
/= /= /= /= /= /= /= /= /=
Guide to Best Practice 5th Edition
/= /= /= /= /=
by Bernadette Mazurek Melnyk, Ellen Fineout-
/= /= /= /= /=
Overholt Chapter 1 - 23 Complete
/= /= /= /= /=
,Chapter 1 Making the Case for Evidence-
/= /= /= /= /= /=
Based Practice and Cultivating a Spirit of Inqui /= /=/= /= /= /= /= /=
ry
In the hospital where Nurse L. provides care, tradition dictates that oral temperatures b
/= /= /= /= /= /= /= /= /= /= /= /= /=
e included in every set of patient vital signs, regardless of patient diagnosis or acuity. T
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
his is most likely an example of which of the following phenomena?
/= /= /= /= /= /= /= /= /= /= /=
A) The prioritization of internal evidence over external evidence
/= /= /= /= /= /= /=
B) Practice that lacks evidence to support its application /= /= /= /= /= /= /=
C) The integration of personal expertise into nursing care
/= /= /= /= /= /= /=
D) Evidence-based practice /=
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a pa
/= /= /= /= /= /= /= /= /= /= /= /= /=
tient chart review after the implementation of a pilot program aimed at promoting ear
/= /= /= /= /= /= /= /= /= /= /= /= /=
ly ambulation following surgery. Which of the following components of EBP is the nu
/= /= /= /= /= /= /= /= /= /= /= /= /=
rse putting into practice?
/= /= /=
A) Patient preferences /=
B) Research utilization /=
C) Experience
D) Internal evidence /=
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends
/= /= /= /= /= /= /= /= /= /= /= /=
to minimize the patients' level of agitation in the evening. The nurse has shared this o
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
bservation with a colleague, who is skeptical, stating that, “It's best to stick to evidence
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
-based practice.” How can Nurse R. best respond?
/= /= /= /= /= /= /=
A) “EBP can include clinicians' personal expertise.”
/= /= /= /= /=
B) “Personal experience is often more sound than formal evidence-based practice.”
/= /= /= /= /= /= /= /= /=
C) “Traditional practice and EBP are usually shown to be the same.” /= /= /= /= /= /= /= /= /= /=
D) “My years of experience can be just as valuable as any literature review or
/= /= /= /= /= /= /= /= /= /= /= /= /=
randomized trial.”
/= /=
4. Which of the following factors provides the most important rationale for the consistent
/= /= /= /= /= /= /= /= /= /= /= /=
implementation of EBP?
/= /= /=
A) EBP provides for the most cost-effective patient care.
/= /= /= /= /= /= /=
B) EBP is accessible to all healthcare clinicians.
/= /= /= /= /= /=
C) EBP provides consistency in care across healthcare settings.
/= /= /= /= /= /= /=
D) EBP improves patient outcomes. /= /= /=
,5. The Institute of Medicine's Roundtable on Evidence-
/= /= /= /= /= /=
Based Medicine has been established to address EBP. Which of the followin
/= /= /= /= /= /= /= /= /= /= /=
g issues is the Roundtable emphasizing?
/= /= /= /= /=
A) Ensuring that external evidence, rather than internal evidence, is integrated into
/= /= /= /= /= /= /= /= /= /= /
care =
B) Fostering the level of learning that exists in the American healthcare system
/= /= /= /= /= /= /= /= /= /= /=
C) Issuing clinical guidelines to ensure best nursing practice /= /= /= /= /= /= /=
D) Comparing the implementation of EBP in the United States with that of other /= /= /= /= /= /= /= /= /= /= /= /=
Western countries
/= /=
6. You have become frustrated with some aspects of patient care that you believe are out
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
dated and ineffective at the long-
/= /= /= /= /=
term care facility where you have recently begun practicing. Consequently, you have r
/= /= /= /= /= /= /= /= /= /= /= /=
esolved to examine some of these practices in light of evidence. Which of the followin
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
g should occur first in the steps of EBP?
/= /= /= /= /= /= /= /=
A) Conducting an electronic search of the literature and ranking individual sources /= /= /= /= /= /= /= /= /= /=
B) Creating “buy-in” from the other clinicians who provide care at the facility
/= /= /= /= /= /= /= /= /= /= /=
C) Developing an inquisitive and curious mindset /= /= /= /= /=
D) Assessing whether the practices in question may, in fact, be evidence-based /= /= /= /= /= /= /= /= /= /=
7. Which of the following clinical questions best exemplifies the PICOT format?
/= /= /= /= /= /= /= /= /= /=
A) What effect does parents' smoking have on the smoking habits of their children,
/= /= /= /= /= /= /= /= /= /= /= /= /
ages 13 to 16?
= /= /= /=
B) Among cancer patients, what role does meditation, rather than benzodiazepines,
/= /= /= /= /= /= /= /= /= /
have on anxiety levels during the 7 days following hospital admission?
= /= /= /= /= /= /= /= /= /= /=
C) Among undergraduate college students, what is the effectiveness of a sexual health
/= /= /= /= /= /= /= /= /= /= /=
campaign undertaken during the first 4 weeks of the fall semester as measured b
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
y incidence of new gonorrheal and chlamydial infections reported to the campus
/= /= /= /= /= /= /= /= /= /= /= /=
medical center? /=
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
a numeric rating scale in the emergency room context?
/= /= /= /= /= /= /= /=
8. After formulating a clinical question, a nurse has proceeded to search for evidence for
/= /= /= /= /= /= /= /= /= /= /= /= /= /=
ways to foster restful sleep in patients who are receiving care in the intensive care unit
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /
(ICU). The nurse has identified a relevant meta-
= /= /= /= /= /= /= /=
analysis in an electronic database. What will this source of evidence consist of?
/= /= /= /= /= /= /= /= /= /= /= /=
A) A statistical summary of the results from several different studies
/= /= /= /= /= /= /= /= /=
B) An examination of the theoretical and conceptual underpinnings of the issue
/= /= /= /= /= /= /= /= /= /=
C) An interdisciplinary analysis of the clinical question
/= /= /= /= /= /=
D) A qualitative study of different interventions related to the clinical question
/= /= /= /= /= /= /= /= /= /=
, 9. The nurses on a postpartum unit have noted that many primiparous (first-
/= /= /= /= /= /= /= /= /= /= /=
time) mothers are giving up on breastfeeding within the 24 hours following delivery, a
/= /= /= /= /= /= /= /= /= /= /= /= /=
nd the nurses want to create uniform guidelines for promoting breastfeeding on the unit
/= /= /= /= /= /= /= /= /= /= /= /= /=
. Which of the following sources is most likely to provide the best evidence in their qu
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
est for an intervention?
/= /= /=
A) Evidence from a randomized control trial that had more than 2500 participants/= /= /= /= /= /= /= /= /= /= /=
B) Evidence from a study that is widely regarded as a classic within the obstetrical
/= /= /= /= /= /= /= /= /= /= /= /= /=
nursing community
/= /=
C) Evidence from a systematic review of breastfeeding- /= /= /= /= /= /=
promotion studies that one of the nurses identified in an electronic database /= /= /= /= /= /= /= /= /= /= /=
D) The consensus opinion of the most senior nurses on the unit
/= /= /= /= /= /= /= /= /= /=
10. The nurse educator on an acute medicine unit is advocating for the use of
/= /= /= /= /= /= /= /= /= /= /= /= /=
evidence-
based clinical practice guidelines on wound care in order to standardize and optimize
/= /= /= /= /= /= /= /= /= /= /= /=
the practice of the nurses on the unit. Which of the following statements best describ
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
es clinical practice guidelines?
/= /= /=
A) The result of replication studies of existing research by an impartial third party
/= /= /= /= /= /= /= /= /= /= /= /=
B) A collection of authorized interventions that are required by law
/= /= /= /= /= /= /= /= /=
C) A number of interventions that are the result of a large, publically-funded RCT
/= /= /= /= /= /= /= /= /= /= /= /=
D) A group of practice recommendations that result from a rigorous review of the
/= /= /= /= /= /= /= /= /= /= /= /= /
literature =
11. A nurse is conducting a literature review on the evidence regarding the use of vacuum
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
dressings on stage IV pressure ulcers. After locating a recent study that appears to be r
/= /= /= /= /= /= /= /= /= /= /= /= /= /= /=
elevant, which of the following questions would the nurse consider first when critically
/= /= /= /= /= /= /= /= /= /= /= /= /=
appraising the study? /= /=
A) “Are the findings of this study cost-effective in our clinical context?”
/= /= /= /= /= /= /= /= /= /=
B) "How would the implementation of this intervention affect our staffing needs?"
/= /= /= /= /= /= /= /= /= /=
C) “Were the patients in the study similar to the patients on my unit?”
/= /= /= /= /= /= /= /= /= /= /= /=
D) “Are the findings of the study significantly different from what we are currently
/= /= /= /= /= /= /= /= /= /= /= /=
doing on the unit?
/= /= /= /=
12. The primary care provider of a 49-year-
/= /= /= /= /= /=
old male patient has examined and briefly explained the evidence that supports begin
/= /= /= /= /= /= /= /= /= /= /= /=
ning regular digital- /= /=
rectal exams. Which of the following factors would justify not performing digital-
/= /= /= /= /= /= /= /= /= /= /=
rectal examinations in this patient's care?
/= /= /= /= /=
A) The patient is vehemently opposed to undergoing a digital-rectal exam.
/= /= /= /= /= /= /= /= /=
B) Clinical practice guidelines for prostate care have not been published.
/= /= /= /= /= /= /= /= /=
C) The clinician has been unable to find any large RCTs in a literature review.
/= /= /= /= /= /= /= /= /= /= /= /= /=
D) The clinician has previously waited until patients are 55 to begin regular
/= /= /= /= /= /= /= /= /= /= /= /
digital-rectal exams.
= /=
