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