EVIDENCE-BASED PRACTICE IN NURSING
& HEALTHCARE
A GUIDE TO BEST PRACTICE
5TH EDITION
• AUTHOR(S)BERNADETTE MAZUREK
MELNYK; ELLEN FINEOUT-OVERHOLT
TEST BANK
1) Reference
Ch. 1 — Making the Case for EBP — Defining Evidence-Based
Practice
A nurse manager notices that two experienced nurses manage
postoperative pain differently on the same unit. One relies
mainly on routine practice, while the other questions whether
the current protocol is still the best option. Which statement
,best captures the meaning of evidence-based practice in this
situation?
A. Using the newest intervention described in a journal article
B. Combining the best available evidence, clinical expertise, and
patient preferences
C. Following unit policy unless a provider issues a new order
D. Using research findings only when they come from
randomized trials
Correct Answer: B
Rationale — Correct Answer:
EBP integrates the best available evidence with clinical
expertise and patient values/preferences to guide care. The
scenario reflects a common clinical decision point where
tradition alone is not enough. This is the foundational concept
the chapter uses to justify practice change.
Rationale — Incorrect Options:
A. Newness does not equal quality or relevance, and a single
article is not sufficient for EBP.
C. Policy may reflect evidence, but policy alone is not the
definition of EBP.
D. EBP is not restricted to randomized trials; the best available
evidence may come from multiple designs.
Teaching Point:
EBP is integration, not just research use.
,Citation:
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-Based
Practice in Nursing & Healthcare (5th ed.). Ch. 1.
2) Reference
Ch. 1 — Cultivating a Spirit of Inquiry — Questioning Current
Practice
A bedside nurse notices that patients who receive standardized
discharge teaching often call the unit with the same medication
questions within 48 hours. The nurse wonders whether a
different teaching approach might improve understanding.
What is the nurse demonstrating?
A. Research utilization
B. Spirit of inquiry
C. Clinical bias
D. Policy compliance
Correct Answer: B
Rationale — Correct Answer:
A spirit of inquiry is the habit of asking questions about practice
and not accepting routine without evaluation. The nurse is
identifying a possible practice gap and considering whether the
current approach could be improved. This mindset is the
starting point for EBP.
, Rationale — Incorrect Options:
A. Research utilization requires applying existing research; this
stem focuses on questioning practice.
C. Clinical bias would mean a preconceived preference, not
thoughtful questioning.
D. Compliance refers to following policy, not critically examining
it.
Teaching Point:
Inquiry begins when routine practice is questioned.
Citation:
Melnyk & Fineout-Overholt (2023). Ch. 1.
3) Reference
Ch. 1 — Making the Case for EBP — Practice Variation
Two nurses on the same medical-surgical unit use different
methods to prevent falls in older adults. The nurse educator
wants to build support for EBP. Which finding best strengthens
the case for change?
A. “We have always done it this way.”
B. “A veteran nurse prefers this method.”
C. “Patient outcomes vary and the current approach lacks a
clear evidence base.”
D. “The method is fast and easy to implement.”
Correct Answer: C
& HEALTHCARE
A GUIDE TO BEST PRACTICE
5TH EDITION
• AUTHOR(S)BERNADETTE MAZUREK
MELNYK; ELLEN FINEOUT-OVERHOLT
TEST BANK
1) Reference
Ch. 1 — Making the Case for EBP — Defining Evidence-Based
Practice
A nurse manager notices that two experienced nurses manage
postoperative pain differently on the same unit. One relies
mainly on routine practice, while the other questions whether
the current protocol is still the best option. Which statement
,best captures the meaning of evidence-based practice in this
situation?
A. Using the newest intervention described in a journal article
B. Combining the best available evidence, clinical expertise, and
patient preferences
C. Following unit policy unless a provider issues a new order
D. Using research findings only when they come from
randomized trials
Correct Answer: B
Rationale — Correct Answer:
EBP integrates the best available evidence with clinical
expertise and patient values/preferences to guide care. The
scenario reflects a common clinical decision point where
tradition alone is not enough. This is the foundational concept
the chapter uses to justify practice change.
Rationale — Incorrect Options:
A. Newness does not equal quality or relevance, and a single
article is not sufficient for EBP.
C. Policy may reflect evidence, but policy alone is not the
definition of EBP.
D. EBP is not restricted to randomized trials; the best available
evidence may come from multiple designs.
Teaching Point:
EBP is integration, not just research use.
,Citation:
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-Based
Practice in Nursing & Healthcare (5th ed.). Ch. 1.
2) Reference
Ch. 1 — Cultivating a Spirit of Inquiry — Questioning Current
Practice
A bedside nurse notices that patients who receive standardized
discharge teaching often call the unit with the same medication
questions within 48 hours. The nurse wonders whether a
different teaching approach might improve understanding.
What is the nurse demonstrating?
A. Research utilization
B. Spirit of inquiry
C. Clinical bias
D. Policy compliance
Correct Answer: B
Rationale — Correct Answer:
A spirit of inquiry is the habit of asking questions about practice
and not accepting routine without evaluation. The nurse is
identifying a possible practice gap and considering whether the
current approach could be improved. This mindset is the
starting point for EBP.
, Rationale — Incorrect Options:
A. Research utilization requires applying existing research; this
stem focuses on questioning practice.
C. Clinical bias would mean a preconceived preference, not
thoughtful questioning.
D. Compliance refers to following policy, not critically examining
it.
Teaching Point:
Inquiry begins when routine practice is questioned.
Citation:
Melnyk & Fineout-Overholt (2023). Ch. 1.
3) Reference
Ch. 1 — Making the Case for EBP — Practice Variation
Two nurses on the same medical-surgical unit use different
methods to prevent falls in older adults. The nurse educator
wants to build support for EBP. Which finding best strengthens
the case for change?
A. “We have always done it this way.”
B. “A veteran nurse prefers this method.”
C. “Patient outcomes vary and the current approach lacks a
clear evidence base.”
D. “The method is fast and easy to implement.”
Correct Answer: C
