EVIDENCE-BASED PRACTICE IN NURSING
& HEALTHCARE
A GUIDE TO BEST PRACTICE
5TH EDITION
• AUTHOR(S)BERNADETTE MAZUREK
MELNYK; ELLEN FINEOUT-OVERHOLT
TEST BANK
1) Making the case for EBP
Reference: Ch. 1 — Making the Case for EBP — Why Evidence-
Based Practice Matters
Stem:
A medical-surgical unit continues using a wound care routine
that has been passed down for years, even though new staff
report inconsistent healing outcomes and patient discomfort.
The nurse manager wants to justify a practice change to the
,team and administration. Which argument best supports
moving toward evidence-based practice?
Options:
A. EBP replaces clinical judgment with research findings
B. EBP integrates the best research evidence, clinician expertise,
and patient preferences
C. EBP is mainly useful when a policy already exists
D. EBP is only necessary when a sentinel event occurs
Correct Answer: B
Rationales:
B is correct. Evidence-based practice is not research alone;
it is the integration of best evidence, clinical expertise, and
patient values/preferences. This framework supports safer,
more effective, and more individualized care decisions.
A is incorrect. EBP does not eliminate clinical judgment; it
strengthens it by informing decisions with credible evidence.
C is incorrect. EBP is used to evaluate and improve existing
policy, not just follow it.
D is incorrect. EBP should be used proactively, not only
after adverse events.
Teaching Point:
EBP integrates evidence, expertise, and patient preferences—
not research alone.
,Citation:
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-Based
Practice in Nursing & Healthcare (5th ed.). Ch. 1.
2) Spirit of inquiry
Reference: Ch. 1 — Cultivating a Spirit of Inquiry — Clinical
Curiosity
Stem:
A new graduate nurse notices that several older adults become
unusually sedated after receiving a routinely used sleep aid on
the unit. Rather than accepting the practice as normal, the
nurse asks whether a safer approach exists. What concept is the
nurse demonstrating?
Options:
A. Research utilization
B. Spirit of inquiry
C. Standardization bias
D. Clinical intuition only
Correct Answer: B
Rationales:
B is correct. A spirit of inquiry is the persistent curiosity that
leads nurses to question current practice and seek better ways
to care for patients. It is the starting point for EBP.
A is incorrect. Research utilization refers to applying
, findings from studies, not the mindset of questioning practice.
C is incorrect. Standardization bias is not the concept
described here.
D is incorrect. The nurse is not relying on intuition alone;
the nurse is questioning practice and considering evidence.
Teaching Point:
Spirit of inquiry turns “we’ve always done it this way” into a
question.
Citation:
Melnyk & Fineout-Overholt (2023). Ch. 1.
3) Why EBP is needed
Reference: Ch. 1 — Making the Case for EBP — Quality and
Safety
Stem:
A unit has high patient satisfaction but also an increasing rate of
avoidable pressure injuries. Staff members argue that because
patients are generally happy, the current approach must be
acceptable. Which response best reflects an EBP perspective?
Options:
A. Patient satisfaction alone is enough to validate practice
B. Practice should be evaluated using outcome data, not
satisfaction alone
& HEALTHCARE
A GUIDE TO BEST PRACTICE
5TH EDITION
• AUTHOR(S)BERNADETTE MAZUREK
MELNYK; ELLEN FINEOUT-OVERHOLT
TEST BANK
1) Making the case for EBP
Reference: Ch. 1 — Making the Case for EBP — Why Evidence-
Based Practice Matters
Stem:
A medical-surgical unit continues using a wound care routine
that has been passed down for years, even though new staff
report inconsistent healing outcomes and patient discomfort.
The nurse manager wants to justify a practice change to the
,team and administration. Which argument best supports
moving toward evidence-based practice?
Options:
A. EBP replaces clinical judgment with research findings
B. EBP integrates the best research evidence, clinician expertise,
and patient preferences
C. EBP is mainly useful when a policy already exists
D. EBP is only necessary when a sentinel event occurs
Correct Answer: B
Rationales:
B is correct. Evidence-based practice is not research alone;
it is the integration of best evidence, clinical expertise, and
patient values/preferences. This framework supports safer,
more effective, and more individualized care decisions.
A is incorrect. EBP does not eliminate clinical judgment; it
strengthens it by informing decisions with credible evidence.
C is incorrect. EBP is used to evaluate and improve existing
policy, not just follow it.
D is incorrect. EBP should be used proactively, not only
after adverse events.
Teaching Point:
EBP integrates evidence, expertise, and patient preferences—
not research alone.
,Citation:
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-Based
Practice in Nursing & Healthcare (5th ed.). Ch. 1.
2) Spirit of inquiry
Reference: Ch. 1 — Cultivating a Spirit of Inquiry — Clinical
Curiosity
Stem:
A new graduate nurse notices that several older adults become
unusually sedated after receiving a routinely used sleep aid on
the unit. Rather than accepting the practice as normal, the
nurse asks whether a safer approach exists. What concept is the
nurse demonstrating?
Options:
A. Research utilization
B. Spirit of inquiry
C. Standardization bias
D. Clinical intuition only
Correct Answer: B
Rationales:
B is correct. A spirit of inquiry is the persistent curiosity that
leads nurses to question current practice and seek better ways
to care for patients. It is the starting point for EBP.
A is incorrect. Research utilization refers to applying
, findings from studies, not the mindset of questioning practice.
C is incorrect. Standardization bias is not the concept
described here.
D is incorrect. The nurse is not relying on intuition alone;
the nurse is questioning practice and considering evidence.
Teaching Point:
Spirit of inquiry turns “we’ve always done it this way” into a
question.
Citation:
Melnyk & Fineout-Overholt (2023). Ch. 1.
3) Why EBP is needed
Reference: Ch. 1 — Making the Case for EBP — Quality and
Safety
Stem:
A unit has high patient satisfaction but also an increasing rate of
avoidable pressure injuries. Staff members argue that because
patients are generally happy, the current approach must be
acceptable. Which response best reflects an EBP perspective?
Options:
A. Patient satisfaction alone is enough to validate practice
B. Practice should be evaluated using outcome data, not
satisfaction alone
