Test Bank For Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edition by Bernadette Mazurek Melnyk, Complete Chapters 1 - 23, Updated Newest Version

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-
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Overholt Chapter 1 - 23 Complete
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,Chapter 1 Making the Case for Evidence-
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Based Practice and Cultivating a Spirit of Inqui +f +f+f +f +f +f +f +f




ry


In the hospital where Nurse L. provides care, tradition dictates that oral temperatures b
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e included in every set of patient vital signs, regardless of patient diagnosis or acuity. T
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his is most likely an example of which of the following phenomena?
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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 +f




2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a pa
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tient chart review after the implementation of a pilot program aimed at promoting ea
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rly ambulation following surgery. Which of the following components of EBP is the
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nurse putting into practice?
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A) Patient preferences +f


B) Research utilization +f


C) Experience
D) Internal evidence +f




3. Nurse R. has observed that reorienting demented patients as frequently as possible tend
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s to minimize the patients' level of agitation in the evening. The nurse has shared this
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observation with a colleague, who is skeptical, stating that, “It's best to stick to eviden
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ce-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.”
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C) “Traditional practice and EBP are usually shown to be the same.” +f +f +f +f +f +f +f +f +f +f


D) “My years of experience can be just as valuable as any literature review o
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r randomized trial.”
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4. Which of the following factors provides the most important rationale for the consisten
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t implementation of EBP?
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A) EBP provides for the most cost-effective patient care.
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B) EBP is accessible to all healthcare clinicians.
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C) EBP provides consistency in care across healthcare settings.
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D) EBP improves patient outcomes. +f +f +f

,5. The Institute of Medicine's Roundtable on Evidence-
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Based Medicine has been established to address EBP. Which of the followin
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g issues is the Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated int
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o care +f


B) Fostering the level of learning that exists in the American healthcare system
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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 othe +f +f +f +f +f +f +f +f +f +f +f +f


r Western countries
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6. You have become frustrated with some aspects of patient care that you believe are ou
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tdated and ineffective at the long-
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term care facility where you have recently begun practicing. Consequently, you have r
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esolved to examine some of these practices in light of evidence. Which of the followin
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g should occur first in the steps of EBP?
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A) Conducting an electronic search of the literature and ranking individual sources
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B) Creating “buy-in” from the other clinicians who provide care at the facility
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C) Developing an inquisitive and curious mindset +f +f +f +f +f


D) Assessing whether the practices in question may, in fact, be evidence-based
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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 children
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, ages 13 to 16?
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B) Among cancer patients, what role does meditation, rather than benzodiazepines
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, have on anxiety levels during the 7 days following hospital admission?
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C) Among undergraduate college students, what is the effectiveness of a sexual healt
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h campaign undertaken during the first 4 weeks of the fall semester as measured
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by incidence of new gonorrheal and chlamydial infections reported to the campus
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medical center?
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D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
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a numeric rating scale in the emergency room context?
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8. After formulating a clinical question, a nurse has proceeded to search for evidence for
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ways to foster restful sleep in patients who are receiving care in the intensive care un
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it (ICU). The nurse has identified a relevant meta-
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analysis in an electronic database. What will this source of evidence consist of?
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A) A statistical summary of the results from several different studies
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B) An examination of the theoretical and conceptual underpinnings of the issue
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C) An interdisciplinary analysis of the clinical question
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D) A qualitative study of different interventions related to the clinical question
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, 9. The nurses on a postpartum unit have noted that many primiparous (first-
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time) mothers are giving up on breastfeeding within the 24 hours following delivery,
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and the nurses want to create uniform guidelines for promoting breastfeeding on the u
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nit. Which of the following sources is most likely to provide the best evidence in their
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quest for an intervention?
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A) Evidence from a randomized control trial that had more than 2500 participants
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B) Evidence from a study that is widely regarded as a classic within the obstetrica
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l nursing community
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C) Evidence from a systematic review of breastfeeding- +f +f +f +f +f +f


promotion studies that one of the nurses identified in an electronic database
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D) The consensus opinion of the most senior nurses on the unit
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10. The nurse educator on an acute medicine unit is advocating for the use of
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evidence-
based clinical practice guidelines on wound care in order to standardize and optimiz
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e the practice of the nurses on the unit. Which of the following statements best descri
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bes clinical practice guidelines?
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A) The result of replication studies of existing research by an impartial third party
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B) A collection of authorized interventions that are required by law
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C) A number of interventions that are the result of a large, publically-funded RCT
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D) A group of practice recommendations that result from a rigorous review of th
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e literature +f




11. A nurse is conducting a literature review on the evidence regarding the use of vacuum
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dressings on stage IV pressure ulcers. After locating a recent study that appears to be
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relevant, which of the following questions would the nurse consider first when criticall
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y appraising the study?
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A) “Are the findings of this study cost-effective in our clinical context?”
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B) "How would the implementation of this intervention affect our staffing needs?"
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C) “Were the patients in the study similar to the patients on my unit?”
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D) “Are the findings of the study significantly different from what we are currentl
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y doing on the unit?
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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 begi
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nning regular digital-+f +f


rectal exams. Which of the following factors would justify not performing digital-
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rectal examinations in this patient's care?
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A) The patient is vehemently opposed to undergoing a digital-rectal exam.
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B) Clinical practice guidelines for prostate care have not been published.
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C) The clinician has been unable to find any large RCTs in a literature review.
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D) The clinician has previously waited until patients are 55 to begin regula
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r digital-rectal exams.
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