Test Bank For Evidence-
n n n
Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edit
n n n n n n n n n n n n
ion
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
n n n n n
Chapter 1 - 23 Complete
n n n n
, Chapter 1 Making the Case for Evidence-
n n n n n n
Based Practice and Cultivating a Spirit of Inquiry
n n n n n n n
InnthenhospitalnwherenNursenL.nprovidesncare,ntraditionndictatesnthatnoralntemperaturesn
n
benincludedninneverynsetnofnpatientnvitalnsigns,nregardlessnofnpatientndiagnosisnornacuity.n
Thisnisnmostnlikelynannexamplenofnwhichnofnthenfollowingnphenomena?
A) Thenprioritizationnofninternalnevidencenovernexternalnevidence
B) Practicenthatnlacksnevidencentonsupportnitsnapplication
C) Thenintegrationnofnpersonalnexpertisenintonnursingncare
D) Evidence-basednpractice
2. Thenclinicalnnurseneducatorn(CNE)nonnanpostsurgicalnunitnhasnrecentlyncompletednanpati
entnchartnreviewnafternthenimplementationnofnanpilotnprogramnaimednatnpromotingnear
lynambulationnfollowingnsurgery.nWhichnofnthenfollowingncomponentsnofnEBPnisnthennur
senputtingnintonpractice?
A) Patientnpreferences
B) Researchnutilization
C) Experience
D) Internalnevidence
3. NursenR.nhasnobservednthatnreorientingndementednpatientsnasnfrequentlynasnpossiblente
ndsntonminimizenthenpatients'nlevelnofnagitationninnthenevening.nThennursenhasnsharednthi
snobservationnwithnancolleague,nwhonisnskeptical,nstatingnthat,n“It'snbestntonstickntonevide
nce-basednpractice.”nHowncannNursenR.nbestnrespond?
A) “EBPncannincludenclinicians'npersonalnexpertise.”
B) “Personalnexperiencenisnoftennmorensoundnthannformalnevidence-basednpractice.”
C) “TraditionalnpracticenandnEBPnarenusuallynshownntonbenthensame.”
D) “Mynyearsnofnexperiencencannbenjustnasnvaluablenasnanynliteraturenreviewno
rnrandomizedntrial.”
4. Whichnofnthenfollowingnfactorsnprovidesnthenmostnimportantnrationalenfornthenconsiste
ntnimplementationnofnEBP?
A) EBPnprovidesnfornthenmostncost-effectivenpatientncare.
B) EBPnisnaccessiblentonallnhealthcarenclinicians.
C) EBPnprovidesnconsistencyninncarenacrossnhealthcarensettings.
,D) EBPnimprovesnpatientnoutcomes.
, 5. ThenInstitutenofnMedicine'snRoundtablenonnEvidence-
BasednMedicinenhasnbeennestablishedntonaddressnEBP.nWhichnofnthenfollowingni
ssuesnisnthenRoundtablenemphasizing?
A) Ensuringnthatnexternalnevidence,nrathernthanninternalnevidence,nisnintegratednin
toncare
B) FosteringnthenlevelnofnlearningnthatnexistsninnthenAmericannhealthcarensystem
C) Issuingnclinicalnguidelinesntonensurenbestnnursingnpractice
D) ComparingnthenimplementationnofnEBPninnthenUnitednStatesnwithnthatnofnothe
rnWesternncountries
6. Younhavenbecomenfrustratednwithnsomenaspectsnofnpatientncarenthatnyounbelievenarenou
tdatednandnineffectivenatnthenlong-
termncarenfacilitynwherenyounhavenrecentlynbegunnpracticing.nConsequently,nyounhavenr
esolvedntonexaminensomenofnthesenpracticesninnlightnofnevidence.nWhichnofnthenfollowing
nshouldnoccurnfirstninnthenstepsnofnEBP?
A) Conductingnannelectronicnsearchnofnthenliteraturenandnrankingnindividualnsources
B) Creatingn“buy-in”nfromnthenotherncliniciansnwhonprovidencarenatnthenfacility
C) Developingnanninquisitivenandncuriousnmindset
D) Assessingnwhethernthenpracticesninnquestionnmay,ninnfact,nbenevidence-based
7. WhichnofnthenfollowingnclinicalnquestionsnbestnexemplifiesnthenPICOTnformat?
A) Whatneffectndoesnparents'nsmokingnhavenonnthensmokingnhabitsnofntheirnchildre
n,nagesn13nton16?
B) Amongncancernpatients,nwhatnrolendoesnmeditation,nrathernthannbenzodiazepin
es,nhavenonnanxietynlevelsnduringnthen7ndaysnfollowingnhospitalnadmission?
C) Amongnundergraduatencollegenstudents,nwhatnisntheneffectivenessnofnansexualnheal
thncampaignnundertakennduringnthenfirstn4nweeksnofnthenfallnsemesternasnmeasuredn
bynincidencenofnnewngonorrhealnandnchlamydialninfectionsnreportedntonthencampus
nmedicalncenter?
D) Innpatientsnagedn8nton12,nisntheneffectivenessnofnanpainnscalenusingnfacesnsuperiornton
annumericnratingnscaleninnthenemergencynroomncontext?
8. Afternformulatingnanclinicalnquestion,nannursenhasnproceededntonsearchnfornevidencenforn
waysntonfosternrestfulnsleepninnpatientsnwhonarenreceivingncareninnthenintensivencarenunit
n(ICU).nThennursenhasnidentifiednanrelevantnmeta-
analysisninnannelectronicndatabase.nWhatnwillnthisnsourcenofnevidencenconsistnof?
A) Anstatisticalnsummarynofnthenresultsnfromnseveralndifferentnstudies
B) Annexaminationnofnthentheoreticalnandnconceptualnunderpinningsnofnthenissue
C) Anninterdisciplinarynanalysisnofnthenclinicalnquestion
D) Anqualitativenstudynofndifferentninterventionsnrelatedntonthenclinicalnquestion
n n n
Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edit
n n n n n n n n n n n n
ion
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
n n n n n
Chapter 1 - 23 Complete
n n n n
, Chapter 1 Making the Case for Evidence-
n n n n n n
Based Practice and Cultivating a Spirit of Inquiry
n n n n n n n
InnthenhospitalnwherenNursenL.nprovidesncare,ntraditionndictatesnthatnoralntemperaturesn
n
benincludedninneverynsetnofnpatientnvitalnsigns,nregardlessnofnpatientndiagnosisnornacuity.n
Thisnisnmostnlikelynannexamplenofnwhichnofnthenfollowingnphenomena?
A) Thenprioritizationnofninternalnevidencenovernexternalnevidence
B) Practicenthatnlacksnevidencentonsupportnitsnapplication
C) Thenintegrationnofnpersonalnexpertisenintonnursingncare
D) Evidence-basednpractice
2. Thenclinicalnnurseneducatorn(CNE)nonnanpostsurgicalnunitnhasnrecentlyncompletednanpati
entnchartnreviewnafternthenimplementationnofnanpilotnprogramnaimednatnpromotingnear
lynambulationnfollowingnsurgery.nWhichnofnthenfollowingncomponentsnofnEBPnisnthennur
senputtingnintonpractice?
A) Patientnpreferences
B) Researchnutilization
C) Experience
D) Internalnevidence
3. NursenR.nhasnobservednthatnreorientingndementednpatientsnasnfrequentlynasnpossiblente
ndsntonminimizenthenpatients'nlevelnofnagitationninnthenevening.nThennursenhasnsharednthi
snobservationnwithnancolleague,nwhonisnskeptical,nstatingnthat,n“It'snbestntonstickntonevide
nce-basednpractice.”nHowncannNursenR.nbestnrespond?
A) “EBPncannincludenclinicians'npersonalnexpertise.”
B) “Personalnexperiencenisnoftennmorensoundnthannformalnevidence-basednpractice.”
C) “TraditionalnpracticenandnEBPnarenusuallynshownntonbenthensame.”
D) “Mynyearsnofnexperiencencannbenjustnasnvaluablenasnanynliteraturenreviewno
rnrandomizedntrial.”
4. Whichnofnthenfollowingnfactorsnprovidesnthenmostnimportantnrationalenfornthenconsiste
ntnimplementationnofnEBP?
A) EBPnprovidesnfornthenmostncost-effectivenpatientncare.
B) EBPnisnaccessiblentonallnhealthcarenclinicians.
C) EBPnprovidesnconsistencyninncarenacrossnhealthcarensettings.
,D) EBPnimprovesnpatientnoutcomes.
, 5. ThenInstitutenofnMedicine'snRoundtablenonnEvidence-
BasednMedicinenhasnbeennestablishedntonaddressnEBP.nWhichnofnthenfollowingni
ssuesnisnthenRoundtablenemphasizing?
A) Ensuringnthatnexternalnevidence,nrathernthanninternalnevidence,nisnintegratednin
toncare
B) FosteringnthenlevelnofnlearningnthatnexistsninnthenAmericannhealthcarensystem
C) Issuingnclinicalnguidelinesntonensurenbestnnursingnpractice
D) ComparingnthenimplementationnofnEBPninnthenUnitednStatesnwithnthatnofnothe
rnWesternncountries
6. Younhavenbecomenfrustratednwithnsomenaspectsnofnpatientncarenthatnyounbelievenarenou
tdatednandnineffectivenatnthenlong-
termncarenfacilitynwherenyounhavenrecentlynbegunnpracticing.nConsequently,nyounhavenr
esolvedntonexaminensomenofnthesenpracticesninnlightnofnevidence.nWhichnofnthenfollowing
nshouldnoccurnfirstninnthenstepsnofnEBP?
A) Conductingnannelectronicnsearchnofnthenliteraturenandnrankingnindividualnsources
B) Creatingn“buy-in”nfromnthenotherncliniciansnwhonprovidencarenatnthenfacility
C) Developingnanninquisitivenandncuriousnmindset
D) Assessingnwhethernthenpracticesninnquestionnmay,ninnfact,nbenevidence-based
7. WhichnofnthenfollowingnclinicalnquestionsnbestnexemplifiesnthenPICOTnformat?
A) Whatneffectndoesnparents'nsmokingnhavenonnthensmokingnhabitsnofntheirnchildre
n,nagesn13nton16?
B) Amongncancernpatients,nwhatnrolendoesnmeditation,nrathernthannbenzodiazepin
es,nhavenonnanxietynlevelsnduringnthen7ndaysnfollowingnhospitalnadmission?
C) Amongnundergraduatencollegenstudents,nwhatnisntheneffectivenessnofnansexualnheal
thncampaignnundertakennduringnthenfirstn4nweeksnofnthenfallnsemesternasnmeasuredn
bynincidencenofnnewngonorrhealnandnchlamydialninfectionsnreportedntonthencampus
nmedicalncenter?
D) Innpatientsnagedn8nton12,nisntheneffectivenessnofnanpainnscalenusingnfacesnsuperiornton
annumericnratingnscaleninnthenemergencynroomncontext?
8. Afternformulatingnanclinicalnquestion,nannursenhasnproceededntonsearchnfornevidencenforn
waysntonfosternrestfulnsleepninnpatientsnwhonarenreceivingncareninnthenintensivencarenunit
n(ICU).nThennursenhasnidentifiednanrelevantnmeta-
analysisninnannelectronicndatabase.nWhatnwillnthisnsourcenofnevidencenconsistnof?
A) Anstatisticalnsummarynofnthenresultsnfromnseveralndifferentnstudies
B) Annexaminationnofnthentheoreticalnandnconceptualnunderpinningsnofnthenissue
C) Anninterdisciplinarynanalysisnofnthenclinicalnquestion
D) Anqualitativenstudynofndifferentninterventionsnrelatedntonthenclinicalnquestion
