Test Bank for Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice 5th Edition (Melnyk, 2023), Chapter 1-23 | All Chapters.

Test Bank For Evidence-Based Practice in Nursing & Healthcare A
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ne Guide to Best Practice 5th Edition
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by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
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ne Chapter 1 - 23 Complete
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,Chapter 1 Making the Case for Evidence-Based Practice
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and Cultivating a Spirit of Inquiry
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1. In the hospital where Nurse L. provides care, tradition dictates
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that oral temperatures be included in every set of patient vital signs,
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regardless of patient diagnosis or acuity. Thisis most likely an
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example of which of the following n e n e n e n e n e n e


phenomena?
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 ne




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


B) Research utilization ne


C) Experience
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3. Nurse R. has observed that reorienting demented patients as frequently as
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possible tendsto minimize the patients' level of agitation in the
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evening. The nurse has shared this observation with a colleague, who
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is skeptical, stating that, “It's best to stick to evidence-based practice.”
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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.”
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D) “My years of experience can be just as valuable as any
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literature review orrandomized trial.”
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4. Which of the following factors provides the most important rationale
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for the consistentimplementation 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.
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,5. The Institute of Medicine's Roundtable on Evidence-Based Medicine
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has beenestablished to address EBP. Which of the following issues is
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the Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is
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integrated intocare
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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 ne ne ne ne ne ne ne ne ne


that of otherWestern countries
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6. You have become frustrated with some aspects of patient care that you
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believe are outdated and ineffective at the long-term care facility
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where you have recently begun practicing. Consequently, you have resolved
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to examine some of these practices in lightof evidence. Which of the
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nefollowing 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 ne ne ne ne ne


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
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their children,ages 13 to 16?
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B) Among cancer patients, what role does meditation, rather than
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benzodiazepines,have on anxiety levels during the 7 days following
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hospital admission?
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C) Among undergraduate college students, what is the effectiveness of a sexual
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healthcampaign undertaken during the first 4 weeks of the fall
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semester as measured by incidence of new gonorrheal and chlamydial
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infections reported to the campus medical center?
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D) In patients aged 8 to 12, is the effectiveness of a pain scale
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using faces superior to anumeric rating scale in the
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emergency room context?
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8. After formulating a clinical question, a nurse has proceeded to search for
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evidence for ways to foster restful sleep in patients who are receiving care in
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the intensive
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analysis in an electronic database. Whatwill this source of evidence consist
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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
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(first-time) mothers are giving up on breastfeeding within the 24 hours
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following delivery, and the nurses want to create uniform guidelines
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for promoting breastfeeding on the unit. Which of thefollowing sources
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is most likely to provide the best evidence in their quest for an
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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 ne ne ne ne ne ne ne ne ne ne


within the obstetricalnursing community
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C) Evidence from a systematic review of breastfeeding-promotion studies
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that one ofthe 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
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use of evidence-based clinical practice guidelines on wound care in
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order to standardize and optimize the practice of the nurses
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n on the unit. Which of the following statements bestdescribes
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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
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review of theliterature
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11. A nurse is conducting a literature review on the evidence regarding
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the use of vacuum dressings on stage IV pressure ulcers. After
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locating a recent study that appears to be relevant, which of the
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following questions would the nurse consider first when criticallyappraising
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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
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are currentlydoing on the unit?
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12. The primary care provider of a 49-year-old male patient has examined
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and briefly explained the evidence that supports beginning regular
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digital-rectal exams. Which ofthe following factors would justify not
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performing digital-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
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begin regulardigital-rectal exams.
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