Test Bank For Evidence-Based Practice in Nursing & Healthcare A
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
, Chapter 1 Making the Case for Evidence- KI KI KI KI KI KI
Based Practice and Cultivating a Spirit of Inquiry KI KI KI KI KI KI KI
In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be i
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ncluded in every set of patient vital signs, regardless of patient diagnosis or acuity. Thisis
KI KI KI KI KI KI KI KI KI KI KI KI KI KI K
I KI
most likely an example of which of the following phenomena? KI KI KI KI KI KI KI KI KI
A) The prioritization of internal evidence over external evidence
KI KI KI KI KI KI KI
B) Practice that lacks evidence to support its application KI KI KI KI KI KI KI
C) The integration of personal expertise into nursing care
KI KI KI KI KI KI KI
D) Evidence-based practice KI
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patien
KI KI KI KI KI KI KI KI KI KI KI KI KI
t chart review after the implementation of a pilot program aimed at promoting early am
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
bulation following surgery. Which of the following components of EBP is thenurse putti
KI KI KI KI KI KI KI KI KI KI KI K
I KI
ng into practice?
KI KI
A) Patient preferences KI
B) Research utilization KI
C) Experience
D) Internal evidence KI
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends
KI KI KI KI KI KI KI KI KI KI KI KI K
I
to minimize the patients' level of agitation in the evening. The nurse has shared this obser
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
vation with a colleague, who is skeptical, stating that, “It's best to stick to evidence-
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
based practice.” How can Nurse R. best respond?
KI KI KI KI KI KI KI
A) “EBP can include clinicians' personal expertise.”KI KI KI KI KI
B) “Personal experience is often more sound than formal evidence-based practice.” KI KI KI KI KI KI KI KI KI
C) “Traditional practice and EBP are usually shown to be the same.” KI KI KI KI KI KI KI KI KI KI
D) “My years of experience can be just as valuable as any literature review orra
KI KI KI KI KI KI KI KI KI KI KI KI KI K
I
ndomized trial.” KI
4. Which of the following factors provides the most important rationale for the consistenti
KI KI KI KI KI KI KI KI KI KI KI KI K
I
mplementation of EBP? KI KI
A) EBP provides for the most cost-effective patient care.
KI KI KI KI KI KI KI
B) EBP is accessible to all healthcare clinicians.
KI KI KI KI KI KI
C) EBP provides consistency in care across healthcare settings.
KI KI KI KI KI KI KI
D) EBP improves patient outcomes. KI KI KI
,5. The Institute of Medicine's Roundtable on Evidence-
KI KI KI KI KI KI
Based Medicine has beenestablished to address EBP. Which of the following iss
KI KI KI K
I KI KI KI KI KI KI KI KI
ues is the Roundtable emphasizing?
KI KI KI KI
A) Ensuring that external evidence, rather than internal evidence, is integrated into KI KI KI KI KI KI KI KI KI KI K
I
care
B) Fostering the level of learning that exists in the American healthcare system KI KI KI KI KI KI KI KI KI KI KI
C) Issuing clinical guidelines to ensure best nursing practice KI KI KI KI KI KI KI
D) Comparing the implementation of EBP in the United States with that of other KI KI KI KI KI KI KI KI KI KI KI KI K
I
Western countries KI
6. You have become frustrated with some aspects of patient care that you believe are outda
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ted and ineffective at the long-
KI KI KI KI KI
term care facility where you have recently begun practicing. Consequently, you have res
KI KI KI KI KI KI KI KI KI KI KI KI
olved to examine some of these practices in lightof evidence. Which of the following shou
KI KI KI KI KI KI KI KI K
I KI KI KI KI KI KI
ld occur first in the steps of EBP?
KI KI KI KI KI KI KI
A) Conducting an electronic search of the literature and ranking individual sources KI KI KI KI KI KI KI KI KI KI
B) Creating “buy-in” from the other clinicians who provide care at the facility KI KI KI KI KI KI KI KI KI KI KI
C) Developing an inquisitive and curious mindset KI KI KI KI KI
D) Assessing whether the practices in question may, in fact, be evidence-based KI KI KI KI KI KI KI KI KI KI
7. Which of the following clinical questions best exemplifies the PICOT format?
KI KI KI KI KI KI KI KI KI KI
A) What effect does parents' smoking have on the smoking habits of their children,a
KI KI KI KI KI KI KI KI KI KI KI KI K
I
ges 13 to 16? KI KI KI
B) Among cancer patients, what role does meditation, rather than benzodiazepines, KI KI KI KI KI KI KI KI KI K
I
have on anxiety levels during the 7 days following hospital admission?
KI KI KI KI KI KI KI KI KI KI
C) Among undergraduate college students, what is the effectiveness of a sexual health KI KI KI KI KI KI KI KI KI KI KI K
I
campaign undertaken during the first 4 weeks of the fall semester as measured by in KI KI KI KI KI KI KI KI KI KI KI KI KI KI
cidence of new gonorrheal and chlamydial infections reported to the campus medic KI KI KI KI KI KI KI KI KI KI KI
al center? KI
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to anu
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI K
I
meric rating scale in the emergency room context? KI KI KI KI KI KI KI
8. After formulating a clinical question, a nurse has proceeded to search for evidence for wa
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ys to foster restful sleep in patients who are receiving care in the intensive care unit (ICU).
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
The nurse has identified a relevant meta-
KI KI KI KI KI KI
analysis in an electronic database. Whatwill this source of evidence consist of?
KI KI KI KI KI K
I KI KI KI KI KI KI
A) A statistical summary of the results from several different studies
KI KI KI KI KI KI KI KI KI
B) An examination of the theoretical and conceptual underpinnings of the issue
KI KI KI KI KI KI KI KI KI KI
C) An interdisciplinary analysis of the clinical question
KI KI KI KI KI KI
D) A qualitative study of different interventions related to the clinical question
KI KI KI KI KI KI KI KI KI KI
, 9. The nurses on a postpartum unit have noted that many primiparous (first-
KI KI KI KI KI KI KI KI KI KI KI
time) mothers are giving up on breastfeeding within the 24 hours following delivery, and
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
the nurses want to create uniform guidelines for promoting breastfeeding on the unit. W
KI KI KI KI KI KI KI KI KI KI KI KI KI
hich of thefollowing sources is most likely to provide the best evidence in their quest for a
KI KI K
I KI KI KI KI KI KI KI KI KI KI KI KI KI KI
n intervention?
KI
A) Evidence from a randomized control trial that had more than 2500 participants KI KI KI KI KI KI KI KI KI KI KI
B) Evidence from a study that is widely regarded as a classic within the obstetricaln KI KI KI KI KI KI KI KI KI KI KI KI KI K
I
ursing community KI
C) Evidence from a systematic review of breastfeeding- KI KI KI KI KI KI
promotion studies that one ofthe nurses identified in an electronic database KI KI KI KI K
I KI KI KI KI KI KI
D) The consensus opinion of the most senior nurses on the unit
KI KI KI KI KI KI KI KI KI KI
10. The nurse educator on an acute medicine unit is advocating for the use of
KI KI KI KI KI KI KI KI KI KI KI KI KI
evidence-
based clinical practice guidelines on wound care in order to standardize and optimize th
KI KI KI KI KI KI KI KI KI KI KI KI KI
e practice of the nurses on the unit. Which of the following statements bestdescribes cli
KI KI KI KI KI KI KI KI KI KI KI KI KI K
I KI
nical practice guidelines? KI KI
A) The result of replication studies of existing research by an impartial third party
KI KI KI KI KI KI KI KI KI KI KI KI
B) A collection of authorized interventions that are required by law
KI KI KI KI KI KI KI KI KI
C) A number of interventions that are the result of a large, publically-funded RCT
KI KI KI KI KI KI KI KI KI KI KI KI
D) A group of practice recommendations that result from a rigorous review of theli
KI KI KI KI KI KI KI KI KI KI KI KI K
I
terature
11. A nurse is conducting a literature review on the evidence regarding the use of vacuum dre
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ssings on stage IV pressure ulcers. After locating a recent study that appears to be relevan
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
t, which of the following questions would the nurse consider first when criticallyappraisin
KI KI KI KI KI KI KI KI KI KI KI KI K
I
g the study?
KI KI
A) “Are the findings of this study cost-effective in our clinical context?”
KI KI KI KI KI KI KI KI KI KI
B) "How would the implementation of this intervention affect our staffing needs?" KI KI KI KI KI KI KI KI KI KI
C) “Were the patients in the study similar to the patients on my unit?” KI KI KI KI KI KI KI KI KI KI KI KI
D) “Are the findings of the study significantly different from what we are currentlydo
KI KI KI KI KI KI KI KI KI KI KI KI K
I
ing on the unit? KI KI KI
12. The primary care provider of a 49-year-
KI KI KI KI KI KI
old male patient has examined and briefly explained the evidence that supports beginn
KI KI KI KI KI KI KI KI KI KI KI KI
ing regular digital-
KI KI
rectal exams. Which ofthe following factors would justify not performing digital-
KI KI KI K
I KI KI KI KI KI KI KI
rectal examinations in this patient's care?
KI KI KI KI KI
A) The patient is vehemently opposed to undergoing a digital-rectal exam.
KI KI KI KI KI KI KI KI KI
B) Clinical practice guidelines for prostate care have not been published. KI KI KI KI KI KI KI KI KI
C) The clinician has been unable to find any large RCTs in a literature review.
KI KI KI KI KI KI KI KI KI KI KI KI KI
D) The clinician has previously waited until patients are 55 to begin regulardi
KI KI KI KI KI KI KI KI KI KI KI K
I
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
, Chapter 1 Making the Case for Evidence- KI KI KI KI KI KI
Based Practice and Cultivating a Spirit of Inquiry KI KI KI KI KI KI KI
In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be i
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ncluded in every set of patient vital signs, regardless of patient diagnosis or acuity. Thisis
KI KI KI KI KI KI KI KI KI KI KI KI KI KI K
I KI
most likely an example of which of the following phenomena? KI KI KI KI KI KI KI KI KI
A) The prioritization of internal evidence over external evidence
KI KI KI KI KI KI KI
B) Practice that lacks evidence to support its application KI KI KI KI KI KI KI
C) The integration of personal expertise into nursing care
KI KI KI KI KI KI KI
D) Evidence-based practice KI
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patien
KI KI KI KI KI KI KI KI KI KI KI KI KI
t chart review after the implementation of a pilot program aimed at promoting early am
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
bulation following surgery. Which of the following components of EBP is thenurse putti
KI KI KI KI KI KI KI KI KI KI KI K
I KI
ng into practice?
KI KI
A) Patient preferences KI
B) Research utilization KI
C) Experience
D) Internal evidence KI
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends
KI KI KI KI KI KI KI KI KI KI KI KI K
I
to minimize the patients' level of agitation in the evening. The nurse has shared this obser
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
vation with a colleague, who is skeptical, stating that, “It's best to stick to evidence-
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
based practice.” How can Nurse R. best respond?
KI KI KI KI KI KI KI
A) “EBP can include clinicians' personal expertise.”KI KI KI KI KI
B) “Personal experience is often more sound than formal evidence-based practice.” KI KI KI KI KI KI KI KI KI
C) “Traditional practice and EBP are usually shown to be the same.” KI KI KI KI KI KI KI KI KI KI
D) “My years of experience can be just as valuable as any literature review orra
KI KI KI KI KI KI KI KI KI KI KI KI KI K
I
ndomized trial.” KI
4. Which of the following factors provides the most important rationale for the consistenti
KI KI KI KI KI KI KI KI KI KI KI KI K
I
mplementation of EBP? KI KI
A) EBP provides for the most cost-effective patient care.
KI KI KI KI KI KI KI
B) EBP is accessible to all healthcare clinicians.
KI KI KI KI KI KI
C) EBP provides consistency in care across healthcare settings.
KI KI KI KI KI KI KI
D) EBP improves patient outcomes. KI KI KI
,5. The Institute of Medicine's Roundtable on Evidence-
KI KI KI KI KI KI
Based Medicine has beenestablished to address EBP. Which of the following iss
KI KI KI K
I KI KI KI KI KI KI KI KI
ues is the Roundtable emphasizing?
KI KI KI KI
A) Ensuring that external evidence, rather than internal evidence, is integrated into KI KI KI KI KI KI KI KI KI KI K
I
care
B) Fostering the level of learning that exists in the American healthcare system KI KI KI KI KI KI KI KI KI KI KI
C) Issuing clinical guidelines to ensure best nursing practice KI KI KI KI KI KI KI
D) Comparing the implementation of EBP in the United States with that of other KI KI KI KI KI KI KI KI KI KI KI KI K
I
Western countries KI
6. You have become frustrated with some aspects of patient care that you believe are outda
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ted and ineffective at the long-
KI KI KI KI KI
term care facility where you have recently begun practicing. Consequently, you have res
KI KI KI KI KI KI KI KI KI KI KI KI
olved to examine some of these practices in lightof evidence. Which of the following shou
KI KI KI KI KI KI KI KI K
I KI KI KI KI KI KI
ld occur first in the steps of EBP?
KI KI KI KI KI KI KI
A) Conducting an electronic search of the literature and ranking individual sources KI KI KI KI KI KI KI KI KI KI
B) Creating “buy-in” from the other clinicians who provide care at the facility KI KI KI KI KI KI KI KI KI KI KI
C) Developing an inquisitive and curious mindset KI KI KI KI KI
D) Assessing whether the practices in question may, in fact, be evidence-based KI KI KI KI KI KI KI KI KI KI
7. Which of the following clinical questions best exemplifies the PICOT format?
KI KI KI KI KI KI KI KI KI KI
A) What effect does parents' smoking have on the smoking habits of their children,a
KI KI KI KI KI KI KI KI KI KI KI KI K
I
ges 13 to 16? KI KI KI
B) Among cancer patients, what role does meditation, rather than benzodiazepines, KI KI KI KI KI KI KI KI KI K
I
have on anxiety levels during the 7 days following hospital admission?
KI KI KI KI KI KI KI KI KI KI
C) Among undergraduate college students, what is the effectiveness of a sexual health KI KI KI KI KI KI KI KI KI KI KI K
I
campaign undertaken during the first 4 weeks of the fall semester as measured by in KI KI KI KI KI KI KI KI KI KI KI KI KI KI
cidence of new gonorrheal and chlamydial infections reported to the campus medic KI KI KI KI KI KI KI KI KI KI KI
al center? KI
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to anu
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI K
I
meric rating scale in the emergency room context? KI KI KI KI KI KI KI
8. After formulating a clinical question, a nurse has proceeded to search for evidence for wa
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ys to foster restful sleep in patients who are receiving care in the intensive care unit (ICU).
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
The nurse has identified a relevant meta-
KI KI KI KI KI KI
analysis in an electronic database. Whatwill this source of evidence consist of?
KI KI KI KI KI K
I KI KI KI KI KI KI
A) A statistical summary of the results from several different studies
KI KI KI KI KI KI KI KI KI
B) An examination of the theoretical and conceptual underpinnings of the issue
KI KI KI KI KI KI KI KI KI KI
C) An interdisciplinary analysis of the clinical question
KI KI KI KI KI KI
D) A qualitative study of different interventions related to the clinical question
KI KI KI KI KI KI KI KI KI KI
, 9. The nurses on a postpartum unit have noted that many primiparous (first-
KI KI KI KI KI KI KI KI KI KI KI
time) mothers are giving up on breastfeeding within the 24 hours following delivery, and
KI KI KI KI KI KI KI KI KI KI KI KI KI KI
the nurses want to create uniform guidelines for promoting breastfeeding on the unit. W
KI KI KI KI KI KI KI KI KI KI KI KI KI
hich of thefollowing sources is most likely to provide the best evidence in their quest for a
KI KI K
I KI KI KI KI KI KI KI KI KI KI KI KI KI KI
n intervention?
KI
A) Evidence from a randomized control trial that had more than 2500 participants KI KI KI KI KI KI KI KI KI KI KI
B) Evidence from a study that is widely regarded as a classic within the obstetricaln KI KI KI KI KI KI KI KI KI KI KI KI KI K
I
ursing community KI
C) Evidence from a systematic review of breastfeeding- KI KI KI KI KI KI
promotion studies that one ofthe nurses identified in an electronic database KI KI KI KI K
I KI KI KI KI KI KI
D) The consensus opinion of the most senior nurses on the unit
KI KI KI KI KI KI KI KI KI KI
10. The nurse educator on an acute medicine unit is advocating for the use of
KI KI KI KI KI KI KI KI KI KI KI KI KI
evidence-
based clinical practice guidelines on wound care in order to standardize and optimize th
KI KI KI KI KI KI KI KI KI KI KI KI KI
e practice of the nurses on the unit. Which of the following statements bestdescribes cli
KI KI KI KI KI KI KI KI KI KI KI KI KI K
I KI
nical practice guidelines? KI KI
A) The result of replication studies of existing research by an impartial third party
KI KI KI KI KI KI KI KI KI KI KI KI
B) A collection of authorized interventions that are required by law
KI KI KI KI KI KI KI KI KI
C) A number of interventions that are the result of a large, publically-funded RCT
KI KI KI KI KI KI KI KI KI KI KI KI
D) A group of practice recommendations that result from a rigorous review of theli
KI KI KI KI KI KI KI KI KI KI KI KI K
I
terature
11. A nurse is conducting a literature review on the evidence regarding the use of vacuum dre
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
ssings on stage IV pressure ulcers. After locating a recent study that appears to be relevan
KI KI KI KI KI KI KI KI KI KI KI KI KI KI KI
t, which of the following questions would the nurse consider first when criticallyappraisin
KI KI KI KI KI KI KI KI KI KI KI KI K
I
g the study?
KI KI
A) “Are the findings of this study cost-effective in our clinical context?”
KI KI KI KI KI KI KI KI KI KI
B) "How would the implementation of this intervention affect our staffing needs?" KI KI KI KI KI KI KI KI KI KI
C) “Were the patients in the study similar to the patients on my unit?” KI KI KI KI KI KI KI KI KI KI KI KI
D) “Are the findings of the study significantly different from what we are currentlydo
KI KI KI KI KI KI KI KI KI KI KI KI K
I
ing on the unit? KI KI KI
12. The primary care provider of a 49-year-
KI KI KI KI KI KI
old male patient has examined and briefly explained the evidence that supports beginn
KI KI KI KI KI KI KI KI KI KI KI KI
ing regular digital-
KI KI
rectal exams. Which ofthe following factors would justify not performing digital-
KI KI KI K
I KI KI KI KI KI KI KI
rectal examinations in this patient's care?
KI KI KI KI KI
A) The patient is vehemently opposed to undergoing a digital-rectal exam.
KI KI KI KI KI KI KI KI KI
B) Clinical practice guidelines for prostate care have not been published. KI KI KI KI KI KI KI KI KI
C) The clinician has been unable to find any large RCTs in a literature review.
KI KI KI KI KI KI KI KI KI KI KI KI KI
D) The clinician has previously waited until patients are 55 to begin regulardi
KI KI KI KI KI KI KI KI KI KI KI K
I
