Test Bank For Evidence-Based Practice in Nursing & Healthcare A
t t t t t t t t t
Guide to Best Practice 5th Edition
t t t t t t
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
t t t t t
Chapter 1 - 23 Complet
t t t t
,Chapter 1 Making the Case for Evidence-Based Practice
t t t t t t t
and Cultivating a Spirit of Inquiry
t t t t t t
In tthe thospital twhere tNurse tL. tprovides tcare, ttradition tdictates tthat toral
temperatures tbe tincluded tin tevery tset tof tpatient tvital tsigns, tregardless tof tpatient
t
tdiagnosis tor tacuity. tThistis tmost tlikely tan texample tof twhich tof tthe tfollowing
tphenomena?
A) The tprioritization tof tinternal tevidence tover texternal tevidence
B) Practice tthat tlacks tevidence tto tsupport tits tapplication
C) The tintegration tof tpersonal texpertise tinto tnursing tcare
D) Evidence-based tpractice
2. The tclinical tnurse teducator t(CNE) ton ta tpostsurgical tunit thas trecently tcompleted ta
tpatient tchart treview tafter tthe timplementation tof ta tpilot tprogram taimed tat
tpromoting tearly tambulation tfollowing tsurgery. tWhich tof tthe tfollowing
tcomponents tof tEBP tis tthetnurse tputting tinto tpractice?
A) Patient tpreferences
B) Research tutilization
C) Experience
D) Internal tevidence
3. Nurse tR. thas tobserved tthat treorienting tdemented tpatients tas tfrequently tas tpossible
ttendstto tminimize tthe tpatients' tlevel tof tagitation tin tthe tevening. tThe tnurse thas
tshared tthis tobservation twith ta tcolleague, twho tis tskeptical, tstating tthat, t“It's tbest tto
tstick tto tevidence-based tpractice.” tHow tcan tNurse tR. tbest trespond?
A) “EBP tcan tinclude tclinicians' tpersonal texpertise.”
B) “Personal texperience tis toften tmore tsound tthan tformal tevidence-based tpractice.”
C) “Traditional tpractice tand tEBP tare tusually tshown tto tbe tthe tsame.”
D) “My tyears tof texperience tcan tbe tjust tas tvaluable tas tany tliterature
treview tortrandomized ttrial.”
4. Which tof tthe tfollowing tfactors tprovides tthe tmost timportant trationale tfor tthe
tconsistenttimplementation tof tEBP?
A) EBP tprovides tfor tthe tmost tcost-effective tpatient tcare.
B) EBP tis taccessible tto tall thealthcare tclinicians.
C) EBP tprovides tconsistency tin tcare tacross thealthcare tsettings.
,D) EBP timproves tpatient toutcomes.
, 5. The tInstitute tof tMedicine's tRoundtable ton tEvidence-Based tMedicine thas
tbeentestablished tto taddress tEBP. tWhich tof tthe tfollowing tissues tis tthe
tRoundtable temphasizing?
A) Ensuring tthat texternal tevidence, trather tthan tinternal tevidence, tis tintegrated
tintotcare
B) Fostering tthe tlevel tof tlearning tthat texists tin tthe tAmerican thealthcare tsystem
C) Issuing tclinical tguidelines tto tensure tbest tnursing tpractice
D) Comparing tthe timplementation tof tEBP tin tthe tUnited tStates twith tthat tof
tothertWestern tcountries
6. You thave tbecome tfrustrated twith tsome taspects tof tpatient tcare tthat tyou tbelieve
tare toutdated tand tineffective tat tthe tlong-term tcare tfacility twhere tyou thave trecently
tbegun tpracticing. tConsequently, tyou thave tresolved tto texamine tsome tof tthese
tpractices tin tlighttof tevidence. tWhich tof tthe tfollowing tshould toccur tfirst tin tthe tsteps
tof tEBP?
A) Conducting tan telectronic tsearch tof tthe tliterature tand tranking tindividual tsources
B) Creating t“buy-in” tfrom tthe tother tclinicians twho tprovide tcare tat tthe tfacility
C) Developing tan tinquisitive tand tcurious tmindset
D) Assessing twhether tthe tpractices tin tquestion tmay, tin tfact, tbe tevidence-based
7. Which tof tthe tfollowing tclinical tquestions tbest texemplifies tthe tPICOT tformat?
A) What teffect tdoes tparents' tsmoking thave ton tthe tsmoking thabits tof ttheir
tchildren,tages t13 tto t16?
B) Among tcancer tpatients, twhat trole tdoes tmeditation, trather tthan
tbenzodiazepines,thave ton tanxiety tlevels tduring tthe t7 tdays tfollowing thospital
tadmission?
C) Among tundergraduate tcollege tstudents, twhat tis tthe teffectiveness tof ta tsexual
thealthtcampaign tundertaken tduring tthe tfirst t4 tweeks tof tthe tfall tsemester tas
tmeasured tby tincidence tof tnew tgonorrheal tand tchlamydial tinfections treported
tto tthe tcampus tmedical tcenter?
D) In tpatients taged t8 tto t12, tis tthe teffectiveness tof ta tpain tscale tusing tfaces
tsuperior tto tatnumeric trating tscale tin tthe temergency troom tcontext?
8. After tformulating ta tclinical tquestion, ta tnurse thas tproceeded tto tsearch tfor tevidence
tfor tways tto tfoster trestful tsleep tin tpatients twho tare treceiving tcare tin tthe tintensive
tcare tunit t(ICU). tThe tnurse thas tidentified ta trelevant tmeta-analysis tin tan telectronic
tdatabase. tWhattwill tthis tsource tof tevidence tconsist tof?
A) A tstatistical tsummary tof tthe tresults tfrom tseveral tdifferent tstudies
B) An texamination tof tthe ttheoretical tand tconceptual tunderpinnings tof tthe tissue
C) An tinterdisciplinary tanalysis tof tthe tclinical tquestion
D) A tqualitative tstudy tof tdifferent tinterventions trelated tto tthe tclinical tquestion
t t t t t t t t t
Guide to Best Practice 5th Edition
t t t t t t
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
t t t t t
Chapter 1 - 23 Complet
t t t t
,Chapter 1 Making the Case for Evidence-Based Practice
t t t t t t t
and Cultivating a Spirit of Inquiry
t t t t t t
In tthe thospital twhere tNurse tL. tprovides tcare, ttradition tdictates tthat toral
temperatures tbe tincluded tin tevery tset tof tpatient tvital tsigns, tregardless tof tpatient
t
tdiagnosis tor tacuity. tThistis tmost tlikely tan texample tof twhich tof tthe tfollowing
tphenomena?
A) The tprioritization tof tinternal tevidence tover texternal tevidence
B) Practice tthat tlacks tevidence tto tsupport tits tapplication
C) The tintegration tof tpersonal texpertise tinto tnursing tcare
D) Evidence-based tpractice
2. The tclinical tnurse teducator t(CNE) ton ta tpostsurgical tunit thas trecently tcompleted ta
tpatient tchart treview tafter tthe timplementation tof ta tpilot tprogram taimed tat
tpromoting tearly tambulation tfollowing tsurgery. tWhich tof tthe tfollowing
tcomponents tof tEBP tis tthetnurse tputting tinto tpractice?
A) Patient tpreferences
B) Research tutilization
C) Experience
D) Internal tevidence
3. Nurse tR. thas tobserved tthat treorienting tdemented tpatients tas tfrequently tas tpossible
ttendstto tminimize tthe tpatients' tlevel tof tagitation tin tthe tevening. tThe tnurse thas
tshared tthis tobservation twith ta tcolleague, twho tis tskeptical, tstating tthat, t“It's tbest tto
tstick tto tevidence-based tpractice.” tHow tcan tNurse tR. tbest trespond?
A) “EBP tcan tinclude tclinicians' tpersonal texpertise.”
B) “Personal texperience tis toften tmore tsound tthan tformal tevidence-based tpractice.”
C) “Traditional tpractice tand tEBP tare tusually tshown tto tbe tthe tsame.”
D) “My tyears tof texperience tcan tbe tjust tas tvaluable tas tany tliterature
treview tortrandomized ttrial.”
4. Which tof tthe tfollowing tfactors tprovides tthe tmost timportant trationale tfor tthe
tconsistenttimplementation tof tEBP?
A) EBP tprovides tfor tthe tmost tcost-effective tpatient tcare.
B) EBP tis taccessible tto tall thealthcare tclinicians.
C) EBP tprovides tconsistency tin tcare tacross thealthcare tsettings.
,D) EBP timproves tpatient toutcomes.
, 5. The tInstitute tof tMedicine's tRoundtable ton tEvidence-Based tMedicine thas
tbeentestablished tto taddress tEBP. tWhich tof tthe tfollowing tissues tis tthe
tRoundtable temphasizing?
A) Ensuring tthat texternal tevidence, trather tthan tinternal tevidence, tis tintegrated
tintotcare
B) Fostering tthe tlevel tof tlearning tthat texists tin tthe tAmerican thealthcare tsystem
C) Issuing tclinical tguidelines tto tensure tbest tnursing tpractice
D) Comparing tthe timplementation tof tEBP tin tthe tUnited tStates twith tthat tof
tothertWestern tcountries
6. You thave tbecome tfrustrated twith tsome taspects tof tpatient tcare tthat tyou tbelieve
tare toutdated tand tineffective tat tthe tlong-term tcare tfacility twhere tyou thave trecently
tbegun tpracticing. tConsequently, tyou thave tresolved tto texamine tsome tof tthese
tpractices tin tlighttof tevidence. tWhich tof tthe tfollowing tshould toccur tfirst tin tthe tsteps
tof tEBP?
A) Conducting tan telectronic tsearch tof tthe tliterature tand tranking tindividual tsources
B) Creating t“buy-in” tfrom tthe tother tclinicians twho tprovide tcare tat tthe tfacility
C) Developing tan tinquisitive tand tcurious tmindset
D) Assessing twhether tthe tpractices tin tquestion tmay, tin tfact, tbe tevidence-based
7. Which tof tthe tfollowing tclinical tquestions tbest texemplifies tthe tPICOT tformat?
A) What teffect tdoes tparents' tsmoking thave ton tthe tsmoking thabits tof ttheir
tchildren,tages t13 tto t16?
B) Among tcancer tpatients, twhat trole tdoes tmeditation, trather tthan
tbenzodiazepines,thave ton tanxiety tlevels tduring tthe t7 tdays tfollowing thospital
tadmission?
C) Among tundergraduate tcollege tstudents, twhat tis tthe teffectiveness tof ta tsexual
thealthtcampaign tundertaken tduring tthe tfirst t4 tweeks tof tthe tfall tsemester tas
tmeasured tby tincidence tof tnew tgonorrheal tand tchlamydial tinfections treported
tto tthe tcampus tmedical tcenter?
D) In tpatients taged t8 tto t12, tis tthe teffectiveness tof ta tpain tscale tusing tfaces
tsuperior tto tatnumeric trating tscale tin tthe temergency troom tcontext?
8. After tformulating ta tclinical tquestion, ta tnurse thas tproceeded tto tsearch tfor tevidence
tfor tways tto tfoster trestful tsleep tin tpatients twho tare treceiving tcare tin tthe tintensive
tcare tunit t(ICU). tThe tnurse thas tidentified ta trelevant tmeta-analysis tin tan telectronic
tdatabase. tWhattwill tthis tsource tof tevidence tconsist tof?
A) A tstatistical tsummary tof tthe tresults tfrom tseveral tdifferent tstudies
B) An texamination tof tthe ttheoretical tand tconceptual tunderpinnings tof tthe tissue
C) An tinterdisciplinary tanalysis tof tthe tclinical tquestion
D) A tqualitative tstudy tof tdifferent tinterventions trelated tto tthe tclinical tquestion
