Test Bank For Evidence-Based Practice in Nursing & Healthcare, 5th Edition by Melnyk, Chapters 1 - 23 Complete - PDF

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Test Bank For l# l#




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Evidence-Based Practice in Nursing & Healthcare A Guide to Best
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Practice 5th Edition by Melnyk, l# l#
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Chapter 1 - 23 Complete l# l#
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Chapter 1 Making the Case for Evidence-
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Based Practice and Cultivating a Spirit of Inquiry
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In the hospital where Nurse L. provides care, tradition dictate
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s that oral temperatures be included in every set of patient vit
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al signs, regardless of patient diagnosis or acuity. Thisis most
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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 g l#
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2. The clinical nurse educator (CNE) on a postsurgical unit ha
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s recently completed a patient chart review after the implem
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entation of a pilot program aimed at promoting early ambul
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ation following surgery. Which of the following componen
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ts of EBP is thenurse
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A) Patient preferences g l#



B) Research utilization g l#



C) Experience l#



D) Internal evidence g l#
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3. Nurse R. has observed that reorienting demented patients as
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frequently as possible tendsto minimize the patients' level of
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agitation in the evening. The nurse has shared this observatio
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n with a colleague, who is skeptical, stating that, “It's best to s
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tick to evidencebased 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 g g g g g g g g



-based practice.”
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C) “Traditional practice and EBP are usually shown to be the same g g g g g g g g g g



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D) “My years of experience can be just as valuable as a
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ny literature review orrandomized trial.”
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4. Which of the following factors provides the most important
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rationale 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-
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Based Medicine has beenestablished to address EBP.
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Which of the following issues is the Roundtable emph
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asizing? l#



A) Ensuring that external evidence, rather than internal ev g g g g g g g



idence, is integrated intocare
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B) Fostering the level of learning that exists in the American healt g g g g g g g g g g



hcare 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 g g g g g g g g



States with that of otherWestern countries g g g g gg l#
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6. You have become frustrated with some aspects of patient car
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e that you believe are outdated and ineffective at the longterm care fa
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cility where you have recently begun practicing.
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Consequently, you have resolved to examine some of these
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practices in lightof
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occur first in the steps of EBP?
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A) Conducting an electronic search of the literature and ranking in g g g g g g g g g



dividual sources B)
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Creating “buyin” from the other clinicians who provide care at
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the facility g l#



C) Developing an inquisitive and curious mindset g g g g g l#



D) Assessing whether the practices in question may, in fact, be evi g g g g g g g g g g



dence-based
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7.Which of the following clinical questions best exemplifies the PI
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C
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A) What effect does parents' smoking have on the smokin
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g habits of their children,ages 13 to 16?
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