Test Bank For Evidence-Based Practice in Nursing & Healthcare A
ii ii ii ii ii ii ii ii ii
ii Guide to Best Practice 5th Edition
ii ii ii ii ii
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
ii ii ii ii ii
Chapter 1 - 23 Complet
ii ii ii ii
,Chapter 1 Making the Case for Evidence-Based Practice
ii ii ii ii ii ii ii
and Cultivating a Spirit of Inquiry
ii ii ii ii ii ii
In iithe iihospital iiwhere iiNurse iiL. iiprovides iicare, iitradition iidictates iithat iioral
temperatures iibe iiincluded iiin iievery iiset iiof iipatient iivital iisigns, iiregardless iiof iipatient
ii
iidiagnosis iior iiacuity. iiThisiis iimost iilikely iian iiexample iiof iiwhich iiof iithe iifollowing
iiphenomena?
A) The iiprioritization iiof iiinternal iievidence iiover iiexternal iievidence
B) Practice iithat iilacks iievidence iito iisupport iiits iiapplication
C) The iiintegration iiof iipersonal iiexpertise iiinto iinursing iicare
D) Evidence-based iipractice
2. The iiclinical iinurse iieducator ii(CNE) iion iia iipostsurgical iiunit iihas iirecently iicompleted iia
iipatient iichart iireview iiafter iithe iiimplementation iiof iia iipilot iiprogram iiaimed iiat
iipromoting iiearly iiambulation iifollowing iisurgery. iiWhich iiof iithe iifollowing
iicomponents iiof iiEBP iiis iitheinurse iiputting iiinto iipractice?
A) Patient iipreferences
B) Research iiutilization
C) Experience
D) Internal iievidence
3. Nurse iiR. iihas iiobserved iithat iireorienting iidemented iipatients iias iifrequently iias
iipossible iitendsito iiminimize iithe iipatients' iilevel iiof iiagitation iiin iithe iievening. iiThe
iinurse iihas iishared iithis iiobservation iiwith iia iicolleague, iiwho iiis iiskeptical, iistating iithat,
ii“It's iibest iito iistick iito iievidence-based iipractice.” iiHow iican iiNurse iiR. iibest iirespond?
A) “EBP iican iiinclude iiclinicians' iipersonal iiexpertise.”
B) “Personal iiexperience iiis iioften iimore iisound iithan iiformal iievidence-based iipractice.”
C) “Traditional iipractice iiand iiEBP iiare iiusually iishown iito iibe iithe iisame.”
D) “My iiyears iiof iiexperience iican iibe iijust iias iivaluable iias iiany iiliterature
iireview iiorirandomized iitrial.”
4. Which iiof iithe iifollowing iifactors iiprovides iithe iimost iiimportant iirationale iifor iithe
iiconsistentiimplementation iiof iiEBP?
A) EBP iiprovides iifor iithe iimost iicost-effective iipatient iicare.
B) EBP iiis iiaccessible iito iiall iihealthcare iiclinicians.
C) EBP iiprovides iiconsistency iiin iicare iiacross iihealthcare iisettings.
,D) EBP iiimproves iipatient iioutcomes.
, 5. The iiInstitute iiof iiMedicine's iiRoundtable iion iiEvidence-Based iiMedicine iihas
iibeeniestablished iito iiaddress iiEBP. iiWhich iiof iithe iifollowing iiissues iiis iithe
iiRoundtable iiemphasizing?
A) Ensuring iithat iiexternal iievidence, iirather iithan iiinternal iievidence, iiis
iiintegrated iiintoicare
B) Fostering iithe iilevel iiof iilearning iithat iiexists iiin iithe iiAmerican iihealthcare iisystem
C) Issuing iiclinical iiguidelines iito iiensure iibest iinursing iipractice
D) Comparing iithe iiimplementation iiof iiEBP iiin iithe iiUnited iiStates iiwith iithat iiof
iiotheriWestern iicountries
6. You iihave iibecome iifrustrated iiwith iisome iiaspects iiof iipatient iicare iithat iiyou iibelieve
iiare iioutdated iiand iiineffective iiat iithe iilong-term iicare iifacility iiwhere iiyou iihave
iirecently iibegun iipracticing. iiConsequently, iiyou iihave iiresolved iito iiexamine iisome iiof
iithese iipractices iiin iilightiof iievidence. iiWhich iiof iithe iifollowing iishould iioccur iifirst iiin
iithe iisteps iiof iiEBP?
A) Conducting iian iielectronic iisearch iiof iithe iiliterature iiand iiranking iiindividual iisources
B) Creating ii“buy-in” iifrom iithe iiother iiclinicians iiwho iiprovide iicare iiat iithe iifacility
C) Developing iian iiinquisitive iiand iicurious iimindset
D) Assessing iiwhether iithe iipractices iiin iiquestion iimay, iiin iifact, iibe iievidence-based
7. Which iiof iithe iifollowing iiclinical iiquestions iibest iiexemplifies iithe iiPICOT iiformat?
A) What iieffect iidoes iiparents' iismoking iihave iion iithe iismoking iihabits iiof iitheir
iichildren, iages ii13 iito ii16?
B) Among iicancer iipatients, iiwhat iirole iidoes iimeditation, iirather iithan
iibenzodiazepines,ihave iion iianxiety iilevels iiduring iithe ii7 iidays iifollowing
iihospital iiadmission?
C) Among iiundergraduate iicollege iistudents, iiwhat iiis iithe iieffectiveness iiof iia iisexual
iihealthicampaign iiundertaken iiduring iithe iifirst ii4 iiweeks iiof iithe iifall iisemester iias
iimeasured iiby iiincidence iiof iinew iigonorrheal iiand iichlamydial iiinfections iireported
iito iithe iicampus iimedical iicenter?
D) In iipatients iiaged ii8 iito ii12, iiis iithe iieffectiveness iiof iia iipain iiscale iiusing iifaces
iisuperior iito iiainumeric iirating iiscale iiin iithe iiemergency iiroom iicontext?
8. After iiformulating iia iiclinical iiquestion, iia iinurse iihas iiproceeded iito iisearch iifor
iievidence iifor iiways iito iifoster iirestful iisleep iiin iipatients iiwho iiare iireceiving iicare iiin iithe
iiintensive iicare iiunit ii(ICU). iiThe iinurse iihas iiidentified iia iirelevant iimeta-analysis iiin iian
iielectronic iidatabase. iiWhatiwill iithis iisource iiof iievidence iiconsist iiof?
A) A iistatistical iisummary iiof iithe iiresults iifrom iiseveral iidifferent iistudies
B) An iiexamination iiof iithe iitheoretical iiand iiconceptual iiunderpinnings iiof iithe iiissue
C) An iiinterdisciplinary iianalysis iiof iithe iiclinical iiquestion
D) A iiqualitative iistudy iiof iidifferent iiinterventions iirelated iito iithe iiclinical iiquestion
ii ii ii ii ii ii ii ii ii
ii Guide to Best Practice 5th Edition
ii ii ii ii ii
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
ii ii ii ii ii
Chapter 1 - 23 Complet
ii ii ii ii
,Chapter 1 Making the Case for Evidence-Based Practice
ii ii ii ii ii ii ii
and Cultivating a Spirit of Inquiry
ii ii ii ii ii ii
In iithe iihospital iiwhere iiNurse iiL. iiprovides iicare, iitradition iidictates iithat iioral
temperatures iibe iiincluded iiin iievery iiset iiof iipatient iivital iisigns, iiregardless iiof iipatient
ii
iidiagnosis iior iiacuity. iiThisiis iimost iilikely iian iiexample iiof iiwhich iiof iithe iifollowing
iiphenomena?
A) The iiprioritization iiof iiinternal iievidence iiover iiexternal iievidence
B) Practice iithat iilacks iievidence iito iisupport iiits iiapplication
C) The iiintegration iiof iipersonal iiexpertise iiinto iinursing iicare
D) Evidence-based iipractice
2. The iiclinical iinurse iieducator ii(CNE) iion iia iipostsurgical iiunit iihas iirecently iicompleted iia
iipatient iichart iireview iiafter iithe iiimplementation iiof iia iipilot iiprogram iiaimed iiat
iipromoting iiearly iiambulation iifollowing iisurgery. iiWhich iiof iithe iifollowing
iicomponents iiof iiEBP iiis iitheinurse iiputting iiinto iipractice?
A) Patient iipreferences
B) Research iiutilization
C) Experience
D) Internal iievidence
3. Nurse iiR. iihas iiobserved iithat iireorienting iidemented iipatients iias iifrequently iias
iipossible iitendsito iiminimize iithe iipatients' iilevel iiof iiagitation iiin iithe iievening. iiThe
iinurse iihas iishared iithis iiobservation iiwith iia iicolleague, iiwho iiis iiskeptical, iistating iithat,
ii“It's iibest iito iistick iito iievidence-based iipractice.” iiHow iican iiNurse iiR. iibest iirespond?
A) “EBP iican iiinclude iiclinicians' iipersonal iiexpertise.”
B) “Personal iiexperience iiis iioften iimore iisound iithan iiformal iievidence-based iipractice.”
C) “Traditional iipractice iiand iiEBP iiare iiusually iishown iito iibe iithe iisame.”
D) “My iiyears iiof iiexperience iican iibe iijust iias iivaluable iias iiany iiliterature
iireview iiorirandomized iitrial.”
4. Which iiof iithe iifollowing iifactors iiprovides iithe iimost iiimportant iirationale iifor iithe
iiconsistentiimplementation iiof iiEBP?
A) EBP iiprovides iifor iithe iimost iicost-effective iipatient iicare.
B) EBP iiis iiaccessible iito iiall iihealthcare iiclinicians.
C) EBP iiprovides iiconsistency iiin iicare iiacross iihealthcare iisettings.
,D) EBP iiimproves iipatient iioutcomes.
, 5. The iiInstitute iiof iiMedicine's iiRoundtable iion iiEvidence-Based iiMedicine iihas
iibeeniestablished iito iiaddress iiEBP. iiWhich iiof iithe iifollowing iiissues iiis iithe
iiRoundtable iiemphasizing?
A) Ensuring iithat iiexternal iievidence, iirather iithan iiinternal iievidence, iiis
iiintegrated iiintoicare
B) Fostering iithe iilevel iiof iilearning iithat iiexists iiin iithe iiAmerican iihealthcare iisystem
C) Issuing iiclinical iiguidelines iito iiensure iibest iinursing iipractice
D) Comparing iithe iiimplementation iiof iiEBP iiin iithe iiUnited iiStates iiwith iithat iiof
iiotheriWestern iicountries
6. You iihave iibecome iifrustrated iiwith iisome iiaspects iiof iipatient iicare iithat iiyou iibelieve
iiare iioutdated iiand iiineffective iiat iithe iilong-term iicare iifacility iiwhere iiyou iihave
iirecently iibegun iipracticing. iiConsequently, iiyou iihave iiresolved iito iiexamine iisome iiof
iithese iipractices iiin iilightiof iievidence. iiWhich iiof iithe iifollowing iishould iioccur iifirst iiin
iithe iisteps iiof iiEBP?
A) Conducting iian iielectronic iisearch iiof iithe iiliterature iiand iiranking iiindividual iisources
B) Creating ii“buy-in” iifrom iithe iiother iiclinicians iiwho iiprovide iicare iiat iithe iifacility
C) Developing iian iiinquisitive iiand iicurious iimindset
D) Assessing iiwhether iithe iipractices iiin iiquestion iimay, iiin iifact, iibe iievidence-based
7. Which iiof iithe iifollowing iiclinical iiquestions iibest iiexemplifies iithe iiPICOT iiformat?
A) What iieffect iidoes iiparents' iismoking iihave iion iithe iismoking iihabits iiof iitheir
iichildren, iages ii13 iito ii16?
B) Among iicancer iipatients, iiwhat iirole iidoes iimeditation, iirather iithan
iibenzodiazepines,ihave iion iianxiety iilevels iiduring iithe ii7 iidays iifollowing
iihospital iiadmission?
C) Among iiundergraduate iicollege iistudents, iiwhat iiis iithe iieffectiveness iiof iia iisexual
iihealthicampaign iiundertaken iiduring iithe iifirst ii4 iiweeks iiof iithe iifall iisemester iias
iimeasured iiby iiincidence iiof iinew iigonorrheal iiand iichlamydial iiinfections iireported
iito iithe iicampus iimedical iicenter?
D) In iipatients iiaged ii8 iito ii12, iiis iithe iieffectiveness iiof iia iipain iiscale iiusing iifaces
iisuperior iito iiainumeric iirating iiscale iiin iithe iiemergency iiroom iicontext?
8. After iiformulating iia iiclinical iiquestion, iia iinurse iihas iiproceeded iito iisearch iifor
iievidence iifor iiways iito iifoster iirestful iisleep iiin iipatients iiwho iiare iireceiving iicare iiin iithe
iiintensive iicare iiunit ii(ICU). iiThe iinurse iihas iiidentified iia iirelevant iimeta-analysis iiin iian
iielectronic iidatabase. iiWhatiwill iithis iisource iiof iievidence iiconsist iiof?
A) A iistatistical iisummary iiof iithe iiresults iifrom iiseveral iidifferent iistudies
B) An iiexamination iiof iithe iitheoretical iiand iiconceptual iiunderpinnings iiof iithe iiissue
C) An iiinterdisciplinary iianalysis iiof iithe iiclinical iiquestion
D) A iiqualitative iistudy iiof iidifferent iiinterventions iirelated iito iithe iiclinical iiquestion
