Test Bank For Evidence-Based Practice in Nursing &
Healthcare A Guide to Best Practice 5th Edition by
Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complete
,Chapter 1 Making the Case for Evidence-Based Practice and
Cultivating a Spirit of Inquiry
In the hospital where Nurse L. provides care, tradition
dictates that oral temperatures be included in every set of
patient vital signs, regardless of patient diagnosis or
acuity. This is most likely an example of which of the
following phenomena?
A) The prioritization of internal evidence over external evidence
B) Practice that lacks evidence to support its application
C) The integration of personal expertise into nursing care
D) Evidence-based practice
2. The clinical nurse educator (CNE) on a postsurgical unit
has recently completed a patient chart review after the
implementation of a pilot program aimed at promoting
early ambulation following surgery. Which of the
following components of EBP is the nurse putting into
practice?
A) Patient preferences
B) Research utilization
C) Experience
D) Internal evidence
3. Nurse R. has observed that reorienting demented patients
as frequently as possible tends to minimize the patients'
level of agitation in the evening. The nurse has shared this
, observation nwith na ncolleague, nwho nis nskeptical, nstating
nthat, n“It's nbest nto nstick nto nevidence-based npractice.” nHow
ncan nNurse nR. nbest nrespond?
A) “EBP ncan ninclude nclinicians' npersonal nexpertise.”
B) “Personal nexperience nis noften nmore nsound nthan nformal
nevidence-based npractice.”
C) “Traditional npractice nand nEBP nare nusually nshown nto nbe nthe
nsame.”
D) “My nyears nof nexperience ncan nbe njust nas
nvaluable nas nany nliterature nreview nornrandomized
ntrial.”
4. Which nof nthe nfollowing nfactors nprovides nthe nmost
nimportant nrationale nfor nthe nconsistentnimplementation nof
nEBP?
A) EBP nprovides nfor nthe nmost ncost-effective npatient ncare.
B) EBP nis naccessible nto nall nhealthcare nclinicians.
C) EBP nprovides nconsistency nin ncare nacross nhealthcare nsettings.
D) EBP nimproves npatient noutcomes.
, 5. The nInstitute nof nMedicine's nRoundtable non nEvidence-
Based nMedicine nhas nbeennestablished nto naddress
nEBP. nWhich nof nthe nfollowing nissues nis nthe
nRoundtable nemphasizing?
A) Ensuring nthat nexternal nevidence, nrather nthan ninternal
nevidence, nis nintegrated nintoncare
B) Fostering nthe nlevel nof nlearning nthat nexists nin nthe nAmerican
nhealthcare nsystem
C) Issuing nclinical nguidelines nto nensure nbest nnursing npractice
D) Comparing nthe nimplementation nof nEBP nin nthe
nUnited nStates nwith nthat nof nothernWestern ncountries
6. You nhave nbecome nfrustrated nwith nsome naspects nof npatient
ncare nthat nyou nbelieve nare noutdated nand nineffective nat
nthe nlong-term ncare nfacility nwhere nyou nhave nrecently
nbegun npracticing. nConsequently, nyou nhave nresolved nto
nexamine nsome nof nthese npractices nin nlightnof nevidence.
nWhich nof nthe nfollowing nshould noccur nfirst nin nthe nsteps nof
nEBP?
A) Conducting nan nelectronic nsearch nof nthe nliterature nand nranking
nindividual nsources
B) Creating n“buy-in” nfrom nthe nother nclinicians nwho nprovide ncare
nat nthe nfacility
C) Developing nan ninquisitive nand ncurious nmindset
D) Assessing nwhether nthe npractices nin nquestion nmay, nin nfact, nbe
nevidence-based
7. Which nof nthe nfollowing nclinical nquestions nbest nexemplifies nthe
nPICOT nformat?
A) What neffect ndoes nparents' nsmoking nhave non nthe
nsmoking nhabits nof ntheir nchildren,nages n13 nto n16?
B) Among ncancer npatients, nwhat nrole ndoes nmeditation,
Healthcare A Guide to Best Practice 5th Edition by
Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complete
,Chapter 1 Making the Case for Evidence-Based Practice and
Cultivating a Spirit of Inquiry
In the hospital where Nurse L. provides care, tradition
dictates that oral temperatures be included in every set of
patient vital signs, regardless of patient diagnosis or
acuity. This is most likely an example of which of the
following phenomena?
A) The prioritization of internal evidence over external evidence
B) Practice that lacks evidence to support its application
C) The integration of personal expertise into nursing care
D) Evidence-based practice
2. The clinical nurse educator (CNE) on a postsurgical unit
has recently completed a patient chart review after the
implementation of a pilot program aimed at promoting
early ambulation following surgery. Which of the
following components of EBP is the nurse putting into
practice?
A) Patient preferences
B) Research utilization
C) Experience
D) Internal evidence
3. Nurse R. has observed that reorienting demented patients
as frequently as possible tends to minimize the patients'
level of agitation in the evening. The nurse has shared this
, observation nwith na ncolleague, nwho nis nskeptical, nstating
nthat, n“It's nbest nto nstick nto nevidence-based npractice.” nHow
ncan nNurse nR. nbest nrespond?
A) “EBP ncan ninclude nclinicians' npersonal nexpertise.”
B) “Personal nexperience nis noften nmore nsound nthan nformal
nevidence-based npractice.”
C) “Traditional npractice nand nEBP nare nusually nshown nto nbe nthe
nsame.”
D) “My nyears nof nexperience ncan nbe njust nas
nvaluable nas nany nliterature nreview nornrandomized
ntrial.”
4. Which nof nthe nfollowing nfactors nprovides nthe nmost
nimportant nrationale nfor nthe nconsistentnimplementation nof
nEBP?
A) EBP nprovides nfor nthe nmost ncost-effective npatient ncare.
B) EBP nis naccessible nto nall nhealthcare nclinicians.
C) EBP nprovides nconsistency nin ncare nacross nhealthcare nsettings.
D) EBP nimproves npatient noutcomes.
, 5. The nInstitute nof nMedicine's nRoundtable non nEvidence-
Based nMedicine nhas nbeennestablished nto naddress
nEBP. nWhich nof nthe nfollowing nissues nis nthe
nRoundtable nemphasizing?
A) Ensuring nthat nexternal nevidence, nrather nthan ninternal
nevidence, nis nintegrated nintoncare
B) Fostering nthe nlevel nof nlearning nthat nexists nin nthe nAmerican
nhealthcare nsystem
C) Issuing nclinical nguidelines nto nensure nbest nnursing npractice
D) Comparing nthe nimplementation nof nEBP nin nthe
nUnited nStates nwith nthat nof nothernWestern ncountries
6. You nhave nbecome nfrustrated nwith nsome naspects nof npatient
ncare nthat nyou nbelieve nare noutdated nand nineffective nat
nthe nlong-term ncare nfacility nwhere nyou nhave nrecently
nbegun npracticing. nConsequently, nyou nhave nresolved nto
nexamine nsome nof nthese npractices nin nlightnof nevidence.
nWhich nof nthe nfollowing nshould noccur nfirst nin nthe nsteps nof
nEBP?
A) Conducting nan nelectronic nsearch nof nthe nliterature nand nranking
nindividual nsources
B) Creating n“buy-in” nfrom nthe nother nclinicians nwho nprovide ncare
nat nthe nfacility
C) Developing nan ninquisitive nand ncurious nmindset
D) Assessing nwhether nthe npractices nin nquestion nmay, nin nfact, nbe
nevidence-based
7. Which nof nthe nfollowing nclinical nquestions nbest nexemplifies nthe
nPICOT nformat?
A) What neffect ndoes nparents' nsmoking nhave non nthe
nsmoking nhabits nof ntheir nchildren,nages n13 nto n16?
B) Among ncancer npatients, nwhat nrole ndoes nmeditation,
