TEST BANK for Evidence-Based
Practice in Nursing & Healthcare: A
Guide to Best Practice 5th Edition by
Bernadette Mazurek Melnyk & Ellen
Fineout-Overholt
COMPLETE CHAPTERS 1-23 WITH THE ANSWERS
AT THE BACK OF EACH CHAPTER| A+ PASS
Page 1 of 147
, TABLE OF CONTENTS
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
Chapter 2 Asking Compelling Clinical Questions
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions
Chapter 4 Critically Appraising Knowledge for Clinical Decision Making
Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making
Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making
Chapter 7 Integration of Patient Preferences and Values and Clinician Expertise into
Evidence-Based Decision Making
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines
Chapter 9 Implementing Evidence in Clinical Settings
Chapter 10 The Role of Outcomes and Evidence- Based Quality Improvement in Enhancing
and Evaluating Practice
Chapter 11 Implementing the Evidence-Based Practice Competencies in Clinical and
Academic Settings to Ensure Healthcare Quality and Improved Patient Outcomes
Chapter 12 Leadership Strategies for Creating and Sustaining Evidence-Based Practice
Organizations
Chapter 13 Innovation and Evidence: A Partnership in Advancing Best Practice and High
Quality Care
Chapter 14 Models to Guide Implementation and Sustainability of Evidence-Based Practice
Chapter 15 Creating a Vision and Motivating a Change to Evidence-Based Practice in
Individuals, Teams, and Organizations
Chapter 16 Teaching Evidence-Based Practice in Academic Settings
Chapter 17 Teaching Evidence-Based Practice in Clinical Settings
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based
Practice
Chapter 19 Using Evidence to Influence Health and Organizational Policy
Page 2 of 147
,Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy
Briefs, and the Media
Chapter 21 Generating Evidence Through Quantitative and Qualitative Research
Chapter 22 Writing a Successful Grant Proposal to Fund Research and Evidence-Based
Practice Implementation Project
Chapter 23 Ethical Considerations for Evidence Implementation and Evidence Generation
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of
Inquiry
1. 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
Page 3 of 147
, 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 with a colleague, who
is skeptical, stating that, “It's best to stick to evidence-based practice.” How can Nurse R. best respond?
A) “EBP can include clinicians' personal expertise.”
B) “Personal experience is often more sound than formal evidence-based practice.”
C) “Traditional practice and EBP are usually shown to be the same.”
D) “My years of experience can be just as valuable as any literature review or randomized trial.”
4. Which of the following factors provides the most important rationale for the consistent implementation
of EBP?
A) EBP provides for the most cost-effective patient care.
B) EBP is accessible to all healthcare clinicians.
C) EBP provides consistency in care across healthcare settings.
D) EBP improves patient outcomes.
5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been established to address
EBP. Which of the following issues is the Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated into care
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of other Western countries
6. You have become frustrated with some aspects of patient care that you believe are outdated and
ineffective at the long-term care facility where you have recently begun practicing. Consequently, you
have resolved to examine some of these practices in light of evidence. Which of the following should
occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
Page 4 of 147
Practice in Nursing & Healthcare: A
Guide to Best Practice 5th Edition by
Bernadette Mazurek Melnyk & Ellen
Fineout-Overholt
COMPLETE CHAPTERS 1-23 WITH THE ANSWERS
AT THE BACK OF EACH CHAPTER| A+ PASS
Page 1 of 147
, TABLE OF CONTENTS
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
Chapter 2 Asking Compelling Clinical Questions
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions
Chapter 4 Critically Appraising Knowledge for Clinical Decision Making
Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making
Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making
Chapter 7 Integration of Patient Preferences and Values and Clinician Expertise into
Evidence-Based Decision Making
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines
Chapter 9 Implementing Evidence in Clinical Settings
Chapter 10 The Role of Outcomes and Evidence- Based Quality Improvement in Enhancing
and Evaluating Practice
Chapter 11 Implementing the Evidence-Based Practice Competencies in Clinical and
Academic Settings to Ensure Healthcare Quality and Improved Patient Outcomes
Chapter 12 Leadership Strategies for Creating and Sustaining Evidence-Based Practice
Organizations
Chapter 13 Innovation and Evidence: A Partnership in Advancing Best Practice and High
Quality Care
Chapter 14 Models to Guide Implementation and Sustainability of Evidence-Based Practice
Chapter 15 Creating a Vision and Motivating a Change to Evidence-Based Practice in
Individuals, Teams, and Organizations
Chapter 16 Teaching Evidence-Based Practice in Academic Settings
Chapter 17 Teaching Evidence-Based Practice in Clinical Settings
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based
Practice
Chapter 19 Using Evidence to Influence Health and Organizational Policy
Page 2 of 147
,Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy
Briefs, and the Media
Chapter 21 Generating Evidence Through Quantitative and Qualitative Research
Chapter 22 Writing a Successful Grant Proposal to Fund Research and Evidence-Based
Practice Implementation Project
Chapter 23 Ethical Considerations for Evidence Implementation and Evidence Generation
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of
Inquiry
1. 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
Page 3 of 147
, 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 with a colleague, who
is skeptical, stating that, “It's best to stick to evidence-based practice.” How can Nurse R. best respond?
A) “EBP can include clinicians' personal expertise.”
B) “Personal experience is often more sound than formal evidence-based practice.”
C) “Traditional practice and EBP are usually shown to be the same.”
D) “My years of experience can be just as valuable as any literature review or randomized trial.”
4. Which of the following factors provides the most important rationale for the consistent implementation
of EBP?
A) EBP provides for the most cost-effective patient care.
B) EBP is accessible to all healthcare clinicians.
C) EBP provides consistency in care across healthcare settings.
D) EBP improves patient outcomes.
5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been established to address
EBP. Which of the following issues is the Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated into care
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of other Western countries
6. You have become frustrated with some aspects of patient care that you believe are outdated and
ineffective at the long-term care facility where you have recently begun practicing. Consequently, you
have resolved to examine some of these practices in light of evidence. Which of the following should
occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
Page 4 of 147
