TEST BANK for Evidence-Based
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Practice in Nursing & Healthcare: A
d d d d d
Guide to Best Practice 5th Edition by
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dBernadette Mazurek Melnyk & Ellen d d d d
Fineout-Overholt d
COMPLETE CHAPTERS 1-23 WITH THE ANSWERS
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AT THE BACK OF EACH CHAPTER| A+ PASS
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Page 1 of 132
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, TABLE OF CONTENTS d d
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
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d Chapter 2 Asking Compelling Clinical Questions
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Chapter 3 Finding Relevant Evidence to Answer Clinical Questions
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d Chapter 4 Critically Appraising Knowledge for Clinical Decision Making
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Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making
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d Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making
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Chapter 7 Integration of Patient Preferences and Values and Clinician Expertise into
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Evidence-Based Decision Making
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Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines
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d Chapter 9 Implementing Evidence in Clinical Settings
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Chapter 10 The Role of Outcomes and Evidence- Based Quality Improvement in Enhancing
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and Evaluating Practice
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Chapter 11 Implementing the Evidence-Based Practice Competencies in Clinical and
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Academic Settings to Ensure Healthcare Quality and Improved Patient Outcomes
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Chapter 12 Leadership Strategies for Creating and Sustaining Evidence-Based Practice
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Organizations
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Chapter 13 Innovation and Evidence: A Partnership in Advancing Best Practice and High
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Quality Care
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Chapter 14 Models to Guide Implementation and Sustainability of Evidence-Based Practice
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Chapter 15 Creating a Vision and Motivating a Change to Evidence-Based Practice in
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Individuals, Teams, and Organizations
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Chapter 16 Teaching Evidence-Based Practice in Academic Settings
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d Chapter 17 Teaching Evidence-Based Practice in Clinical Settings
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Chapter 18 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based
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Practice
d
Chapter 19 Using Evidence to Influence Health and Organizational Policy
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Page 2 of 132 d d d
,Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy
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Briefs, and the Media
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Chapter 21 Generating Evidence Through Quantitative and Qualitative Research
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Chapter 22 Writing a Successful Grant Proposal to Fund Research and Evidence-Based
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Practice Implementation Project
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Chapter 23 Ethical Considerations for Evidence Implementation and Evidence Generation
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Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of
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Inquiry d
1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be included in
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every set of patient vital signs, regardless of patient diagnosis or acuity. This is most likely an example
d d d d d d d d d d d d d d d d d d
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 d
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient chart review
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after the implementation of a pilot program aimed at promoting early ambulation following surgery.
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Which of the following components of EBP is the nurse putting into practice?
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A) Patient preferences d
B) Research utilization d
C) Experience
D) Internal evidence d
Page 3 of 132 d d d
, 3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to minimize
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the patients' level of agitation in the evening. The nurse has shared this observation with a colleague,
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who is skeptical, stating that, “It's best to stick to evidence-based practice.” How can Nurse R. best
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respond?
d
A) “EBP can include clinicians' personal expertise.”
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B) “Personal experience is often more sound than formal evidence-based practice.”
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C) “Traditional practice and EBP are usually shown to be the same.”
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D) “My years of experience can be just as valuable as any literature review or randomized trial.”
d d d d d d d d d d d d d d d
4. Which of the following factors provides the most important rationale for the consistent implementation
d d d d d d d d d d d d d
of EBP?
d d
A) EBP provides for the most cost-effective patient care.
d d d d d d d
B) EBP is accessible to all healthcare clinicians.
d d d d d d
C) EBP provides consistency in care across healthcare settings.
d d d d d d d
D) EBP improves patient outcomes.
d d d
5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been established to address
d d d d d d d d d d d d
EBP. Which of the following issues is the Roundtable emphasizing?
d d d d d d d d d d
A) Ensuring that external evidence, rather than internal evidence, is integrated into care
d d d d d d d d d d d
B) Fostering the level of learning that exists in the American healthcare system
d d d d d d d d d d d
C) Issuing clinical guidelines to ensure best nursing practice
d d d d d d d
D) Comparing the implementation of EBP in the United States with that of other Western countries
d d d d d d d d d d d d d d
6. You have become frustrated with some aspects of patient care that you believe are outdated and
d d d d d d d d d d d d d d d
ineffective at the long-term care facility where you have recently begun practicing. Consequently,
d d d d d d d d d d d d d
you have resolved to examine some of these practices in light of evidence. Which of the following
d d d d d d d d d d d d d d d d d
should occur first in the steps of EBP?
d d d d d d d d
A) Conducting an electronic search of the literature and ranking individual sources
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B) Creating “buy-in” from the other clinicians who provide care at the facility
d d d d d d d d d d d
C) Developing an inquisitive and curious mindset d d d d d
Page 4 of 132 d d d
d d d
Practice in Nursing & Healthcare: A
d d d d d
Guide to Best Practice 5th Edition by
d d d d d d d
dBernadette Mazurek Melnyk & Ellen d d d d
Fineout-Overholt d
COMPLETE CHAPTERS 1-23 WITH THE ANSWERS
d d d d d
AT THE BACK OF EACH CHAPTER| A+ PASS
d d d d d d d d
Page 1 of 132
d d d
, TABLE OF CONTENTS d d
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
d d d d d d d d d d d d d
d Chapter 2 Asking Compelling Clinical Questions
d d d d d
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions
d d d d d d d d
d Chapter 4 Critically Appraising Knowledge for Clinical Decision Making
d d d d d d d d
Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making
d d d d d d d d d
d Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making
d d d d d d d d d
Chapter 7 Integration of Patient Preferences and Values and Clinician Expertise into
d d d d d d d d d d d
Evidence-Based Decision Making
d d d
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines
d d d d d d d d d
d Chapter 9 Implementing Evidence in Clinical Settings
d d d d d d
Chapter 10 The Role of Outcomes and Evidence- Based Quality Improvement in Enhancing
d d d d d d d d d d d d
and Evaluating Practice
d d d
Chapter 11 Implementing the Evidence-Based Practice Competencies in Clinical and
d d d d d d d d d
Academic Settings to Ensure Healthcare Quality and Improved Patient Outcomes
d d d d d d d d d d
Chapter 12 Leadership Strategies for Creating and Sustaining Evidence-Based Practice
d d d d d d d d d
Organizations
d
Chapter 13 Innovation and Evidence: A Partnership in Advancing Best Practice and High
d d d d d d d d d d d d
Quality Care
d d
Chapter 14 Models to Guide Implementation and Sustainability of Evidence-Based Practice
d d d d d d d d d d
Chapter 15 Creating a Vision and Motivating a Change to Evidence-Based Practice in
d d d d d d d d d d d d
Individuals, Teams, and Organizations
d d d d
Chapter 16 Teaching Evidence-Based Practice in Academic Settings
d d d d d d d
d Chapter 17 Teaching Evidence-Based Practice in Clinical Settings
d d d d d d d
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based
d d d d d d d d d d
Practice
d
Chapter 19 Using Evidence to Influence Health and Organizational Policy
d d d d d d d d d
Page 2 of 132 d d d
,Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy
d d d d d d d d
Briefs, and the Media
d d d d
Chapter 21 Generating Evidence Through Quantitative and Qualitative Research
d d d d d d d d
Chapter 22 Writing a Successful Grant Proposal to Fund Research and Evidence-Based
d d d d d d d d d d d
Practice Implementation Project
d d d
Chapter 23 Ethical Considerations for Evidence Implementation and Evidence Generation
d d d d d d d d d
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of
d d d d d d d d d d d d
Inquiry d
1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be included in
d d d d d d d d d d d d d d d
every set of patient vital signs, regardless of patient diagnosis or acuity. This is most likely an example
d d d d d d d d d d d d d d d d d d
of which of the following phenomena?
d d d d d d
A) The prioritization of internal evidence over external evidence
d d d d d d d
B) Practice that lacks evidence to support its application
d d d d d d d
C) The integration of personal expertise into nursing care
d d d d d d d
D) Evidence-based practice d
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient chart review
d d d d d d d d d d d d d d d
after the implementation of a pilot program aimed at promoting early ambulation following surgery.
d d d d d d d d d d d d d d
Which of the following components of EBP is the nurse putting into practice?
d d d d d d d d d d d d d
A) Patient preferences d
B) Research utilization d
C) Experience
D) Internal evidence d
Page 3 of 132 d d d
, 3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to minimize
d d d d d d d d d d d d d d
the patients' level of agitation in the evening. The nurse has shared this observation with a colleague,
d d d d d d d d d d d d d d d d d
who is skeptical, stating that, “It's best to stick to evidence-based practice.” How can Nurse R. best
d d d d d d d d d d d d d d d d d
respond?
d
A) “EBP can include clinicians' personal expertise.”
d d d d d
B) “Personal experience is often more sound than formal evidence-based practice.”
d d d d d d d d d
C) “Traditional practice and EBP are usually shown to be the same.”
d d d d d d d d d d
D) “My years of experience can be just as valuable as any literature review or randomized trial.”
d d d d d d d d d d d d d d d
4. Which of the following factors provides the most important rationale for the consistent implementation
d d d d d d d d d d d d d
of EBP?
d d
A) EBP provides for the most cost-effective patient care.
d d d d d d d
B) EBP is accessible to all healthcare clinicians.
d d d d d d
C) EBP provides consistency in care across healthcare settings.
d d d d d d d
D) EBP improves patient outcomes.
d d d
5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been established to address
d d d d d d d d d d d d
EBP. Which of the following issues is the Roundtable emphasizing?
d d d d d d d d d d
A) Ensuring that external evidence, rather than internal evidence, is integrated into care
d d d d d d d d d d d
B) Fostering the level of learning that exists in the American healthcare system
d d d d d d d d d d d
C) Issuing clinical guidelines to ensure best nursing practice
d d d d d d d
D) Comparing the implementation of EBP in the United States with that of other Western countries
d d d d d d d d d d d d d d
6. You have become frustrated with some aspects of patient care that you believe are outdated and
d d d d d d d d d d d d d d d
ineffective at the long-term care facility where you have recently begun practicing. Consequently,
d d d d d d d d d d d d d
you have resolved to examine some of these practices in light of evidence. Which of the following
d d d d d d d d d d d d d d d d d
should occur first in the steps of EBP?
d d d d d d d d
A) Conducting an electronic search of the literature and ranking individual sources
d d d d d d d d d d
B) Creating “buy-in” from the other clinicians who provide care at the facility
d d d d d d d d d d d
C) Developing an inquisitive and curious mindset d d d d d
Page 4 of 132 d d d
