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Guide to Best Practice 5th Edition
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by Bernadette Mazurek Melnyk, Ellen Fineout-
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Overholt Chapter 1 - 23 Complete
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,Chapter 1 Making the Case for Evidence-
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Based Practice and Cultivating a Spirit of In
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quiry
InFRtheFRhospitalFRwhereFRNurseFRL.FRprovidesFRcare,FRtraditionFRdictatesFRthatFRoralFRtemperat
uresFRbeFRincludedFRinFReveryFRsetFRofFRpatientFRvitalFRsigns,FRregardlessFRofFRpatientFRdiagnosi
sFRorFRacuity.FRThisFRisFRmostFRlikelyFRanFRexampleFRofFRwhichFRofFRtheFRfollowingFRphenome
na?
A) TheFRprioritizationFRofFRinternalFRevidenceFRoverFRexternalFRevidence
B) PracticeFRthatFRlacksFRevidenceFRtoFRsupportFRitsFRapplication
C) TheFRintegrationFRofFRpersonalFRexpertiseFRintoFRnursingFRcare
D) Evidence-basedFRpractice
2. TheFRclinicalFRnurseFReducatorFR(CNE)FRonFRaFRpostsurgicalFRunitFRhasFRrecentlyFRcomplete
dFRaFRpatientFRchartFRreviewFRafterFRtheFRimplementationFRofFRaFRpilotFRprogramFRaimedFRatFR
promotingFRearlyFRambulationFRfollowingFRsurgery.FRWhichFRofFRtheFRfollowingFRcompone
ntsFRofFREBPFRisFRtheFRnurseFRputtingFRintoFRpractice?
A) PatientFRpreferences
B) ResearchFRutilization
C) Experience
D) InternalFRevidence
3. NurseFRR.FRhasFRobservedFRthatFRreorientingFRdementedFRpatientsFRasFRfrequentlyFRasFRpossibl
eFRtendsFRtoFRminimizeFRtheFRpatients'FRlevelFRofFRagitationFRinFRtheFRevening.FRTheFRnurseFRha
sFRsharedFRthisFRobservationFRwithFRaFRcolleague,FRwhoFRisFRskeptical,FRstatingFRthat,FR“It'sFRbe
stFRtoFRstickFRtoFRevidence-basedFRpractice.”FRHowFRcanFRNurseFRR.FRbestFRrespond?
A) “EBPFRcanFRincludeFRclinicians'FRpersonalFRexpertise.”
B) “PersonalFRexperienceFRisFRoftenFRmoreFRsoundFRthanFRformalFRevidence-basedFRpractice.”
C) “TraditionalFRpracticeFRandFREBPFRareFRusuallyFRshownFRtoFRbeFRtheFRsame.”
D) “MyFRyearsFRofFRexperienceFRcanFRbeFRjustFRasFRvaluableFRasFRanyFRliteratureFRre
viewFRorFRrandomizedFRtrial.”
4. WhichFRofFRtheFRfollowingFRfactorsFRprovidesFRtheFRmostFRimportantFRrationaleFRforFRtheFRco
nsistentFRimplementationFRofFREBP?
A) EBPFRprovidesFRforFRtheFRmostFRcost-effectiveFRpatientFRcare.
B) EBPFRisFRaccessibleFRtoFRallFRhealthcareFRclinicians.
C) EBPFRprovidesFRconsistencyFRinFRcareFRacrossFRhealthcareFRsettings.
D) EBPFRimprovesFRpatientFRoutcomes.
,5. TheFRInstituteFRofFRMedicine'sFRRoundtableFRonFREvidence-
BasedFRMedicineFRhasFRbeenFRestablishedFRtoFRaddressFREBP.FRWhichFRofFRtheFRfol
lowingFRissuesFRisFRtheFRRoundtableFRemphasizing?
A) EnsuringFRthatFRexternalFRevidence,FRratherFRthanFRinternalFRevidence,FRisFRintegrate
dFRintoFRcare
B) FosteringFRtheFRlevelFRofFRlearningFRthatFRexistsFRinFRtheFRAmericanFRhealthcareFRsystem
C) IssuingFRclinicalFRguidelinesFRtoFRensureFRbestFRnursingFRpractice
D) ComparingFRtheFRimplementationFRofFREBPFRinFRtheFRUnitedFRStatesFRwithFRthatFRo
fFRotherFRWesternFRcountries
6. YouFRhaveFRbecomeFRfrustratedFRwithFRsomeFRaspectsFRofFRpatientFRcareFRthatFRyouFRbelieveFR
areFRoutdatedFRandFRineffectiveFRatFRtheFRlong-
termFRcareFRfacilityFRwhereFRyouFRhaveFRrecentlyFRbegunFRpracticing.FRConsequently,FRyouFR
haveFRresolvedFRtoFRexamineFRsomeFRofFRtheseFRpracticesFRinFRlightFRofFRevidence.FRWhichFRof
FRtheFRfollowingFRshouldFRoccurFRfirstFRinFRtheFRstepsFRofFREBP?
A) ConductingFRanFRelectronicFRsearchFRofFRtheFRliteratureFRandFRrankingFRindividualFRsources
B) CreatingFR“buy-in”FRfromFRtheFRotherFRcliniciansFRwhoFRprovideFRcareFRatFRtheFRfacility
C) DevelopingFRanFRinquisitiveFRandFRcuriousFRmindset
D) AssessingFRwhetherFRtheFRpracticesFRinFRquestionFRmay,FRinFRfact,FRbeFRevidence-based
7. WhichFRofFRtheFRfollowingFRclinicalFRquestionsFRbestFRexemplifiesFRtheFRPICOTFRformat?
A) WhatFReffectFRdoesFRparents'FRsmokingFRhaveFRonFRtheFRsmokingFRhabitsFRofFRtheirFRc
hildren,FRagesFR13FRtoFR16?
B) AmongFRcancerFRpatients,FRwhatFRroleFRdoesFRmeditation,FRratherFRthanFRbenzodiaze
pines,FRhaveFRonFRanxietyFRlevelsFRduringFRtheFR7FRdaysFRfollowingFRhospitalFRadmis
sion?
C) AmongFRundergraduateFRcollegeFRstudents,FRwhatFRisFRtheFReffectivenessFRofFRaFRsexualF
RhealthFRcampaignFRundertakenFRduringFRtheFRfirstFR4FRweeksFRofFRtheFRfallFRsemesterFRa
sFRmeasuredFRbyFRincidenceFRofFRnewFRgonorrhealFRandFRchlamydialFRinfectionsFRrepor
tedFRtoFRtheFRcampusFRmedicalFRcenter?
D) InFRpatientsFRagedFR8FRtoFR12,FRisFRtheFReffectivenessFRofFRaFRpainFRscaleFRusingFRfacesFRsup
eriorFRtoFRaFRnumericFRratingFRscaleFRinFRtheFRemergencyFRroomFRcontext?
8. AfterFRformulatingFRaFRclinicalFRquestion,FRaFRnurseFRhasFRproceededFRtoFRsearchFRforFRevide
nceFRforFRwaysFRtoFRfosterFRrestfulFRsleepFRinFRpatientsFRwhoFRareFRreceivingFRcareFRinFRtheFRin
tensiveFRcareFRunitFR(ICU).FRTheFRnurseFRhasFRidentifiedFRaFRrelevantFRmeta-
analysisFRinFRanFRelectronicFRdatabase.FRWhatFRwillFRthisFRsourceFRofFRevidenceFRconsistFRof?
A) AFRstatisticalFRsummaryFRofFRtheFRresultsFRfromFRseveralFRdifferentFRstudies
B) AnFRexaminationFRofFRtheFRtheoreticalFRandFRconceptualFRunderpinningsFRofFRtheFRissue
C) AnFRinterdisciplinaryFRanalysisFRofFRtheFRclinicalFRquestion
D) AFRqualitativeFRstudyFRofFRdifferentFRinterventionsFRrelatedFRtoFRtheFRclinicalFRquestion
, 9. TheFRnursesFRonFRaFRpostpartumFRunitFRhaveFRnotedFRthatFRmanyFRprimiparousFR(first-
time)FRmothersFRareFRgivingFRupFRonFRbreastfeedingFRwithinFRtheFR24FRhoursFRfollowingFRdeli
very,FRandFRtheFRnursesFRwantFRtoFRcreateFRuniformFRguidelinesFRforFRpromotingFRbreastfeedi
ngFRonFRtheFRunit.FRWhichFRofFRtheFRfollowingFRsourcesFRisFRmostFRlikelyFRtoFRprovideFRtheFRbe
stFRevidenceFRinFRtheirFRquestFRforFRanFRintervention?
A) EvidenceFRfromFRaFRrandomizedFRcontrolFRtrialFRthatFRhadFRmoreFRthanFR2500FRparticipants
B) EvidenceFRfromFRaFRstudyFRthatFRisFRwidelyFRregardedFRasFRaFRclassicFRwithinFRtheFRob
stetricalFRnursingFRcommunity
C) EvidenceFRfromFRaFRsystematicFRreviewFRofFRbreastfeeding-
promotionFRstudiesFRthatFRoneFRofFRtheFRnursesFRidentifiedFRinFRanFRelectronicFRdatabas
e
D) TheFRconsensusFRopinionFRofFRtheFRmostFRseniorFRnursesFRonFRtheFRunit
10. TheFRnurseFReducatorFRonFRanFRacuteFRmedicineFRunitF R isFRadvocatingFRforFRtheFRuseFRof
evidence-
basedFRclinicalFRpracticeFRguidelinesFRonFRwoundFRcareFRinFRorderFRtoFRstandardizeFRandFRo
ptimizeFRtheFRpracticeFRofFRtheFRnursesFRonFRtheFRunit.FRWhichFRofFRtheFRfollowingFRstatemen
tsFRbestFRdescribesFRclinicalFRpracticeFRguidelines?
A) TheFRresultFRofFRreplicationFRstudiesFRofFRexistingFRresearchFRbyFRanFRimpartialFRthirdFRparty
B) AFRcollectionFRofFRauthorizedFRinterventionsFRthatFRareFRrequiredFRbyFRlaw
C) AFRnumberFRofFRinterventionsFRthatFRareFRtheFRresultFRofFRaFRlarge,FRpublically-fundedFRRCT
D) AFRgroupFRofFRpracticeFRrecommendationsFRthatFRresultFRfromFRaFRrigorousFRreviewF
RofFRtheFRliterature
11. AFRnurseFRisFRconductingFRaFRliteratureFRreviewFRonFRtheFRevidenceFRregardingFRtheFRuseFRofFR
vacuumFRdressingsFRonFRstageFRIVFRpressureFRulcers.FRAfterFRlocatingFRaFRrecentFRstudyFRthatF
RappearsFRtoFRbeFRrelevant,FRwhichFRofFRtheFRfollowingFRquestionsFRwouldFRtheFRnurseFRconsid
erFRfirstFRwhenFRcriticallyFRappraisingFRtheFRstudy?
A) “AreFRtheFRfindingsFRofFRthisFRstudyFRcost-effectiveFRinFRourFRclinicalFRcontext?”
B) "HowFRwouldFRtheFRimplementationFRofFRthisFRinterventionFRaffectFRourFRstaffingFRneeds?"
C) “WereFRtheFRpatientsFRinFRtheFRstudyFRsimilarFRtoFRtheFRpatientsFRonFRmyFRunit?”
D) “AreFRtheFRfindingsFRofFRtheFRstudyFRsignificantlyFRdifferentFRfromFRwhatFRweFRareFRcu
rrentlyFRdoingFRonFRtheFRunit?
12. TheFRprimaryFRcareFRproviderFRofFRaFR49-year-
oldFRmaleFRpatientFRhasFRexaminedFRandFRbrieflyFRexplainedFRtheFRevidenceFRthatFRsupports
FRbeginningFRregularFRdigital-
rectalFRexams.FRWhichFRofFRtheFRfollowingFRfactorsFRwouldFRjustifyFRnotFRperformingFRdigi
tal-rectalFRexaminationsFRinFRthisFRpatient'sFRcare?
A) TheFRpatientFRisFRvehementlyFRopposedFRtoFRundergoingFRaFRdigital-rectalFRexam.
B) ClinicalFRpracticeFRguidelinesFRforFRprostateFRcareFRhaveFRnotFRbeenFRpublished.
C) TheFRclinicianFRhasFRbeenFRunableFRtoFRfindFRanyFRlargeFRRCTsFRinFRaFRliteratureFRreview.
D) TheFRclinicianFRhasFRpreviouslyFRwaitedFRuntilFRpatientsFRareFR55FRtoFRbeginFRr
egularFRdigital-rectalFRexams.