TESTBANK FOR
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EVIDENCEBASED zx
PRACTICEINNURSING zx zx
ANDHEALTHCARE4TH
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EDITION BY MELNYK
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Allchapters
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,Chapter 1 Making the Case for Evidence-
zx zx zx zx zx zx
Based Practice and Cultivating a Spirit of Inquiry
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,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be inc
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luded in every set of patient vital signs, regardless of patient diagnosis or acuity. This is mos
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t likely an example 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 zx zx zx zx zx zx zx
C) The integration of personal expertise into nursing care zx zx zx zx zx zx zx
D) Evidence-based practice zx
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient
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chart review after the implementation of a pilot program aimed at promoting early ambul
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ation following surgery. Which of the following components of EBP is the nurse putting i
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nto practice? zx
A) Patient preferences zx
B) Research utilization zx
C) Experience
D) Internal evidence zx
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to
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minimize the patients' level of agitation in the evening. The nurse has shared this observati
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on with a colleague, who is skeptical, stating that, “It's best to stick to evidence-
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based practice.” How can Nurse R. best respond?
zx zx zx zx zx zx zx
A) “EBP can include clinicians' personal expertise.” zx zx zx zx zx
B) “Personal experience is often more sound than formal evidence-based practice.” zx zx zx zx zx zx zx zx zx
C) “Traditional practice and EBP are usually shown to be the same.” zx zx zx zx zx zx zx zx zx zx
D) “My years of experience can be just as valuable as any literature review or ran
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
domized trial.” zx
4. Which of the following factors provides the most important rationale for the consistent im
zx zx zx zx zx zx zx zx zx zx zx zx zx
plementation of EBP? zx zx
A) EBP provides for the most cost-effective patient care. zx zx zx zx zx zx zx
B) EBP is accessible to all healthcare clinicians. zx zx zx zx zx zx
C) EBP provides consistency in care across healthcare settings. zx zx zx zx zx zx zx
D) EBP improves patient outcomes. zx zx zx
Page 1 zx
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, 5. The Institute of Medicine's Roundtable on Evidence-
zx zx zx zx zx zx
Based Medicine has been established to address EBP. Which of the following iss
zx zx zx zx zx zx zx zx zx zx zx zx
ues is the Roundtable emphasizing?
zx zx zx zx
A) Ensuring that external evidence, rather than internal evidence, is integrated into ca zx zx zx zx zx zx zx zx zx zx zx
re
B) Fostering the level of learning that exists in the American healthcare system zx zx zx zx zx zx zx zx zx zx zx
C) Issuing clinical guidelines to ensure best nursing practice zx zx zx zx zx zx zx
D) Comparing the implementation of EBP in the United States with that of other W zx zx zx zx zx zx zx zx zx zx zx zx zx
estern countries zx
6. You have become frustrated with some aspects of patient care that you believe are outdate
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d and ineffective at the long-
zx zx zx zx zx
term care facility where you have recently begun practicing. Consequently, you have resol
zx zx zx zx zx zx zx zx zx zx zx zx
ved to examine some of these practices in light of evidence. Which of the following should
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
occur first in the steps of EBP?
zx zx zx zx zx zx
A) Conducting an electronic search of the literature and ranking individual sources zx zx zx zx zx zx zx zx zx zx
B) Creating “buy-in” from the other clinicians who provide care at the facility zx zx zx zx zx zx zx zx zx zx zx
C) Developing an inquisitive and curious mindset zx zx zx zx zx
D) Assessing whether the practices in question may, in fact, be evidence-based zx zx zx zx zx zx zx zx zx zx
7. Which of the following clinical questions best exemplifies the PICOT format?
zx zx zx zx zx zx zx zx zx zx
A) What effect does parents' smoking have on the smoking habits of their children, ag
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es 13 to 16? zx zx zx
B) Among cancer patients, what role does meditation, rather than benzodiazepines, ha zx zx zx zx zx zx zx zx zx zx
ve on anxiety levels during the 7 days following hospital admission?
zx zx zx zx zx zx zx zx zx zx
C) Among undergraduate college students, what is the effectiveness of a sexual health cazx zx zx zx zx zx zx zx zx zx zx zx
mpaign undertaken during the first 4 weeks of the fall semester as measured by incide
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
nce of new gonorrheal and chlamydial infections reported to the campus medical cent
zx zx zx zx zx zx zx zx zx zx zx zx
er?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a num
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
eric rating scale in the emergency room context? zx zx zx zx zx zx zx
8. After formulating a clinical question, a nurse has proceeded to search for evidence for way
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
s to foster restful sleep in patients who are receiving care in the intensive care unit (ICU). T
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
he nurse has identified a relevant meta-
zx zx zx zx zx zx
analysis in an electronic database. What will this source of evidence consist of?
zx zx zx zx zx zx zx zx zx zx zx zx
A) A statistical summary of the results from several different studies
zx zx zx zx zx zx zx zx zx
B) An examination of the theoretical and conceptual underpinnings of the issue
zx zx zx zx zx zx zx zx zx zx
C) An interdisciplinary analysis of the clinical question
zx zx zx zx zx zx
D) A qualitative study of different interventions related to the clinical question
zx zx zx zx zx zx zx zx zx zx
Page 2 zx
WWW.TESTBANKTANK.COM
zx zx
EVIDENCEBASED zx
PRACTICEINNURSING zx zx
ANDHEALTHCARE4TH
zx zx
EDITION BY MELNYK
zx zx
Allchapters
zx
,Chapter 1 Making the Case for Evidence-
zx zx zx zx zx zx
Based Practice and Cultivating a Spirit of Inquiry
zx zx zx zx zx zx zx
,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be inc
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
luded in every set of patient vital signs, regardless of patient diagnosis or acuity. This is mos
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
t likely an example of which of the following phenomena?
zx zx zx zx zx zx zx zx zx
A) The prioritization of internal evidence over external evidence
zx zx zx zx zx zx zx
B) Practice that lacks evidence to support its application zx zx zx zx zx zx zx
C) The integration of personal expertise into nursing care zx zx zx zx zx zx zx
D) Evidence-based practice zx
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient
zx zx zx zx zx zx zx zx zx zx zx zx zx z
chart review after the implementation of a pilot program aimed at promoting early ambul
x zx zx zx zx zx zx zx zx zx zx zx zx zx
ation following surgery. Which of the following components of EBP is the nurse putting i
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
nto practice? zx
A) Patient preferences zx
B) Research utilization zx
C) Experience
D) Internal evidence zx
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
minimize the patients' level of agitation in the evening. The nurse has shared this observati
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
on with a colleague, who is skeptical, stating that, “It's best to stick to evidence-
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
based practice.” How can Nurse R. best respond?
zx zx zx zx zx zx zx
A) “EBP can include clinicians' personal expertise.” zx zx zx zx zx
B) “Personal experience is often more sound than formal evidence-based practice.” zx zx zx zx zx zx zx zx zx
C) “Traditional practice and EBP are usually shown to be the same.” zx zx zx zx zx zx zx zx zx zx
D) “My years of experience can be just as valuable as any literature review or ran
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
domized trial.” zx
4. Which of the following factors provides the most important rationale for the consistent im
zx zx zx zx zx zx zx zx zx zx zx zx zx
plementation of EBP? zx zx
A) EBP provides for the most cost-effective patient care. zx zx zx zx zx zx zx
B) EBP is accessible to all healthcare clinicians. zx zx zx zx zx zx
C) EBP provides consistency in care across healthcare settings. zx zx zx zx zx zx zx
D) EBP improves patient outcomes. zx zx zx
Page 1 zx
WWW.TESTBANKTANK.COM
, 5. The Institute of Medicine's Roundtable on Evidence-
zx zx zx zx zx zx
Based Medicine has been established to address EBP. Which of the following iss
zx zx zx zx zx zx zx zx zx zx zx zx
ues is the Roundtable emphasizing?
zx zx zx zx
A) Ensuring that external evidence, rather than internal evidence, is integrated into ca zx zx zx zx zx zx zx zx zx zx zx
re
B) Fostering the level of learning that exists in the American healthcare system zx zx zx zx zx zx zx zx zx zx zx
C) Issuing clinical guidelines to ensure best nursing practice zx zx zx zx zx zx zx
D) Comparing the implementation of EBP in the United States with that of other W zx zx zx zx zx zx zx zx zx zx zx zx zx
estern countries zx
6. You have become frustrated with some aspects of patient care that you believe are outdate
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
d and ineffective at the long-
zx zx zx zx zx
term care facility where you have recently begun practicing. Consequently, you have resol
zx zx zx zx zx zx zx zx zx zx zx zx
ved to examine some of these practices in light of evidence. Which of the following should
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
occur first in the steps of EBP?
zx zx zx zx zx zx
A) Conducting an electronic search of the literature and ranking individual sources zx zx zx zx zx zx zx zx zx zx
B) Creating “buy-in” from the other clinicians who provide care at the facility zx zx zx zx zx zx zx zx zx zx zx
C) Developing an inquisitive and curious mindset zx zx zx zx zx
D) Assessing whether the practices in question may, in fact, be evidence-based zx zx zx zx zx zx zx zx zx zx
7. Which of the following clinical questions best exemplifies the PICOT format?
zx zx zx zx zx zx zx zx zx zx
A) What effect does parents' smoking have on the smoking habits of their children, ag
zx zx zx zx zx zx zx zx zx zx zx zx zx
es 13 to 16? zx zx zx
B) Among cancer patients, what role does meditation, rather than benzodiazepines, ha zx zx zx zx zx zx zx zx zx zx
ve on anxiety levels during the 7 days following hospital admission?
zx zx zx zx zx zx zx zx zx zx
C) Among undergraduate college students, what is the effectiveness of a sexual health cazx zx zx zx zx zx zx zx zx zx zx zx
mpaign undertaken during the first 4 weeks of the fall semester as measured by incide
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
nce of new gonorrheal and chlamydial infections reported to the campus medical cent
zx zx zx zx zx zx zx zx zx zx zx zx
er?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a num
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
eric rating scale in the emergency room context? zx zx zx zx zx zx zx
8. After formulating a clinical question, a nurse has proceeded to search for evidence for way
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
s to foster restful sleep in patients who are receiving care in the intensive care unit (ICU). T
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
he nurse has identified a relevant meta-
zx zx zx zx zx zx
analysis in an electronic database. What will this source of evidence consist of?
zx zx zx zx zx zx zx zx zx zx zx zx
A) A statistical summary of the results from several different studies
zx zx zx zx zx zx zx zx zx
B) An examination of the theoretical and conceptual underpinnings of the issue
zx zx zx zx zx zx zx zx zx zx
C) An interdisciplinary analysis of the clinical question
zx zx zx zx zx zx
D) A qualitative study of different interventions related to the clinical question
zx zx zx zx zx zx zx zx zx zx
Page 2 zx
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