Evidence-Based Practice in Nursing & Healthcare – Practice Questions & Rationalized Answers (5th Edition, Melnyk) - PDF

TEST BANK for Evidence-Based
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Practice in Nursing & Healthcare: A
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Guide to Best Practice 5th Edition by
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bBernadette Mazurek Melnyk & Ellen b b b b




Fineout-Overholt b




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 b b




Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
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b Chapter 2 Asking Compelling Clinical Questions
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Chapter 3 Finding Relevant Evidence to Answer Clinical Questions
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b 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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b 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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b 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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b 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
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Chapter 19 Using Evidence to Influence Health and Organizational Policy
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,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 b




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
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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 b




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 b




B) Research utilization b




C) Experience

D) Internal evidence b




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, 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?
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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.”
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4. Which of the following factors provides the most important rationale for the consistent implementation
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of EBP?
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A) EBP provides for the most cost-effective patient care.
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B) EBP is accessible to all healthcare clinicians.
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C) EBP provides consistency in care across healthcare settings.
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D) EBP improves patient outcomes.
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5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been established to address
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EBP. Which of the following issues is the Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated into care
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B) Fostering the level of learning that exists in the American healthcare system
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C) Issuing clinical guidelines to ensure best nursing practice
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D) Comparing the implementation of EBP in the United States with that of other Western countries
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6. You have become frustrated with some aspects of patient care that you believe are outdated and
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ineffective at the long-term care facility where you have recently begun practicing. Consequently,
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you have resolved to examine some of these practices in light of evidence. Which of the following
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should occur first in the steps of EBP?
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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
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C) Developing an inquisitive and curious mindset b b b b b




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