Test Bank For Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edition by Bernadette Mazurek Melnyk, Complete Chapters 1 - 23, Updated Newest Version

Test Bank For Evidence-Based Practice in Nursing & Healthcare A
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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 Inq m5 m5m5 m5 m5 m5 m5 m5




uiry


In the hospital where Nurse L. provides care, tradition dictates that oral temperatur
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es be included in every set of patient vital signs, regardless of patient diagnosis or
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acuity. This is most 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
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C) The integration of personal expertise into nursing care
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D) Evidence-based practice m5




2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed
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a patient chart review after the implementation of a pilot program aimed at prom
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oting early ambulation following surgery. Which of the following components of
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EBP is the nurse putting into practice?
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A) Patient preferences m5


B) Research utilization m5


C) Experience
D) Internal evidence m5




3. Nurse R. has observed that reorienting demented patients as frequently as possible t
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ends to minimize the patients' level of agitation in the evening. The nurse has sha
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red this observation with a colleague, who is skeptical, stating that, “It's best to sti
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ck to evidence-based practice.” How can Nurse R. best 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 revie
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w or randomized trial.”
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4. Which of the following factors provides the most important rationale for the consi
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stent implementation 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-
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Based Medicine has been established to address EBP. Which of the follo
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wing issues is the Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated
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into care m5


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
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other Western countries m5 m5




6. You have become frustrated with some aspects of patient care that you believe ar
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e outdated and ineffective at the long-
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term care facility where you have recently begun practicing. Consequently, you ha
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ve resolved to examine some of these practices in light of evidence. Which of the
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following 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 m5 m5 m5 m5 m5


D) Assessing whether the practices in question may, in fact, be evidence-based
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7. Which of the following clinical questions best exemplifies the PICOT format?
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A) What effect does parents' smoking have on the smoking habits of their chil
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dren, ages 13 to 16? m5 m5 m5 m5


B) Among cancer patients, what role does meditation, rather than benzodiazepi
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nes, have on anxiety levels during the 7 days following hospital admission
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?
C) Among undergraduate college students, what is the effectiveness of a sexual h
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ealth campaign undertaken during the first 4 weeks of the fall semester as me
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asured by incidence of new gonorrheal and chlamydial infections reported to t
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he campus medical center? m5 m5 m5


D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superi
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or to a numeric rating scale in the emergency room context?
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8. After formulating a clinical question, a nurse has proceeded to search for evidence
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for ways to foster restful sleep in patients who are receiving care in the intensive
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care unit (ICU). The nurse has identified a relevant meta-
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analysis in an electronic database. What will this source of evidence consist of?
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A) A statistical summary of the results from several different studies
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B) An examination of the theoretical and conceptual underpinnings of the issue
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C) An interdisciplinary analysis of the clinical question
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D) A qualitative study of different interventions related to the clinical question
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, 9. The nurses on a postpartum unit have noted that many primiparous (first-
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time) mothers are giving up on breastfeeding within the 24 hours following delive
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ry, and the nurses want to create uniform guidelines for promoting breastfeeding o
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n the unit. Which of the following sources is most likely to provide the best evide
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nce in their quest for an intervention?
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A) Evidence from a randomized control trial that had more than 2500 participants
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B) Evidence from a study that is widely regarded as a classic within the obste
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trical nursing community m5 m5


C) Evidence from a systematic review of breastfeeding-
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promotion studies that one of the nurses identified in an electronic database
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D) The consensus opinion of the most senior nurses on the unit
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10. The nurse educator on an acute medicine unit is advocating for the use of
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evidence-
based clinical practice guidelines on wound care in order to standardize and opti
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mize the practice of the nurses on the unit. Which of the following statements be
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st describes clinical practice guidelines?
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A) The result of replication studies of existing research by an impartial third party
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B) A collection of authorized interventions that are required by law
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C) A number of interventions that are the result of a large, publically-funded RCT
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D) A group of practice recommendations that result from a rigorous review o
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f the literature
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11. A nurse is conducting a literature review on the evidence regarding the use of vac
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uum dressings on stage IV pressure ulcers. After locating a recent study that appe
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ars to be relevant, which of the following questions would the nurse consider first
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when critically appraising the study?
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A) “Are the findings of this study cost-effective in our clinical context?”
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B) "How would the implementation of this intervention affect our staffing needs?"
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C) “Were the patients in the study similar to the patients on my unit?”
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D) “Are the findings of the study significantly different from what we are curr
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ently doing on the unit? m5 m5 m5 m5




12. The primary care provider of a 49-year-
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old male patient has examined and briefly explained the evidence that supports b
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eginning regular digital- m5 m5


rectal exams. Which of the following factors would justify not performing digital
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-rectal examinations in this patient's care?
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A) The patient is vehemently opposed to undergoing a digital-rectal exam.
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B) Clinical practice guidelines for prostate care have not been published.
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C) The clinician has been unable to find any large RCTs in a literature review.
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D) The clinician has previously waited until patients are 55 to begin reg
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ular digital-rectal exams.m5 m5