Test Bank For Evidence-Based Practice in Nursing & Healthcare A
y y y y y y y y y
y Guide to Best Practice 5th Edition
y y y y y
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
y y y y y
Chapter 1 - 23 Complet
y y y y
,Chapter 1 Making the Case for Evidence-Based Practice
y y y y y y y
and Cultivating a Spirit of Inquiry
y y y y y y
In ythe yhospital ywhere yNurse yL. yprovides ycare, ytradition ydictates ythat yoral
temperatures ybe yincluded yin yevery yset yof ypatient yvital ysigns, yregardless yof ypatient
y
ydiagnosis yor yacuity. yThisyis ymost ylikely yan yexample yof ywhich yof ythe yfollowing
yphenomena?
A) The yprioritization yof yinternal yevidence yover yexternal yevidence
B) Practice ythat ylacks yevidence yto ysupport yits yapplication
C) The yintegration yof ypersonal yexpertise yinto ynursing ycare
D) Evidence-based ypractice
2. The yclinical ynurse yeducator y(CNE) yon ya ypostsurgical yunit yhas yrecently ycompleted ya
ypatient ychart yreview yafter ythe yimplementation yof ya ypilot yprogram yaimed yat
ypromoting yearly yambulation yfollowing ysurgery. yWhich yof ythe yfollowing
ycomponents yof yEBP yis ytheynurse yputting yinto ypractice?
A) Patient ypreferences
B) Research yutilization
C) Experience
D) Internal yevidence
3. Nurse yR. yhas yobserved ythat yreorienting ydemented ypatients yas yfrequently yas ypossible
ytendsyto yminimize ythe ypatients' ylevel yof yagitation yin ythe yevening. yThe ynurse yhas
yshared ythis yobservation ywith ya ycolleague, ywho yis yskeptical, ystating ythat, y“It's ybest yto
ystick yto yevidence-based ypractice.” yHow ycan yNurse yR. ybest yrespond?
A) “EBP ycan yinclude yclinicians' ypersonal yexpertise.”
B) “Personal yexperience yis yoften ymore ysound ythan yformal yevidence-based ypractice.”
C) “Traditional ypractice yand yEBP yare yusually yshown yto ybe ythe ysame.”
D) “My yyears yof yexperience ycan ybe yjust yas yvaluable yas yany yliterature
yreview yoryrandomized ytrial.”
4. Which yof ythe yfollowing yfactors yprovides ythe ymost yimportant yrationale yfor ythe
yconsistentyimplementation yof yEBP?
A) EBP yprovides yfor ythe ymost ycost-effective ypatient ycare.
B) EBP yis yaccessible yto yall yhealthcare yclinicians.
C) EBP yprovides yconsistency yin ycare yacross yhealthcare ysettings.
,D) EBP yimproves ypatient youtcomes.
, 5. The yInstitute yof yMedicine's yRoundtable yon yEvidence-Based yMedicine yhas
ybeenyestablished yto yaddress yEBP. yWhich yof ythe yfollowing yissues yis ythe
yRoundtable yemphasizing?
A) Ensuring ythat yexternal yevidence, yrather ythan yinternal yevidence, yis
yintegrated yintoycare
B) Fostering ythe ylevel yof ylearning ythat yexists yin ythe yAmerican yhealthcare ysystem
C) Issuing yclinical yguidelines yto yensure ybest ynursing ypractice
D) Comparing ythe yimplementation yof yEBP yin ythe yUnited yStates ywith ythat yof
yotheryWestern ycountries
6. You yhave ybecome yfrustrated ywith ysome yaspects yof ypatient ycare ythat yyou ybelieve
yare youtdated yand yineffective yat ythe ylong-term ycare yfacility ywhere yyou yhave
yrecently ybegun ypracticing. yConsequently, yyou yhave yresolved yto yexamine ysome yof
ythese ypractices yin ylightyof yevidence. yWhich yof ythe yfollowing yshould yoccur yfirst yin ythe
ysteps yof yEBP?
A) Conducting yan yelectronic ysearch yof ythe yliterature yand yranking yindividual ysources
B) Creating y“buy-in” yfrom ythe yother yclinicians ywho yprovide ycare yat ythe yfacility
C) Developing yan yinquisitive yand ycurious ymindset
D) Assessing ywhether ythe ypractices yin yquestion ymay, yin yfact, ybe yevidence-based
7. Which yof ythe yfollowing yclinical yquestions ybest yexemplifies ythe yPICOT yformat?
A) What yeffect ydoes yparents' ysmoking yhave yon ythe ysmoking yhabits yof ytheir
ychildren,yages y13 yto y16?
B) Among ycancer ypatients, ywhat yrole ydoes ymeditation, yrather ythan
ybenzodiazepines,yhave yon yanxiety ylevels yduring ythe y7 ydays yfollowing yhospital
yadmission?
C) Among yundergraduate ycollege ystudents, ywhat yis ythe yeffectiveness yof ya ysexual
yhealthycampaign yundertaken yduring ythe yfirst y4 yweeks yof ythe yfall ysemester yas
ymeasured yby yincidence yof ynew ygonorrheal yand ychlamydial yinfections yreported
yto ythe ycampus ymedical ycenter?
D) In ypatients yaged y8 yto y12, yis ythe yeffectiveness yof ya ypain yscale yusing yfaces
ysuperior yto yaynumeric yrating yscale yin ythe yemergency yroom ycontext?
8. After yformulating ya yclinical yquestion, ya ynurse yhas yproceeded yto ysearch yfor yevidence
yfor yways yto yfoster yrestful ysleep yin ypatients ywho yare yreceiving ycare yin ythe yintensive
ycare yunit y(ICU). yThe ynurse yhas yidentified ya yrelevant ymeta-analysis yin yan yelectronic
ydatabase. yWhatywill ythis ysource yof yevidence yconsist yof?
A) A ystatistical ysummary yof ythe yresults yfrom yseveral ydifferent ystudies
B) An yexamination yof ythe ytheoretical yand yconceptual yunderpinnings yof ythe yissue
C) An yinterdisciplinary yanalysis yof ythe yclinical yquestion
D) A yqualitative ystudy yof ydifferent yinterventions yrelated yto ythe yclinical yquestion
y y y y y y y y y
y Guide to Best Practice 5th Edition
y y y y y
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
y y y y y
Chapter 1 - 23 Complet
y y y y
,Chapter 1 Making the Case for Evidence-Based Practice
y y y y y y y
and Cultivating a Spirit of Inquiry
y y y y y y
In ythe yhospital ywhere yNurse yL. yprovides ycare, ytradition ydictates ythat yoral
temperatures ybe yincluded yin yevery yset yof ypatient yvital ysigns, yregardless yof ypatient
y
ydiagnosis yor yacuity. yThisyis ymost ylikely yan yexample yof ywhich yof ythe yfollowing
yphenomena?
A) The yprioritization yof yinternal yevidence yover yexternal yevidence
B) Practice ythat ylacks yevidence yto ysupport yits yapplication
C) The yintegration yof ypersonal yexpertise yinto ynursing ycare
D) Evidence-based ypractice
2. The yclinical ynurse yeducator y(CNE) yon ya ypostsurgical yunit yhas yrecently ycompleted ya
ypatient ychart yreview yafter ythe yimplementation yof ya ypilot yprogram yaimed yat
ypromoting yearly yambulation yfollowing ysurgery. yWhich yof ythe yfollowing
ycomponents yof yEBP yis ytheynurse yputting yinto ypractice?
A) Patient ypreferences
B) Research yutilization
C) Experience
D) Internal yevidence
3. Nurse yR. yhas yobserved ythat yreorienting ydemented ypatients yas yfrequently yas ypossible
ytendsyto yminimize ythe ypatients' ylevel yof yagitation yin ythe yevening. yThe ynurse yhas
yshared ythis yobservation ywith ya ycolleague, ywho yis yskeptical, ystating ythat, y“It's ybest yto
ystick yto yevidence-based ypractice.” yHow ycan yNurse yR. ybest yrespond?
A) “EBP ycan yinclude yclinicians' ypersonal yexpertise.”
B) “Personal yexperience yis yoften ymore ysound ythan yformal yevidence-based ypractice.”
C) “Traditional ypractice yand yEBP yare yusually yshown yto ybe ythe ysame.”
D) “My yyears yof yexperience ycan ybe yjust yas yvaluable yas yany yliterature
yreview yoryrandomized ytrial.”
4. Which yof ythe yfollowing yfactors yprovides ythe ymost yimportant yrationale yfor ythe
yconsistentyimplementation yof yEBP?
A) EBP yprovides yfor ythe ymost ycost-effective ypatient ycare.
B) EBP yis yaccessible yto yall yhealthcare yclinicians.
C) EBP yprovides yconsistency yin ycare yacross yhealthcare ysettings.
,D) EBP yimproves ypatient youtcomes.
, 5. The yInstitute yof yMedicine's yRoundtable yon yEvidence-Based yMedicine yhas
ybeenyestablished yto yaddress yEBP. yWhich yof ythe yfollowing yissues yis ythe
yRoundtable yemphasizing?
A) Ensuring ythat yexternal yevidence, yrather ythan yinternal yevidence, yis
yintegrated yintoycare
B) Fostering ythe ylevel yof ylearning ythat yexists yin ythe yAmerican yhealthcare ysystem
C) Issuing yclinical yguidelines yto yensure ybest ynursing ypractice
D) Comparing ythe yimplementation yof yEBP yin ythe yUnited yStates ywith ythat yof
yotheryWestern ycountries
6. You yhave ybecome yfrustrated ywith ysome yaspects yof ypatient ycare ythat yyou ybelieve
yare youtdated yand yineffective yat ythe ylong-term ycare yfacility ywhere yyou yhave
yrecently ybegun ypracticing. yConsequently, yyou yhave yresolved yto yexamine ysome yof
ythese ypractices yin ylightyof yevidence. yWhich yof ythe yfollowing yshould yoccur yfirst yin ythe
ysteps yof yEBP?
A) Conducting yan yelectronic ysearch yof ythe yliterature yand yranking yindividual ysources
B) Creating y“buy-in” yfrom ythe yother yclinicians ywho yprovide ycare yat ythe yfacility
C) Developing yan yinquisitive yand ycurious ymindset
D) Assessing ywhether ythe ypractices yin yquestion ymay, yin yfact, ybe yevidence-based
7. Which yof ythe yfollowing yclinical yquestions ybest yexemplifies ythe yPICOT yformat?
A) What yeffect ydoes yparents' ysmoking yhave yon ythe ysmoking yhabits yof ytheir
ychildren,yages y13 yto y16?
B) Among ycancer ypatients, ywhat yrole ydoes ymeditation, yrather ythan
ybenzodiazepines,yhave yon yanxiety ylevels yduring ythe y7 ydays yfollowing yhospital
yadmission?
C) Among yundergraduate ycollege ystudents, ywhat yis ythe yeffectiveness yof ya ysexual
yhealthycampaign yundertaken yduring ythe yfirst y4 yweeks yof ythe yfall ysemester yas
ymeasured yby yincidence yof ynew ygonorrheal yand ychlamydial yinfections yreported
yto ythe ycampus ymedical ycenter?
D) In ypatients yaged y8 yto y12, yis ythe yeffectiveness yof ya ypain yscale yusing yfaces
ysuperior yto yaynumeric yrating yscale yin ythe yemergency yroom ycontext?
8. After yformulating ya yclinical yquestion, ya ynurse yhas yproceeded yto ysearch yfor yevidence
yfor yways yto yfoster yrestful ysleep yin ypatients ywho yare yreceiving ycare yin ythe yintensive
ycare yunit y(ICU). yThe ynurse yhas yidentified ya yrelevant ymeta-analysis yin yan yelectronic
ydatabase. yWhatywill ythis ysource yof yevidence yconsist yof?
A) A ystatistical ysummary yof ythe yresults yfrom yseveral ydifferent ystudies
B) An yexamination yof ythe ytheoretical yand yconceptual yunderpinnings yof ythe yissue
C) An yinterdisciplinary yanalysis yof ythe yclinical yquestion
D) A yqualitative ystudy yof ydifferent yinterventions yrelated yto ythe yclinical yquestion
