Test Bank For Evidence-Based Practice in Nursing & Healthcare A
s s s s s s s s s
Guide to Best Practice 5th Edition
s s s s s s
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
s s s s s
Chapter 1 - 23 Complet
s s s s
,Chapter 1 Making the Case for Evidence-Based Practice
s s s s s s s
and Cultivating a Spirit of Inquiry
s s s s s s
In sthe shospital swhere sNurse sL. sprovides scare, stradition sdictates sthat soral stemperatures
sbe sincluded sin severy sset sof spatient svital ssigns, sregardless sof spatient sdiagnosis sor
sacuity. sThissis smost slikely san sexample sof swhich sof sthe sfollowing sphenomena?
A) The sprioritization sof sinternal sevidence sover sexternal sevidence
B) Practice sthat slacks sevidence sto ssupport sits sapplication
C) The sintegration sof spersonal sexpertise sinto snursing scare
D) Evidence-based spractice
2. The sclinical snurse seducator s(CNE) son sa spostsurgical sunit shas srecently scompleted sa
spatient schart sreview safter sthe simplementation sof sa spilot sprogram saimed sat
spromoting searly sambulation sfollowing ssurgery. sWhich sof sthe sfollowing scomponents
sof sEBP sis sthesnurse sputting sinto spractice?
A) Patient spreferences
B) Research sutilization
C) Experience
D) Internal sevidence
3. Nurse sR. shas sobserved sthat sreorienting sdemented spatients sas sfrequently sas spossible
stendssto sminimize sthe spatients' slevel sof sagitation sin sthe sevening. sThe snurse shas sshared
sthis sobservation swith sa scolleague, swho sis sskeptical, sstating sthat, s“It's sbest sto sstick sto
sevidence-based spractice.” sHow scan sNurse sR. sbest srespond?
A) “EBP scan sinclude sclinicians' spersonal sexpertise.”
B) “Personal sexperience sis soften smore ssound sthan sformal sevidence-based spractice.”
C) “Traditional spractice sand sEBP sare susually sshown sto sbe sthe ssame.”
D) “My syears sof sexperience scan sbe sjust sas svaluable sas sany sliterature sreview
sorsrandomized strial.”
4. Which sof sthe sfollowing sfactors sprovides sthe smost simportant srationale sfor sthe
sconsistentsimplementation sof sEBP?
A) EBP sprovides sfor sthe smost scost-effective spatient scare.
B) EBP sis saccessible sto sall shealthcare sclinicians.
C) EBP sprovides sconsistency sin scare sacross shealthcare ssettings.
D) EBP simproves spatient soutcomes.
,5. The sInstitute sof sMedicine's sRoundtable son sEvidence-Based sMedicine shas
sbeensestablished sto saddress sEBP. sWhich sof sthe sfollowing sissues sis sthe
sRoundtable semphasizing?
A) Ensuring sthat sexternal sevidence, srather sthan sinternal sevidence, sis sintegrated
sintoscare
B) Fostering sthe slevel sof slearning sthat sexists sin sthe sAmerican shealthcare ssystem
C) Issuing sclinical sguidelines sto sensure sbest snursing spractice
D) Comparing sthe simplementation sof sEBP sin sthe sUnited sStates swith sthat sof
sothersWestern scountries
6. You shave sbecome sfrustrated swith ssome saspects sof spatient scare sthat syou sbelieve sare
soutdated sand sineffective sat sthe slong-term scare sfacility swhere syou shave srecently
sbegun spracticing. sConsequently, syou shave sresolved sto sexamine ssome sof sthese
spractices sin slightsof sevidence. sWhich sof sthe sfollowing sshould soccur sfirst sin sthe ssteps sof
sEBP?
A) Conducting san selectronic ssearch sof sthe sliterature sand sranking sindividual ssources
B) Creating s“buy-in” sfrom sthe sother sclinicians swho sprovide scare sat sthe sfacility
C) Developing san sinquisitive sand scurious smindset
D) Assessing swhether sthe spractices sin squestion smay, sin sfact, sbe sevidence-based
7. Which sof sthe sfollowing sclinical squestions sbest sexemplifies sthe sPICOT sformat?
A) What seffect sdoes sparents' ssmoking shave son sthe ssmoking shabits sof stheir
schildren,sages s13 sto s16?
B) Among scancer spatients, swhat srole sdoes smeditation, srather sthan
sbenzodiazepines,shave son sanxiety slevels sduring sthe s7 sdays sfollowing shospital
sadmission?
C) Among sundergraduate scollege sstudents, swhat sis sthe seffectiveness sof sa ssexual
shealthscampaign sundertaken sduring sthe sfirst s4 sweeks sof sthe sfall ssemester sas
smeasured sby sincidence sof snew sgonorrheal sand schlamydial sinfections sreported sto
sthe scampus smedical scenter?
D) In spatients saged s8 sto s12, sis sthe seffectiveness sof sa spain sscale susing sfaces ssuperior
sto sasnumeric srating sscale sin sthe semergency sroom scontext?
8. After sformulating sa sclinical squestion, sa snurse shas sproceeded sto ssearch sfor sevidence
sfor sways sto sfoster srestful ssleep sin spatients swho sare sreceiving scare sin sthe sintensive
scare sunit s(ICU). sThe snurse shas sidentified sa srelevant smeta-analysis sin san selectronic
sdatabase. sWhatswill sthis ssource sof sevidence sconsist sof?
A) A sstatistical ssummary sof sthe sresults sfrom sseveral sdifferent sstudies
B) An sexamination sof sthe stheoretical sand sconceptual sunderpinnings sof sthe sissue
C) An sinterdisciplinary sanalysis sof sthe sclinical squestion
D) A squalitative sstudy sof sdifferent sinterventions srelated sto sthe sclinical squestion
, 9. The snurses son sa spostpartum sunit shave snoted sthat smany sprimiparous s(first-time)
smothers sare sgiving sup son sbreastfeeding swithin sthe s24 shours sfollowing sdelivery, sand
sthe snurses swant sto screate suniform sguidelines sfor spromoting sbreastfeeding son sthe
sunit. sWhich sof sthesfollowing ssources sis smost slikely sto sprovide sthe sbest sevidence sin
stheir squest sfor san sintervention?
A) Evidence sfrom sa srandomized scontrol strial sthat shad smore sthan s2500 sparticipants
B) Evidence sfrom sa sstudy sthat sis swidely sregarded sas sa sclassic swithin sthe
sobstetricalsnursing scommunity
C) Evidence sfrom sa ssystematic sreview sof sbreastfeeding-promotion sstudies sthat sone
sofsthe snurses sidentified sin san selectronic sdatabase
D) The sconsensus sopinion sof sthe smost ssenior snurses son sthe sunit
10. The snurse seducator son san sacute smedicine sunit sis sadvocating sfor sthe suse sof
evidence-based sclinical spractice sguidelines son swound scare sin sorder sto sstandardize
sand soptimize sthe spractice sof sthe snurses son sthe sunit. sWhich sof sthe sfollowing
sstatements sbestsdescribes sclinical spractice sguidelines?
A) The sresult sof sreplication sstudies sof sexisting sresearch sby san simpartial sthird sparty
B) A scollection sof sauthorized sinterventions sthat sare srequired sby slaw
C) A snumber sof sinterventions sthat sare sthe sresult sof sa slarge, spublically-funded sRCT
D) A sgroup sof spractice srecommendations sthat sresult sfrom sa srigorous sreview sof
sthesliterature
11. A snurse sis sconducting sa sliterature sreview son sthe sevidence sregarding sthe suse sof
svacuum sdressings son sstage sIV spressure sulcers. sAfter slocating sa srecent sstudy sthat
sappears sto sbe srelevant, swhich sof sthe sfollowing squestions swould sthe snurse sconsider
sfirst swhen scriticallysappraising sthe sstudy?
A) “Are sthe sfindings sof sthis sstudy scost-effective sin sour sclinical scontext?”
B) "How swould sthe simplementation sof sthis sintervention saffect sour sstaffing sneeds?"
C) “Were sthe spatients sin sthe sstudy ssimilar sto sthe spatients son smy sunit?”
D) “Are sthe sfindings sof sthe sstudy ssignificantly sdifferent sfrom swhat swe sare
scurrentlysdoing son sthe sunit?
12. The sprimary scare sprovider sof sa s49-year-old smale spatient shas sexamined sand sbriefly
sexplained sthe sevidence sthat ssupports sbeginning sregular sdigital-rectal sexams. sWhich
sofsthe sfollowing sfactors swould sjustify snot sperforming sdigital-rectal sexaminations sin
sthis spatient's scare?
A) The spatient sis svehemently sopposed sto sundergoing sa sdigital-rectal sexam.
B) Clinical spractice sguidelines sfor sprostate scare shave snot sbeen spublished.
C) The sclinician shas sbeen sunable sto sfind sany slarge sRCTs sin sa sliterature sreview.
D) The sclinician shas spreviously swaited suntil spatients sare s55 sto sbegin
sregularsdigital-rectal sexams.
s s s s s s s s s
Guide to Best Practice 5th Edition
s s s s s s
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
s s s s s
Chapter 1 - 23 Complet
s s s s
,Chapter 1 Making the Case for Evidence-Based Practice
s s s s s s s
and Cultivating a Spirit of Inquiry
s s s s s s
In sthe shospital swhere sNurse sL. sprovides scare, stradition sdictates sthat soral stemperatures
sbe sincluded sin severy sset sof spatient svital ssigns, sregardless sof spatient sdiagnosis sor
sacuity. sThissis smost slikely san sexample sof swhich sof sthe sfollowing sphenomena?
A) The sprioritization sof sinternal sevidence sover sexternal sevidence
B) Practice sthat slacks sevidence sto ssupport sits sapplication
C) The sintegration sof spersonal sexpertise sinto snursing scare
D) Evidence-based spractice
2. The sclinical snurse seducator s(CNE) son sa spostsurgical sunit shas srecently scompleted sa
spatient schart sreview safter sthe simplementation sof sa spilot sprogram saimed sat
spromoting searly sambulation sfollowing ssurgery. sWhich sof sthe sfollowing scomponents
sof sEBP sis sthesnurse sputting sinto spractice?
A) Patient spreferences
B) Research sutilization
C) Experience
D) Internal sevidence
3. Nurse sR. shas sobserved sthat sreorienting sdemented spatients sas sfrequently sas spossible
stendssto sminimize sthe spatients' slevel sof sagitation sin sthe sevening. sThe snurse shas sshared
sthis sobservation swith sa scolleague, swho sis sskeptical, sstating sthat, s“It's sbest sto sstick sto
sevidence-based spractice.” sHow scan sNurse sR. sbest srespond?
A) “EBP scan sinclude sclinicians' spersonal sexpertise.”
B) “Personal sexperience sis soften smore ssound sthan sformal sevidence-based spractice.”
C) “Traditional spractice sand sEBP sare susually sshown sto sbe sthe ssame.”
D) “My syears sof sexperience scan sbe sjust sas svaluable sas sany sliterature sreview
sorsrandomized strial.”
4. Which sof sthe sfollowing sfactors sprovides sthe smost simportant srationale sfor sthe
sconsistentsimplementation sof sEBP?
A) EBP sprovides sfor sthe smost scost-effective spatient scare.
B) EBP sis saccessible sto sall shealthcare sclinicians.
C) EBP sprovides sconsistency sin scare sacross shealthcare ssettings.
D) EBP simproves spatient soutcomes.
,5. The sInstitute sof sMedicine's sRoundtable son sEvidence-Based sMedicine shas
sbeensestablished sto saddress sEBP. sWhich sof sthe sfollowing sissues sis sthe
sRoundtable semphasizing?
A) Ensuring sthat sexternal sevidence, srather sthan sinternal sevidence, sis sintegrated
sintoscare
B) Fostering sthe slevel sof slearning sthat sexists sin sthe sAmerican shealthcare ssystem
C) Issuing sclinical sguidelines sto sensure sbest snursing spractice
D) Comparing sthe simplementation sof sEBP sin sthe sUnited sStates swith sthat sof
sothersWestern scountries
6. You shave sbecome sfrustrated swith ssome saspects sof spatient scare sthat syou sbelieve sare
soutdated sand sineffective sat sthe slong-term scare sfacility swhere syou shave srecently
sbegun spracticing. sConsequently, syou shave sresolved sto sexamine ssome sof sthese
spractices sin slightsof sevidence. sWhich sof sthe sfollowing sshould soccur sfirst sin sthe ssteps sof
sEBP?
A) Conducting san selectronic ssearch sof sthe sliterature sand sranking sindividual ssources
B) Creating s“buy-in” sfrom sthe sother sclinicians swho sprovide scare sat sthe sfacility
C) Developing san sinquisitive sand scurious smindset
D) Assessing swhether sthe spractices sin squestion smay, sin sfact, sbe sevidence-based
7. Which sof sthe sfollowing sclinical squestions sbest sexemplifies sthe sPICOT sformat?
A) What seffect sdoes sparents' ssmoking shave son sthe ssmoking shabits sof stheir
schildren,sages s13 sto s16?
B) Among scancer spatients, swhat srole sdoes smeditation, srather sthan
sbenzodiazepines,shave son sanxiety slevels sduring sthe s7 sdays sfollowing shospital
sadmission?
C) Among sundergraduate scollege sstudents, swhat sis sthe seffectiveness sof sa ssexual
shealthscampaign sundertaken sduring sthe sfirst s4 sweeks sof sthe sfall ssemester sas
smeasured sby sincidence sof snew sgonorrheal sand schlamydial sinfections sreported sto
sthe scampus smedical scenter?
D) In spatients saged s8 sto s12, sis sthe seffectiveness sof sa spain sscale susing sfaces ssuperior
sto sasnumeric srating sscale sin sthe semergency sroom scontext?
8. After sformulating sa sclinical squestion, sa snurse shas sproceeded sto ssearch sfor sevidence
sfor sways sto sfoster srestful ssleep sin spatients swho sare sreceiving scare sin sthe sintensive
scare sunit s(ICU). sThe snurse shas sidentified sa srelevant smeta-analysis sin san selectronic
sdatabase. sWhatswill sthis ssource sof sevidence sconsist sof?
A) A sstatistical ssummary sof sthe sresults sfrom sseveral sdifferent sstudies
B) An sexamination sof sthe stheoretical sand sconceptual sunderpinnings sof sthe sissue
C) An sinterdisciplinary sanalysis sof sthe sclinical squestion
D) A squalitative sstudy sof sdifferent sinterventions srelated sto sthe sclinical squestion
, 9. The snurses son sa spostpartum sunit shave snoted sthat smany sprimiparous s(first-time)
smothers sare sgiving sup son sbreastfeeding swithin sthe s24 shours sfollowing sdelivery, sand
sthe snurses swant sto screate suniform sguidelines sfor spromoting sbreastfeeding son sthe
sunit. sWhich sof sthesfollowing ssources sis smost slikely sto sprovide sthe sbest sevidence sin
stheir squest sfor san sintervention?
A) Evidence sfrom sa srandomized scontrol strial sthat shad smore sthan s2500 sparticipants
B) Evidence sfrom sa sstudy sthat sis swidely sregarded sas sa sclassic swithin sthe
sobstetricalsnursing scommunity
C) Evidence sfrom sa ssystematic sreview sof sbreastfeeding-promotion sstudies sthat sone
sofsthe snurses sidentified sin san selectronic sdatabase
D) The sconsensus sopinion sof sthe smost ssenior snurses son sthe sunit
10. The snurse seducator son san sacute smedicine sunit sis sadvocating sfor sthe suse sof
evidence-based sclinical spractice sguidelines son swound scare sin sorder sto sstandardize
sand soptimize sthe spractice sof sthe snurses son sthe sunit. sWhich sof sthe sfollowing
sstatements sbestsdescribes sclinical spractice sguidelines?
A) The sresult sof sreplication sstudies sof sexisting sresearch sby san simpartial sthird sparty
B) A scollection sof sauthorized sinterventions sthat sare srequired sby slaw
C) A snumber sof sinterventions sthat sare sthe sresult sof sa slarge, spublically-funded sRCT
D) A sgroup sof spractice srecommendations sthat sresult sfrom sa srigorous sreview sof
sthesliterature
11. A snurse sis sconducting sa sliterature sreview son sthe sevidence sregarding sthe suse sof
svacuum sdressings son sstage sIV spressure sulcers. sAfter slocating sa srecent sstudy sthat
sappears sto sbe srelevant, swhich sof sthe sfollowing squestions swould sthe snurse sconsider
sfirst swhen scriticallysappraising sthe sstudy?
A) “Are sthe sfindings sof sthis sstudy scost-effective sin sour sclinical scontext?”
B) "How swould sthe simplementation sof sthis sintervention saffect sour sstaffing sneeds?"
C) “Were sthe spatients sin sthe sstudy ssimilar sto sthe spatients son smy sunit?”
D) “Are sthe sfindings sof sthe sstudy ssignificantly sdifferent sfrom swhat swe sare
scurrentlysdoing son sthe sunit?
12. The sprimary scare sprovider sof sa s49-year-old smale spatient shas sexamined sand sbriefly
sexplained sthe sevidence sthat ssupports sbeginning sregular sdigital-rectal sexams. sWhich
sofsthe sfollowing sfactors swould sjustify snot sperforming sdigital-rectal sexaminations sin
sthis spatient's scare?
A) The spatient sis svehemently sopposed sto sundergoing sa sdigital-rectal sexam.
B) Clinical spractice sguidelines sfor sprostate scare shave snot sbeen spublished.
C) The sclinician shas sbeen sunable sto sfind sany slarge sRCTs sin sa sliterature sreview.
D) The sclinician shas spreviously swaited suntil spatients sare s55 sto sbegin
sregularsdigital-rectal sexams.
