TEST BANK FOR EVIDENCE BASED PRACTICE IN NURSING AND HEALTHCARE 4TH EDITION BY MELNYK

TEST BANK FOR
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EVIDENCE BASED ix




PRACTICE IN NURSING
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AND HEALTHCARE 4TH
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EDITION BY MELNYK
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All chapters
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,Chapter 1 Making the Case for Evidence-Based
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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
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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 ix ix ix ix ix ix ix


C) The integration of personal expertise into nursing care
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D) Evidence-based practice ix




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


B) Research utilization ix


C) Experience
D) Internal evidence ix




3. Nurse R. has observed that reorienting demented patients as frequently as possible
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tends to minimize the patients' level of agitation in the evening. The nurse has
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shared this observation with a colleague, who is skeptical, stating that, “It's best to
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stick to evidence-based practice.” How can Nurse R. best respond?
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A) “EBP can include clinicians' personal expertise.”ix ix ix ix ix


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.” ix ix ix ix ix ix ix ix ix ix


D) “My years of experience can be just as valuable as any literature review
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or randomized trial.”
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4. Which of the following factors provides the most important rationale for the
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consistent 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. ix ix ix




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, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
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been established to address EBP. Which of the following issues is the
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Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated
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into care ix ix


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 ix ix ix ix ix ix ix ix ix ix ix


other Western countries
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6. You have become frustrated with some aspects of patient care that you believe are
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outdated and ineffective at the long-term care facility where you have recently
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begun practicing. Consequently, you have resolved to examine some of these
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practices in light of evidence. Which of the following should occur first in the steps
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of EBP?
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A) Conducting an electronic search of the literature and ranking individual sources ix ix ix ix ix ix ix ix ix ix


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 ix ix ix ix ix


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
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children, ages 13 to 16?
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B) Among cancer patients, what role does meditation, rather than
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benzodiazepines, have on anxiety levels during the 7 days following hospital
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admission? ix


C) Among undergraduate college students, what is the effectiveness of a sexual
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health campaign undertaken during the first 4 weeks of the fall semester as
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measured by incidence of new gonorrheal and chlamydial infections reported to
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the campus medical center?
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D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior
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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-analysis in an electronic
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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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