Test Bank For Evidence-Based Practice in Nursing & Healthcare A
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
, Chapter 1 Making the Case for Evidence-
ww ww ww ww ww ww
Based Practice and Cultivating a Spirit of Inquiry
ww ww ww ww ww ww ww
InwwthewwhospitalwwwherewwNursewwL.wwprovideswwcare,wwtraditionwwdictateswwthatwworalww
temperatureswwbewwincludedwwinwweverywwsetwwofwwpatientwwvitalwwsigns,wwregardlesswwofw
wpatientwwdiagnosiswworwwacuity.wwThiswwiswwmostwwlikelywwanwwexamplewwofwwwhichwwofwwth
ewwfollowingwwphenomena?
A) Thewwprioritizationwwofwwinternalwwevidencewwoverwwexternalwwevidence
B) Practicewwthatwwlackswwevidencewwtowwsupportwwitswwapplication
C) Thewwintegrationwwofwwpersonalwwexpertisewwintowwnursingwwcare
D) Evidence-basedwwpractice
2. Thewwclinicalwwnursewweducatorww(CNE)wwonwwawwpostsurgicalwwunitwwhaswwrecentlywwco
mpletedwwawwpatientwwchartwwreviewwwafterwwthewwimplementationwwofwwawwpilotwwprog
ramwwaimedwwatwwpromotingwwearlywwambulationwwfollowingwwsurgery.wwWhichwwofwwth
ewwfollowingwwcomponentswwofwwEBPwwiswwthewwnursewwputtingwwintowwpractice?
A) Patientwwpreferences
B) Researchwwutilization
C) Experience
D) Internalwwevidence
3. NursewwR.wwhaswwobservedwwthatwwreorientingwwdementedwwpatientswwaswwfrequentlywwas
wwpossiblewwtendswwtowwminimizewwthewwpatients'wwlevelwwofwwagitationwwinwwthewwevening.
wwThewwnursewwhaswwsharedwwthiswwobservationwwwithwwawwcolleague,wwwhowwiswwskeptical
,wwstatingwwthat,ww“It'swwbestwwtowwstickwwtowwevidence-
basedwwpractice.”wwHowwwcanwwNursewwR.wwbestwwrespond?
A) “EBPwwcanwwincludewwclinicians'wwpersonalwwexpertise.”
B) “Personalwwexperiencewwiswwoftenwwmorewwsoundwwthanwwformalwwevidence-
basedwwpractice.”
C) “TraditionalwwpracticewwandwwEBPwwarewwusuallywwshownwwtowwbewwthewwsame.”
D) “Mywwyearswwofwwexperiencewwcanwwbewwjustwwaswwvaluablewwaswwanywwlitera
turewwreviewwworwwrandomizedwwtrial.”
4. Whichwwofwwthewwfollowingwwfactorswwprovideswwthewwmostwwimportantwwrationalewwforw
wthewwconsistentwwimplementationwwofwwEBP?
A) EBPwwprovideswwforwwthewwmostwwcost-effectivewwpatientwwcare.
,B) EBPwwiswwaccessiblewwtowwallwwhealthcarewwclinicians.
C) EBPwwprovideswwconsistencywwinwwcarewwacrosswwhealthcarewwsettings.
D) EBPwwimproveswwpatientwwoutcomes.
, 5. ThewwInstitutewwofwwMedicine'swwRoundtablewwonwwEvidence-
BasedwwMedicinewwhaswwbeenwwestablishedwwtowwaddresswwEBP.wwWhichwwofwwth
ewwfollowingwwissueswwiswwthewwRoundtablewwemphasizing?
A) Ensuringwwthatwwexternalwwevidence,wwratherwwthanwwinternalwwevidence,wwiswwin
tegratedwwintowwcare
B) FosteringwwthewwlevelwwofwwlearningwwthatwwexistswwinwwthewwAmericanwwhealthcarewwsystem
C) Issuingwwclinicalwwguidelineswwtowwensurewwbestwwnursingwwpractice
D) ComparingwwthewwimplementationwwofwwEBPwwinwwthewwUnitedwwStateswwwithw
wthatwwofwwotherwwWesternwwcountries
6. Youwwhavewwbecomewwfrustratedwwwithwwsomewwaspectswwofwwpatientwwcarewwthatwwyouw
wbelievewwarewwoutdatedwwandwwineffectivewwatwwthewwlong-
termwwcarewwfacilitywwwherewwyouwwhavewwrecentlywwbegunwwpracticing.wwConsequently,
wwyouwwhavewwresolvedwwtowwexaminewwsomewwofwwthesewwpracticeswwinwwlightwwofwweviden
ce.wwWhichwwofwwthewwfollowingwwshouldwwoccurwwfirstwwinwwthewwstepswwofwwEBP?
A) Conductingwwanwwelectronicwwsearchwwofwwthewwliteraturewwandwwrankingwwindividualwwsource
s
B) Creatingww“buy-in”wwfromwwthewwotherwwclinicianswwwhowwprovidewwcarewwatwwthewwfacility
C) Developingwwanwwinquisitivewwandwwcuriouswwmindset
D) Assessingwwwhetherwwthewwpracticeswwinwwquestionwwmay,wwinwwfact,wwbewwevidence-based
7. WhichwwofwwthewwfollowingwwclinicalwwquestionswwbestwwexemplifieswwthewwPICOTwwformat?
A) Whatwweffectwwdoeswwparents'wwsmokingwwhavewwonwwthewwsmokingwwhabitswwofw
wtheirwwchildren,wwagesww13wwtoww16?
B) Amongwwcancerwwpatients,wwwhatwwrolewwdoeswwmeditation,wwratherwwthanwwben
zodiazepines,wwhavewwonwwanxietywwlevelswwduringwwtheww7wwdayswwfollowingwwhos
pitalwwadmission?
C) Amongwwundergraduatewwcollegewwstudents,wwwhatwwiswwthewweffectivenesswwofwwaw
wsexualwwhealthwwcampaignwwundertakenwwduringwwthewwfirstww4wwweekswwofwwthewwfa
llwwsemesterwwaswwmeasuredwwbywwincidencewwofwwnewwwgonorrhealwwandwwchlamyd
ialwwinfectionswwreportedwwtowwthewwcampuswwmedicalwwcenter?
D) Inwwpatientswwagedww8wwtoww12,wwiswwthewweffectivenesswwofwwawwpainwwscalewwusingww
faceswwsuperiorwwtowwawwnumericwwratingwwscalewwinwwthewwemergencywwroomwwconte
xt?
8. Afterwwformulatingwwawwclinicalwwquestion,wwawwnursewwhaswwproceededwwtowwsearchwwfor
wwevidencewwforwwwayswwtowwfosterwwrestfulwwsleepwwinwwpatientswwwhowwarewwreceivingww
carewwinwwthewwintensivewwcarewwunitww(ICU).wwThewwnursewwhaswwidentifiedwwawwrelevantw
wmeta-
analysiswwinwwanwwelectronicwwdatabase.wwWhatwwwillwwthiswwsourcewwofwwevidencewwconsis
twwof?
A) Awwstatisticalwwsummarywwofwwthewwresultswwfromwwseveralwwdifferentwwstudies
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
, Chapter 1 Making the Case for Evidence-
ww ww ww ww ww ww
Based Practice and Cultivating a Spirit of Inquiry
ww ww ww ww ww ww ww
InwwthewwhospitalwwwherewwNursewwL.wwprovideswwcare,wwtraditionwwdictateswwthatwworalww
temperatureswwbewwincludedwwinwweverywwsetwwofwwpatientwwvitalwwsigns,wwregardlesswwofw
wpatientwwdiagnosiswworwwacuity.wwThiswwiswwmostwwlikelywwanwwexamplewwofwwwhichwwofwwth
ewwfollowingwwphenomena?
A) Thewwprioritizationwwofwwinternalwwevidencewwoverwwexternalwwevidence
B) Practicewwthatwwlackswwevidencewwtowwsupportwwitswwapplication
C) Thewwintegrationwwofwwpersonalwwexpertisewwintowwnursingwwcare
D) Evidence-basedwwpractice
2. Thewwclinicalwwnursewweducatorww(CNE)wwonwwawwpostsurgicalwwunitwwhaswwrecentlywwco
mpletedwwawwpatientwwchartwwreviewwwafterwwthewwimplementationwwofwwawwpilotwwprog
ramwwaimedwwatwwpromotingwwearlywwambulationwwfollowingwwsurgery.wwWhichwwofwwth
ewwfollowingwwcomponentswwofwwEBPwwiswwthewwnursewwputtingwwintowwpractice?
A) Patientwwpreferences
B) Researchwwutilization
C) Experience
D) Internalwwevidence
3. NursewwR.wwhaswwobservedwwthatwwreorientingwwdementedwwpatientswwaswwfrequentlywwas
wwpossiblewwtendswwtowwminimizewwthewwpatients'wwlevelwwofwwagitationwwinwwthewwevening.
wwThewwnursewwhaswwsharedwwthiswwobservationwwwithwwawwcolleague,wwwhowwiswwskeptical
,wwstatingwwthat,ww“It'swwbestwwtowwstickwwtowwevidence-
basedwwpractice.”wwHowwwcanwwNursewwR.wwbestwwrespond?
A) “EBPwwcanwwincludewwclinicians'wwpersonalwwexpertise.”
B) “Personalwwexperiencewwiswwoftenwwmorewwsoundwwthanwwformalwwevidence-
basedwwpractice.”
C) “TraditionalwwpracticewwandwwEBPwwarewwusuallywwshownwwtowwbewwthewwsame.”
D) “Mywwyearswwofwwexperiencewwcanwwbewwjustwwaswwvaluablewwaswwanywwlitera
turewwreviewwworwwrandomizedwwtrial.”
4. Whichwwofwwthewwfollowingwwfactorswwprovideswwthewwmostwwimportantwwrationalewwforw
wthewwconsistentwwimplementationwwofwwEBP?
A) EBPwwprovideswwforwwthewwmostwwcost-effectivewwpatientwwcare.
,B) EBPwwiswwaccessiblewwtowwallwwhealthcarewwclinicians.
C) EBPwwprovideswwconsistencywwinwwcarewwacrosswwhealthcarewwsettings.
D) EBPwwimproveswwpatientwwoutcomes.
, 5. ThewwInstitutewwofwwMedicine'swwRoundtablewwonwwEvidence-
BasedwwMedicinewwhaswwbeenwwestablishedwwtowwaddresswwEBP.wwWhichwwofwwth
ewwfollowingwwissueswwiswwthewwRoundtablewwemphasizing?
A) Ensuringwwthatwwexternalwwevidence,wwratherwwthanwwinternalwwevidence,wwiswwin
tegratedwwintowwcare
B) FosteringwwthewwlevelwwofwwlearningwwthatwwexistswwinwwthewwAmericanwwhealthcarewwsystem
C) Issuingwwclinicalwwguidelineswwtowwensurewwbestwwnursingwwpractice
D) ComparingwwthewwimplementationwwofwwEBPwwinwwthewwUnitedwwStateswwwithw
wthatwwofwwotherwwWesternwwcountries
6. Youwwhavewwbecomewwfrustratedwwwithwwsomewwaspectswwofwwpatientwwcarewwthatwwyouw
wbelievewwarewwoutdatedwwandwwineffectivewwatwwthewwlong-
termwwcarewwfacilitywwwherewwyouwwhavewwrecentlywwbegunwwpracticing.wwConsequently,
wwyouwwhavewwresolvedwwtowwexaminewwsomewwofwwthesewwpracticeswwinwwlightwwofwweviden
ce.wwWhichwwofwwthewwfollowingwwshouldwwoccurwwfirstwwinwwthewwstepswwofwwEBP?
A) Conductingwwanwwelectronicwwsearchwwofwwthewwliteraturewwandwwrankingwwindividualwwsource
s
B) Creatingww“buy-in”wwfromwwthewwotherwwclinicianswwwhowwprovidewwcarewwatwwthewwfacility
C) Developingwwanwwinquisitivewwandwwcuriouswwmindset
D) Assessingwwwhetherwwthewwpracticeswwinwwquestionwwmay,wwinwwfact,wwbewwevidence-based
7. WhichwwofwwthewwfollowingwwclinicalwwquestionswwbestwwexemplifieswwthewwPICOTwwformat?
A) Whatwweffectwwdoeswwparents'wwsmokingwwhavewwonwwthewwsmokingwwhabitswwofw
wtheirwwchildren,wwagesww13wwtoww16?
B) Amongwwcancerwwpatients,wwwhatwwrolewwdoeswwmeditation,wwratherwwthanwwben
zodiazepines,wwhavewwonwwanxietywwlevelswwduringwwtheww7wwdayswwfollowingwwhos
pitalwwadmission?
C) Amongwwundergraduatewwcollegewwstudents,wwwhatwwiswwthewweffectivenesswwofwwaw
wsexualwwhealthwwcampaignwwundertakenwwduringwwthewwfirstww4wwweekswwofwwthewwfa
llwwsemesterwwaswwmeasuredwwbywwincidencewwofwwnewwwgonorrhealwwandwwchlamyd
ialwwinfectionswwreportedwwtowwthewwcampuswwmedicalwwcenter?
D) Inwwpatientswwagedww8wwtoww12,wwiswwthewweffectivenesswwofwwawwpainwwscalewwusingww
faceswwsuperiorwwtowwawwnumericwwratingwwscalewwinwwthewwemergencywwroomwwconte
xt?
8. Afterwwformulatingwwawwclinicalwwquestion,wwawwnursewwhaswwproceededwwtowwsearchwwfor
wwevidencewwforwwwayswwtowwfosterwwrestfulwwsleepwwinwwpatientswwwhowwarewwreceivingww
carewwinwwthewwintensivewwcarewwunitww(ICU).wwThewwnursewwhaswwidentifiedwwawwrelevantw
wmeta-
analysiswwinwwanwwelectronicwwdatabase.wwWhatwwwillwwthiswwsourcewwofwwevidencewwconsis
twwof?
A) Awwstatisticalwwsummarywwofwwthewwresultswwfromwwseveralwwdifferentwwstudies
