,Chapter 1 Making the Case for Evidence-
x@ x@ x@ x@ x@ x@
Based Practice and Cultivating a Spirit of Inquiry
x@ x@ x@ x@ x@ x@ x@
,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperat
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ures be included in every set of patient vital signs, regardless of patient diagnosis
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@or acuity. This is most likely an example of which of the following phenomena?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) The prioritization of internal evidence over external evidence
x@ x@ x@ x@ x@ x@ x@
B) Practice that lacks evidence to support its application
x@ x@ x@ x@ x@ x@ x@
C) The integration of personal expertise into nursing care
x@ x@ x@ x@ x@ x@ x@
D) Evidence-based practice x@
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x@ a patient chart review after the implementation of a pilot program aimed at pr
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
omoting early ambulation following surgery. Which of the following components
x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@of EBP is the nurse putting into practice?
x@ x@ x@ x@ x@ x@ x@
A) Patient preferences x@
B) Research utilization x@
C) Experience
D) Internal evidence x@
3. Nurse R. has observed that reorienting demented patients as frequently as possible
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@tends to minimize the patients' level of agitation in the evening. The nurse has s
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
hared this observation with a colleague, who is skeptical, stating that, “It's best t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
o stick to evidence-based practice.” How can Nurse R. best respond?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) “EBP can include clinicians' personal expertise.”
x@ x@ x@ x@ x@
B) “Personal experience is often more sound than formal evidence-based practice.”
x@ x@ x@ x@ x@ x@ x@ x@ x@
C) “Traditional practice and EBP are usually shown to be the same.”
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D) “My years of experience can be just as valuable as any literature rev
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Page 1
, iew or randomized trial.”
x@ x@ x@
4. Which of the following factors provides the most important rationale for the con
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
sistent implementation of EBP?
x@ x@ x@
A) EBP provides for the most cost-effective patient care.
x@ x@ x@ x@ x@ x@ x@
B) EBP is accessible to all healthcare clinicians.
x@ x@ x@ x@ x@ x@
C) EBP provides consistency in care across healthcare settings.
x@ x@ x@ x@ x@ x@ x@
D) EBP improves patient outcomes.
x@ x@ x@
Page 2
x@ x@ x@ x@ x@ x@
Based Practice and Cultivating a Spirit of Inquiry
x@ x@ x@ x@ x@ x@ x@
,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperat
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ures be included in every set of patient vital signs, regardless of patient diagnosis
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@or acuity. This is most likely an example of which of the following phenomena?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) The prioritization of internal evidence over external evidence
x@ x@ x@ x@ x@ x@ x@
B) Practice that lacks evidence to support its application
x@ x@ x@ x@ x@ x@ x@
C) The integration of personal expertise into nursing care
x@ x@ x@ x@ x@ x@ x@
D) Evidence-based practice x@
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x@ a patient chart review after the implementation of a pilot program aimed at pr
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
omoting early ambulation following surgery. Which of the following components
x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@of EBP is the nurse putting into practice?
x@ x@ x@ x@ x@ x@ x@
A) Patient preferences x@
B) Research utilization x@
C) Experience
D) Internal evidence x@
3. Nurse R. has observed that reorienting demented patients as frequently as possible
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@tends to minimize the patients' level of agitation in the evening. The nurse has s
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
hared this observation with a colleague, who is skeptical, stating that, “It's best t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
o stick to evidence-based practice.” How can Nurse R. best respond?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
A) “EBP can include clinicians' personal expertise.”
x@ x@ x@ x@ x@
B) “Personal experience is often more sound than formal evidence-based practice.”
x@ x@ x@ x@ x@ x@ x@ x@ x@
C) “Traditional practice and EBP are usually shown to be the same.”
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D) “My years of experience can be just as valuable as any literature rev
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Page 1
, iew or randomized trial.”
x@ x@ x@
4. Which of the following factors provides the most important rationale for the con
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
sistent implementation of EBP?
x@ x@ x@
A) EBP provides for the most cost-effective patient care.
x@ x@ x@ x@ x@ x@ x@
B) EBP is accessible to all healthcare clinicians.
x@ x@ x@ x@ x@ x@
C) EBP provides consistency in care across healthcare settings.
x@ x@ x@ x@ x@ x@ x@
D) EBP improves patient outcomes.
x@ x@ x@
Page 2