TestkBankkForkEvidence-
BasedkPracticekinkNursingk&kHealthcarekAkGuidektokBestkPracticek5thkE
dition
bykBernadettekMazurekkMelnyk,kEllenkFineout-Overholt
Chapterk1k-k23kComplet
, Chapterk1kMakingkthekCasekforkEvidence-
BasedkPracticekandkCultivatingkakSpiritkofkInquiry
, InkthekhospitalkwherekNursekL.kprovideskcare,ktraditionkdictateskthatkoralktemperature
skbekincludedkinkeveryksetkofkpatientkvitalksigns,kregardlesskofkpatientkdiagnosiskorkac
uity.kThiskiskmostklikelykankexamplekofkwhichkofkthekfollowingkphenomena?
A) Thekprioritizationkofkinternalkevidencekoverkexternalkevidence
B) Practicekthatklackskevidencektoksupportkitskapplication
C) Thekintegrationkofkpersonalkexpertisekintoknursingkcare
D) Evidence-basedkpractice
2. Thekclinicalknursekeducatork(CNE)konkakpostsurgicalkunitkhaskrecentlykcompletedkakp
atientkchartkreviewkafterkthekimplementationkofkakpilotkprogramkaimedkatkpromotin
gkearlykambulationkfollowingksurgery.kWhichkofkthekfollowingkcomponentskofkEBPkis
ktheknursekputtingkintokpractice?
A) Patientkpreferences
B) Researchkutilization
C) Experience
D) Internalkevidence
3. NursekR.khaskobservedkthatkreorientingkdementedkpatientskaskfrequentlykaskpossiblek
tendsktokminimizekthekpatients'klevelkofkagitationkinkthekevening.kTheknursekhaskshare
dkthiskobservationkwithkakcolleague,kwhokiskskeptical,kstatingkthat,k“It'skbestktokstickkt
okevidence-basedkpractice.”kHowkcankNursekR.kbestkrespond?
A) “EBPkcankincludekclinicians'kpersonalkexpertise.”
B) “Personalkexperiencekiskoftenkmoreksoundkthankformalkevidence-basedkpractice.”
C) “TraditionalkpracticekandkEBPkarekusuallykshownktokbektheksame.”
D) “Mykyearskofkexperiencekcankbekjustkaskvaluablekaskanykliteraturekrevie
wkorkrandomizedktrial.”
4. Whichkofkthekfollowingkfactorskprovideskthekmostkimportantkrationalekforkthekconsis
tentkimplementationkofkEBP?
A) EBPkprovideskforkthekmostkcost-effectivekpatientkcare.
B) EBPkiskaccessiblektokallkhealthcarekclinicians.
C) EBPkprovideskconsistencykinkcarekacrosskhealthcareksettings.
D) EBPkimproveskpatientkoutcomes.
, 5. ThekInstitutekofkMedicine'skRoundtablekonkEvidence-
BasedkMedicinekhaskbeenkestablishedktokaddresskEBP.kWhichkofkthekfollowin
gkissueskiskthekRoundtablekemphasizing?
A) Ensuringkthatkexternalkevidence,kratherkthankinternalkevidence,kiskintegratedk
intokcare
B) FosteringktheklevelkofklearningkthatkexistskinkthekAmericankhealthcareksystem
C) Issuingkclinicalkguidelinesktokensurekbestknursingkpractice
D) ComparingkthekimplementationkofkEBPkinkthekUnitedkStateskwithkthatkofkot
herkWesternkcountries
6. Youkhavekbecomekfrustratedkwithksomekaspectskofkpatientkcarekthatkyoukbelievekarek
outdatedkandkineffectivekatktheklong-
termkcarekfacilitykwherekyoukhavekrecentlykbegunkpracticing.kConsequently,kyoukhav
ekresolvedktokexamineksomekofkthesekpracticeskinklightkofkevidence.kWhichkofkthekfoll
owingkshouldkoccurkfirstkinkthekstepskofkEBP?
A) Conductingkankelectronicksearchkofkthekliteraturekandkrankingkindividualksources
B) Creatingk“buy-in”kfromkthekotherkclinicianskwhokprovidekcarekatkthekfacility
C) Developingkankinquisitivekandkcuriouskmindset
D) Assessingkwhetherkthekpracticeskinkquestionkmay,kinkfact,kbekevidence-based
7. WhichkofkthekfollowingkclinicalkquestionskbestkexemplifieskthekPICOTkformat?
A) Whatkeffectkdoeskparents'ksmokingkhavekonktheksmokingkhabitskofktheirkchild
ren,kagesk13ktok16?
B) Amongkcancerkpatients,kwhatkrolekdoeskmeditation,kratherkthankbenzodiazepi
nes,khavekonkanxietyklevelskduringkthek7kdayskfollowingkhospitalkadmission?
C) Amongkundergraduatekcollegekstudents,kwhatkiskthekeffectivenesskofkaksexualkh
ealthkcampaignkundertakenkduringkthekfirstk4kweekskofkthekfallksemesterkaskmea
suredkbykincidencekofknewkgonorrhealkandkchlamydialkinfectionskreportedktokth
ekcampuskmedicalkcenter?
D) Inkpatientskagedk8ktok12,kiskthekeffectivenesskofkakpainkscalekusingkfacesksuperior
ktokaknumerickratingkscalekinkthekemergencykroomkcontext?
8. Afterkformulatingkakclinicalkquestion,kaknursekhaskproceededktoksearchkforkevidencekf
orkwaysktokfosterkrestfulksleepkinkpatientskwhokarekreceivingkcarekinkthekintensivekcar
ekunitk(ICU).kTheknursekhaskidentifiedkakrelevantkmeta-
analysiskinkankelectronickdatabase.kWhatkwillkthisksourcekofkevidencekconsistkof?
A) Akstatisticalksummarykofkthekresultskfromkseveralkdifferentkstudies
B) Ankexaminationkofkthektheoreticalkandkconceptualkunderpinningskofkthekissue
C) Ankinterdisciplinarykanalysiskofkthekclinicalkquestion
D) Akqualitativekstudykofkdifferentkinterventionskrelatedktokthekclinicalkquestion
BasedkPracticekinkNursingk&kHealthcarekAkGuidektokBestkPracticek5thkE
dition
bykBernadettekMazurekkMelnyk,kEllenkFineout-Overholt
Chapterk1k-k23kComplet
, Chapterk1kMakingkthekCasekforkEvidence-
BasedkPracticekandkCultivatingkakSpiritkofkInquiry
, InkthekhospitalkwherekNursekL.kprovideskcare,ktraditionkdictateskthatkoralktemperature
skbekincludedkinkeveryksetkofkpatientkvitalksigns,kregardlesskofkpatientkdiagnosiskorkac
uity.kThiskiskmostklikelykankexamplekofkwhichkofkthekfollowingkphenomena?
A) Thekprioritizationkofkinternalkevidencekoverkexternalkevidence
B) Practicekthatklackskevidencektoksupportkitskapplication
C) Thekintegrationkofkpersonalkexpertisekintoknursingkcare
D) Evidence-basedkpractice
2. Thekclinicalknursekeducatork(CNE)konkakpostsurgicalkunitkhaskrecentlykcompletedkakp
atientkchartkreviewkafterkthekimplementationkofkakpilotkprogramkaimedkatkpromotin
gkearlykambulationkfollowingksurgery.kWhichkofkthekfollowingkcomponentskofkEBPkis
ktheknursekputtingkintokpractice?
A) Patientkpreferences
B) Researchkutilization
C) Experience
D) Internalkevidence
3. NursekR.khaskobservedkthatkreorientingkdementedkpatientskaskfrequentlykaskpossiblek
tendsktokminimizekthekpatients'klevelkofkagitationkinkthekevening.kTheknursekhaskshare
dkthiskobservationkwithkakcolleague,kwhokiskskeptical,kstatingkthat,k“It'skbestktokstickkt
okevidence-basedkpractice.”kHowkcankNursekR.kbestkrespond?
A) “EBPkcankincludekclinicians'kpersonalkexpertise.”
B) “Personalkexperiencekiskoftenkmoreksoundkthankformalkevidence-basedkpractice.”
C) “TraditionalkpracticekandkEBPkarekusuallykshownktokbektheksame.”
D) “Mykyearskofkexperiencekcankbekjustkaskvaluablekaskanykliteraturekrevie
wkorkrandomizedktrial.”
4. Whichkofkthekfollowingkfactorskprovideskthekmostkimportantkrationalekforkthekconsis
tentkimplementationkofkEBP?
A) EBPkprovideskforkthekmostkcost-effectivekpatientkcare.
B) EBPkiskaccessiblektokallkhealthcarekclinicians.
C) EBPkprovideskconsistencykinkcarekacrosskhealthcareksettings.
D) EBPkimproveskpatientkoutcomes.
, 5. ThekInstitutekofkMedicine'skRoundtablekonkEvidence-
BasedkMedicinekhaskbeenkestablishedktokaddresskEBP.kWhichkofkthekfollowin
gkissueskiskthekRoundtablekemphasizing?
A) Ensuringkthatkexternalkevidence,kratherkthankinternalkevidence,kiskintegratedk
intokcare
B) FosteringktheklevelkofklearningkthatkexistskinkthekAmericankhealthcareksystem
C) Issuingkclinicalkguidelinesktokensurekbestknursingkpractice
D) ComparingkthekimplementationkofkEBPkinkthekUnitedkStateskwithkthatkofkot
herkWesternkcountries
6. Youkhavekbecomekfrustratedkwithksomekaspectskofkpatientkcarekthatkyoukbelievekarek
outdatedkandkineffectivekatktheklong-
termkcarekfacilitykwherekyoukhavekrecentlykbegunkpracticing.kConsequently,kyoukhav
ekresolvedktokexamineksomekofkthesekpracticeskinklightkofkevidence.kWhichkofkthekfoll
owingkshouldkoccurkfirstkinkthekstepskofkEBP?
A) Conductingkankelectronicksearchkofkthekliteraturekandkrankingkindividualksources
B) Creatingk“buy-in”kfromkthekotherkclinicianskwhokprovidekcarekatkthekfacility
C) Developingkankinquisitivekandkcuriouskmindset
D) Assessingkwhetherkthekpracticeskinkquestionkmay,kinkfact,kbekevidence-based
7. WhichkofkthekfollowingkclinicalkquestionskbestkexemplifieskthekPICOTkformat?
A) Whatkeffectkdoeskparents'ksmokingkhavekonktheksmokingkhabitskofktheirkchild
ren,kagesk13ktok16?
B) Amongkcancerkpatients,kwhatkrolekdoeskmeditation,kratherkthankbenzodiazepi
nes,khavekonkanxietyklevelskduringkthek7kdayskfollowingkhospitalkadmission?
C) Amongkundergraduatekcollegekstudents,kwhatkiskthekeffectivenesskofkaksexualkh
ealthkcampaignkundertakenkduringkthekfirstk4kweekskofkthekfallksemesterkaskmea
suredkbykincidencekofknewkgonorrhealkandkchlamydialkinfectionskreportedktokth
ekcampuskmedicalkcenter?
D) Inkpatientskagedk8ktok12,kiskthekeffectivenesskofkakpainkscalekusingkfacesksuperior
ktokaknumerickratingkscalekinkthekemergencykroomkcontext?
8. Afterkformulatingkakclinicalkquestion,kaknursekhaskproceededktoksearchkforkevidencekf
orkwaysktokfosterkrestfulksleepkinkpatientskwhokarekreceivingkcarekinkthekintensivekcar
ekunitk(ICU).kTheknursekhaskidentifiedkakrelevantkmeta-
analysiskinkankelectronickdatabase.kWhatkwillkthisksourcekofkevidencekconsistkof?
A) Akstatisticalksummarykofkthekresultskfromkseveralkdifferentkstudies
B) Ankexaminationkofkthektheoreticalkandkconceptualkunderpinningskofkthekissue
C) Ankinterdisciplinarykanalysiskofkthekclinicalkquestion
D) Akqualitativekstudykofkdifferentkinterventionskrelatedktokthekclinicalkquestion
