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 DR ERIC DR ERIC Chapter 1 Making the Case for Evidence-Based Practice and

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 DR ERIC DR ERIC Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be included in every set of patient vital signs, regardless of patient diagnosis or acuity. This is most likely an example of which of the following phenomena? A) The prioritization of internal evidence over external evidence B) Practice that lacks evidence to support its application C) The integration of personal expertise into nursing care D) Evidence-based practice 2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient chart review after the implementation of a pilot program aimed at promoting early ambulation following surgery. Which of the following components of EBP is the nurse putting into practice? A) Patient preferences B) Research utilization C) Experience D) Internal evidence 3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to minimize the patients' level of agitation in the evening. The nurse has shared this observation with a colleague, who is skeptical, stating that, “It's best to stick to evidence-based practice.” How can Nurse R. best respond? A) “EBP can include clinicians' personal expertise.” B) “Personal experience is often more sound than formal evidence-based practice.” C) “Traditional practice and EBP are usually shown to be the same.” D) “My years of experience can be just as valuable as any literature review or randomized trial.” 4. Which of the following factors provides the most important rationale for the consistent implementation of EBP? A) EBP provides for the most cost-effective patient care. B) EBP is accessible to all healthcare clinicians. C) EBP provides consistency in care across healthcare settings. D) EBP improves patient outcomes. DR ERIC DR ERIC 5. The eInstitute eof eMedicine's eRoundtable eon eEvidence-Based eMedicine ehas ebeen eestablished eto eaddress eEBP. eWhich eof ethe efollowing eissues eis ethe eRoundtable eemphasizing? A) Ensuring ethat eexternal eevidence, erather ethan einternal eevidence, eis eintegrated einto ecare B) Fostering ethe elevel eof elearning ethat eexists ein ethe eAmerican ehealthcare esystem C) Issuing eclinical eguidelines eto eensure ebest enursing epractice D) Comparing ethe eimplementation eof eEBP ein ethe eUnited eStates ewith ethat eof eother eWestern ecountries 6. You ehave ebecome efrustrated ewith esome easpects eof epatient ecare ethat eyou ebelieve eare eoutdated eand eineffective eat ethe elong-term ecare efacility ewhere eyou ehave erecently ebegun epracticing. eConsequently, eyou ehave eresolved eto eexamine esome eof ethese epractices ein elight eof eevidence. eWhich eof ethe efollowing eshould eoccur efirst ein ethe esteps eof eEBP? A) Conducting ean eelectronic esearch eof ethe eliterature eand eranking eindividual esources B) Creating e“buy-in” efrom ethe eother eclinicians ewho eprovide ecare eat ethe efacility C) Developing ean einquisitive eand ecurious emindset D) Assessing ewhether ethe epractices ein equestion emay, ein efact, ebe eevidence-based 7. Which eof ethe efollowing eclinical equestions ebest eexemplifies ethe ePICOT eformat? A) What eeffect edoes eparents' esmoking ehave eon ethe esmoking ehabits eof etheir echildren, eages e13 eto e16? B) Among ecancer epatients, ewhat erole edoes emeditation, erather ethan ebenzodiazepines, ehave eon eanxiety elevels eduring ethe e7 edays efollowing ehospital eadmission? C) Among eundergraduate ecollege estudents, ewhat eis ethe eeffectiveness eof ea esexual ehealth ecampaign eundertaken eduring ethe efirst e4 eweeks eof ethe efall esemester eas emeasured eby eincidence eof enew egonorrheal eand echlamydial einfections ereported eto ethe ecampus emedical ecenter? D) In epatients eaged e8 eto e12, eis ethe eeffectiveness eof ea epain escale eusing efaces esuperior eto ea enumeric erating escale ein ethe eemergency eroom econtext? 8. After eformulating ea eclinical equestion, ea enurse ehas eproceeded eto esearch efor eevidence efor eways eto efoster erestful esleep ein epatients ewho eare ereceiving ecare ein ethe eintensive ecare eunit e(ICU). eThe enurse ehas eidentified ea erelevant emeta-analysis ein ean eelectronic edatabase. eWhat ewill ethis esource eof eevidence econsist eof? A) A estatistical esummary eof ethe eresults efrom eseveral edifferent estudies B) An eexamination eof ethe etheoretical eand econceptual eunderpinnings eof ethe eissue C) An einterdisciplinary eanalysis eof ethe eclinical equestion D) A equalitative estudy eof edifferent einterventions erelated eto ethe eclinical equestion DR ERIC DR ERIC 9. The enurses eon ea epostpartum eunit ehave enoted ethat emany eprimiparous e(first-time) emothers eare egiving eup eon ebreastfeeding ewithin ethe e24 ehours efollowing edelivery, eand ethe enurses ewant eto ecreate euniform eguidelines efor epromoting ebreastfeeding eon ethe eunit. eWhich eof ethe efollowing esources eis emost elikely eto eprovide ethe ebest eevidence ein etheir equest efor ean eintervention? A) Evidence efrom ea erandomized econtrol etrial ethat ehad emore ethan e2500 eparticipants B) Evidence efrom ea estudy ethat eis ewidely eregarded eas ea eclassic ewithin ethe eobstetrical enursing ecommunity C) Evidence efrom ea esystematic ereview eof ebreastfeeding-promotion estudies ethat eone eof ethe enurses eidentified ein ean eelectronic edatabase D) The econsensus eopinion eof ethe emost esenior enurses eon ethe eunit 10. The enurse eeducator eon ean eacute emedicine eunit eis eadvocating efor ethe euse eof evidence-based eclinical epractice eguidelines eon ewound ecare ein eorder eto estandardize eand eoptimize ethe epractice eof ethe enurses eon ethe eunit. eWhich eof ethe efollowing estatements ebest edescribes eclinical epractice eguidelines? A) The eresult eof ereplication estudies eof eexisting eresearch eby ean eimpartial ethird eparty B) A ecollection eof eauthorized einterventions ethat eare erequired eby elaw C) A enumber eof einterventions ethat eare ethe eresult eof ea elarge, epublically-funded eRCT D) A egroup eof epractice erecommendations ethat eresult efrom ea erigorous ereview eof ethe eliterature 11. A enurse eis econducting ea eliterature ereview eon ethe eevidence eregarding ethe euse eof evacuum edressings eon estage eIV epressure eulcers. eAfter elocating ea erecent estudy e that eappears eto ebe erelevant, ewhich eof ethe efollowing equestions ewould ethe enurse econsider efirst ewhen ecritically eappraising ethe estudy? A) “Are ethe efindings eof ethis estudy ecost-effective ein eour eclinical econtext?” B) "How ewould ethe eimplementation eof ethis eintervention eaffect eour estaffing eneeds?" C) “Were ethe epatients ein ethe estudy esimilar eto ethe epatients eon emy eunit?” D) “Are ethe efindings eof ethe estudy esignificantly edifferent efrom ewhat ewe eare ecurrently edoing eon ethe eunit? 12. The eprimary ecare eprovider eof ea e49-year-old emale epatient ehas eexamined eand ebriefly eexplained ethe eevidence ethat esupports ebeginning eregular edigital-rectal eexams. eWhich eof ethe efollowing efactors ewould ejustify enot eperforming edigital rectal eexaminations ein ethis epatient's ecare? A) The epatient eis evehemently eopposed eto eundergoing ea edigital-rectal eexam. B) Clinical epractice eguidelines efor eprostate ecare ehave enot ebeen epublished. C) The eclinician ehas ebeen eunable eto efind eany elarge eRCTs ein ea eliterature ereview. D) The eclinician ehas epreviously ewaited euntil epatients eare e55 eto ebegin eregular edigital-rectal eexams. DR ERIC DR ERIC 13. The eimplementation eof ea enew, eevidence-based einfection-control eregimen ein ea ecommunity ehospital ehas eresulted ein ea esignificant ereduction ein ethe eincidence eof enosocomial (hospital-acquired) einfections. eWhat eshould econstitute ethe efinal estep ein ethe enurses' eevidence-based epractice? A) Calculating ethe ecost-savings ethat ewill ebe erealized eby eusing ethe enew eregimen B) Sharing etheir eexperience ewith eother ehealthcare eprofessionals C) Implementing eenforcement emeasures eto eensure ecompliance ewith ethe enew eregimen D) Conducting ea emeta-analysis eof eother einfection-control emeasures 14. Frustrated eby ethe elack eof efollow-up eprovided eto epatients ewho eare enewly ediagnosed ewith etype e2 ediabetes, ea ecommunity ehealth enurse ehas ebegun ethe eprocess eof eidentifying eevidence efor ethe ebest einterventions efor ethis epatient epopulation. eWhich eof ethe efollowing efactors eis emost elikely eto epromote ethe euse eof eEBP ein ethis enurse's eworkplace? A) Bringing ein enurses ewho ehave ebeen eeducated eat ea ebaccalaureate e(bachelor's edegree) elevel B) Increasing enurses' eaccountability efor epatient eoutcomes C) Increased efunding D) Support efrom ethe epractice eleaders eand eadministration 15. In ethe eprocess eof eadvocating efor eEBP ein ethe eunit eguidelines earound ethe emanagement eof eincreased eintracranial epressure, ea enurse ehas emet ewith eskepticism efrom eother emembers eof ethe enursing estaff, ewith eseveral estating, e“Evidence-based epractice eis egood ein etheory, ebut eit's ealmost eimpossible eto eactually esearch ehundreds eof ejournals eand efind ethe eevidence.” eWhat ecould ethe enurse erecommend? A) Self-reflection eon ethe enurses' ecurrent epractices B) Accessing ethe eCochrane eLibrary C) Contacting ethe eclinical enurse eeducator eon ethe eunit D) Beginning ewith elay epublications ebefore eprogressing eto epeer-reviewed ejournals DR ERIC Answer eKey DR ERIC 1. B 2. D 3. A 4. D 5. B 6. C 7. B 8. A 9. C 10. D 11. C 12. A 13. B 14. D 15. B DR ERIC DR ERIC Chapter e 2 e Asking e Compelling e Clinical e Questions DR ERIC DR ERIC 1. Which eof ethe efollowing ecomponents eof ea eclinical equestion erepresents ethe e“P” ein ethe ePICOT eformat efor easking eclinical equestions? A) The enurse's epreparation efor epatient eteaching eprior eto esurgery B) Early eambulation eversus eaggressive eanticoagulant etherapy C) Individuals ewho erequire eperitoneal edialysis D) Deep evein ethrombosis 2. An eunacceptably ehigh enumber eof epatients eon ea egeriatric, esubacute emedicine eunit ehave edeveloped epressure eulcers eduring etheir eperiod eof ecare. eThe enurses eon ethe eunit ehave eagreed eon ea egoal eof ereducing ethe eincidence eof ethese ewounds eby e50% eover ethe enext e10 eweeks. eThis egoal erepresents ewhich ecomponent eof ethe ePICOT eformat efor easking eclinical equestions? A) O B) P C) I D) C 3. Which eof ethe efollowing escenarios erepresents ethe emost ecommon eobstacle e for eEBP? that enurses eencounter ewhen eattempting eto egain ethe eknowledge enecessary e A) A enurse eidentifies eseveral earticles erelevant eto ea eclinical equestion, ebut ethe emethodology eof eeach eis esignificantly eflawed. B) A enurse eis eoverwhelmed eby ethe enumber eof ehits eduring ea eCINAHL esearch. C) Current eresearch ethat erelates eto ethe enurse's eclinical equestion edoes enot eexist. D) The eresearch ethat ethe enurse elocates eis erooted ein ea emedical, enot enursing, eperspective. 4. A enurse ehas eattempted eto ebegin ethe eprocess eof eimplementing eEBP ein ethe earea eof efalls eprevention ebut ehas ebecome edisillusioned eby ethe epossibility eof ehaving eto eread ea evast enumber eof epublications. eWhich eof ethe efollowing estrategies eshould ethe enurse eimplement ein eresponse eto ethis eproblem? A) Narrow ethe escope eof ethe eclinical equestion B) Restrict ethe einformation esearch eto epublications efrom ethe epast e24 emonths C) Seek erecommendations efor einformation esources efrom etrusted ecolleagues D) Limit ethe esearch eto earticles ethat erelate ethe efindings eof erandomized econtrol etrials e(RCTs)