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Based Practice in Nursing & Healthcare A Guide to Best Pract
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ice 5th Edition by Melnyk, Ellen Fineout-Overholt Chapter 1 -
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23 Complete
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,Chapter 1 Making the Case for Evidence-
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, Based Practice and Cultivating a Spirit of Inquiry
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In the hospital where Nurse L. provides care, tradition dictate
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s that oral temperatures be included in every set of patient vit
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al signs, regardless of patient diagnosis or acuity. Thisis most l
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ikely 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
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C) The integration of personal expertise into nursing care
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D) Evidence-based practice C
2. The clinical nurse educator (CNE) on a postsurgical unit has r
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ecently completed a patient chart review after the impleme
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ntation of a pilot program aimed at promoting early ambul
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ation following surgery. Which of the following components
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of EBP is thenurse putting into practice?
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A) Patient preferences C
B) Research utilization C
C) Experience
D) Internal evidence C
3. Nurse R. has observed that reorienting demented patients as
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frequently as possible tendsto minimize the patients' level of
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agitation in the evening. The nurse has shared this observatio
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n with a colleague, who is skeptical, stating that, “It's best to st
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ick to evidence-
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based practice.” How can Nurse R. best respond?
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A) “EBP can include clinicians' personal expertise.”
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B) “Personal experience is often more sound than formal evidence C C C C C C C C
, -based practice.” C
C) “Traditional practice and EBP are usually shown to be the same.
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”
D) “My years of experience can be just as valuable as
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any literature review orrandomized trial.”
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4. Which of the following factors provides the most important r
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ationale for the consistentimplementation 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.
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