Test Bank for Evidence-Based Practice in Nursing & Healthcare, 5th Edition by Melnyk & Fineout-Overholt | Questions & Rationale Answers

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 Complete

,Chapter 1 Making the Case for Evidence-Based Practice
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and Cultivating a Spirit of Inquiry g b-g b-g b-g b-g b-g




In the hospital where Nurse L. provides care, tradition dictates that oral
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temperatures be included in every set of patient vital signs, regardless of
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patient diagnosis or acuity. Thisis most likely an example of which of the
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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 b-g b-g b-g b-g b-g b-g b-g




C) The integration of personal expertise into nursing care
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D) Evidence-based practice b-g




2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a
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patient chart review after the implementation of a pilot program aimed at
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promoting early ambulation 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 b-g




B) Research utilization b-g




C) Experience
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3. Nurse R. has observed that reorienting demented patients as frequently as possible
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tendsto minimize the patients' level of agitation in the evening. The nurse has
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shared this observation with a colleague, who is skeptical, stating that, “It's best to
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stick to evidence-based practice.” How can Nurse R. best respond?
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A) “EBP can include clinicians' personal expertise.” b-g b-g b-g b-g b-g




B) “Personal experience is often more sound than formal evidence-based practice.” b-g b-g b-g b-g b-g b-g b-g b-g b-g




C) “Traditional practice and EBP are usually shown to be the same.” b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




D) “My years of experience can be just as valuable as any literature review
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orrandomized trial.”
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4. Which of the following factors provides the most important rationale for the
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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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, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
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beenestablished to address EBP. Which of the following issues is the
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Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated
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B) Fostering the level of learning that exists in the American healthcare system
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C) Issuing clinical guidelines to ensure best nursing practice
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D) Comparing the implementation of EBP in the United States with that of b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




otherWestern countries
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6. You have become frustrated with some aspects of patient care that you believe are
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outdated and ineffective at the long-term care facility where you have recently
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begun practicing. Consequently, you have resolved to examine some of these
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practices in lightof evidence. Which of the following should occur first in the steps of
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EBP?
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A) Conducting an electronic search of the literature and ranking individual sources b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




B) Creating “buy-in” from the other clinicians who provide care at the facility
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C) Developing an inquisitive and curious mindset b-g b-g b-g b-g b-g




D) Assessing whether the practices in question may, in fact, be evidence-based b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




7. Which of the following clinical questions best exemplifies the PICOT format?
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A) What effect does parents' smoking have on the smoking habits of their
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children,ages 13 to 16?
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B) Among cancer patients, what role does meditation, rather than
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benzodiazepines,have on anxiety levels during the 7 days following hospital
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admission?
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C) Among undergraduate college students, what is the effectiveness of a sexual
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healthcampaign undertaken during the first 4 weeks of the fall semester as
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measured by incidence of new gonorrheal and chlamydial infections reported
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to the campus medical center?
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D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior
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to anumeric rating scale in the emergency room context?
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8. After formulating a clinical question, a nurse has proceeded to search for evidence
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for ways to foster restful sleep in patients who are receiving care in the intensive
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care unit (ICU). The nurse has identified a relevant meta-analysis in an electronic
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database. Whatwill this source of evidence consist of?
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A) A statistical summary of the results from several different studies
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B) An examination of the theoretical and conceptual underpinnings of the issue
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C) An interdisciplinary analysis of the clinical question
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D) A qualitative study of different interventions related to the clinical question
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