EVIDENCE-BASED PRACTICE IN NURSING
& HEALTHCARE
A GUIDE TO BEST PRACTICE
5TH EDITION
• AUTHOR(S)BERNADETTE MAZUREK
MELNYK; ELLEN FINEOUT-OVERHOLT
TEST BANK
1
Reference: Ch. 1 — Making the Case for Evidence-Based
Practice — Spirit of Inquiry
Stem: A nurse notices that a unit continues taking oral
temperatures on every patient even when several are unable to
close their mouths effectively. Staff say, “That is just how we
have always done it.” The nurse wants to respond in a way that
,reflects the first step toward evidence-based practice. What is
the best action?
Options:
A. Accept the routine because it has been used for years
B. Ask what evidence supports the practice and whether
outcomes are better
C. Replace the practice immediately without discussing it
D. Wait until a physician orders a change
Correct Answer: B
Rationales:
B. A spirit of inquiry begins with questioning routine
practice and asking whether current care is supported by
evidence and improves outcomes. This reflects the foundation
of EBP described in Chapter 1.
A. Longevity of a practice does not prove effectiveness.
Tradition alone is not evidence.
C. Abrupt change without evidence review or team
discussion is not an EBP approach.
D. Nurses do not need to wait for a physician to begin an
evidence inquiry.
Teaching Point: Curiosity starts with questioning routine care,
not defending tradition.
Citation: Melnyk, B. M., & Fineout-Overholt, E. (2022).
Evidence-Based Practice in Nursing & Healthcare: A Guide to
Best Practice (5th ed.). Ch. 1.
,2
Reference: Ch. 1 — Making the Case for Evidence-Based
Practice — EBP Paradigm
Stem: A new nurse says, “EBP means finding research articles
and using the strongest one.” The preceptor wants to clarify the
broader EBP paradigm. Which statement is most accurate?
Options:
A. EBP is the same as research utilization
B. EBP integrates best evidence, clinical expertise, and patient
preferences
C. EBP means following organizational policy exactly
D. EBP is only relevant when randomized trials are available
Correct Answer: B
Rationales:
B. Chapter 1 frames EBP as an integration of the best
available evidence, clinician expertise, and patient
preferences/values. That integration is what makes the decision
patient-centered and clinically sound.
A. Research utilization is narrower than EBP and does not
fully capture patient preferences and clinical expertise.
C. Policies may reflect evidence, but policy compliance
alone is not the EBP paradigm.
, D. EBP does not depend only on randomized trials; the best
available evidence may come from several designs.
Teaching Point: EBP is integration, not article hunting.
Citation: Melnyk, B. M., & Fineout-Overholt, E. (2022).
Evidence-Based Practice in Nursing & Healthcare: A Guide to
Best Practice (5th ed.). Ch. 1.
3
Reference: Ch. 1 — Making the Case for Evidence-Based
Practice — Culture of Inquiry
Stem: On a medical-surgical unit, nurses are discouraged from
questioning existing routines because “it creates conflict.” The
manager wants to strengthen EBP readiness. Which action best
supports a spirit of inquiry?
Options:
A. Reward staff only when they never challenge policy
B. Encourage respectful questioning and review of current
evidence
C. Limit discussion to senior staff members
D. Require nurses to wait for a committee meeting before
raising concerns
Correct Answer: B
Rationales:
B. A culture of inquiry grows when nurses are expected to
& HEALTHCARE
A GUIDE TO BEST PRACTICE
5TH EDITION
• AUTHOR(S)BERNADETTE MAZUREK
MELNYK; ELLEN FINEOUT-OVERHOLT
TEST BANK
1
Reference: Ch. 1 — Making the Case for Evidence-Based
Practice — Spirit of Inquiry
Stem: A nurse notices that a unit continues taking oral
temperatures on every patient even when several are unable to
close their mouths effectively. Staff say, “That is just how we
have always done it.” The nurse wants to respond in a way that
,reflects the first step toward evidence-based practice. What is
the best action?
Options:
A. Accept the routine because it has been used for years
B. Ask what evidence supports the practice and whether
outcomes are better
C. Replace the practice immediately without discussing it
D. Wait until a physician orders a change
Correct Answer: B
Rationales:
B. A spirit of inquiry begins with questioning routine
practice and asking whether current care is supported by
evidence and improves outcomes. This reflects the foundation
of EBP described in Chapter 1.
A. Longevity of a practice does not prove effectiveness.
Tradition alone is not evidence.
C. Abrupt change without evidence review or team
discussion is not an EBP approach.
D. Nurses do not need to wait for a physician to begin an
evidence inquiry.
Teaching Point: Curiosity starts with questioning routine care,
not defending tradition.
Citation: Melnyk, B. M., & Fineout-Overholt, E. (2022).
Evidence-Based Practice in Nursing & Healthcare: A Guide to
Best Practice (5th ed.). Ch. 1.
,2
Reference: Ch. 1 — Making the Case for Evidence-Based
Practice — EBP Paradigm
Stem: A new nurse says, “EBP means finding research articles
and using the strongest one.” The preceptor wants to clarify the
broader EBP paradigm. Which statement is most accurate?
Options:
A. EBP is the same as research utilization
B. EBP integrates best evidence, clinical expertise, and patient
preferences
C. EBP means following organizational policy exactly
D. EBP is only relevant when randomized trials are available
Correct Answer: B
Rationales:
B. Chapter 1 frames EBP as an integration of the best
available evidence, clinician expertise, and patient
preferences/values. That integration is what makes the decision
patient-centered and clinically sound.
A. Research utilization is narrower than EBP and does not
fully capture patient preferences and clinical expertise.
C. Policies may reflect evidence, but policy compliance
alone is not the EBP paradigm.
, D. EBP does not depend only on randomized trials; the best
available evidence may come from several designs.
Teaching Point: EBP is integration, not article hunting.
Citation: Melnyk, B. M., & Fineout-Overholt, E. (2022).
Evidence-Based Practice in Nursing & Healthcare: A Guide to
Best Practice (5th ed.). Ch. 1.
3
Reference: Ch. 1 — Making the Case for Evidence-Based
Practice — Culture of Inquiry
Stem: On a medical-surgical unit, nurses are discouraged from
questioning existing routines because “it creates conflict.” The
manager wants to strengthen EBP readiness. Which action best
supports a spirit of inquiry?
Options:
A. Reward staff only when they never challenge policy
B. Encourage respectful questioning and review of current
evidence
C. Limit discussion to senior staff members
D. Require nurses to wait for a committee meeting before
raising concerns
Correct Answer: B
Rationales:
B. A culture of inquiry grows when nurses are expected to
