EVIDENCE-BASED PRACTICE IN NURSING
& HEALTHCARE
A GUIDE TO BEST PRACTICE
5TH EDITION
• AUTHOR(S)BERNADETTE MAZUREK
MELNYK; ELLEN FINEOUT-OVERHOLT
TEST BANK
1) Spirit of inquiry in action
Reference: Ch. 1 — Step 0: Cultivating a Spirit of Inquiry
Stem:
A medical-surgical nurse notices that patients who receive
toileting assistance after evening rounds seem to fall less often
than patients who are left to call for help. The nurse begins
asking whether the current rounding routine is the best
approach for this population and wonders if the unit should
,examine its practice more closely. Which concept is the nurse
demonstrating?
Options:
A. Research utilization
B. Spirit of inquiry
C. Translational research
D. Quality assurance auditing
Correct answer: B
Rationales:
Correct Answer (B): The nurse is questioning a routine
practice and showing curiosity about whether there is a better
evidence-based approach. That persistent, practice-challenging
mindset is exactly what the chapter describes as a spirit of
inquiry and the starting point for EBP.
A: Research utilization focuses more narrowly on using
research knowledge in practice, not on cultivating a questioning
culture first. This option misses the chapter’s emphasis on
curiosity before action.
C: Translational research studies how evidence-based
interventions move into real-world settings, which is different
from the nurse’s immediate mindset here. The stem is about
questioning practice, not conducting translation research.
D: Quality assurance auditing checks compliance, but the
nurse is going beyond compliance to ask whether the current
,practice should change. That is more aligned with inquiry and
EBP than routine audit.
Teaching Point: A questioning attitude is the doorway into EBP.
Citation: Melnyk, B. M., & Fineout-Overholt, E. (2023).
Evidence-Based Practice in Nursing & Healthcare (5th ed.), Ch.
1.
2) Culture that sustains EBP
Reference: Ch. 1 — EBP Culture and Environment
Stem:
A nurse manager wants staff to engage in evidence-based
changes, but the unit has no access to databases at the point of
care, no EBP mentors, and leadership rarely supports new
practice ideas. Staff members say they like EBP in theory but do
not feel empowered to challenge old routines. Which missing
factor most threatens sustainability?
Options:
A. A spirit of inquiry supported by culture and leadership
B. The ability to complete a research study independently
C. A higher patient acuity level
D. A stricter performance appraisal policy only
Correct answer: A
Rationales:
Correct Answer (A): The chapter emphasizes that EBP is far
, more likely to succeed when the organization supports inquiry
with leadership, resources, mentors, and visible EBP values.
Without that culture, individual change efforts are unlikely to
be sustained.
B: Conducting a research study is not the same as creating
an EBP-supportive culture. The issue in the stem is
implementation support, not research production.
C: Patient acuity may increase urgency, but it is not the
main barrier described. The barrier is the absence of
infrastructure and leadership support for EBP.
D: A stricter appraisal policy does not create EBP culture by
itself. The chapter highlights mentoring, resources, and
administrative support rather than punishment-based
enforcement.
Teaching Point: EBP survives when the system supports inquiry,
not when it merely demands compliance.
Citation: Melnyk, B. M., & Fineout-Overholt, E. (2023).
Evidence-Based Practice in Nursing & Healthcare (5th ed.), Ch.
1.
3) Best first step after noticing a gap
Reference: Ch. 1 — Step 1: PICOT Question Formation
Stem:
A telemetry unit notices that its discharge teaching process
& HEALTHCARE
A GUIDE TO BEST PRACTICE
5TH EDITION
• AUTHOR(S)BERNADETTE MAZUREK
MELNYK; ELLEN FINEOUT-OVERHOLT
TEST BANK
1) Spirit of inquiry in action
Reference: Ch. 1 — Step 0: Cultivating a Spirit of Inquiry
Stem:
A medical-surgical nurse notices that patients who receive
toileting assistance after evening rounds seem to fall less often
than patients who are left to call for help. The nurse begins
asking whether the current rounding routine is the best
approach for this population and wonders if the unit should
,examine its practice more closely. Which concept is the nurse
demonstrating?
Options:
A. Research utilization
B. Spirit of inquiry
C. Translational research
D. Quality assurance auditing
Correct answer: B
Rationales:
Correct Answer (B): The nurse is questioning a routine
practice and showing curiosity about whether there is a better
evidence-based approach. That persistent, practice-challenging
mindset is exactly what the chapter describes as a spirit of
inquiry and the starting point for EBP.
A: Research utilization focuses more narrowly on using
research knowledge in practice, not on cultivating a questioning
culture first. This option misses the chapter’s emphasis on
curiosity before action.
C: Translational research studies how evidence-based
interventions move into real-world settings, which is different
from the nurse’s immediate mindset here. The stem is about
questioning practice, not conducting translation research.
D: Quality assurance auditing checks compliance, but the
nurse is going beyond compliance to ask whether the current
,practice should change. That is more aligned with inquiry and
EBP than routine audit.
Teaching Point: A questioning attitude is the doorway into EBP.
Citation: Melnyk, B. M., & Fineout-Overholt, E. (2023).
Evidence-Based Practice in Nursing & Healthcare (5th ed.), Ch.
1.
2) Culture that sustains EBP
Reference: Ch. 1 — EBP Culture and Environment
Stem:
A nurse manager wants staff to engage in evidence-based
changes, but the unit has no access to databases at the point of
care, no EBP mentors, and leadership rarely supports new
practice ideas. Staff members say they like EBP in theory but do
not feel empowered to challenge old routines. Which missing
factor most threatens sustainability?
Options:
A. A spirit of inquiry supported by culture and leadership
B. The ability to complete a research study independently
C. A higher patient acuity level
D. A stricter performance appraisal policy only
Correct answer: A
Rationales:
Correct Answer (A): The chapter emphasizes that EBP is far
, more likely to succeed when the organization supports inquiry
with leadership, resources, mentors, and visible EBP values.
Without that culture, individual change efforts are unlikely to
be sustained.
B: Conducting a research study is not the same as creating
an EBP-supportive culture. The issue in the stem is
implementation support, not research production.
C: Patient acuity may increase urgency, but it is not the
main barrier described. The barrier is the absence of
infrastructure and leadership support for EBP.
D: A stricter appraisal policy does not create EBP culture by
itself. The chapter highlights mentoring, resources, and
administrative support rather than punishment-based
enforcement.
Teaching Point: EBP survives when the system supports inquiry,
not when it merely demands compliance.
Citation: Melnyk, B. M., & Fineout-Overholt, E. (2023).
Evidence-Based Practice in Nursing & Healthcare (5th ed.), Ch.
1.
3) Best first step after noticing a gap
Reference: Ch. 1 — Step 1: PICOT Question Formation
Stem:
A telemetry unit notices that its discharge teaching process
