Test Bank For Evidence-
m m m
Based Practice in Nursing & Healthcare A Guide to Best Practice 5t
m m m m m m m m m m m
h Edition
m
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
m m m m m
Chapter 1 - 23 Complet
m m m m
, Chapter 1 Making the Case for Evidence-
m m m m m m
Based Practice and Cultivating a Spirit of Inquiry
m m m m m m m
, InmthemhospitalmwheremNursemL.mprovidesmcare,mtraditionmdictatesmthatmoralmtemper
aturesmbemincludedminmeverymsetmofmpatientmvitalmsigns,mregardlessmofmpatientmdiagn
osismormacuity.mThismismmostmlikelymanmexamplemofmwhichmofmthemfollowingmphenome
na?
A) Themprioritizationmofminternalmevidencemovermexternalmevidence
B) Practicemthatmlacksmevidencemtomsupportmitsmapplication
C) Themintegrationmofmpersonalmexpertisemintomnursingmcare
D) Evidence-basedmpractice
2. Themclinicalmnursemeducatorm(CNE)monmampostsurgicalmunitmhasmrecentlymcomplete
dmampatientmchartmreviewmaftermthemimplementationmofmampilotmprogrammaimedma
tmpromotingmearlymambulationmfollowingmsurgery.mWhichmofmthemfollowingmcompo
nentsmofmEBPmismthemnursemputtingmintompractice?
A) Patientmpreferences
B) Researchmutilization
C) Experience
D) Internalmevidence
3. NursemR.mhasmobservedmthatmreorientingmdementedmpatientsmasmfrequentlymasmpossi
blemtendsmtomminimizemthempatients'mlevelmofmagitationminmthemevening.mThemnursem
hasmsharedmthismobservationmwithmamcolleague,mwhomismskeptical,mstatingmthat,m“It's
mbestmtomstickmtomevidence-basedmpractice.”mHowmcanmNursemR.mbestmrespond?
A) “EBPmcanmincludemclinicians'mpersonalmexpertise.”
B) “Personalmexperiencemismoftenmmoremsoundmthanmformalmevidence-basedmpractice.”
C) “TraditionalmpracticemandmEBPmaremusuallymshownmtombemthemsame.”
D) “Mymyearsmofmexperiencemcanmbemjustmasmvaluablemasmanymliteraturemr
eviewmormrandomizedmtrial.”
4. Whichmofmthemfollowingmfactorsmprovidesmthemmostmimportantmrationalemformthemc
onsistentmimplementationmofmEBP?
A) EBPmprovidesmformthemmostmcost-effectivempatientmcare.
B) EBPmismaccessiblemtomallmhealthcaremclinicians.
C) EBPmprovidesmconsistencyminmcaremacrossmhealthcaremsettings.
D) EBPmimprovesmpatientmoutcomes.
, 5. ThemInstitutemofmMedicine'smRoundtablemonmEvidence-
BasedmMedicinemhasmbeenmestablishedmtomaddressmEBP.mWhichmofmthemfoll
owingmissuesmismthemRoundtablememphasizing?
A) Ensuringmthatmexternalmevidence,mrathermthanminternalmevidence,mismintegra
tedmintomcare
B) FosteringmthemlevelmofmlearningmthatmexistsminmthemAmericanmhealthcaremsystem
C) Issuingmclinicalmguidelinesmtomensurembestmnursingmpractice
D) ComparingmthemimplementationmofmEBPminmthemUnitedmStatesmwithmthatm
ofmothermWesternmcountries
6. Youmhavembecomemfrustratedmwithmsomemaspectsmofmpatientmcaremthatmyoumbeliev
emaremoutdatedmandmineffectivematmthemlong-
termmcaremfacilitymwheremyoumhavemrecentlymbegunmpracticing.mConsequently,myoum
havemresolvedmtomexaminemsomemofmthesempracticesminmlightmofmevidence.mWhichmo
fmthemfollowingmshouldmoccurmfirstminmthemstepsmofmEBP?
A) Conductingmanmelectronicmsearchmofmthemliteraturemandmrankingmindividualmsources
B) Creatingm“buy-in”mfrommthemothermcliniciansmwhomprovidemcarematmthemfacility
C) Developingmanminquisitivemandmcuriousmmindset
D) Assessingmwhethermthempracticesminmquestionmmay,minmfact,mbemevidence-based
7. WhichmofmthemfollowingmclinicalmquestionsmbestmexemplifiesmthemPICOTmformat?
A) Whatmeffectmdoesmparents'msmokingmhavemonmthemsmokingmhabitsmofmtheirm
children,magesm13mtom16?
B) Amongmcancermpatients,mwhatmrolemdoesmmeditation,mrathermthanmbenzodia
zepines,mhavemonmanxietymlevelsmduringmthem7mdaysmfollowingmhospitalmadmi
ssion?
C) Amongmundergraduatemcollegemstudents,mwhatmismthemeffectivenessmofmamsexu
almhealthmcampaignmundertakenmduringmthemfirstm4mweeksmofmthemfallmsemester
masmmeasuredmbymincidencemofmnewmgonorrhealmandmchlamydialminfectionsmre
portedmtomthemcampusmmedicalmcenter?
D) Inmpatientsmagedm8mtom12,mismthemeffectivenessmofmampainmscalemusingmfacesmsu
periormtomamnumericmratingmscaleminmthememergencymroommcontext?
8. Aftermformulatingmamclinicalmquestion,mamnursemhasmproceededmtomsearchmformevide
ncemformwaysmtomfostermrestfulmsleepminmpatientsmwhomaremreceivingmcareminmthemin
tensivemcaremunitm(ICU).mThemnursemhasmidentifiedmamrelevantmmeta-
analysisminmanmelectronicmdatabase.mWhatmwillmthismsourcemofmevidencemconsistmof?
A) Amstatisticalmsummarymofmthemresultsmfrommseveralmdifferentmstudies
B) Anmexaminationmofmthemtheoreticalmandmconceptualmunderpinningsmofmthemissue
C) Anminterdisciplinarymanalysismofmthemclinicalmquestion
D) Amqualitativemstudymofmdifferentminterventionsmrelatedmtomthemclinicalmquestion
m m m
Based Practice in Nursing & Healthcare A Guide to Best Practice 5t
m m m m m m m m m m m
h Edition
m
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
m m m m m
Chapter 1 - 23 Complet
m m m m
, Chapter 1 Making the Case for Evidence-
m m m m m m
Based Practice and Cultivating a Spirit of Inquiry
m m m m m m m
, InmthemhospitalmwheremNursemL.mprovidesmcare,mtraditionmdictatesmthatmoralmtemper
aturesmbemincludedminmeverymsetmofmpatientmvitalmsigns,mregardlessmofmpatientmdiagn
osismormacuity.mThismismmostmlikelymanmexamplemofmwhichmofmthemfollowingmphenome
na?
A) Themprioritizationmofminternalmevidencemovermexternalmevidence
B) Practicemthatmlacksmevidencemtomsupportmitsmapplication
C) Themintegrationmofmpersonalmexpertisemintomnursingmcare
D) Evidence-basedmpractice
2. Themclinicalmnursemeducatorm(CNE)monmampostsurgicalmunitmhasmrecentlymcomplete
dmampatientmchartmreviewmaftermthemimplementationmofmampilotmprogrammaimedma
tmpromotingmearlymambulationmfollowingmsurgery.mWhichmofmthemfollowingmcompo
nentsmofmEBPmismthemnursemputtingmintompractice?
A) Patientmpreferences
B) Researchmutilization
C) Experience
D) Internalmevidence
3. NursemR.mhasmobservedmthatmreorientingmdementedmpatientsmasmfrequentlymasmpossi
blemtendsmtomminimizemthempatients'mlevelmofmagitationminmthemevening.mThemnursem
hasmsharedmthismobservationmwithmamcolleague,mwhomismskeptical,mstatingmthat,m“It's
mbestmtomstickmtomevidence-basedmpractice.”mHowmcanmNursemR.mbestmrespond?
A) “EBPmcanmincludemclinicians'mpersonalmexpertise.”
B) “Personalmexperiencemismoftenmmoremsoundmthanmformalmevidence-basedmpractice.”
C) “TraditionalmpracticemandmEBPmaremusuallymshownmtombemthemsame.”
D) “Mymyearsmofmexperiencemcanmbemjustmasmvaluablemasmanymliteraturemr
eviewmormrandomizedmtrial.”
4. Whichmofmthemfollowingmfactorsmprovidesmthemmostmimportantmrationalemformthemc
onsistentmimplementationmofmEBP?
A) EBPmprovidesmformthemmostmcost-effectivempatientmcare.
B) EBPmismaccessiblemtomallmhealthcaremclinicians.
C) EBPmprovidesmconsistencyminmcaremacrossmhealthcaremsettings.
D) EBPmimprovesmpatientmoutcomes.
, 5. ThemInstitutemofmMedicine'smRoundtablemonmEvidence-
BasedmMedicinemhasmbeenmestablishedmtomaddressmEBP.mWhichmofmthemfoll
owingmissuesmismthemRoundtablememphasizing?
A) Ensuringmthatmexternalmevidence,mrathermthanminternalmevidence,mismintegra
tedmintomcare
B) FosteringmthemlevelmofmlearningmthatmexistsminmthemAmericanmhealthcaremsystem
C) Issuingmclinicalmguidelinesmtomensurembestmnursingmpractice
D) ComparingmthemimplementationmofmEBPminmthemUnitedmStatesmwithmthatm
ofmothermWesternmcountries
6. Youmhavembecomemfrustratedmwithmsomemaspectsmofmpatientmcaremthatmyoumbeliev
emaremoutdatedmandmineffectivematmthemlong-
termmcaremfacilitymwheremyoumhavemrecentlymbegunmpracticing.mConsequently,myoum
havemresolvedmtomexaminemsomemofmthesempracticesminmlightmofmevidence.mWhichmo
fmthemfollowingmshouldmoccurmfirstminmthemstepsmofmEBP?
A) Conductingmanmelectronicmsearchmofmthemliteraturemandmrankingmindividualmsources
B) Creatingm“buy-in”mfrommthemothermcliniciansmwhomprovidemcarematmthemfacility
C) Developingmanminquisitivemandmcuriousmmindset
D) Assessingmwhethermthempracticesminmquestionmmay,minmfact,mbemevidence-based
7. WhichmofmthemfollowingmclinicalmquestionsmbestmexemplifiesmthemPICOTmformat?
A) Whatmeffectmdoesmparents'msmokingmhavemonmthemsmokingmhabitsmofmtheirm
children,magesm13mtom16?
B) Amongmcancermpatients,mwhatmrolemdoesmmeditation,mrathermthanmbenzodia
zepines,mhavemonmanxietymlevelsmduringmthem7mdaysmfollowingmhospitalmadmi
ssion?
C) Amongmundergraduatemcollegemstudents,mwhatmismthemeffectivenessmofmamsexu
almhealthmcampaignmundertakenmduringmthemfirstm4mweeksmofmthemfallmsemester
masmmeasuredmbymincidencemofmnewmgonorrhealmandmchlamydialminfectionsmre
portedmtomthemcampusmmedicalmcenter?
D) Inmpatientsmagedm8mtom12,mismthemeffectivenessmofmampainmscalemusingmfacesmsu
periormtomamnumericmratingmscaleminmthememergencymroommcontext?
8. Aftermformulatingmamclinicalmquestion,mamnursemhasmproceededmtomsearchmformevide
ncemformwaysmtomfostermrestfulmsleepminmpatientsmwhomaremreceivingmcareminmthemin
tensivemcaremunitm(ICU).mThemnursemhasmidentifiedmamrelevantmmeta-
analysisminmanmelectronicmdatabase.mWhatmwillmthismsourcemofmevidencemconsistmof?
A) Amstatisticalmsummarymofmthemresultsmfrommseveralmdifferentmstudies
B) Anmexaminationmofmthemtheoreticalmandmconceptualmunderpinningsmofmthemissue
C) Anminterdisciplinarymanalysismofmthemclinicalmquestion
D) Amqualitativemstudymofmdifferentminterventionsmrelatedmtomthemclinicalmquestion
