BUILDING AN EVIDENCE-BASED
PRACTICE
8TH EDITION
AUTHOR(S)SUSAN K. GROVE; JENNIFER
R. GRAY
TEST BANK
1. Reference: Introduction to nursing research and its
importance in building an evidence-based practice —
Defining nursing research
Stem: A clinical nurse on a medical-surgical unit notices that
many patients with pressure injuries are managed using
different dressing choices depending on the nurse assigned.
The nurse manager asks the staff to use research rather than
,habit when selecting interventions. The nurse asks what
nursing research primarily seeks to do in this situation.
Options:
A. Test whether all nurses prefer the same wound dressing
B. Generate evidence to improve nursing practice, patient
outcomes, and professional knowledge
C. Replace clinical judgment with standardized routines
D. Prove that one nursing action is correct in every situation
Correct Answer: B
Rationale — Correct Answer: Nursing research is a systematic
process for generating knowledge that can improve practice,
patient outcomes, and the profession. In this scenario, the goal
is to replace inconsistent habit-based care with evidence-
informed decision-making. That is the core purpose of nursing
research in evidence-based practice.
Rationale — A: Nurse preference is not the purpose of
research. Research focuses on systematic knowledge, not
simply comparing personal opinions.
Rationale — C: Research informs clinical judgment; it does not
eliminate it. Nurses still interpret evidence within the patient’s
context.
,Rationale — D: Research rarely proves one action is best for
every patient. Evidence must be applied with consideration of
individual needs and settings.
Teaching Point: Nursing research generates knowledge to
improve care, not to replace judgment.
Citation: Grove, S. K., & Gray, J. R. (2023). Understanding
Nursing Research: Building an Evidence-Based Practice (8th
ed.). Introduction to nursing research and its importance in
building an evidence-based practice.
2. Reference: Introduction to nursing research and its
importance in building an evidence-based practice —
What is evidence-based practice?
Stem: A nurse is asked to update a discharge teaching plan for
patients with heart failure. Instead of using only a handout that
has been used for years, the nurse reviews current literature,
considers patient preferences, and consults local outcome data.
Which concept best describes this approach?
Options:
A. Tradition-based practice
B. Evidence-based practice
C. Trial-and-error practice
D. Task-oriented care
, Correct Answer: B
Rationale — Correct Answer: Evidence-based practice
combines the best available research evidence with clinical
expertise and patient preferences. The nurse is integrating all
three elements to make a care decision. This is the hallmark of
EBP.
Rationale — A: Tradition-based practice relies on “the way it
has always been done,” not current evidence.
Rationale — C: Trial-and-error care is not systematic and does
not intentionally use research evidence.
Rationale — D: Task-oriented care focuses on completing
duties, not on integrating evidence into decision-making.
Teaching Point: EBP integrates research, clinical expertise, and
patient values.
Citation: Grove, S. K., & Gray, J. R. (2023). Understanding
Nursing Research: Building an Evidence-Based Practice (8th
ed.). Introduction to nursing research and its importance in
building an evidence-based practice.
3. Reference: Introduction to nursing research and its
importance in building an evidence-based practice —
Historical development of research in nursing