1|Page
EVIDENCE BASED PRACTICE IN NURSING
AND HEALTHCARE, ALL CHAPTERS, 14TH
EDITION BY MELNYK TEST BANK. PDF
In the hospital where Nurse L. provides care, tradition
dictates that oral temperatures be included in every set of
patient vital signs, regardless of patient diagnosis or acuity.
This is most likely an example of which of the following
phenomena?
A) The prioritization of internal evidence over external evidence
B) Practice that lacks evidence to support its application
C) The integration of personal expertise into nursing care
D) Evidence-based practice
2. The clinical nurse educator (CNE) on a postsurgical unit
has recently completed a patient chart review after the
implementation of a pilot program aimed at promoting
early ambulation following surgery. Which of the
following components of EBP is the nurse putting into
practice?
A) Patient preferences
B) Research utilization
C) Experience
D) Internal evidence
3. Nurse R. has observed that reorienting demented patients
as frequently as possible tends to minimize the patients'
level of agitation in the evening. The nurse has shared this
observation with a colleague, who is skeptical, stating that,
“It's best to stick to evidence-based practice.” How can
Page 1
,2|Page
Nurse R. best respond?
A) “EBP can include clinicians' personal expertise.”
B) “Personal experience is often more sound than formal
evidence-based practice.”
C) “Traditional practice and EBP are usually shown to be the
same.”
D) “My years of experience can be just as valuable
as any literature review or randomized trial.”
4. Which of the following factors provides the most
important rationale for the consistent implementation of
EBP?
A) EBP provides for the most cost-effective patient care.
B) EBP is accessible to all healthcare clinicians.
C) EBP provides consistency in care across healthcare settings.
D) EBP improves patient outcomes.
Page 2
,3|Page
5. The Institute of Medicine's Roundtable on Evidence-
Based Medicine has been established to address
EBP. Which of the following issues is the Roundtable
emphasizing?
A) Ensuring that external evidence, rather than internal
evidence, is integrated into care
B) Fostering the level of learning that exists in the American
healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United
States with that of other Western countries
6. You have become frustrated with some aspects of patient
care that you believe are outdated and ineffective at the
long-term care facility where you have recently begun
practicing. Consequently, you have resolved to examine
some of these practices in light of evidence. Which of the
following should occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking
individual sources
B) Creating “buy-in” from the other clinicians who provide care
at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be
evidence-based
7. Which of the following clinical questions best exemplifies the
PICOT format?
A) What effect does parents' smoking have on the
smoking habits of their children, ages 13 to 16?
B) Among cancer patients, what role does meditation,
rather than benzodiazepines, have on anxiety levels
during the 7 days following hospital admission?
Page 3
, 4|Page
C) Among undergraduate college students, what is the
effectiveness of a sexual health campaign undertaken
during the first 4 weeks of the fall semester as
measured by incidence of new gonorrheal and
chlamydial infections reported to the campus medical
center?
D) In patients aged 8 to 12, is the effectiveness of a pain
scale using faces superior to a numeric rating scale in
the emergency room context?
8. After formulating a clinical question, a nurse has
proceeded to search for evidence for ways to foster restful
sleep in patients who are receiving care in the intensive
care unit (ICU). The nurse has identified a relevant meta-
analysis in an electronic database. What will this source of
evidence consist of?
A) A statistical summary of the results from several different
studies
B) An examination of the theoretical and conceptual
underpinnings of the issue
C) An interdisciplinary analysis of the clinical question
D) A qualitative study of different interventions related to the
clinical question
Page 4
EVIDENCE BASED PRACTICE IN NURSING
AND HEALTHCARE, ALL CHAPTERS, 14TH
EDITION BY MELNYK TEST BANK. PDF
In the hospital where Nurse L. provides care, tradition
dictates that oral temperatures be included in every set of
patient vital signs, regardless of patient diagnosis or acuity.
This is most likely an example of which of the following
phenomena?
A) The prioritization of internal evidence over external evidence
B) Practice that lacks evidence to support its application
C) The integration of personal expertise into nursing care
D) Evidence-based practice
2. The clinical nurse educator (CNE) on a postsurgical unit
has recently completed a patient chart review after the
implementation of a pilot program aimed at promoting
early ambulation following surgery. Which of the
following components of EBP is the nurse putting into
practice?
A) Patient preferences
B) Research utilization
C) Experience
D) Internal evidence
3. Nurse R. has observed that reorienting demented patients
as frequently as possible tends to minimize the patients'
level of agitation in the evening. The nurse has shared this
observation with a colleague, who is skeptical, stating that,
“It's best to stick to evidence-based practice.” How can
Page 1
,2|Page
Nurse R. best respond?
A) “EBP can include clinicians' personal expertise.”
B) “Personal experience is often more sound than formal
evidence-based practice.”
C) “Traditional practice and EBP are usually shown to be the
same.”
D) “My years of experience can be just as valuable
as any literature review or randomized trial.”
4. Which of the following factors provides the most
important rationale for the consistent implementation of
EBP?
A) EBP provides for the most cost-effective patient care.
B) EBP is accessible to all healthcare clinicians.
C) EBP provides consistency in care across healthcare settings.
D) EBP improves patient outcomes.
Page 2
,3|Page
5. The Institute of Medicine's Roundtable on Evidence-
Based Medicine has been established to address
EBP. Which of the following issues is the Roundtable
emphasizing?
A) Ensuring that external evidence, rather than internal
evidence, is integrated into care
B) Fostering the level of learning that exists in the American
healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United
States with that of other Western countries
6. You have become frustrated with some aspects of patient
care that you believe are outdated and ineffective at the
long-term care facility where you have recently begun
practicing. Consequently, you have resolved to examine
some of these practices in light of evidence. Which of the
following should occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking
individual sources
B) Creating “buy-in” from the other clinicians who provide care
at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be
evidence-based
7. Which of the following clinical questions best exemplifies the
PICOT format?
A) What effect does parents' smoking have on the
smoking habits of their children, ages 13 to 16?
B) Among cancer patients, what role does meditation,
rather than benzodiazepines, have on anxiety levels
during the 7 days following hospital admission?
Page 3
, 4|Page
C) Among undergraduate college students, what is the
effectiveness of a sexual health campaign undertaken
during the first 4 weeks of the fall semester as
measured by incidence of new gonorrheal and
chlamydial infections reported to the campus medical
center?
D) In patients aged 8 to 12, is the effectiveness of a pain
scale using faces superior to a numeric rating scale in
the emergency room context?
8. After formulating a clinical question, a nurse has
proceeded to search for evidence for ways to foster restful
sleep in patients who are receiving care in the intensive
care unit (ICU). The nurse has identified a relevant meta-
analysis in an electronic database. What will this source of
evidence consist of?
A) A statistical summary of the results from several different
studies
B) An examination of the theoretical and conceptual
underpinnings of the issue
C) An interdisciplinary analysis of the clinical question
D) A qualitative study of different interventions related to the
clinical question
Page 4
