Chapter 05: Evidence-Based Practice
Chapter 05: Evidence-Based Practice
Potter et al.: Fundamentals of Nursing, 9th Edition
MULTIPLE CHOICE
1. A nurse uses evidence-based practice (EBP) to provide nursing care. What is the best rationale for
the nurse’s behavior?
a. EBP is a guide for nurses in making clinical decisions.
b. EBP is based on the latest textbook information.
c. EBP is easily attained at the bedside.
d. EBP is always right for all situations.
ANS: A
Evidence-based practice (EBP) is a guide for nurses to structure how to make appropriate, timely,
and effective clinical decisions. A textbook relies on the scientific literature, which may be outdated
by the time the book is published. Unfortunately, much of the best evidence never reaches the
bedside. EBP is not to be blindly applied without using good judgment and critical thinking skills.
DIF: Understand (comprehension) REF: 52
OBJ: Discuss the benefits of evidence-based practice. TOP: Evaluation
MSC: Management of Care
2. In caring for patients, what must the nurse remember about evidence-based practice (EBP)?
a. EBP is the only valid source of knowledge that should be used.
about:blank 1/18
,11/26/23, 7:09 AM Chapter 05 Evidence-Based Practice
b. EBP is secondary to traditional or convenient care knowledge.
c. EBP is dependent on patient values and expectations.
d. EBP is not shown to provide better patient outcomes.
ANS: C
Even when the best evidence available is used, application and outcomes will differ based on patient
values, preferences, concerns, and/or expectations. Nurses often care for patients on the basis of
tradition or convenience. Although these sources have value, it is important to learn to rely more on
research evidence than on nonresearch evidence. Evidence-based care improves quality, safety,
patient outcomes, and nurse satisfaction while reducing costs.
DIF: Understand (comprehension) REF: 53
OBJ: Discuss the benefits of evidence-based practice. TOP: Implementation
MSC: Management of Care
3. A nurse wants to change a patient procedure. Which action will the nurse take to easily find
research evidence to support this change?
a. Read all the articles found on the Internet.
b. Make a general search of the Internet.
c. Use a PICOT format for the search.
d. Start with a broad question.
ANS: C
The more focused the question is, the easier it becomes to search for evidence in the scientific
literature. The PICO format allows the nurse to ask focused questions that are intervention based.
Inappropriately formed questions (general search or broad question) will likely lead to irrelevant
about:blank 2/18
, 11/26/23, 7:09 AM Chapter 05 Evidence-Based Practice
sources of information. It is not beneficial to read hundreds of articles. It is more beneficial to read
the best four to six articles that specifically address the question.
DIF: Apply (application) REF: 54
OBJ: Describe the steps of evidence-based practice. TOP: Implementation
MSC: Management of Care
4. A nurse has collected several research findings for evidence-based practice. Which article will be
the best for the nurse to use?
a. An article that uses randomized controlled trials (RCT)
b. An article that is an opinion of expert committees
c. An article that uses qualitative research
d. An article that is peer-reviewed
ANS: A
Individual RCTs are the highest level of evidence or “gold standard” for research. A peer-reviewed
article means that a panel of experts has reviewed the article; this is not a research method.
Qualitative research is valuable in identifying information about how patients cope with or manage
various health problems and their perceptions of illness. It does not usually have the robustness of an
RCT. Expert opinion is on the bottom of the hierarchical pyramid of evidence.
DIF: Understand (comprehension) REF: 55-56
OBJ: Explain the levels of evidence available in the literature. TOP: Assessment
MSC: Management of Care
5. The nurse is reviewing a research article on a patient care topic. Which area should entice the
nurse to read the article?
a. Literature review
about:blank 3/18