Test Bank For Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edition by Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complete

Test Bank For Evidence-Based Practice in Nursing &
Healthcare A Guide to Best Practice 5th Edition by
Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complete

, Chapter 1 Making the Case for Evidence- o o o o o o


Based Practice and Cultivating a Spirit of Inquiry
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In the hospital where Nurse L. provides care, tradition dictate
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s that oral temperatures be included in every set of patient vit
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al signs, regardless of patient diagnosis or acuity. Thisis most l
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ikely an example of which of the following phenomena?
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A) The prioritization of internal evidence over external evidence
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B) Practice that lacks evidence to support its application
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C) The integration of personal expertise into nursing care
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D) Evidence-based practice o




2. The clinical nurse educator (CNE) on a postsurgical unit has r
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ecently completed a patient chart review after the impleme
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ntation of a pilot program aimed at promoting early ambul
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ation following surgery. Which of the following components
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of EBP is thenurse putting into practice?
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A) Patient preferences o


B) Research utilization o


C) Experience
D) Internal evidence o




3. Nurse R. has observed that reorienting demented patients as
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frequently as possible tendsto minimize the patients' level of
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agitation in the evening. The nurse has shared this observatio
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n with a colleague, who is skeptical, stating that, “It's best to st
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ick to evidence-
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, based practice.” How can Nurse R. best respond?
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A) “EBP can include clinicians' personal expertise.”
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B) “Personal experience is often more sound than formal evidence
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-based practice.” o


C) “Traditional practice and EBP are usually shown to be the same.
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”
D) “My years of experience can be just as valuable as
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any literature review orrandomized trial.”
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4. Which of the following factors provides the most important r
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ationale for the consistentimplementation of EBP?
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A) EBP provides for the most cost-effective patient care.
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B) EBP is accessible to all healthcare clinicians.
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C) EBP provides consistency in care across healthcare settings.
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D) EBP improves patient outcomes.
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, 5. The Institute of Medicine's Roundtable on Evidence-
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Based Medicine has beenestablished to address EBP.
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Which of the following issues is the Roundtable empha
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sizing?
A) Ensuring that external evidence, rather than internal ev
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idence, is integrated intocare o o o o


B) Fostering the level of learning that exists in the American healthc
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are system o


C) Issuing clinical guidelines to ensure best nursing practice
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D) Comparing the implementation of EBP in the United St o o o o o o o o


ates with that of otherWestern countries
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6. You have become frustrated with some aspects of patient car
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e that you believe are outdated and ineffective at the long-
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term care facility where you have recently begun practicing.
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Consequently, you have resolved to examine some of these p o o o o o o o o o


ractices in lightof evidence. Which of the following should occ
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ur first in the steps of EBP?
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A) Conducting an electronic search of the literature and ranking in o o o o o o o o o


dividual sources o


B) Creating “buy- o


in” from the other clinicians who provide care at the facility
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C) Developing an inquisitive and curious mindset o o o o o


D) Assessing whether the practices in question may, in fact, be evid
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ence-based


7. Which of the following clinical questions best exemplifies the PICOT
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format?
o


A) What effect does parents' smoking have on the smokin
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g habits of their children,ages 13 to 16?
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B) Among cancer patients, what role does meditation, rath
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er than benzodiazepines,have on anxiety levels during
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