TEST BANK FOR
EVIDENCE BASED
PRACTICE IN NURSING
AND HEALTHCARE 4TH
EDITION BY MELNYK
All chapters
Page 1WWW.TESTBANKTANK.COM
, Chapter f1 fMaking fthe fCase ffor fEvidence-Based fPractice fand fCultivating fa fSpirit
fof fInquiry f
1. In fthe fhospital fwhere fNurse fL. fprovides fcare, ftradition fdictates fthat foral ftemperatures
fbe fincluded fin fevery fset fof fpatient fvital fsigns, fregardless fof fpatient fdiagnosis for facuity.
fThis fis fmost flikely fan fexample fof fwhich fof fthe ffollowing fphenomena?
A) The fprioritization fof finternal fevidence fover fexternal fevidence
B) Practice fthat flacks fevidence fto fsupport fits fapplication
C) The fintegration fof fpersonal fexpertise finto fnursing fcare
D) Evidence-based fpractice
2. The fclinical fnurse feducator f(CNE) fon fa fpostsurgical funit fhas frecently fcompleted fa
fpatient fchart freview fafter fthe fimplementation fof fa fpilot fprogram faimed fat fpromoting
fearly fambulation ffollowing fsurgery. fWhich fof fthe ffollowing fcomponents fof fEBP fis fthe
fnurse fputting finto fpractice? fA) Patient fpreferences
B) Research futilization
C) Experience
D) Internal fevidence
3. Nurse fR. fhas fobserved fthat freorienting fdemented fpatients fas ffrequently fas fpossible
ftends fto fminimize fthe fpatients' flevel fof fagitation fin fthe fevening. fThe fnurse fhas fshared
fthis fobservation fwith fa fcolleague, fwho fis fskeptical, fstating fthat, f“It's fbest fto fstick fto
fevidence-based fpractice.” fHow fcan fNurse fR. fbest frespond?
A) “EBP fcan finclude fclinicians' fpersonal fexpertise.”
B) “Personal fexperience fis foften fmore fsound fthan fformal fevidence-based fpractice.”
C) “Traditional fpractice fand fEBP fare fusually fshown fto fbe fthe fsame.”
D) “My fyears fof fexperience fcan fbe fjust fas fvaluable fas fany fliterature freview for
frandomized ftrial.”
4. Which fof fthe ffollowing ffactors fprovides fthe fmost fimportant frationale ffor fthe fconsistent
fimplementation fof fEBP?
A) EBP fprovides ffor fthe fmost fcost-effective fpatient fcare.
B) EBP fis faccessible fto fall fhealthcare fclinicians.
C) EBP fprovides fconsistency fin fcare facross fhealthcare fsettings.
D) EBP fimproves fpatient foutcomes.
Page 2WWW.TESTBANKTANK.COM
,5. The fInstitute fof fMedicine's fRoundtable fon fEvidence-Based fMedicine fhas fbeen
festablished fto faddress fEBP. fWhich fof fthe ffollowing fissues fis fthe fRoundtable f
emphasizing?
A) Ensuring fthat fexternal fevidence, frather fthan finternal fevidence, fis fintegrated finto
fcare
B) Fostering fthe flevel fof flearning fthat fexists fin fthe fAmerican fhealthcare fsystem
C) Issuing fclinical fguidelines fto fensure fbest fnursing fpractice
D) Comparing fthe fimplementation fof fEBP fin fthe fUnited fStates fwith fthat fof fother
fWestern fcountries
6. You fhave fbecome ffrustrated fwith fsome faspects fof fpatient fcare fthat fyou fbelieve fare
foutdated fand fineffective fat fthe flong-term fcare ffacility fwhere fyou fhave frecently fbegun
fpracticing. fConsequently, fyou fhave fresolved fto fexamine fsome fof fthese fpractices fin
flight fof fevidence. fWhich fof fthe ffollowing fshould foccur ffirst fin fthe fsteps fof fEBP?
A) Conducting fan felectronic fsearch fof fthe fliterature fand franking findividual fsources
B) Creating f“buy-in” ffrom fthe fother fclinicians fwho fprovide fcare fat fthe ffacility
C) Developing fan finquisitive fand fcurious fmindset
D) Assessing fwhether fthe fpractices fin fquestion fmay, fin ffact, fbe fevidence-based
7. Which fof fthe ffollowing fclinical fquestions fbest fexemplifies fthe fPICOT fformat?
A) What feffect fdoes fparents' fsmoking fhave fon fthe fsmoking fhabits fof ftheir fchildren,
fages f13 fto f16?
B) Among fcancer fpatients, fwhat frole fdoes fmeditation, frather fthan fbenzodiazepines,
fhave fon fanxiety flevels fduring fthe f7 fdays ffollowing fhospital fadmission?
C) Among fundergraduate fcollege fstudents, fwhat fis fthe feffectiveness fof fa fsexual fhealth
fcampaign fundertaken fduring fthe ffirst f4 fweeks fof fthe ffall fsemester fas fmeasured fby
fincidence fof fnew fgonorrheal fand fchlamydial finfections freported fto fthe fcampus
fmedical fcenter?
D) In fpatients faged f8 fto f12, fis fthe feffectiveness fof fa fpain fscale fusing ffaces fsuperior fto fa
fnumeric frating fscale fin fthe femergency froom fcontext?
8. After fformulating fa fclinical fquestion, fa fnurse fhas fproceeded fto fsearch ffor fevidence ffor
fways fto ffoster frestful fsleep fin fpatients fwho fare freceiving fcare fin fthe fintensive fcare funit
f(ICU). fThe fnurse fhas fidentified fa frelevant fmeta-analysis fin fan felectronic fdatabase.
fWhat fwill fthis fsource fof fevidence fconsist fof?
A) A fstatistical fsummary fof fthe fresults ffrom fseveral fdifferent fstudies
B) An fexamination fof fthe ftheoretical fand fconceptual funderpinnings fof fthe fissue
C) An finterdisciplinary fanalysis fof fthe fclinical fquestion
Page 3WWW.TESTBANKTANK.COM
, D) A fqualitative fstudy fof fdifferent finterventions frelated fto fthe fclinical fquestion
9. The fnurses fon fa fpostpartum funit fhave fnoted fthat fmany fprimiparous f(first-time) fmothers
fare fgiving fup fon fbreastfeeding fwithin fthe f24 fhours ffollowing fdelivery, fand fthe fnurses
fwant fto fcreate funiform fguidelines ffor fpromoting fbreastfeeding fon fthe funit. fWhich fof
fthe ffollowing fsources fis fmost flikely fto fprovide fthe fbest fevidence fin ftheir fquest ffor fan f
intervention?
A) Evidence ffrom fa frandomized fcontrol ftrial fthat fhad fmore fthan f2500 fparticipants
B) Evidence ffrom fa fstudy fthat fis fwidely fregarded fas fa fclassic fwithin fthe fobstetrical
fnursing fcommunity
C) Evidence ffrom fa fsystematic freview fof fbreastfeeding-promotion fstudies fthat fone fof
fthe fnurses fidentified fin fan felectronic fdatabase
D) The fconsensus fopinion fof fthe fmost fsenior fnurses fon fthe funit
10. The fnurse feducator fon fan facute fmedicine funit fis fadvocating ffor fthe fuse fof fevidence-
based fclinical fpractice fguidelines fon fwound fcare fin forder fto fstandardize fand foptimize
fthe fpractice fof fthe fnurses fon fthe funit. fWhich fof fthe ffollowing fstatements fbest fdescribes
fclinical fpractice fguidelines?
A) The fresult fof freplication fstudies fof fexisting fresearch fby fan fimpartial fthird fparty
B) A fcollection fof fauthorized finterventions fthat fare frequired fby flaw
C) A fnumber fof finterventions fthat fare fthe fresult fof fa flarge, fpublically-funded fRCT
D) A fgroup fof fpractice frecommendations fthat fresult ffrom fa frigorous freview fof fthe
fliterature
11. A fnurse fis fconducting fa fliterature freview fon fthe fevidence fregarding fthe fuse fof fvacuum
fdressings fon fstage fIV fpressure fulcers. fAfter flocating fa frecent fstudy fthat fappears fto fbe
frelevant, fwhich fof fthe ffollowing fquestions fwould fthe fnurse fconsider ffirst fwhen
fcritically fappraising fthe fstudy?
A) “Are fthe ffindings fof fthis fstudy fcost-effective fin four fclinical fcontext?”
B) "How fwould fthe fimplementation fof fthis fintervention faffect four fstaffing fneeds?"
C) “Were fthe fpatients fin fthe fstudy fsimilar fto fthe fpatients fon fmy funit?”
D) “Are fthe ffindings fof fthe fstudy fsignificantly fdifferent ffrom fwhat fwe fare fcurrently
fdoing fon fthe funit?
12. The fprimary fcare fprovider fof fa f49-year-old fmale fpatient fhas fexamined fand fbriefly
fexplained fthe fevidence fthat fsupports fbeginning fregular fdigital-rectal fexams. fWhich fof
fthe ffollowing ffactors fwould fjustify fnot fperforming fdigital-rectal fexaminations fin fthis
fpatient's fcare?
A) The fpatient fis fvehemently fopposed fto fundergoing fa fdigital-rectal fexam.
Page 4WWW.TESTBANKTANK.COM
EVIDENCE BASED
PRACTICE IN NURSING
AND HEALTHCARE 4TH
EDITION BY MELNYK
All chapters
Page 1WWW.TESTBANKTANK.COM
, Chapter f1 fMaking fthe fCase ffor fEvidence-Based fPractice fand fCultivating fa fSpirit
fof fInquiry f
1. In fthe fhospital fwhere fNurse fL. fprovides fcare, ftradition fdictates fthat foral ftemperatures
fbe fincluded fin fevery fset fof fpatient fvital fsigns, fregardless fof fpatient fdiagnosis for facuity.
fThis fis fmost flikely fan fexample fof fwhich fof fthe ffollowing fphenomena?
A) The fprioritization fof finternal fevidence fover fexternal fevidence
B) Practice fthat flacks fevidence fto fsupport fits fapplication
C) The fintegration fof fpersonal fexpertise finto fnursing fcare
D) Evidence-based fpractice
2. The fclinical fnurse feducator f(CNE) fon fa fpostsurgical funit fhas frecently fcompleted fa
fpatient fchart freview fafter fthe fimplementation fof fa fpilot fprogram faimed fat fpromoting
fearly fambulation ffollowing fsurgery. fWhich fof fthe ffollowing fcomponents fof fEBP fis fthe
fnurse fputting finto fpractice? fA) Patient fpreferences
B) Research futilization
C) Experience
D) Internal fevidence
3. Nurse fR. fhas fobserved fthat freorienting fdemented fpatients fas ffrequently fas fpossible
ftends fto fminimize fthe fpatients' flevel fof fagitation fin fthe fevening. fThe fnurse fhas fshared
fthis fobservation fwith fa fcolleague, fwho fis fskeptical, fstating fthat, f“It's fbest fto fstick fto
fevidence-based fpractice.” fHow fcan fNurse fR. fbest frespond?
A) “EBP fcan finclude fclinicians' fpersonal fexpertise.”
B) “Personal fexperience fis foften fmore fsound fthan fformal fevidence-based fpractice.”
C) “Traditional fpractice fand fEBP fare fusually fshown fto fbe fthe fsame.”
D) “My fyears fof fexperience fcan fbe fjust fas fvaluable fas fany fliterature freview for
frandomized ftrial.”
4. Which fof fthe ffollowing ffactors fprovides fthe fmost fimportant frationale ffor fthe fconsistent
fimplementation fof fEBP?
A) EBP fprovides ffor fthe fmost fcost-effective fpatient fcare.
B) EBP fis faccessible fto fall fhealthcare fclinicians.
C) EBP fprovides fconsistency fin fcare facross fhealthcare fsettings.
D) EBP fimproves fpatient foutcomes.
Page 2WWW.TESTBANKTANK.COM
,5. The fInstitute fof fMedicine's fRoundtable fon fEvidence-Based fMedicine fhas fbeen
festablished fto faddress fEBP. fWhich fof fthe ffollowing fissues fis fthe fRoundtable f
emphasizing?
A) Ensuring fthat fexternal fevidence, frather fthan finternal fevidence, fis fintegrated finto
fcare
B) Fostering fthe flevel fof flearning fthat fexists fin fthe fAmerican fhealthcare fsystem
C) Issuing fclinical fguidelines fto fensure fbest fnursing fpractice
D) Comparing fthe fimplementation fof fEBP fin fthe fUnited fStates fwith fthat fof fother
fWestern fcountries
6. You fhave fbecome ffrustrated fwith fsome faspects fof fpatient fcare fthat fyou fbelieve fare
foutdated fand fineffective fat fthe flong-term fcare ffacility fwhere fyou fhave frecently fbegun
fpracticing. fConsequently, fyou fhave fresolved fto fexamine fsome fof fthese fpractices fin
flight fof fevidence. fWhich fof fthe ffollowing fshould foccur ffirst fin fthe fsteps fof fEBP?
A) Conducting fan felectronic fsearch fof fthe fliterature fand franking findividual fsources
B) Creating f“buy-in” ffrom fthe fother fclinicians fwho fprovide fcare fat fthe ffacility
C) Developing fan finquisitive fand fcurious fmindset
D) Assessing fwhether fthe fpractices fin fquestion fmay, fin ffact, fbe fevidence-based
7. Which fof fthe ffollowing fclinical fquestions fbest fexemplifies fthe fPICOT fformat?
A) What feffect fdoes fparents' fsmoking fhave fon fthe fsmoking fhabits fof ftheir fchildren,
fages f13 fto f16?
B) Among fcancer fpatients, fwhat frole fdoes fmeditation, frather fthan fbenzodiazepines,
fhave fon fanxiety flevels fduring fthe f7 fdays ffollowing fhospital fadmission?
C) Among fundergraduate fcollege fstudents, fwhat fis fthe feffectiveness fof fa fsexual fhealth
fcampaign fundertaken fduring fthe ffirst f4 fweeks fof fthe ffall fsemester fas fmeasured fby
fincidence fof fnew fgonorrheal fand fchlamydial finfections freported fto fthe fcampus
fmedical fcenter?
D) In fpatients faged f8 fto f12, fis fthe feffectiveness fof fa fpain fscale fusing ffaces fsuperior fto fa
fnumeric frating fscale fin fthe femergency froom fcontext?
8. After fformulating fa fclinical fquestion, fa fnurse fhas fproceeded fto fsearch ffor fevidence ffor
fways fto ffoster frestful fsleep fin fpatients fwho fare freceiving fcare fin fthe fintensive fcare funit
f(ICU). fThe fnurse fhas fidentified fa frelevant fmeta-analysis fin fan felectronic fdatabase.
fWhat fwill fthis fsource fof fevidence fconsist fof?
A) A fstatistical fsummary fof fthe fresults ffrom fseveral fdifferent fstudies
B) An fexamination fof fthe ftheoretical fand fconceptual funderpinnings fof fthe fissue
C) An finterdisciplinary fanalysis fof fthe fclinical fquestion
Page 3WWW.TESTBANKTANK.COM
, D) A fqualitative fstudy fof fdifferent finterventions frelated fto fthe fclinical fquestion
9. The fnurses fon fa fpostpartum funit fhave fnoted fthat fmany fprimiparous f(first-time) fmothers
fare fgiving fup fon fbreastfeeding fwithin fthe f24 fhours ffollowing fdelivery, fand fthe fnurses
fwant fto fcreate funiform fguidelines ffor fpromoting fbreastfeeding fon fthe funit. fWhich fof
fthe ffollowing fsources fis fmost flikely fto fprovide fthe fbest fevidence fin ftheir fquest ffor fan f
intervention?
A) Evidence ffrom fa frandomized fcontrol ftrial fthat fhad fmore fthan f2500 fparticipants
B) Evidence ffrom fa fstudy fthat fis fwidely fregarded fas fa fclassic fwithin fthe fobstetrical
fnursing fcommunity
C) Evidence ffrom fa fsystematic freview fof fbreastfeeding-promotion fstudies fthat fone fof
fthe fnurses fidentified fin fan felectronic fdatabase
D) The fconsensus fopinion fof fthe fmost fsenior fnurses fon fthe funit
10. The fnurse feducator fon fan facute fmedicine funit fis fadvocating ffor fthe fuse fof fevidence-
based fclinical fpractice fguidelines fon fwound fcare fin forder fto fstandardize fand foptimize
fthe fpractice fof fthe fnurses fon fthe funit. fWhich fof fthe ffollowing fstatements fbest fdescribes
fclinical fpractice fguidelines?
A) The fresult fof freplication fstudies fof fexisting fresearch fby fan fimpartial fthird fparty
B) A fcollection fof fauthorized finterventions fthat fare frequired fby flaw
C) A fnumber fof finterventions fthat fare fthe fresult fof fa flarge, fpublically-funded fRCT
D) A fgroup fof fpractice frecommendations fthat fresult ffrom fa frigorous freview fof fthe
fliterature
11. A fnurse fis fconducting fa fliterature freview fon fthe fevidence fregarding fthe fuse fof fvacuum
fdressings fon fstage fIV fpressure fulcers. fAfter flocating fa frecent fstudy fthat fappears fto fbe
frelevant, fwhich fof fthe ffollowing fquestions fwould fthe fnurse fconsider ffirst fwhen
fcritically fappraising fthe fstudy?
A) “Are fthe ffindings fof fthis fstudy fcost-effective fin four fclinical fcontext?”
B) "How fwould fthe fimplementation fof fthis fintervention faffect four fstaffing fneeds?"
C) “Were fthe fpatients fin fthe fstudy fsimilar fto fthe fpatients fon fmy funit?”
D) “Are fthe ffindings fof fthe fstudy fsignificantly fdifferent ffrom fwhat fwe fare fcurrently
fdoing fon fthe funit?
12. The fprimary fcare fprovider fof fa f49-year-old fmale fpatient fhas fexamined fand fbriefly
fexplained fthe fevidence fthat fsupports fbeginning fregular fdigital-rectal fexams. fWhich fof
fthe ffollowing ffactors fwould fjustify fnot fperforming fdigital-rectal fexaminations fin fthis
fpatient's fcare?
A) The fpatient fis fvehemently fopposed fto fundergoing fa fdigital-rectal fexam.
Page 4WWW.TESTBANKTANK.COM
