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- Z Z Z Z Z Z
Based Practice and Cultivating a Spirit of Inquiry
Z Z Z Z Z Z Z
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
Z Z Z Z Z Z Z Z Z Z Z
al signs, regardless of patient diagnosis or acuity. Thisis most l
Z Z Z Z Z Z Z Z Z Z Z
ikely an example of which of the following phenomena?
Z Z Z Z Z Z Z Z
A) The prioritization of internal evidence over external evidence
Z Z Z Z Z Z Z
B) Practice that lacks evidence to support its application
Z Z Z Z Z Z Z
C) The integration of personal expertise into nursing care
Z Z Z Z Z Z Z
D) Evidence-based practice Z
2. The clinical nurse educator (CNE) on a postsurgical unit has r
Z Z Z Z Z Z Z Z Z Z
ecently completed a patient chart review after the impleme
Z Z Z Z Z Z Z Z
ntation of a pilot program aimed at promoting early ambul
Z Z Z Z Z Z Z Z Z
ation following surgery. Which of the following components
Z Z Z Z Z Z Z Z
of EBP is thenurse putting into practice?
Z Z Z Z Z Z Z
A) Patient preferences Z
B) Research utilization Z
C) Experience
D) Internal evidence Z
3. Nurse R. has observed that reorienting demented patients as
Z Z Z Z Z Z Z Z Z
frequently as possible tendsto minimize the patients' level of
Z Z Z Z Z Z Z Z Z Z
agitation in the evening. The nurse has shared this observatio
Z Z Z Z Z Z Z Z Z
n with a colleague, who is skeptical, stating that, “It's best to st
Z Z Z Z Z Z Z Z Z Z Z Z
ick to evidence-
Z Z
, based practice.” How can Nurse R. best respond?
Z Z Z Z Z Z Z
A) “EBP can include clinicians' personal expertise.”
Z Z Z Z Z
B) “Personal experience is often more sound than formal evidence
Z Z Z Z Z Z Z Z
-based practice.” Z
C) “Traditional practice and EBP are usually shown to be the same.
Z Z Z Z Z Z Z Z Z Z
”
D) “My years of experience can be just as valuable as
Z Z Z Z Z Z Z Z Z Z
any literature review orrandomized trial.”
Z Z Z Z Z
4. Which of the following factors provides the most important r
Z Z Z Z Z Z Z Z Z
ationale for the consistentimplementation of EBP?
Z Z Z Z Z Z
A) EBP provides for the most cost-effective patient care.
Z Z Z Z Z Z Z
B) EBP is accessible to all healthcare clinicians.
Z Z Z Z Z Z
C) EBP provides consistency in care across healthcare settings.
Z Z Z Z Z Z Z
D) EBP improves patient outcomes.
Z Z Z
, 5. The Institute of Medicine's Roundtable on Evidence-
Z Z Z Z Z Z
Based Medicine has beenestablished to address EBP.
Z Z Z Z Z Z Z Z
Which of the following issues is the Roundtable empha
Z Z Z Z Z Z Z Z
sizing?
A) Ensuring that external evidence, rather than internal ev
Z Z Z Z Z Z Z
idence, is integrated intocare Z Z Z Z
B) Fostering the level of learning that exists in the American healthc
Z Z Z Z Z Z Z Z Z Z
are system Z
C) Issuing clinical guidelines to ensure best nursing practice
Z Z Z Z Z Z Z
D) Comparing the implementation of EBP in the United St Z Z Z Z Z Z Z Z
ates with that of otherWestern countries
Z Z Z Z Z Z
6. You have become frustrated with some aspects of patient car
Z Z Z Z Z Z Z Z Z
e that you believe are outdated and ineffective at the long-
Z Z Z Z Z Z Z Z Z Z
term care facility where you have recently begun practicing.
Z Z Z Z Z Z Z Z Z
Consequently, you have resolved to examine some of these p Z Z Z Z Z Z Z Z Z
ractices in lightof evidence. Which of the following should occ
Z Z Z Z Z Z Z Z Z Z
ur first in the steps of EBP?
Z Z Z Z Z Z
A) Conducting an electronic search of the literature and ranking in Z Z Z Z Z Z Z Z Z
dividual sources Z
B) Creating “buy- Z
in” from the other clinicians who provide care at the facility
Z Z Z Z Z Z Z Z Z Z
C) Developing an inquisitive and curious mindset Z Z Z Z Z
D) Assessing whether the practices in question may, in fact, be evid
Z Z Z Z Z Z Z Z Z Z
ence-based
7. Which of the following clinical questions best exemplifies the PICOT
Z Z Z Z Z Z Z Z Z
format?
Z
A) What effect does parents' smoking have on the smokin
Z Z Z Z Z Z Z Z
g habits of their children,ages 13 to 16?
Z Z Z Z Z Z Z Z
B) Among cancer patients, what role does meditation, rath
Z Z Z Z Z Z Z
er than benzodiazepines,have on anxiety levels during
Z Z Z Z Z Z Z Z
Healthcare A Guide to Best Practice 5th Edition by
Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complete
, Chapter 1 Making the Case for Evidence- Z Z Z Z Z Z
Based Practice and Cultivating a Spirit of Inquiry
Z Z Z Z Z Z Z
In the hospital where Nurse L. provides care, tradition dictate
Z Z Z Z Z Z Z Z Z
s that oral temperatures be included in every set of patient vit
Z Z Z Z Z Z Z Z Z Z Z
al signs, regardless of patient diagnosis or acuity. Thisis most l
Z Z Z Z Z Z Z Z Z Z Z
ikely an example of which of the following phenomena?
Z Z Z Z Z Z Z Z
A) The prioritization of internal evidence over external evidence
Z Z Z Z Z Z Z
B) Practice that lacks evidence to support its application
Z Z Z Z Z Z Z
C) The integration of personal expertise into nursing care
Z Z Z Z Z Z Z
D) Evidence-based practice Z
2. The clinical nurse educator (CNE) on a postsurgical unit has r
Z Z Z Z Z Z Z Z Z Z
ecently completed a patient chart review after the impleme
Z Z Z Z Z Z Z Z
ntation of a pilot program aimed at promoting early ambul
Z Z Z Z Z Z Z Z Z
ation following surgery. Which of the following components
Z Z Z Z Z Z Z Z
of EBP is thenurse putting into practice?
Z Z Z Z Z Z Z
A) Patient preferences Z
B) Research utilization Z
C) Experience
D) Internal evidence Z
3. Nurse R. has observed that reorienting demented patients as
Z Z Z Z Z Z Z Z Z
frequently as possible tendsto minimize the patients' level of
Z Z Z Z Z Z Z Z Z Z
agitation in the evening. The nurse has shared this observatio
Z Z Z Z Z Z Z Z Z
n with a colleague, who is skeptical, stating that, “It's best to st
Z Z Z Z Z Z Z Z Z Z Z Z
ick to evidence-
Z Z
, based practice.” How can Nurse R. best respond?
Z Z Z Z Z Z Z
A) “EBP can include clinicians' personal expertise.”
Z Z Z Z Z
B) “Personal experience is often more sound than formal evidence
Z Z Z Z Z Z Z Z
-based practice.” Z
C) “Traditional practice and EBP are usually shown to be the same.
Z Z Z Z Z Z Z Z Z Z
”
D) “My years of experience can be just as valuable as
Z Z Z Z Z Z Z Z Z Z
any literature review orrandomized trial.”
Z Z Z Z Z
4. Which of the following factors provides the most important r
Z Z Z Z Z Z Z Z Z
ationale for the consistentimplementation of EBP?
Z Z Z Z Z Z
A) EBP provides for the most cost-effective patient care.
Z Z Z Z Z Z Z
B) EBP is accessible to all healthcare clinicians.
Z Z Z Z Z Z
C) EBP provides consistency in care across healthcare settings.
Z Z Z Z Z Z Z
D) EBP improves patient outcomes.
Z Z Z
, 5. The Institute of Medicine's Roundtable on Evidence-
Z Z Z Z Z Z
Based Medicine has beenestablished to address EBP.
Z Z Z Z Z Z Z Z
Which of the following issues is the Roundtable empha
Z Z Z Z Z Z Z Z
sizing?
A) Ensuring that external evidence, rather than internal ev
Z Z Z Z Z Z Z
idence, is integrated intocare Z Z Z Z
B) Fostering the level of learning that exists in the American healthc
Z Z Z Z Z Z Z Z Z Z
are system Z
C) Issuing clinical guidelines to ensure best nursing practice
Z Z Z Z Z Z Z
D) Comparing the implementation of EBP in the United St Z Z Z Z Z Z Z Z
ates with that of otherWestern countries
Z Z Z Z Z Z
6. You have become frustrated with some aspects of patient car
Z Z Z Z Z Z Z Z Z
e that you believe are outdated and ineffective at the long-
Z Z Z Z Z Z Z Z Z Z
term care facility where you have recently begun practicing.
Z Z Z Z Z Z Z Z Z
Consequently, you have resolved to examine some of these p Z Z Z Z Z Z Z Z Z
ractices in lightof evidence. Which of the following should occ
Z Z Z Z Z Z Z Z Z Z
ur first in the steps of EBP?
Z Z Z Z Z Z
A) Conducting an electronic search of the literature and ranking in Z Z Z Z Z Z Z Z Z
dividual sources Z
B) Creating “buy- Z
in” from the other clinicians who provide care at the facility
Z Z Z Z Z Z Z Z Z Z
C) Developing an inquisitive and curious mindset Z Z Z Z Z
D) Assessing whether the practices in question may, in fact, be evid
Z Z Z Z Z Z Z Z Z Z
ence-based
7. Which of the following clinical questions best exemplifies the PICOT
Z Z Z Z Z Z Z Z Z
format?
Z
A) What effect does parents' smoking have on the smokin
Z Z Z Z Z Z Z Z
g habits of their children,ages 13 to 16?
Z Z Z Z Z Z Z Z
B) Among cancer patients, what role does meditation, rath
Z Z Z Z Z Z Z
er than benzodiazepines,have on anxiety levels during
Z Z Z Z Z Z Z Z
