Test Bank For Evidence-Based Practice in Nursing & Healthcare A
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
,Chapter 1 Making the Case for Evidence-Based Practice
and Cultivating a Spirit of Inquiry
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.
Thisis 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
tendsto 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 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
orrandomized trial.”
4. Which of the following factors provides the most important rationale for the
consistentimplementation 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.
,5. The mInstitute mof mMedicine's mRoundtable mon mEvidence-Based mMedicine
mhas mbeenmestablished mto maddress mEBP. mWhich mof mthe mfollowing
missues mis mthe mRoundtable memphasizing?
A) Ensuring mthat mexternal mevidence, mrather mthan minternal mevidence, mis
mintegrated mintomcare
B) Fostering mthe mlevel mof mlearning mthat mexists min mthe mAmerican mhealthcare msystem
C) Issuing mclinical mguidelines mto mensure mbest mnursing mpractice
D) Comparing mthe mimplementation mof mEBP min mthe mUnited mStates mwith
mthat mof mothermWestern mcountries
6. You mhave mbecome mfrustrated mwith msome maspects mof mpatient mcare mthat myou
mbelieve mare moutdated mand mineffective mat mthe mlong-term mcare mfacility mwhere
myou mhave mrecently mbegun mpracticing. mConsequently, myou mhave mresolved mto
mexamine msome mof mthese mpractices min mlightmof mevidence. mWhich mof mthe
mfollowing mshould moccur mfirst min mthe msteps mof mEBP?
A) Conducting man melectronic msearch mof mthe mliterature mand mranking mindividual msources
B) Creating m“buy-in” mfrom mthe mother mclinicians mwho mprovide mcare mat mthe mfacility
C) Developing man minquisitive mand mcurious mmindset
D) Assessing mwhether mthe mpractices min mquestion mmay, min mfact, mbe mevidence-based
7. Which mof mthe mfollowing mclinical mquestions mbest mexemplifies mthe mPICOT mformat?
A) What meffect mdoes mparents' msmoking mhave mon mthe msmoking mhabits mof
mtheir mchildren,mages m13 mto m16?
B) Among mcancer mpatients, mwhat mrole mdoes mmeditation, mrather mthan
mbenzodiazepines,mhave mon manxiety mlevels mduring mthe m7 mdays mfollowing
mhospital madmission?
C) Among mundergraduate mcollege mstudents, mwhat mis mthe meffectiveness mof ma
msexual mhealthmcampaign mundertaken mduring mthe mfirst m4 mweeks mof mthe
mfall msemester mas mmeasured mby mincidence mof mnew mgonorrheal mand
mchlamydial minfections mreported mto mthe mcampus mmedical mcenter?
D) In mpatients maged m8 mto m12, mis mthe meffectiveness mof ma mpain mscale musing
mfaces msuperior mto mamnumeric mrating mscale min mthe memergency mroom
mcontext?
8. After mformulating ma mclinical mquestion, ma mnurse mhas mproceeded mto msearch mfor
mevidence mfor mways mto mfoster mrestful msleep min mpatients mwho mare mreceiving
mcare min mthe mintensive mcare munit m(ICU). mThe mnurse mhas midentified ma mrelevant
mmeta-analysis min man melectronic mdatabase. mWhatmwill mthis msource mof mevidence
mconsist mof?
A) A mstatistical msummary mof mthe mresults mfrom mseveral mdifferent mstudies
B) An mexamination mof mthe mtheoretical mand mconceptual munderpinnings mof mthe missue
C) An minterdisciplinary manalysis mof mthe mclinical mquestion
, D) A mqualitative mstudy mof mdifferent minterventions mrelated mto mthe mclinical mquestion
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
,Chapter 1 Making the Case for Evidence-Based Practice
and Cultivating a Spirit of Inquiry
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.
Thisis 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
tendsto 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 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
orrandomized trial.”
4. Which of the following factors provides the most important rationale for the
consistentimplementation 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.
,5. The mInstitute mof mMedicine's mRoundtable mon mEvidence-Based mMedicine
mhas mbeenmestablished mto maddress mEBP. mWhich mof mthe mfollowing
missues mis mthe mRoundtable memphasizing?
A) Ensuring mthat mexternal mevidence, mrather mthan minternal mevidence, mis
mintegrated mintomcare
B) Fostering mthe mlevel mof mlearning mthat mexists min mthe mAmerican mhealthcare msystem
C) Issuing mclinical mguidelines mto mensure mbest mnursing mpractice
D) Comparing mthe mimplementation mof mEBP min mthe mUnited mStates mwith
mthat mof mothermWestern mcountries
6. You mhave mbecome mfrustrated mwith msome maspects mof mpatient mcare mthat myou
mbelieve mare moutdated mand mineffective mat mthe mlong-term mcare mfacility mwhere
myou mhave mrecently mbegun mpracticing. mConsequently, myou mhave mresolved mto
mexamine msome mof mthese mpractices min mlightmof mevidence. mWhich mof mthe
mfollowing mshould moccur mfirst min mthe msteps mof mEBP?
A) Conducting man melectronic msearch mof mthe mliterature mand mranking mindividual msources
B) Creating m“buy-in” mfrom mthe mother mclinicians mwho mprovide mcare mat mthe mfacility
C) Developing man minquisitive mand mcurious mmindset
D) Assessing mwhether mthe mpractices min mquestion mmay, min mfact, mbe mevidence-based
7. Which mof mthe mfollowing mclinical mquestions mbest mexemplifies mthe mPICOT mformat?
A) What meffect mdoes mparents' msmoking mhave mon mthe msmoking mhabits mof
mtheir mchildren,mages m13 mto m16?
B) Among mcancer mpatients, mwhat mrole mdoes mmeditation, mrather mthan
mbenzodiazepines,mhave mon manxiety mlevels mduring mthe m7 mdays mfollowing
mhospital madmission?
C) Among mundergraduate mcollege mstudents, mwhat mis mthe meffectiveness mof ma
msexual mhealthmcampaign mundertaken mduring mthe mfirst m4 mweeks mof mthe
mfall msemester mas mmeasured mby mincidence mof mnew mgonorrheal mand
mchlamydial minfections mreported mto mthe mcampus mmedical mcenter?
D) In mpatients maged m8 mto m12, mis mthe meffectiveness mof ma mpain mscale musing
mfaces msuperior mto mamnumeric mrating mscale min mthe memergency mroom
mcontext?
8. After mformulating ma mclinical mquestion, ma mnurse mhas mproceeded mto msearch mfor
mevidence mfor mways mto mfoster mrestful msleep min mpatients mwho mare mreceiving
mcare min mthe mintensive mcare munit m(ICU). mThe mnurse mhas midentified ma mrelevant
mmeta-analysis min man melectronic mdatabase. mWhatmwill mthis msource mof mevidence
mconsist mof?
A) A mstatistical msummary mof mthe mresults mfrom mseveral mdifferent mstudies
B) An mexamination mof mthe mtheoretical mand mconceptual munderpinnings mof mthe missue
C) An minterdisciplinary manalysis mof mthe mclinical mquestion
, D) A mqualitative mstudy mof mdifferent minterventions mrelated mto mthe mclinical mquestion
