Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
, Chapterno1noMakingnothenoCasenofornoEvidence-
BasednoPracticenoandnoCultivatingnoanoSpiritnoofnoInquiry
InnothenohospitalnowherenoNursenoL.noprovidesnocare,notraditionnodictatesnothatnooralnot
emperaturesnobenoincludednoinnoeverynosetnoofnopatientnovitalnosigns,noregardlessnoofno
patientnodiagnosisnoornoacuity.noThisnoisnomostnolikelynoannoexamplenoofnowhichnoofnothe
nofollowingnophenomena?
A) Thenoprioritizationnoofnointernalnoevidencenoovernoexternalnoevidence
B) Practicenothatnolacksnoevidencenotonosupportnoitsnoapplication
C) Thenointegrationnoofnopersonalnoexpertisenointononursingnocare
D) Evidence-basednopractice
2. Thenoclinicalnonursenoeducatorno(CNE)noonnoanopostsurgicalnounitnohasnorecentlynoco
mpletednoanopatientnochartnoreviewnoafternothenoimplementationnoofnoanopilotnoprogr
amnoaimednoatnopromotingnoearlynoambulationnofollowingnosurgery.noWhichnoofnothe
nofollowingnocomponentsnoofnoEBPnoisnothenonursenoputtingnointonopractice?
A) Patientnopreferences
B) Researchnoutilization
C) Experience
D) Internalnoevidence
3. NursenoR.nohasnoobservednothatnoreorientingnodementednopatientsnoasnofrequentlynoas
nopossiblenotendsnotonominimizenothenopatients'nolevelnoofnoagitationnoinnothenoevening.n
oThenonursenohasnosharednothisnoobservationnowithnoanocolleague,nowhonoisnoskeptical,
nostatingnothat,no“It'snobestnotonosticknotonoevidence-
basednopractice.”noHownocannoNursenoR.nobestnorespond?
A) “EBPnocannoincludenoclinicians'nopersonalnoexpertise.”
B) “Personalnoexperiencenoisnooftennomorenosoundnothannoformalnoevidence-
basednopractice.”
C) “TraditionalnopracticenoandnoEBPnoarenousuallynoshownnotonobenothenosame.”
D) “Mynoyearsnoofnoexperiencenocannobenojustnoasnovaluablenoasnoanynolitera
turenoreviewnoornorandomizednotrial.”
4. Whichnoofnothenofollowingnofactorsnoprovidesnothenomostnoimportantnorationalenoforn
othenoconsistentnoimplementationnoofnoEBP?
A) EBPnoprovidesnofornothenomostnocost-effectivenopatientnocare.
,B) EBPnoisnoaccessiblenotonoallnohealthcarenoclinicians.
C) EBPnoprovidesnoconsistencynoinnocarenoacrossnohealthcarenosettings.
D) EBPnoimprovesnopatientnooutcomes.
, 5. ThenoInstitutenoofnoMedicine'snoRoundtablenoonnoEvidence-
BasednoMedicinenohasnobeennoestablishednotonoaddressnoEBP.noWhichnoofnoth
enofollowingnoissuesnoisnothenoRoundtablenoemphasizing?
A) Ensuringnothatnoexternalnoevidence,norathernothannointernalnoevidence,noisnoin
tegratednointonocare
B) FosteringnothenolevelnoofnolearningnothatnoexistsnoinnothenoAmericannohealthcarenosystem
C) Issuingnoclinicalnoguidelinesnotonoensurenobestnonursingnopractice
D) ComparingnothenoimplementationnoofnoEBPnoinnothenoUnitednoStatesnowithno
thatnoofnoothernoWesternnocountries
6. Younohavenobecomenofrustratednowithnosomenoaspectsnoofnopatientnocarenothatnoyouno
believenoarenooutdatednoandnoineffectivenoatnothenolong-
termnocarenofacilitynowherenoyounohavenorecentlynobegunnopracticing.noConsequently,n
oyounohavenoresolvednotonoexaminenosomenoofnothesenopracticesnoinnolightnoofnoevidenc
e.noWhichnoofnothenofollowingnoshouldnooccurnofirstnoinnothenostepsnoofnoEBP?
A) Conductingnoannoelectronicnosearchnoofnothenoliteraturenoandnorankingnoindividualnosource
s
B) Creatingno“buy-in”nofromnothenoothernocliniciansnowhonoprovidenocarenoatnothenofacility
C) Developingnoannoinquisitivenoandnocuriousnomindset
D) Assessingnowhethernothenopracticesnoinnoquestionnomay,noinnofact,nobenoevidence-based
7. WhichnoofnothenofollowingnoclinicalnoquestionsnobestnoexemplifiesnothenoPICOTnoformat?
A) Whatnoeffectnodoesnoparents'nosmokingnohavenoonnothenosmokingnohabitsnoofno
theirnochildren,noagesno13notono16?
B) Amongnocancernopatients,nowhatnorolenodoesnomeditation,norathernothannoben
zodiazepines,nohavenoonnoanxietynolevelsnoduringnotheno7nodaysnofollowingnohos
pitalnoadmission?
C) Amongnoundergraduatenocollegenostudents,nowhatnoisnothenoeffectivenessnoofnoan
osexualnohealthnocampaignnoundertakennoduringnothenofirstno4noweeksnoofnothenofa
llnosemesternoasnomeasurednobynoincidencenoofnonewnogonorrhealnoandnochlamyd
ialnoinfectionsnoreportednotonothenocampusnomedicalnocenter?
D) Innopatientsnoagedno8notono12,noisnothenoeffectivenessnoofnoanopainnoscalenousingnof
acesnosuperiornotonoanonumericnoratingnoscalenoinnothenoemergencynoroomnocontext
?
8. Afternoformulatingnoanoclinicalnoquestion,noanonursenohasnoproceedednotonosearchnoforn
oevidencenofornowaysnotonofosternorestfulnosleepnoinnopatientsnowhonoarenoreceivingnoc
arenoinnothenointensivenocarenounitno(ICU).noThenonursenohasnoidentifiednoanorelevantno
meta-
analysisnoinnoannoelectronicnodatabase.noWhatnowillnothisnosourcenoofnoevidencenoconsis
tnoof?
A) Anostatisticalnosummarynoofnothenoresultsnofromnoseveralnodifferentnostudies