TEST BANK FOR
wn wn
EVIDENCE BASED wn
PRACTICE IN NURSING
wn wn
AND HEALTHCARE 4TH
wn wn
EDITION BY MELNYK
wn wn
All chapters
wn
,Chapter 1 Making the Case for Evidence-Based
wn wn wn wn wn wn
Practice and Cultivating a Spirit of Inquiry
wn wn wn wn wn wn wn
,1. In wnthe wnhospital wnwhere wnNurse wnL. wnprovides wncare, wntradition wndictates wnthat wnoral
wntemperatures wnbe wnincluded wnin wnevery wnset wnof wnpatient wnvital wnsigns, wnregardless wnof
wnpatient wndiagnosis wnor wnacuity. wnThis wnis wnmost wnlikely wnan wnexample wnof wnwhich wnof wnthe
wnfollowing wnphenomena?
A) The wnprioritization wnof wninternal wnevidence wnover wnexternal wnevidence
B) Practice wnthat wnlacks wnevidence wnto wnsupport wnits wnapplication
C) The wnintegration wnof wnpersonal wnexpertise wninto wnnursing wncare
D) Evidence-based wnpractice
2. The wnclinical wnnurse wneducator wn(CNE) wnon wna wnpostsurgical wnunit wnhas wnrecently
wncompleted wna wnpatient wnchart wnreview wnafter wnthe wnimplementation wnof wna wnpilot
wnprogram wnaimed wnat wnpromoting wnearly wnambulation wnfollowing wnsurgery. wnWhich wnof
wnthe wnfollowing wncomponents wnof wnEBP wnis wnthe wnnurse wnputting wninto wnpractice?
A) Patient wnpreferences
B) Research wnutilization
C) Experience
D) Internal wnevidence
3. Nurse wnR. wnhas wnobserved wnthat wnreorienting wndemented wnpatients wnas wnfrequently wnas
wnpossible wntends wnto wnminimize wnthe wnpatients' wnlevel wnof wnagitation wnin wnthe wnevening.
wnThe wnnurse wnhas wnshared wnthis wnobservation wnwith wna wncolleague, wnwho wnis wnskeptical,
wnstating wnthat, wn“It's wnbest wnto wnstick wnto wnevidence-based wnpractice.” wnHow wncan wnNurse
wnR. wnbest wnrespond?
A) “EBP wncan wninclude wnclinicians' wnpersonal wnexpertise.”
B) “Personal wnexperience wnis wnoften wnmore wnsound wnthan wnformal wnevidence-based wnpractice.”
C) “Traditional wnpractice wnand wnEBP wnare wnusually wnshown wnto wnbe wnthe wnsame.”
D) “My wnyears wnof wnexperience wncan wnbe wnjust wnas wnvaluable wnas wnany wnliterature
wnreview wnor wnrandomized wntrial.”
4. Which wnof wnthe wnfollowing wnfactors wnprovides wnthe wnmost wnimportant wnrationale wnfor wnthe
wnconsistent wnimplementation wnof wnEBP?
A) EBP wnprovides wnfor wnthe wnmost wncost-effective wnpatient wncare.
B) EBP wnis wnaccessible wnto wnall wnhealthcare wnclinicians.
C) EBP wnprovides wnconsistency wnin wncare wnacross wnhealthcare wnsettings.
D) EBP wnimproves wnpatient wnoutcomes.
Page
1
, 5. The wnInstitute wnof wnMedicine's wnRoundtable wnon wnEvidence-Based wnMedicine
wnhas wnbeen wnestablished wnto wnaddress wnEBP. wnWhich wnof wnthe wnfollowing wnissues
wnis wnthe wnRoundtable wnemphasizing?
A) Ensuring wnthat wnexternal wnevidence, wnrather wnthan wninternal wnevidence, wnis
wnintegrated wninto wncare
B) Fostering wnthe wnlevel wnof wnlearning wnthat wnexists wnin wnthe wnAmerican wnhealthcare wnsystem
C) Issuing wnclinical wnguidelines wnto wnensure wnbest wnnursing wnpractice
D) Comparing wnthe wnimplementation wnof wnEBP wnin wnthe wnUnited wnStates wnwith wnthat
wnof wnother wnWestern wncountries
6. You wnhave wnbecome wnfrustrated wnwith wnsome wnaspects wnof wnpatient wncare wnthat wnyou
wnbelieve wnare wnoutdated wnand wnineffective wnat wnthe wnlong-term wncare wnfacility wnwhere wn you
wnhave wnrecently wnbegun wnpracticing. wnConsequently, wnyou wnhave wnresolved wnto wnexamine
wnsome wnof wnthese wnpractices wnin wnlight wnof wnevidence. wnWhich wnof wnthe wnfollowing wnshould
wnoccur wnfirst wnin wnthe wnsteps wnof wnEBP?
A) Conducting wnan wnelectronic wnsearch wnof wnthe wnliterature wnand wnranking wnindividual wnsources
B) Creating wn“buy-in” wnfrom wnthe wnother wnclinicians wnwho wnprovide wncare wnat wnthe wnfacility
C) Developing wnan wninquisitive wnand wncurious wnmindset
D) Assessing wnwhether wnthe wnpractices wnin wnquestion wnmay, wnin wnfact, wnbe wnevidence-based
7. Which wnof wnthe wnfollowing wnclinical wnquestions wnbest wnexemplifies wnthe wnPICOT wnformat?
A) What wneffect wndoes wnparents' wnsmoking wnhave wnon wnthe wnsmoking wnhabits wnof wntheir
wnchildren, wnages wn13 wnto wn16?
B) Among wncancer wnpatients, wnwhat wnrole wndoes wnmeditation, wnrather wnthan
wnbenzodiazepines, wnhave wnon wnanxiety wnlevels wnduring wnthe wn7 wndays wnfollowing
wnhospital wnadmission?
C) Among wnundergraduate wncollege wnstudents, wnwhat wnis wnthe wneffectiveness wnof wna
wnsexual wnhealth wncampaign wnundertaken wnduring wnthe wnfirst wn4 wnweeks wnof wnthe wnfall
wnsemester wnas wnmeasured wnby wnincidence wnof wnnew wngonorrheal wnand wnchlamydial
wninfections wnreported wnto wnthe wncampus wnmedical wncenter?
D) In wnpatients wnaged wn8 wnto wn12, wnis wnthe wneffectiveness wnof wna wnpain wnscale wnusing wnfaces
wnsuperior wnto wna wnnumeric wnrating wnscale wnin wnthe wnemergency wnroom wncontext?
8. After wnformulating wna wnclinical wnquestion, wna wnnurse wnhas wnproceeded wnto wnsearch wnfor
wnevidence wnfor wnways wnto wnfoster wnrestful wnsleep wnin wnpatients wnwho wnare wnreceiving wncare
wnin wnthe wnintensive wncare wnunit wn(ICU). wnThe wnnurse wnhas wnidentified wna wnrelevant wnmeta-
analysis wnin wnan wnelectronic wndatabase. wnWhat wnwill wnthis wnsource wnof wnevidence wnconsist
wnof?
A) A wnstatistical wnsummary wnof wnthe wnresults wnfrom wnseveral wndifferent wnstudies
B) An wnexamination wnof wnthe wntheoretical wnand wnconceptual wnunderpinnings wnof wnthe wnissue
C) An wninterdisciplinary wnanalysis wnof wnthe wnclinical wnquestion
D) A wnqualitative wnstudy wnof wndifferent wninterventions wnrelated wnto wnthe wnclinical wnquestion
Page
2
wn wn
EVIDENCE BASED wn
PRACTICE IN NURSING
wn wn
AND HEALTHCARE 4TH
wn wn
EDITION BY MELNYK
wn wn
All chapters
wn
,Chapter 1 Making the Case for Evidence-Based
wn wn wn wn wn wn
Practice and Cultivating a Spirit of Inquiry
wn wn wn wn wn wn wn
,1. In wnthe wnhospital wnwhere wnNurse wnL. wnprovides wncare, wntradition wndictates wnthat wnoral
wntemperatures wnbe wnincluded wnin wnevery wnset wnof wnpatient wnvital wnsigns, wnregardless wnof
wnpatient wndiagnosis wnor wnacuity. wnThis wnis wnmost wnlikely wnan wnexample wnof wnwhich wnof wnthe
wnfollowing wnphenomena?
A) The wnprioritization wnof wninternal wnevidence wnover wnexternal wnevidence
B) Practice wnthat wnlacks wnevidence wnto wnsupport wnits wnapplication
C) The wnintegration wnof wnpersonal wnexpertise wninto wnnursing wncare
D) Evidence-based wnpractice
2. The wnclinical wnnurse wneducator wn(CNE) wnon wna wnpostsurgical wnunit wnhas wnrecently
wncompleted wna wnpatient wnchart wnreview wnafter wnthe wnimplementation wnof wna wnpilot
wnprogram wnaimed wnat wnpromoting wnearly wnambulation wnfollowing wnsurgery. wnWhich wnof
wnthe wnfollowing wncomponents wnof wnEBP wnis wnthe wnnurse wnputting wninto wnpractice?
A) Patient wnpreferences
B) Research wnutilization
C) Experience
D) Internal wnevidence
3. Nurse wnR. wnhas wnobserved wnthat wnreorienting wndemented wnpatients wnas wnfrequently wnas
wnpossible wntends wnto wnminimize wnthe wnpatients' wnlevel wnof wnagitation wnin wnthe wnevening.
wnThe wnnurse wnhas wnshared wnthis wnobservation wnwith wna wncolleague, wnwho wnis wnskeptical,
wnstating wnthat, wn“It's wnbest wnto wnstick wnto wnevidence-based wnpractice.” wnHow wncan wnNurse
wnR. wnbest wnrespond?
A) “EBP wncan wninclude wnclinicians' wnpersonal wnexpertise.”
B) “Personal wnexperience wnis wnoften wnmore wnsound wnthan wnformal wnevidence-based wnpractice.”
C) “Traditional wnpractice wnand wnEBP wnare wnusually wnshown wnto wnbe wnthe wnsame.”
D) “My wnyears wnof wnexperience wncan wnbe wnjust wnas wnvaluable wnas wnany wnliterature
wnreview wnor wnrandomized wntrial.”
4. Which wnof wnthe wnfollowing wnfactors wnprovides wnthe wnmost wnimportant wnrationale wnfor wnthe
wnconsistent wnimplementation wnof wnEBP?
A) EBP wnprovides wnfor wnthe wnmost wncost-effective wnpatient wncare.
B) EBP wnis wnaccessible wnto wnall wnhealthcare wnclinicians.
C) EBP wnprovides wnconsistency wnin wncare wnacross wnhealthcare wnsettings.
D) EBP wnimproves wnpatient wnoutcomes.
Page
1
, 5. The wnInstitute wnof wnMedicine's wnRoundtable wnon wnEvidence-Based wnMedicine
wnhas wnbeen wnestablished wnto wnaddress wnEBP. wnWhich wnof wnthe wnfollowing wnissues
wnis wnthe wnRoundtable wnemphasizing?
A) Ensuring wnthat wnexternal wnevidence, wnrather wnthan wninternal wnevidence, wnis
wnintegrated wninto wncare
B) Fostering wnthe wnlevel wnof wnlearning wnthat wnexists wnin wnthe wnAmerican wnhealthcare wnsystem
C) Issuing wnclinical wnguidelines wnto wnensure wnbest wnnursing wnpractice
D) Comparing wnthe wnimplementation wnof wnEBP wnin wnthe wnUnited wnStates wnwith wnthat
wnof wnother wnWestern wncountries
6. You wnhave wnbecome wnfrustrated wnwith wnsome wnaspects wnof wnpatient wncare wnthat wnyou
wnbelieve wnare wnoutdated wnand wnineffective wnat wnthe wnlong-term wncare wnfacility wnwhere wn you
wnhave wnrecently wnbegun wnpracticing. wnConsequently, wnyou wnhave wnresolved wnto wnexamine
wnsome wnof wnthese wnpractices wnin wnlight wnof wnevidence. wnWhich wnof wnthe wnfollowing wnshould
wnoccur wnfirst wnin wnthe wnsteps wnof wnEBP?
A) Conducting wnan wnelectronic wnsearch wnof wnthe wnliterature wnand wnranking wnindividual wnsources
B) Creating wn“buy-in” wnfrom wnthe wnother wnclinicians wnwho wnprovide wncare wnat wnthe wnfacility
C) Developing wnan wninquisitive wnand wncurious wnmindset
D) Assessing wnwhether wnthe wnpractices wnin wnquestion wnmay, wnin wnfact, wnbe wnevidence-based
7. Which wnof wnthe wnfollowing wnclinical wnquestions wnbest wnexemplifies wnthe wnPICOT wnformat?
A) What wneffect wndoes wnparents' wnsmoking wnhave wnon wnthe wnsmoking wnhabits wnof wntheir
wnchildren, wnages wn13 wnto wn16?
B) Among wncancer wnpatients, wnwhat wnrole wndoes wnmeditation, wnrather wnthan
wnbenzodiazepines, wnhave wnon wnanxiety wnlevels wnduring wnthe wn7 wndays wnfollowing
wnhospital wnadmission?
C) Among wnundergraduate wncollege wnstudents, wnwhat wnis wnthe wneffectiveness wnof wna
wnsexual wnhealth wncampaign wnundertaken wnduring wnthe wnfirst wn4 wnweeks wnof wnthe wnfall
wnsemester wnas wnmeasured wnby wnincidence wnof wnnew wngonorrheal wnand wnchlamydial
wninfections wnreported wnto wnthe wncampus wnmedical wncenter?
D) In wnpatients wnaged wn8 wnto wn12, wnis wnthe wneffectiveness wnof wna wnpain wnscale wnusing wnfaces
wnsuperior wnto wna wnnumeric wnrating wnscale wnin wnthe wnemergency wnroom wncontext?
8. After wnformulating wna wnclinical wnquestion, wna wnnurse wnhas wnproceeded wnto wnsearch wnfor
wnevidence wnfor wnways wnto wnfoster wnrestful wnsleep wnin wnpatients wnwho wnare wnreceiving wncare
wnin wnthe wnintensive wncare wnunit wn(ICU). wnThe wnnurse wnhas wnidentified wna wnrelevant wnmeta-
analysis wnin wnan wnelectronic wndatabase. wnWhat wnwill wnthis wnsource wnof wnevidence wnconsist
wnof?
A) A wnstatistical wnsummary wnof wnthe wnresults wnfrom wnseveral wndifferent wnstudies
B) An wnexamination wnof wnthe wntheoretical wnand wnconceptual wnunderpinnings wnof wnthe wnissue
C) An wninterdisciplinary wnanalysis wnof wnthe wnclinical wnquestion
D) A wnqualitative wnstudy wnof wndifferent wninterventions wnrelated wnto wnthe wnclinical wnquestion
Page
2
