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
qr qr qr qr qr qr qr
and Cultivating a Spirit of Inquiry
qr qr qr qr qr qr
In qrthe qrhospital qrwhere qrNurse qrL. qrprovides qrcare, qrtradition qrdictates qrthat qroral
temperatures qrbe qrincluded qrin qrevery qrset qrof qrpatient qrvital qrsigns, qrregardless qrof
qr
qrpatient qrdiagnosis qror qracuity. qrThisqris qrmost qrlikely qran qrexample qrof qrwhich qrof qrthe
qrfollowing qrphenomena?
A) The qrprioritization qrof qrinternal qrevidence qrover qrexternal qrevidence
B) Practice qrthat qrlacks qrevidence qrto qrsupport qrits qrapplication
C) The qrintegration qrof qrpersonal qrexpertise qrinto qrnursing qrcare
D) Evidence-based qrpractice
2. The qrclinical qrnurse qreducator qr(CNE) qron qra qrpostsurgical qrunit qrhas qrrecently
qrcompleted qra qrpatient qrchart qrreview qrafter qrthe qrimplementation qrof qra qrpilot
qrprogram qraimed qrat qrpromoting qrearly qrambulation qrfollowing qrsurgery. qrWhich qrof
qrthe qrfollowing qrcomponents qrof qrEBP qris qrtheqnr urse qrputting qrinto qrpractice?
A) Patient qrpreferences
B) Research qrutilization
C) Experience
D) Internal qrevidence
3. Nurse qrR. qrhas qrobserved qrthat qrreorienting qrdemented qrpatients qras qrfrequently qras
qrpossible qrtendsqt r o qrminimize qrthe qrpatients' qrlevel qrof qragitation qrin qrthe qrevening. qrThe
qrnurse qrhas qrshared qrthis qrobservation qrwith qra qrcolleague, qrwho qris qrskeptical, qrstating
qrthat, qr“It's qrbest qrto qrstick qrto qrevidence-based qrpractice.” qrHow qrcan qrNurse qrR. qrbest
qrrespond?
A) “EBP qrcan qrinclude qrclinicians' qrpersonal qrexpertise.”
B) “Personal qrexperience qris qroften qrmore qrsound qrthan qrformal qrevidence-based qrpractice.”
C) “Traditional qrpractice qrand qrEBP qrare qrusually qrshown qrto qrbe qrthe qrsame.”
D) “My qryears qrof qrexperience qrcan qrbe qrjust qras qrvaluable qras qrany qrliterature
qrreview qrorqrrandomized qrtrial.”
4. Which qrof qrthe qrfollowing qrfactors qrprovides qrthe qrmost qrimportant qrrationale qrfor qrthe
qrconsistentqir mplementation qrof qrEBP?
A) EBP qrprovides qrfor qrthe qrmost qrcost-effective qrpatient qrcare.
B) EBP qris qraccessible qrto qrall qrhealthcare qrclinicians.
,C) EBP qrprovides qrconsistency qrin qrcare qracross qrhealthcare qrsettings.
D) EBP qrimproves qrpatient qroutcomes.
, 5. The qrInstitute qrof qrMedicine's qrRoundtable qron qrEvidence-Based qrMedicine
qrhas qrbeenqrestablished qrto qraddress qrEBP. qrWhich qrof qrthe qrfollowing qrissues
qris qrthe qrRoundtable qremphasizing?
A) Ensuring qrthat qrexternal qrevidence, qrrather qrthan qrinternal qrevidence, qris
qrintegrated qrintoqrcare
B) Fostering qrthe qrlevel qrof qrlearning qrthat qrexists qrin qrthe qrAmerican qrhealthcare qrsystem
C) Issuing qrclinical qrguidelines qrto qrensure qrbest qrnursing qrpractice
D) Comparing qrthe qrimplementation qrof qrEBP qrin qrthe qrUnited qrStates qrwith
qrthat qrof qrotherqrWestern qrcountries
6. You qrhave qrbecome qrfrustrated qrwith qrsome qraspects qrof qrpatient qrcare qrthat qryou
qrbelieve qrare qroutdated qrand qrineffective qrat qrthe qrlong-term qrcare qrfacility qrwhere qryou
qrhave qrrecently qrbegun qrpracticing. qrConsequently, qryou qrhave qrresolved qrto qrexamine
qrsome qrof qrthese qrpractices qrin qrlightqrof qrevidence. qrWhich qrof qrthe qrfollowing qrshould
qroccur qrfirst qrin qrthe qrsteps qrof qrEBP?
A) Conducting qran qrelectronic qrsearch qrof qrthe qrliterature qrand qrranking qrindividual qrsources
B) Creating qr“buy-in” qrfrom qrthe qrother qrclinicians qrwho qrprovide qrcare qrat qrthe qrfacility
C) Developing qran qrinquisitive qrand qrcurious qrmindset
D) Assessing qrwhether qrthe qrpractices qrin qrquestion qrmay, qrin qrfact, qrbe qrevidence-based
7. Which qrof qrthe qrfollowing qrclinical qrquestions qrbest qrexemplifies qrthe qrPICOT qrformat?
A) What qreffect qrdoes qrparents' qrsmoking qrhave qron qrthe qrsmoking qrhabits qrof
qrtheir qrchildren,qar ges qr13 qrto qr16?
B) Among qrcancer qrpatients, qrwhat qrrole qrdoes qrmeditation, qrrather qrthan
qrbenzodiazepines,qh r ave qron qranxiety qrlevels qrduring qrthe qr7 qrdays qrfollowing
qrhospital qradmission?
C) Among qrundergraduate qrcollege qrstudents, qrwhat qris qrthe qreffectiveness qrof qra
qrsexual qrhealthqrcampaign qrundertaken qrduring qrthe qrfirst qr4 qrweeks qrof qrthe qrfall
qrsemester qras qrmeasured qrby qrincidence qrof qrnew qrgonorrheal qrand qrchlamydial
qrinfections qrreported qrto qrthe qrcampus qrmedical qrcenter?
D) In qrpatients qraged qr8 qrto qr12, qris qrthe qreffectiveness qrof qra qrpain qrscale qrusing qrfaces
qrsuperior qrto qraqrnumeric qrrating qrscale qrin qrthe qremergency qrroom qrcontext?
8. After qrformulating qra qrclinical qrquestion, qra qrnurse qrhas qrproceeded qrto qrsearch qrfor
qrevidence qrfor qrways qrto qrfoster qrrestful qrsleep qrin qrpatients qrwho qrare qrreceiving qrcare
qrin qrthe qrintensive qrcare qrunit qr(ICU). qrThe qrnurse qrhas qridentified qra qrrelevant qrmeta-
analysis qrin qran qrelectronic qrdatabase. qrWhatqrwill qrthis qrsource qrof qrevidence qrconsist
qrof?
A) A qrstatistical qrsummary qrof qrthe qrresults qrfrom qrseveral qrdifferent qrstudies
B) An qrexamination qrof qrthe qrtheoretical qrand qrconceptual qrunderpinnings qrof qrthe qrissue
C) An qrinterdisciplinary qranalysis qrof qrthe qrclinical qrquestion
D) A qrqualitative qrstudy qrof qrdifferent qrinterventions qrrelated qrto qrthe qrclinical qrquestion
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
qr qr qr qr qr qr qr
and Cultivating a Spirit of Inquiry
qr qr qr qr qr qr
In qrthe qrhospital qrwhere qrNurse qrL. qrprovides qrcare, qrtradition qrdictates qrthat qroral
temperatures qrbe qrincluded qrin qrevery qrset qrof qrpatient qrvital qrsigns, qrregardless qrof
qr
qrpatient qrdiagnosis qror qracuity. qrThisqris qrmost qrlikely qran qrexample qrof qrwhich qrof qrthe
qrfollowing qrphenomena?
A) The qrprioritization qrof qrinternal qrevidence qrover qrexternal qrevidence
B) Practice qrthat qrlacks qrevidence qrto qrsupport qrits qrapplication
C) The qrintegration qrof qrpersonal qrexpertise qrinto qrnursing qrcare
D) Evidence-based qrpractice
2. The qrclinical qrnurse qreducator qr(CNE) qron qra qrpostsurgical qrunit qrhas qrrecently
qrcompleted qra qrpatient qrchart qrreview qrafter qrthe qrimplementation qrof qra qrpilot
qrprogram qraimed qrat qrpromoting qrearly qrambulation qrfollowing qrsurgery. qrWhich qrof
qrthe qrfollowing qrcomponents qrof qrEBP qris qrtheqnr urse qrputting qrinto qrpractice?
A) Patient qrpreferences
B) Research qrutilization
C) Experience
D) Internal qrevidence
3. Nurse qrR. qrhas qrobserved qrthat qrreorienting qrdemented qrpatients qras qrfrequently qras
qrpossible qrtendsqt r o qrminimize qrthe qrpatients' qrlevel qrof qragitation qrin qrthe qrevening. qrThe
qrnurse qrhas qrshared qrthis qrobservation qrwith qra qrcolleague, qrwho qris qrskeptical, qrstating
qrthat, qr“It's qrbest qrto qrstick qrto qrevidence-based qrpractice.” qrHow qrcan qrNurse qrR. qrbest
qrrespond?
A) “EBP qrcan qrinclude qrclinicians' qrpersonal qrexpertise.”
B) “Personal qrexperience qris qroften qrmore qrsound qrthan qrformal qrevidence-based qrpractice.”
C) “Traditional qrpractice qrand qrEBP qrare qrusually qrshown qrto qrbe qrthe qrsame.”
D) “My qryears qrof qrexperience qrcan qrbe qrjust qras qrvaluable qras qrany qrliterature
qrreview qrorqrrandomized qrtrial.”
4. Which qrof qrthe qrfollowing qrfactors qrprovides qrthe qrmost qrimportant qrrationale qrfor qrthe
qrconsistentqir mplementation qrof qrEBP?
A) EBP qrprovides qrfor qrthe qrmost qrcost-effective qrpatient qrcare.
B) EBP qris qraccessible qrto qrall qrhealthcare qrclinicians.
,C) EBP qrprovides qrconsistency qrin qrcare qracross qrhealthcare qrsettings.
D) EBP qrimproves qrpatient qroutcomes.
, 5. The qrInstitute qrof qrMedicine's qrRoundtable qron qrEvidence-Based qrMedicine
qrhas qrbeenqrestablished qrto qraddress qrEBP. qrWhich qrof qrthe qrfollowing qrissues
qris qrthe qrRoundtable qremphasizing?
A) Ensuring qrthat qrexternal qrevidence, qrrather qrthan qrinternal qrevidence, qris
qrintegrated qrintoqrcare
B) Fostering qrthe qrlevel qrof qrlearning qrthat qrexists qrin qrthe qrAmerican qrhealthcare qrsystem
C) Issuing qrclinical qrguidelines qrto qrensure qrbest qrnursing qrpractice
D) Comparing qrthe qrimplementation qrof qrEBP qrin qrthe qrUnited qrStates qrwith
qrthat qrof qrotherqrWestern qrcountries
6. You qrhave qrbecome qrfrustrated qrwith qrsome qraspects qrof qrpatient qrcare qrthat qryou
qrbelieve qrare qroutdated qrand qrineffective qrat qrthe qrlong-term qrcare qrfacility qrwhere qryou
qrhave qrrecently qrbegun qrpracticing. qrConsequently, qryou qrhave qrresolved qrto qrexamine
qrsome qrof qrthese qrpractices qrin qrlightqrof qrevidence. qrWhich qrof qrthe qrfollowing qrshould
qroccur qrfirst qrin qrthe qrsteps qrof qrEBP?
A) Conducting qran qrelectronic qrsearch qrof qrthe qrliterature qrand qrranking qrindividual qrsources
B) Creating qr“buy-in” qrfrom qrthe qrother qrclinicians qrwho qrprovide qrcare qrat qrthe qrfacility
C) Developing qran qrinquisitive qrand qrcurious qrmindset
D) Assessing qrwhether qrthe qrpractices qrin qrquestion qrmay, qrin qrfact, qrbe qrevidence-based
7. Which qrof qrthe qrfollowing qrclinical qrquestions qrbest qrexemplifies qrthe qrPICOT qrformat?
A) What qreffect qrdoes qrparents' qrsmoking qrhave qron qrthe qrsmoking qrhabits qrof
qrtheir qrchildren,qar ges qr13 qrto qr16?
B) Among qrcancer qrpatients, qrwhat qrrole qrdoes qrmeditation, qrrather qrthan
qrbenzodiazepines,qh r ave qron qranxiety qrlevels qrduring qrthe qr7 qrdays qrfollowing
qrhospital qradmission?
C) Among qrundergraduate qrcollege qrstudents, qrwhat qris qrthe qreffectiveness qrof qra
qrsexual qrhealthqrcampaign qrundertaken qrduring qrthe qrfirst qr4 qrweeks qrof qrthe qrfall
qrsemester qras qrmeasured qrby qrincidence qrof qrnew qrgonorrheal qrand qrchlamydial
qrinfections qrreported qrto qrthe qrcampus qrmedical qrcenter?
D) In qrpatients qraged qr8 qrto qr12, qris qrthe qreffectiveness qrof qra qrpain qrscale qrusing qrfaces
qrsuperior qrto qraqrnumeric qrrating qrscale qrin qrthe qremergency qrroom qrcontext?
8. After qrformulating qra qrclinical qrquestion, qra qrnurse qrhas qrproceeded qrto qrsearch qrfor
qrevidence qrfor qrways qrto qrfoster qrrestful qrsleep qrin qrpatients qrwho qrare qrreceiving qrcare
qrin qrthe qrintensive qrcare qrunit qr(ICU). qrThe qrnurse qrhas qridentified qra qrrelevant qrmeta-
analysis qrin qran qrelectronic qrdatabase. qrWhatqrwill qrthis qrsource qrof qrevidence qrconsist
qrof?
A) A qrstatistical qrsummary qrof qrthe qrresults qrfrom qrseveral qrdifferent qrstudies
B) An qrexamination qrof qrthe qrtheoretical qrand qrconceptual qrunderpinnings qrof qrthe qrissue
C) An qrinterdisciplinary qranalysis qrof qrthe qrclinical qrquestion
D) A qrqualitative qrstudy qrof qrdifferent qrinterventions qrrelated qrto qrthe qrclinical qrquestion
