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-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. This is 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 tends to 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 or randomized trial.”
4. Which of the following factors provides the most
important rationale for the consistent implementation 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 oInstitute oof oMedicine's oRoundtable oon oEvidence-
Based oMedicine ohas obeenoestablished oto oaddress
oEBP. oWhich oof othe ofollowing oissues ois othe
oRoundtable oemphasizing?
A) Ensuring othat oexternal oevidence, orather othan ointernal
oevidence, ois ointegrated ointoocare
B) Fostering othe olevel oof olearning othat oexists oin othe oAmerican
ohealthcare osystem
C) Issuing oclinical oguidelines oto oensure obest onursing opractice
D) Comparing othe oimplementation oof oEBP oin othe
oUnited oStates owith othat oof ootheroWestern ocountries
6. You ohave obecome ofrustrated owith osome oaspects oof opatient
ocare othat oyou obelieve oare ooutdated oand oineffective oat
othe olong-term ocare ofacility owhere oyou ohave orecently
obegun opracticing. oConsequently, oyou ohave oresolved oto
oexamine osome oof othese opractices oin olightoof oevidence.
oWhich oof othe ofollowing oshould ooccur ofirst oin othe osteps oof
oEBP?
A) Conducting oan oelectronic osearch oof othe oliterature oand
oranking oindividual osources
B) Creating o“buy-in” ofrom othe oother oclinicians owho oprovide ocare
oat othe ofacility
C) Developing oan oinquisitive oand ocurious omindset
D) Assessing owhether othe opractices oin oquestion omay, oin ofact, obe
oevidence-based
7. Which oof othe ofollowing oclinical oquestions obest oexemplifies othe
oPICOT oformat?
A) What oeffect odoes oparents' osmoking ohave oon othe
osmoking ohabits oof otheir ochildren,oages o13 oto o16?
B) Among ocancer opatients, owhat orole odoes omeditation,
Healthcare A Guide to Best Practice 5th Edition by
Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complete
,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. This is 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 tends to 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 or randomized trial.”
4. Which of the following factors provides the most
important rationale for the consistent implementation 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 oInstitute oof oMedicine's oRoundtable oon oEvidence-
Based oMedicine ohas obeenoestablished oto oaddress
oEBP. oWhich oof othe ofollowing oissues ois othe
oRoundtable oemphasizing?
A) Ensuring othat oexternal oevidence, orather othan ointernal
oevidence, ois ointegrated ointoocare
B) Fostering othe olevel oof olearning othat oexists oin othe oAmerican
ohealthcare osystem
C) Issuing oclinical oguidelines oto oensure obest onursing opractice
D) Comparing othe oimplementation oof oEBP oin othe
oUnited oStates owith othat oof ootheroWestern ocountries
6. You ohave obecome ofrustrated owith osome oaspects oof opatient
ocare othat oyou obelieve oare ooutdated oand oineffective oat
othe olong-term ocare ofacility owhere oyou ohave orecently
obegun opracticing. oConsequently, oyou ohave oresolved oto
oexamine osome oof othese opractices oin olightoof oevidence.
oWhich oof othe ofollowing oshould ooccur ofirst oin othe osteps oof
oEBP?
A) Conducting oan oelectronic osearch oof othe oliterature oand
oranking oindividual osources
B) Creating o“buy-in” ofrom othe oother oclinicians owho oprovide ocare
oat othe ofacility
C) Developing oan oinquisitive oand ocurious omindset
D) Assessing owhether othe opractices oin oquestion omay, oin ofact, obe
oevidence-based
7. Which oof othe ofollowing oclinical oquestions obest oexemplifies othe
oPICOT oformat?
A) What oeffect odoes oparents' osmoking ohave oon othe
osmoking ohabits oof otheir ochildren,oages o13 oto o16?
B) Among ocancer opatients, owhat orole odoes omeditation,
