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 Institute of Medicine's Roundtable on Evidence-Based Medicine has
beenestablished to address EBP. Which of the following issues is the
Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated
intocare
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of
otherWestern countries
6. You have become frustrated with some aspects of patient care that you believe are
outdated and ineffective at the long-term care facility where you have recently begun
practicing. Consequently, you have resolved to examine some of these practices in
lightof evidence. Which of the following should occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be evidence-based
7. Which of the following clinical questions best exemplifies the PICOT format?
A) What effect does parents' smoking have on the smoking habits of their
children,ages 13 to 16?
B) Among cancer patients, what role does meditation, rather than
benzodiazepines,have on anxiety levels during the 7 days following hospital
admission?
C) Among undergraduate college students, what is the effectiveness of a sexual
healthcampaign undertaken during the first 4 weeks of the fall semester as
measured by incidence of new gonorrheal and chlamydial infections reported to
the campus medical center?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
anumeric rating scale in the emergency room context?
8. After formulating a clinical question, a nurse has proceeded to search for evidence for
ways to foster restful sleep in patients who are receiving care in the intensive care unit
(ICU). The nurse has identified a relevant meta-analysis in an electronic database.
Whatwill this source of evidence consist of?
A) A statistical summary of the results from several different studies
B) An examination of the theoretical and conceptual underpinnings of the issue
C) An interdisciplinary analysis of the clinical question
D) A qualitative study of different interventions related to the clinical question
, 9. The rnurses ron ra rpostpartum runit rhave rnoted rthat rmany rprimiparous r(first-time)
rmothers rare rgiving rup ron rbreastfeeding rwithin rthe r24 rhours rfollowing rdelivery,
rand rthe rnurses rwant rto rcreate runiform rguidelines rfor rpromoting rbreastfeeding ron
rthe runit. rWhich rof rtherfollowing rsources ris rmost rlikely rto rprovide rthe rbest
revidence rin rtheir rquest rfor ran rintervention?
A) Evidence rfrom ra rrandomized rcontrol rtrial rthat rhad rmore rthan r2500 rparticipants
B) Evidence rfrom ra rstudy rthat ris rwidely rregarded ras ra rclassic rwithin rthe
robstetricalrnursing rcommunity
C) Evidence rfrom ra rsystematic rreview rof rbreastfeeding-promotion rstudies rthat
rone rofrthe rnurses ridentified rin ran relectronic rdatabase
D) The rconsensus ropinion rof rthe rmost rsenior rnurses ron rthe runit
10. The rnurse reducator ron ran racute rmedicine runit ris radvocating rfor rthe ruse rof
evidence-based rclinical rpractice rguidelines ron rwound rcare rin rorder rto
rstandardize rand roptimize rthe rpractice rof rthe rnurses ron rthe runit. rWhich rof rthe
rfollowing rstatements rbestrdescribes rclinical rpractice rguidelines?
A) The rresult rof rreplication rstudies rof rexisting rresearch rby ran rimpartial rthird rparty
B) A rcollection rof rauthorized rinterventions rthat rare rrequired rby rlaw
C) A rnumber rof rinterventions rthat rare rthe rresult rof ra rlarge, rpublically-funded rRCT
D) A rgroup rof rpractice rrecommendations rthat rresult rfrom ra rrigorous rreview
rof rtherliterature
11. A rnurse ris rconducting ra rliterature rreview ron rthe revidence rregarding rthe ruse rof
rvacuum rdressings ron rstage rIV rpressure rulcers. rAfter rlocating ra rrecent rstudy rthat
rappears rto rbe rrelevant, rwhich rof rthe rfollowing rquestions rwould rthe rnurse
rconsider rfirst rwhen rcriticallyrappraising rthe rstudy?
A) “Are rthe rfindings rof rthis rstudy rcost-effective rin rour rclinical rcontext?”
B) "How rwould rthe rimplementation rof rthis rintervention raffect rour rstaffing rneeds?"
C) “Were rthe rpatients rin rthe rstudy rsimilar rto rthe rpatients ron rmy runit?”
D) “Are rthe rfindings rof rthe rstudy rsignificantly rdifferent rfrom rwhat rwe rare
rcurrentlyrdoing ron rthe runit?
12. The rprimary rcare rprovider rof ra r49-year-old rmale rpatient rhas rexamined rand
rbriefly rexplained rthe revidence rthat rsupports rbeginning rregular rdigital-rectal
rexams. rWhich rofrthe rfollowing rfactors rwould rjustify rnot rperforming rdigital-rectal
rexaminations rin rthis rpatient's rcare?
A) The rpatient ris rvehemently ropposed rto rundergoing ra rdigital-rectal rexam.
B) Clinical rpractice rguidelines rfor rprostate rcare rhave rnot rbeen rpublished.
C) The rclinician rhas rbeen runable rto rfind rany rlarge rRCTs rin ra rliterature rreview.
D) The rclinician rhas rpreviously rwaited runtil rpatients rare r55 rto rbegin
rregularrdigital-rectal rexams.
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 Institute of Medicine's Roundtable on Evidence-Based Medicine has
beenestablished to address EBP. Which of the following issues is the
Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated
intocare
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of
otherWestern countries
6. You have become frustrated with some aspects of patient care that you believe are
outdated and ineffective at the long-term care facility where you have recently begun
practicing. Consequently, you have resolved to examine some of these practices in
lightof evidence. Which of the following should occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be evidence-based
7. Which of the following clinical questions best exemplifies the PICOT format?
A) What effect does parents' smoking have on the smoking habits of their
children,ages 13 to 16?
B) Among cancer patients, what role does meditation, rather than
benzodiazepines,have on anxiety levels during the 7 days following hospital
admission?
C) Among undergraduate college students, what is the effectiveness of a sexual
healthcampaign undertaken during the first 4 weeks of the fall semester as
measured by incidence of new gonorrheal and chlamydial infections reported to
the campus medical center?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
anumeric rating scale in the emergency room context?
8. After formulating a clinical question, a nurse has proceeded to search for evidence for
ways to foster restful sleep in patients who are receiving care in the intensive care unit
(ICU). The nurse has identified a relevant meta-analysis in an electronic database.
Whatwill this source of evidence consist of?
A) A statistical summary of the results from several different studies
B) An examination of the theoretical and conceptual underpinnings of the issue
C) An interdisciplinary analysis of the clinical question
D) A qualitative study of different interventions related to the clinical question
, 9. The rnurses ron ra rpostpartum runit rhave rnoted rthat rmany rprimiparous r(first-time)
rmothers rare rgiving rup ron rbreastfeeding rwithin rthe r24 rhours rfollowing rdelivery,
rand rthe rnurses rwant rto rcreate runiform rguidelines rfor rpromoting rbreastfeeding ron
rthe runit. rWhich rof rtherfollowing rsources ris rmost rlikely rto rprovide rthe rbest
revidence rin rtheir rquest rfor ran rintervention?
A) Evidence rfrom ra rrandomized rcontrol rtrial rthat rhad rmore rthan r2500 rparticipants
B) Evidence rfrom ra rstudy rthat ris rwidely rregarded ras ra rclassic rwithin rthe
robstetricalrnursing rcommunity
C) Evidence rfrom ra rsystematic rreview rof rbreastfeeding-promotion rstudies rthat
rone rofrthe rnurses ridentified rin ran relectronic rdatabase
D) The rconsensus ropinion rof rthe rmost rsenior rnurses ron rthe runit
10. The rnurse reducator ron ran racute rmedicine runit ris radvocating rfor rthe ruse rof
evidence-based rclinical rpractice rguidelines ron rwound rcare rin rorder rto
rstandardize rand roptimize rthe rpractice rof rthe rnurses ron rthe runit. rWhich rof rthe
rfollowing rstatements rbestrdescribes rclinical rpractice rguidelines?
A) The rresult rof rreplication rstudies rof rexisting rresearch rby ran rimpartial rthird rparty
B) A rcollection rof rauthorized rinterventions rthat rare rrequired rby rlaw
C) A rnumber rof rinterventions rthat rare rthe rresult rof ra rlarge, rpublically-funded rRCT
D) A rgroup rof rpractice rrecommendations rthat rresult rfrom ra rrigorous rreview
rof rtherliterature
11. A rnurse ris rconducting ra rliterature rreview ron rthe revidence rregarding rthe ruse rof
rvacuum rdressings ron rstage rIV rpressure rulcers. rAfter rlocating ra rrecent rstudy rthat
rappears rto rbe rrelevant, rwhich rof rthe rfollowing rquestions rwould rthe rnurse
rconsider rfirst rwhen rcriticallyrappraising rthe rstudy?
A) “Are rthe rfindings rof rthis rstudy rcost-effective rin rour rclinical rcontext?”
B) "How rwould rthe rimplementation rof rthis rintervention raffect rour rstaffing rneeds?"
C) “Were rthe rpatients rin rthe rstudy rsimilar rto rthe rpatients ron rmy runit?”
D) “Are rthe rfindings rof rthe rstudy rsignificantly rdifferent rfrom rwhat rwe rare
rcurrentlyrdoing ron rthe runit?
12. The rprimary rcare rprovider rof ra r49-year-old rmale rpatient rhas rexamined rand
rbriefly rexplained rthe revidence rthat rsupports rbeginning rregular rdigital-rectal
rexams. rWhich rofrthe rfollowing rfactors rwould rjustify rnot rperforming rdigital-rectal
rexaminations rin rthis rpatient's rcare?
A) The rpatient ris rvehemently ropposed rto rundergoing ra rdigital-rectal rexam.
B) Clinical rpractice rguidelines rfor rprostate rcare rhave rnot rbeen rpublished.
C) The rclinician rhas rbeen runable rto rfind rany rlarge rRCTs rin ra rliterature rreview.
D) The rclinician rhas rpreviously rwaited runtil rpatients rare r55 rto rbegin
rregularrdigital-rectal rexams.
