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Based Practice in Nursing & Healthcare A Guide to Best Practi
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ce 5th Edition by Melnyk, Ellen Fineout-Overholt Chapter 1 -
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23 Complete
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,Chapter 1 Making the Case for Evidence-
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, Based Practice and Cultivating a Spirit of Inquiry
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In the hospital where Nurse L. provides care, tradition dictates
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that oral temperatures be included in every set of patient vital
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signs, regardless of patient diagnosis or acuity. Thisis most likel
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y an example of which of the following phenomena?
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A) The prioritization of internal evidence over external evidence
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B) Practice that lacks evidence to support its application n n n n n n n
C) The integration of personal expertise into nursing care
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D) Evidence-based practice n
2. The clinical nurse educator (CNE) on a postsurgical unit has re
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cently completed a patient chart review after the implement
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ation of a pilot program aimed at promoting early ambulati
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on following surgery. Which of the following components of E
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BP is thenurse putting into practice?
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A) Patient preferences n
B) Research utilization n
C) Experience
D) Internal evidence n
3. Nurse R. has observed that reorienting demented patients as f
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requently as possible tendsto minimize the patients' level of ag
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itation in the evening. The nurse has shared this observation wit
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h a colleague, who is skeptical, stating that, “It's best to stick to
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evidence-based practice.” How can Nurse R. best respond? n n n n n n n
A) “EBP can include clinicians' personal expertise.”
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B) “Personal experience is often more sound than formal evidence- n n n n n n n n
based practice.” n
, C) “Traditional practice and EBP are usually shown to be the same.”
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D) “My years of experience can be just as valuable as a
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ny literature review orrandomized trial.”
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4. Which of the following factors provides the most important ra
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tionale for the consistentimplementation of EBP?
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A) EBP provides for the most cost-effective patient care.
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B) EBP is accessible to all healthcare clinicians.
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C) EBP provides consistency in care across healthcare settings.
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D) EBP improves patient outcomes.
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