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
, Chapter50150Making50the50Case50for50Evidence-
Based50Practice50and50Cultivating50a50Spirit50of50Inquiry
In50the50hospital50where50Nurse50L.50provides50care,50tradition50dictates50that50oral50t
emperatures50be50included50in50every50set50of50patient50vital50signs,50regardless50of50p
atient50diagnosis50or50acuity.50This50is50most50likely50an50example50of50which50of50the50f
ollowing50phenomena?
A) The50prioritization50of50internal50evidence50over50external50evidence
B) Practice50that50lacks50evidence50to50support50its50application
C) The50integration50of50personal50expertise50into50nursing50care
D) Evidence-based50practice
2. The50clinical50nurse50educator50(CNE)50on50a50postsurgical50unit50has50recently50com
pleted50a50patient50chart50review50after50the50implementation50of50a50pilot50progra
m50aimed50at50promoting50early50ambulation50following50surgery.50Which50of50the50
following50components50of50EBP50is50the50nurse50putting50into50practice?
A) Patient50preferences
B) Research50utilization
C) Experience
D) Internal50evidence
3. Nurse50R.50has50observed50that50reorienting50demented50patients50as50frequently50as5
0possible50tends50to50minimize50the50patients'50level50of50agitation50in50the50evening.50
The50nurse50has50shared50this50observation50with50a50colleague,50who50is50skeptical,50
stating50that,50“It's50best50to50stick50to50evidence-
based50practice.”50How50can50Nurse50R.50best50respond?
A) “EBP50can50include50clinicians'50personal50expertise.”
B) “Personal50experience50is50often50more50sound50than50formal50evidence-based50practice.”
C) “Traditional50practice50and50EBP50are50usually50shown50to50be50the50same.”
D) “My50years50of50experience50can50be50just50as50valuable50as50any50literat
ure50review50or50randomized50trial.”
4. Which50of50the50following50factors50provides50the50most50important50rationale50for50
the50consistent50implementation50of50EBP?
A) EBP50provides50for50the50most50cost-effective50patient50care.
B) EBP50is50accessible50to50all50healthcare50clinicians.
,C) EBP50provides50consistency50in50care50across50healthcare50settings.
D) EBP50improves50patient50outcomes.
, 5. The50Institute50of50Medicine's50Roundtable50on50Evidence-
Based50Medicine50has50been50established50to50address50EBP.50Which50of50the
50following50issues50is50the50Roundtable50emphasizing?
A) Ensuring50that50external50evidence,50rather50than50internal50evidence,50is50int
egrated50into50care
B) Fostering50the50level50of50learning50that50exists50in50the50American50healthcare50system
C) Issuing50clinical50guidelines50to50ensure50best50nursing50practice
D) Comparing50the50implementation50of50EBP50in50the50United50States50with50
that50of50other50Western50countries
6. You50have50become50frustrated50with50some50aspects50of50patient50care50that50you50
believe50are50outdated50and50ineffective50at50the50long-
term50care50facility50where50you50have50recently50begun50practicing.50Consequently,5
0you50have50resolved50to50examine50some50of50these50practices50in50light50of50evidenc
e.50Which50of50the50following50should50occur50first50in50the50steps50of50EBP?
A) Conducting50an50electronic50search50of50the50literature50and50ranking50individual50sources
B) Creating50“buy-in”50from50the50other50clinicians50who50provide50care50at50the50facility
C) Developing50an50inquisitive50and50curious50mindset
D) Assessing50whether50the50practices50in50question50may,50in50fact,50be50evidence-based
7. Which50of50the50following50clinical50questions50best50exemplifies50the50PICOT50format?
A) What50effect50does50parents'50smoking50have50on50the50smoking50habits50of50
their50children,50ages501350to5016?
B) Among50cancer50patients,50what50role50does50meditation,50rather50than50benz
odiazepines,50have50on50anxiety50levels50during50the50750days50following50hospi
tal50admission?
C) Among50undergraduate50college50students,50what50is50the50effectiveness50of50a50
sexual50health50campaign50undertaken50during50the50first50450weeks50of50the50fall5
0semester50as50measured50by50incidence50of50new50gonorrheal50and50chlamydial
50infections50reported50to50the50campus50medical50center?
D) In50patients50aged50850to5012,50is50the50effectiveness50of50a50pain50scale50using50f
aces50superior50to50a50numeric50rating50scale50in50the50emergency50room50context
?
8. After50formulating50a50clinical50question,50a50nurse50has50proceeded50to50search50for5
0evidence50for50ways50to50foster50restful50sleep50in50patients50who50are50receiving50ca
re50in50the50intensive50care50unit50(ICU).50The50nurse50has50identified50a50relevant50m
eta-
analysis50in50an50electronic50database.50What50will50this50source50of50evidence50consist
50of?
A) A50statistical50summary50of50the50results50from50several50different50studies
B) An50examination50of50the50theoretical50and50conceptual50underpinnings50of50the50issue
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
, Chapter50150Making50the50Case50for50Evidence-
Based50Practice50and50Cultivating50a50Spirit50of50Inquiry
In50the50hospital50where50Nurse50L.50provides50care,50tradition50dictates50that50oral50t
emperatures50be50included50in50every50set50of50patient50vital50signs,50regardless50of50p
atient50diagnosis50or50acuity.50This50is50most50likely50an50example50of50which50of50the50f
ollowing50phenomena?
A) The50prioritization50of50internal50evidence50over50external50evidence
B) Practice50that50lacks50evidence50to50support50its50application
C) The50integration50of50personal50expertise50into50nursing50care
D) Evidence-based50practice
2. The50clinical50nurse50educator50(CNE)50on50a50postsurgical50unit50has50recently50com
pleted50a50patient50chart50review50after50the50implementation50of50a50pilot50progra
m50aimed50at50promoting50early50ambulation50following50surgery.50Which50of50the50
following50components50of50EBP50is50the50nurse50putting50into50practice?
A) Patient50preferences
B) Research50utilization
C) Experience
D) Internal50evidence
3. Nurse50R.50has50observed50that50reorienting50demented50patients50as50frequently50as5
0possible50tends50to50minimize50the50patients'50level50of50agitation50in50the50evening.50
The50nurse50has50shared50this50observation50with50a50colleague,50who50is50skeptical,50
stating50that,50“It's50best50to50stick50to50evidence-
based50practice.”50How50can50Nurse50R.50best50respond?
A) “EBP50can50include50clinicians'50personal50expertise.”
B) “Personal50experience50is50often50more50sound50than50formal50evidence-based50practice.”
C) “Traditional50practice50and50EBP50are50usually50shown50to50be50the50same.”
D) “My50years50of50experience50can50be50just50as50valuable50as50any50literat
ure50review50or50randomized50trial.”
4. Which50of50the50following50factors50provides50the50most50important50rationale50for50
the50consistent50implementation50of50EBP?
A) EBP50provides50for50the50most50cost-effective50patient50care.
B) EBP50is50accessible50to50all50healthcare50clinicians.
,C) EBP50provides50consistency50in50care50across50healthcare50settings.
D) EBP50improves50patient50outcomes.
, 5. The50Institute50of50Medicine's50Roundtable50on50Evidence-
Based50Medicine50has50been50established50to50address50EBP.50Which50of50the
50following50issues50is50the50Roundtable50emphasizing?
A) Ensuring50that50external50evidence,50rather50than50internal50evidence,50is50int
egrated50into50care
B) Fostering50the50level50of50learning50that50exists50in50the50American50healthcare50system
C) Issuing50clinical50guidelines50to50ensure50best50nursing50practice
D) Comparing50the50implementation50of50EBP50in50the50United50States50with50
that50of50other50Western50countries
6. You50have50become50frustrated50with50some50aspects50of50patient50care50that50you50
believe50are50outdated50and50ineffective50at50the50long-
term50care50facility50where50you50have50recently50begun50practicing.50Consequently,5
0you50have50resolved50to50examine50some50of50these50practices50in50light50of50evidenc
e.50Which50of50the50following50should50occur50first50in50the50steps50of50EBP?
A) Conducting50an50electronic50search50of50the50literature50and50ranking50individual50sources
B) Creating50“buy-in”50from50the50other50clinicians50who50provide50care50at50the50facility
C) Developing50an50inquisitive50and50curious50mindset
D) Assessing50whether50the50practices50in50question50may,50in50fact,50be50evidence-based
7. Which50of50the50following50clinical50questions50best50exemplifies50the50PICOT50format?
A) What50effect50does50parents'50smoking50have50on50the50smoking50habits50of50
their50children,50ages501350to5016?
B) Among50cancer50patients,50what50role50does50meditation,50rather50than50benz
odiazepines,50have50on50anxiety50levels50during50the50750days50following50hospi
tal50admission?
C) Among50undergraduate50college50students,50what50is50the50effectiveness50of50a50
sexual50health50campaign50undertaken50during50the50first50450weeks50of50the50fall5
0semester50as50measured50by50incidence50of50new50gonorrheal50and50chlamydial
50infections50reported50to50the50campus50medical50center?
D) In50patients50aged50850to5012,50is50the50effectiveness50of50a50pain50scale50using50f
aces50superior50to50a50numeric50rating50scale50in50the50emergency50room50context
?
8. After50formulating50a50clinical50question,50a50nurse50has50proceeded50to50search50for5
0evidence50for50ways50to50foster50restful50sleep50in50patients50who50are50receiving50ca
re50in50the50intensive50care50unit50(ICU).50The50nurse50has50identified50a50relevant50m
eta-
analysis50in50an50electronic50database.50What50will50this50source50of50evidence50consist
50of?
A) A50statistical50summary50of50the50results50from50several50different50studies
B) An50examination50of50the50theoretical50and50conceptual50underpinnings50of50the50issue