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-
g g g g g g
Based Practice and Cultivating a Spirit of Inquiry
g g g g g g g
IngtheghospitalgwheregNursegL.gprovidesgcare,gtraditiongdictatesgthatgoralgtemperaturesgbeg
includedgingeverygsetgofgpatientgvitalgsigns,gregardlessgofgpatientgdiagnosisgorgacuity.gThisgisg
mostglikelygangexamplegofgwhichgofgthegfollowinggphenomena?
A) Thegprioritizationgofginternalgevidencegovergexternalgevidence
B) Practicegthatglacksgevidencegtogsupportgitsgapplication
C) Thegintegrationgofgpersonalgexpertisegintognursinggcare
D) Evidence-basedgpractice
2. Thegclinicalgnursegeducatorg(CNE)gongagpostsurgicalgunitghasgrecentlygcompletedgagpatie
ntgchartgreviewgaftergthegimplementationgofgagpilotgprogramgaimedgatgpromotinggearlyga
mbulationgfollowinggsurgery.gWhichgofgthegfollowinggcomponentsgofgEBPgisgthegnursegpu
ttinggintogpractice?
A) Patientgpreferences
B) Researchgutilization
C) Experience
D) Internalgevidence
3. NursegR.ghasgobservedgthatgreorientinggdementedgpatientsgasgfrequentlygasgpossiblegtend
sgtogminimizegthegpatients'glevelgofgagitationgingthegevening.gThegnurseghasgsharedgthisgobs
ervationgwithgagcolleague,gwhogisgskeptical,gstatinggthat,g“It'sgbestgtogstickgtogevidence-
basedgpractice.”gHowgcangNursegR.gbestgrespond?
A) “EBPgcangincludegclinicians'gpersonalgexpertise.”
B) “Personalgexperiencegisgoftengmoregsoundgthangformalgevidence-basedgpractice.”
C) “TraditionalgpracticegandgEBPgaregusuallygshowngtogbegthegsame.”
D) “Mygyearsgofgexperiencegcangbegjustgasgvaluablegasganygliteraturegreviewgorgr
andomizedgtrial.”
4. Whichgofgthegfollowinggfactorsgprovidesgthegmostgimportantgrationalegforgthegconsistentg
implementationgofgEBP?
A) EBPgprovidesgforgthegmostgcost-effectivegpatientgcare.
B) EBPgisgaccessiblegtogallghealthcaregclinicians.
C) EBPgprovidesgconsistencygingcaregacrossghealthcaregsettings.
D) EBPgimprovesgpatientgoutcomes.
,5. ThegInstitutegofgMedicine'sgRoundtablegongEvidence-
BasedgMedicineghasgbeengestablishedgtogaddressgEBP.gWhichgofgthegfollowinggis
suesgisgthegRoundtablegemphasizing?
A) Ensuringgthatgexternalgevidence,grathergthanginternalgevidence,gisgintegratedgint
ogcare
B) FosteringgtheglevelgofglearninggthatgexistsgingthegAmericanghealthcaregsystem
C) Issuinggclinicalgguidelinesgtogensuregbestgnursinggpractice
D) ComparinggthegimplementationgofgEBPgingthegUnitedgStatesgwithgthatgofgotherg
Westerngcountries
6. Youghavegbecomegfrustratedgwithgsomegaspectsgofgpatientgcaregthatgyougbelievegaregoutd
atedgandgineffectivegatgtheglong-
termgcaregfacilitygwheregyoughavegrecentlygbegungpracticing.gConsequently,gyoughavegres
olvedgtogexaminegsomegofgthesegpracticesginglightgofgevidence.gWhichgofgthegfollowinggsho
uldgoccurgfirstgingthegstepsgofgEBP?
A) Conductinggangelectronicgsearchgofgthegliteraturegandgrankinggindividualgsources
B) Creatingg“buy-in”gfromgthegothergcliniciansgwhogprovidegcaregatgthegfacility
C) Developingganginquisitivegandgcuriousgmindset
D) Assessinggwhethergthegpracticesgingquestiongmay,gingfact,gbegevidence-based
7. WhichgofgthegfollowinggclinicalgquestionsgbestgexemplifiesgthegPICOTgformat?
A) Whatgeffectgdoesgparents'gsmokingghavegongthegsmokingghabitsgofgtheirgchildren,g
agesg13gtog16?
B) Amonggcancergpatients,gwhatgrolegdoesgmeditation,grathergthangbenzodiazepine
s,ghavegonganxietyglevelsgduringgtheg7gdaysgfollowingghospitalgadmission?
C) Amonggundergraduategcollegegstudents,gwhatgisgthegeffectivenessgofgagsexualghealthg
campaigngundertakengduringgthegfirstg4gweeksgofgthegfallgsemestergasgmeasuredgbygi
ncidencegofgnewggonorrhealgandgchlamydialginfectionsgreportedgtogthegcampusgmed
icalgcenter?
D) Ingpatientsgagedg8gtog12,gisgthegeffectivenessgofgagpaingscalegusinggfacesgsuperiorgtogagn
umericgratinggscalegingthegemergencygroomgcontext?
8. Aftergformulatinggagclinicalgquestion,gagnurseghasgproceededgtogsearchgforgevidencegforgw
aysgtogfostergrestfulgsleepgingpatientsgwhogaregreceivinggcaregingthegintensivegcaregunitg(IC
U).gThegnurseghasgidentifiedgagrelevantgmeta-
analysisgingangelectronicgdatabase.gWhatgwillgthisgsourcegofgevidencegconsistgof?
A) Agstatisticalgsummarygofgthegresultsgfromgseveralgdifferentgstudies
B) Angexaminationgofgthegtheoreticalgandgconceptualgunderpinningsgofgthegissue
C) Anginterdisciplinaryganalysisgofgthegclinicalgquestion
D) Agqualitativegstudygofgdifferentginterventionsgrelatedgtogthegclinicalgquestion
, 9. Thegnursesgongagpostpartumgunitghavegnotedgthatgmanygprimiparousg(first-
time)gmothersgareggivinggupgongbreastfeedinggwithingtheg24ghoursgfollowinggdelivery,gand
gthegnursesgwantgtogcreateguniformgguidelinesgforgpromotinggbreastfeedinggongthegunit.g
Whichgofgthegfollowinggsourcesgisgmostglikelygtogprovidegthegbestgevidencegingtheirgquestgf
organgintervention?
A) Evidencegfromgagrandomizedgcontrolgtrialgthatghadgmoregthang2500gparticipants
B) Evidencegfromgagstudygthatgisgwidelygregardedgasgagclassicgwithingthegobstetricalgn
ursinggcommunity
C) Evidencegfromgagsystematicgreviewgofgbreastfeeding-
promotiongstudiesgthatgonegofgthegnursesgidentifiedgingangelectronicgdatabase
D) Thegconsensusgopiniongofgthegmostgseniorgnursesgongthegunit
10. Thegnursegeducatorgongangacutegmedicinegunitgisgadvocatinggforgthegusegof
evidence-
basedgclinicalgpracticegguidelinesgongwoundgcaregingordergtogstandardizegandgoptimizegt
hegpracticegofgthegnursesgongthegunit.gWhichgofgthegfollowinggstatementsgbestgdescribesg
clinicalgpracticegguidelines?
A) Thegresultgofgreplicationgstudiesgofgexistinggresearchgbygangimpartialgthirdgparty
B) Agcollectiongofgauthorizedginterventionsgthatgaregrequiredgbyglaw
C) Agnumbergofginterventionsgthatgaregthegresultgofgaglarge,gpublically-fundedgRCT
D) Aggroupgofgpracticegrecommendationsgthatgresultgfromgagrigorousgreviewgofgthegl
iterature
11. Agnursegisgconductinggagliteraturegreviewgongthegevidencegregardinggthegusegofgvacuumgdr
essingsgongstagegIVgpressuregulcers.gAfterglocatinggagrecentgstudygthatgappearsgtogbegrelev
ant,gwhichgofgthegfollowinggquestionsgwouldgthegnursegconsidergfirstgwhengcriticallygappra
isinggthegstudy?
A) “Aregthegfindingsgofgthisgstudygcost-effectivegingourgclinicalgcontext?”
B) "Howgwouldgthegimplementationgofgthisginterventiongaffectgourgstaffinggneeds?"
C) “Weregthegpatientsgingthegstudygsimilargtogthegpatientsgongmygunit?”
D) “Aregthegfindingsgofgthegstudygsignificantlygdifferentgfromgwhatgwegaregcurrentlygd
oinggongthegunit?
12. Thegprimarygcaregprovidergofgag49-year-
oldgmalegpatientghasgexaminedgandgbrieflygexplainedgthegevidencegthatgsupportsgbegin
ninggregulargdigital-
rectalgexams.gWhichgofgthegfollowinggfactorsgwouldgjustifygnotgperforminggdigital-
rectalgexaminationsgingthisgpatient'sgcare?
A) Thegpatientgisgvehementlygopposedgtogundergoinggagdigital-rectalgexam.
B) Clinicalgpracticegguidelinesgforgprostategcareghavegnotgbeengpublished.
C) ThegclinicianghasgbeengunablegtogfindganyglargegRCTsgingagliteraturegreview.
D) Thegclinicianghasgpreviouslygwaitedguntilgpatientsgareg55gtogbegingregulargd
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
, Chapter 1 Making the Case for Evidence-
g g g g g g
Based Practice and Cultivating a Spirit of Inquiry
g g g g g g g
IngtheghospitalgwheregNursegL.gprovidesgcare,gtraditiongdictatesgthatgoralgtemperaturesgbeg
includedgingeverygsetgofgpatientgvitalgsigns,gregardlessgofgpatientgdiagnosisgorgacuity.gThisgisg
mostglikelygangexamplegofgwhichgofgthegfollowinggphenomena?
A) Thegprioritizationgofginternalgevidencegovergexternalgevidence
B) Practicegthatglacksgevidencegtogsupportgitsgapplication
C) Thegintegrationgofgpersonalgexpertisegintognursinggcare
D) Evidence-basedgpractice
2. Thegclinicalgnursegeducatorg(CNE)gongagpostsurgicalgunitghasgrecentlygcompletedgagpatie
ntgchartgreviewgaftergthegimplementationgofgagpilotgprogramgaimedgatgpromotinggearlyga
mbulationgfollowinggsurgery.gWhichgofgthegfollowinggcomponentsgofgEBPgisgthegnursegpu
ttinggintogpractice?
A) Patientgpreferences
B) Researchgutilization
C) Experience
D) Internalgevidence
3. NursegR.ghasgobservedgthatgreorientinggdementedgpatientsgasgfrequentlygasgpossiblegtend
sgtogminimizegthegpatients'glevelgofgagitationgingthegevening.gThegnurseghasgsharedgthisgobs
ervationgwithgagcolleague,gwhogisgskeptical,gstatinggthat,g“It'sgbestgtogstickgtogevidence-
basedgpractice.”gHowgcangNursegR.gbestgrespond?
A) “EBPgcangincludegclinicians'gpersonalgexpertise.”
B) “Personalgexperiencegisgoftengmoregsoundgthangformalgevidence-basedgpractice.”
C) “TraditionalgpracticegandgEBPgaregusuallygshowngtogbegthegsame.”
D) “Mygyearsgofgexperiencegcangbegjustgasgvaluablegasganygliteraturegreviewgorgr
andomizedgtrial.”
4. Whichgofgthegfollowinggfactorsgprovidesgthegmostgimportantgrationalegforgthegconsistentg
implementationgofgEBP?
A) EBPgprovidesgforgthegmostgcost-effectivegpatientgcare.
B) EBPgisgaccessiblegtogallghealthcaregclinicians.
C) EBPgprovidesgconsistencygingcaregacrossghealthcaregsettings.
D) EBPgimprovesgpatientgoutcomes.
,5. ThegInstitutegofgMedicine'sgRoundtablegongEvidence-
BasedgMedicineghasgbeengestablishedgtogaddressgEBP.gWhichgofgthegfollowinggis
suesgisgthegRoundtablegemphasizing?
A) Ensuringgthatgexternalgevidence,grathergthanginternalgevidence,gisgintegratedgint
ogcare
B) FosteringgtheglevelgofglearninggthatgexistsgingthegAmericanghealthcaregsystem
C) Issuinggclinicalgguidelinesgtogensuregbestgnursinggpractice
D) ComparinggthegimplementationgofgEBPgingthegUnitedgStatesgwithgthatgofgotherg
Westerngcountries
6. Youghavegbecomegfrustratedgwithgsomegaspectsgofgpatientgcaregthatgyougbelievegaregoutd
atedgandgineffectivegatgtheglong-
termgcaregfacilitygwheregyoughavegrecentlygbegungpracticing.gConsequently,gyoughavegres
olvedgtogexaminegsomegofgthesegpracticesginglightgofgevidence.gWhichgofgthegfollowinggsho
uldgoccurgfirstgingthegstepsgofgEBP?
A) Conductinggangelectronicgsearchgofgthegliteraturegandgrankinggindividualgsources
B) Creatingg“buy-in”gfromgthegothergcliniciansgwhogprovidegcaregatgthegfacility
C) Developingganginquisitivegandgcuriousgmindset
D) Assessinggwhethergthegpracticesgingquestiongmay,gingfact,gbegevidence-based
7. WhichgofgthegfollowinggclinicalgquestionsgbestgexemplifiesgthegPICOTgformat?
A) Whatgeffectgdoesgparents'gsmokingghavegongthegsmokingghabitsgofgtheirgchildren,g
agesg13gtog16?
B) Amonggcancergpatients,gwhatgrolegdoesgmeditation,grathergthangbenzodiazepine
s,ghavegonganxietyglevelsgduringgtheg7gdaysgfollowingghospitalgadmission?
C) Amonggundergraduategcollegegstudents,gwhatgisgthegeffectivenessgofgagsexualghealthg
campaigngundertakengduringgthegfirstg4gweeksgofgthegfallgsemestergasgmeasuredgbygi
ncidencegofgnewggonorrhealgandgchlamydialginfectionsgreportedgtogthegcampusgmed
icalgcenter?
D) Ingpatientsgagedg8gtog12,gisgthegeffectivenessgofgagpaingscalegusinggfacesgsuperiorgtogagn
umericgratinggscalegingthegemergencygroomgcontext?
8. Aftergformulatinggagclinicalgquestion,gagnurseghasgproceededgtogsearchgforgevidencegforgw
aysgtogfostergrestfulgsleepgingpatientsgwhogaregreceivinggcaregingthegintensivegcaregunitg(IC
U).gThegnurseghasgidentifiedgagrelevantgmeta-
analysisgingangelectronicgdatabase.gWhatgwillgthisgsourcegofgevidencegconsistgof?
A) Agstatisticalgsummarygofgthegresultsgfromgseveralgdifferentgstudies
B) Angexaminationgofgthegtheoreticalgandgconceptualgunderpinningsgofgthegissue
C) Anginterdisciplinaryganalysisgofgthegclinicalgquestion
D) Agqualitativegstudygofgdifferentginterventionsgrelatedgtogthegclinicalgquestion
, 9. Thegnursesgongagpostpartumgunitghavegnotedgthatgmanygprimiparousg(first-
time)gmothersgareggivinggupgongbreastfeedinggwithingtheg24ghoursgfollowinggdelivery,gand
gthegnursesgwantgtogcreateguniformgguidelinesgforgpromotinggbreastfeedinggongthegunit.g
Whichgofgthegfollowinggsourcesgisgmostglikelygtogprovidegthegbestgevidencegingtheirgquestgf
organgintervention?
A) Evidencegfromgagrandomizedgcontrolgtrialgthatghadgmoregthang2500gparticipants
B) Evidencegfromgagstudygthatgisgwidelygregardedgasgagclassicgwithingthegobstetricalgn
ursinggcommunity
C) Evidencegfromgagsystematicgreviewgofgbreastfeeding-
promotiongstudiesgthatgonegofgthegnursesgidentifiedgingangelectronicgdatabase
D) Thegconsensusgopiniongofgthegmostgseniorgnursesgongthegunit
10. Thegnursegeducatorgongangacutegmedicinegunitgisgadvocatinggforgthegusegof
evidence-
basedgclinicalgpracticegguidelinesgongwoundgcaregingordergtogstandardizegandgoptimizegt
hegpracticegofgthegnursesgongthegunit.gWhichgofgthegfollowinggstatementsgbestgdescribesg
clinicalgpracticegguidelines?
A) Thegresultgofgreplicationgstudiesgofgexistinggresearchgbygangimpartialgthirdgparty
B) Agcollectiongofgauthorizedginterventionsgthatgaregrequiredgbyglaw
C) Agnumbergofginterventionsgthatgaregthegresultgofgaglarge,gpublically-fundedgRCT
D) Aggroupgofgpracticegrecommendationsgthatgresultgfromgagrigorousgreviewgofgthegl
iterature
11. Agnursegisgconductinggagliteraturegreviewgongthegevidencegregardinggthegusegofgvacuumgdr
essingsgongstagegIVgpressuregulcers.gAfterglocatinggagrecentgstudygthatgappearsgtogbegrelev
ant,gwhichgofgthegfollowinggquestionsgwouldgthegnursegconsidergfirstgwhengcriticallygappra
isinggthegstudy?
A) “Aregthegfindingsgofgthisgstudygcost-effectivegingourgclinicalgcontext?”
B) "Howgwouldgthegimplementationgofgthisginterventiongaffectgourgstaffinggneeds?"
C) “Weregthegpatientsgingthegstudygsimilargtogthegpatientsgongmygunit?”
D) “Aregthegfindingsgofgthegstudygsignificantlygdifferentgfromgwhatgwegaregcurrentlygd
oinggongthegunit?
12. Thegprimarygcaregprovidergofgag49-year-
oldgmalegpatientghasgexaminedgandgbrieflygexplainedgthegevidencegthatgsupportsgbegin
ninggregulargdigital-
rectalgexams.gWhichgofgthegfollowinggfactorsgwouldgjustifygnotgperforminggdigital-
rectalgexaminationsgingthisgpatient'sgcare?
A) Thegpatientgisgvehementlygopposedgtogundergoinggagdigital-rectalgexam.
B) Clinicalgpracticegguidelinesgforgprostategcareghavegnotgbeengpublished.
C) ThegclinicianghasgbeengunablegtogfindganyglargegRCTsgingagliteraturegreview.
D) Thegclinicianghasgpreviouslygwaitedguntilgpatientsgareg55gtogbegingregulargd
