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
, Chapter37137Making37the37Case37for37Evidence-
Based37Practice37and37Cultivating37a37Spirit37of37Inquiry
In37the37hospital37where37Nurse37L.37provides37care,37tradition37
dictates37that37oral37temperatures37be37included37in37every37se
t37of37patient37vital37signs,37regardless37of37patient37diagnosis3
7or37acuity.37This37is37most37likely37an37example37of37which37of37th
e37following37phenomena?
A) The37prioritization37of37internal37evidence37over37external37evide
nce
B) Practice37that37lacks37evidence37to37support37its37application
C) The37integration37of37personal37expertise37into37nursing37care
D) Evidence-based37practice
2. The37clinical37nurse37educator37(CNE)37on37a37postsurgical37uni
t37has37recently37completed37a37patient37chart37review37after3
7the37implementation37of37a37pilot37program37aimed37at37pro
moting37early37ambulation37following37surgery.37Which37of37t
he37following37components37of37EBP37is37the37nurse37putting37int
o37practice?
A) Patient37preferences
B) Research37utilization
C) Experience
D) Internal37evidence
3. Nurse37R.37has37observed37that37reorienting37demented37patie
nts37as37frequently37as37possible37tends37to37minimize37the37pati
ents'37level37of37agitation37in37the37evening.37The37nurse37has37s
, hared37this37observation37with37a37colleague,37who37is37skeptic
al,37stating37that,37“It's37best37to37stick37to37evidence-
based37practice.”37How37can37Nurse37R.37best37respond?
A) “EBP37can37include37clinicians'37personal37expertise.”
B) “Personal37experience37is37often37more37sound37than37formal37evi
dence-based37practice.”
C) “Traditional37practice37and37EBP37are37usually37shown37to37be37th
e37same.”
D) “My37years37of37experience37can37be37just37as37valua
ble37as37any37literature37review37or37randomized37tri
al.”
4. Which37of37the37following37factors37provides37the37most37impo
rtant37rationale37for37the37consistent37implementation37of37EBP
?
A) EBP37provides37for37the37most37cost-effective37patient37care.
B) EBP37is37accessible37to37all37healthcare37clinicians.
C) EBP37provides37consistency37in37care37across37healthcare37setting
s.
D) EBP37improves37patient37outcomes.
, 5. The37Institute37of37Medicine's37Roundtable37on37Evidenc
e-
Based37Medicine37has37been37established37to37address37
EBP.37Which37of37the37following37issues37is37the37Roundt
able37emphasizing?
A) Ensuring37that37external37evidence,37rather37than37intern
al37evidence,37is37integrated37into37care
B) Fostering37the37level37of37learning37that37exists37in37the37American
37healthcare37system
C) Issuing37clinical37guidelines37to37ensure37best37nursing37practice
D) Comparing37the37implementation37of37EBP37in37the37Uni
ted37States37with37that37of37other37Western37countries
6. You37have37become37frustrated37with37some37aspects37of37pati
ent37care37that37you37believe37are37outdated37and37ineffectiv
e37at37the37long-
term37care37facility37where37you37have37recently37begun37pra
cticing.37Consequently,37you37have37resolved37to37examine37so
me37of37these37practices37in37light37of37evidence.37Which37of37th
e37following37should37occur37first37in37the37steps37of37EBP?
A) Conducting37an37electronic37search37of37the37literature37and37ran
king37individual37sources
B) Creating37“buy-
in”37from37the37other37clinicians37who37provide37care37at37the37faci
lity
C) Developing37an37inquisitive37and37curious37mindset
D) Assessing37whether37the37practices37in37question37may,37in37fact,37
be37evidence-based
7. Which37of37the37following37clinical37questions37best37exemplifies37the
37PICOT37format?
A) What37effect37does37parents'37smoking37have37on37the37s
A Guide to Best Practice 5th Edition by Melnyk, Ellen Fineout-
Overholt Chapter 1 - 23 Complete
, Chapter37137Making37the37Case37for37Evidence-
Based37Practice37and37Cultivating37a37Spirit37of37Inquiry
In37the37hospital37where37Nurse37L.37provides37care,37tradition37
dictates37that37oral37temperatures37be37included37in37every37se
t37of37patient37vital37signs,37regardless37of37patient37diagnosis3
7or37acuity.37This37is37most37likely37an37example37of37which37of37th
e37following37phenomena?
A) The37prioritization37of37internal37evidence37over37external37evide
nce
B) Practice37that37lacks37evidence37to37support37its37application
C) The37integration37of37personal37expertise37into37nursing37care
D) Evidence-based37practice
2. The37clinical37nurse37educator37(CNE)37on37a37postsurgical37uni
t37has37recently37completed37a37patient37chart37review37after3
7the37implementation37of37a37pilot37program37aimed37at37pro
moting37early37ambulation37following37surgery.37Which37of37t
he37following37components37of37EBP37is37the37nurse37putting37int
o37practice?
A) Patient37preferences
B) Research37utilization
C) Experience
D) Internal37evidence
3. Nurse37R.37has37observed37that37reorienting37demented37patie
nts37as37frequently37as37possible37tends37to37minimize37the37pati
ents'37level37of37agitation37in37the37evening.37The37nurse37has37s
, hared37this37observation37with37a37colleague,37who37is37skeptic
al,37stating37that,37“It's37best37to37stick37to37evidence-
based37practice.”37How37can37Nurse37R.37best37respond?
A) “EBP37can37include37clinicians'37personal37expertise.”
B) “Personal37experience37is37often37more37sound37than37formal37evi
dence-based37practice.”
C) “Traditional37practice37and37EBP37are37usually37shown37to37be37th
e37same.”
D) “My37years37of37experience37can37be37just37as37valua
ble37as37any37literature37review37or37randomized37tri
al.”
4. Which37of37the37following37factors37provides37the37most37impo
rtant37rationale37for37the37consistent37implementation37of37EBP
?
A) EBP37provides37for37the37most37cost-effective37patient37care.
B) EBP37is37accessible37to37all37healthcare37clinicians.
C) EBP37provides37consistency37in37care37across37healthcare37setting
s.
D) EBP37improves37patient37outcomes.
, 5. The37Institute37of37Medicine's37Roundtable37on37Evidenc
e-
Based37Medicine37has37been37established37to37address37
EBP.37Which37of37the37following37issues37is37the37Roundt
able37emphasizing?
A) Ensuring37that37external37evidence,37rather37than37intern
al37evidence,37is37integrated37into37care
B) Fostering37the37level37of37learning37that37exists37in37the37American
37healthcare37system
C) Issuing37clinical37guidelines37to37ensure37best37nursing37practice
D) Comparing37the37implementation37of37EBP37in37the37Uni
ted37States37with37that37of37other37Western37countries
6. You37have37become37frustrated37with37some37aspects37of37pati
ent37care37that37you37believe37are37outdated37and37ineffectiv
e37at37the37long-
term37care37facility37where37you37have37recently37begun37pra
cticing.37Consequently,37you37have37resolved37to37examine37so
me37of37these37practices37in37light37of37evidence.37Which37of37th
e37following37should37occur37first37in37the37steps37of37EBP?
A) Conducting37an37electronic37search37of37the37literature37and37ran
king37individual37sources
B) Creating37“buy-
in”37from37the37other37clinicians37who37provide37care37at37the37faci
lity
C) Developing37an37inquisitive37and37curious37mindset
D) Assessing37whether37the37practices37in37question37may,37in37fact,37
be37evidence-based
7. Which37of37the37following37clinical37questions37best37exemplifies37the
37PICOT37format?
A) What37effect37does37parents'37smoking37have37on37the37s