BESTLEC
Test Bank
Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice, 5th Ed
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complete. Original Copy
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ST
BE
, BESTLEC
C
LE
ST
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, BESTLEC
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
Answers Provided at the End of Each Chapter
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. This is 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
C
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient
LE
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
ST
B) Research utilization
C) Experience
D) Internal evidence
BE
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends
to 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 or randomized
trial.”
, BESTLEC
4. Which of the following factors provides the most important rationale for the consistent
implementation 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 been
established to address EBP. Which of the following issues is the Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated into care
C
B) Fostering the level of learning that exists in the American healthcare system
C)
LE
Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of other Western
countries
ST
6. You have become frustrated with some aspects of patient care that you believe are
BE
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 light of 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?
Test Bank
Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice, 5th Ed
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complete. Original Copy
C
LE
ST
BE
, BESTLEC
C
LE
ST
BE
, BESTLEC
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
Answers Provided at the End of Each Chapter
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. This is 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
C
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient
LE
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
ST
B) Research utilization
C) Experience
D) Internal evidence
BE
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends
to 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 or randomized
trial.”
, BESTLEC
4. Which of the following factors provides the most important rationale for the consistent
implementation 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 been
established to address EBP. Which of the following issues is the Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated into care
C
B) Fostering the level of learning that exists in the American healthcare system
C)
LE
Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of other Western
countries
ST
6. You have become frustrated with some aspects of patient care that you believe are
BE
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 light of 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?
