TEST BANK FOR EVIDENCE-BASED PRACTICE IN
n n n n n
NURSING & HEALTHCARE A GUIDE TO BEST PRACTICE
n n n n n n n n
5TH EDITION
n n
BY BERNADETTE MAZUREK MELNYK, ELLEN FINEOUT-
n n n n n
OVERHOLT
CHAPTER 1 - 23 COMPLET
n n n n
,Chapter 1 Making the Case for Evidence-Based
n n n n n n
Practice and Cultivating a Spirit of Inquiry
n n n n n n n
, In nthe nhospital nwhere nNurse nL. nprovides ncare, ntradition ndictates nthat noral
temperatures nbe nincluded nin nevery nset nof npatient nvital nsigns, nregardless nof
n
npatient ndiagnosis nor nacuity. nThisn
is nmost nlikely nan nexample nof nwhich nof nthe
nfollowing nphenomena?
A) The nprioritization nof ninternal nevidence nover nexternal nevidence
B) Practice nthat nlacks nevidence nto nsupport nits napplication
C) The nintegration nof npersonal nexpertise ninto nnursing ncare
D) Evidence-based npractice
2. The nclinical nnurse neducator n(CNE) non na npostsurgical nunit nhas nrecently
ncompleted na npatient nchart nreview nafter n the n implementation nof na n pilot
nprogram naimed nat npromoting nearly nambulation nfollowing nsurgery. nWhich
nof nthe nfollowing ncomponents nof nEBP nis nthen nurse nputting ninto npractice?
A) Patient npreferences
B) Research nutilization
C) Experience
D) Internal nevidence
3. Nurse nR. nhas nobserved nthat nreorienting ndemented npatients nas nfrequently nas
npossible ntendsn to nminimize nthe npatients' nlevel nof nagitation nin nthe nevening.
nThe nnurse nhas nshared nthis nobservation nwith na ncolleague, nwho nis nskeptical,
nstating nthat, n“It's nbest nto nstick n to nevidence-based npractice.” nHow ncan nNurse
nR. nbest nrespond?
A) “EBP ncan ninclude nclinicians' npersonal nexpertise.”
B) “Personal nexperience nis noften nmore nsound nthan nformal nevidence-based
npractice.”
C) “Traditional npractice nand nEBP nare nusually nshown nto nbe nthe nsame.”
D) “My nyears nof nexperience ncan nbe njust nas nvaluable nas nany
nliterature nreview norn randomized ntrial.”
4. Which nof nthe nfollowing nfactors nprovides nthe nmost nimportant nrationale nfor
nthe nconsistentn
implementation nof nEBP?
A) EBP nprovides nfor nthe nmost ncost-effective npatient ncare.
B) EBP nis naccessible nto nall nhealthcare nclinicians.
C) EBP nprovides nconsistency nin ncare nacross nhealthcare nsettings.
D) EBP nimproves npatient noutcomes.
, 5. The nInstitute nof nMedicine's nRoundtable non nEvidence-Based
nMedicine nhas nbeenn established nto naddress nEBP. nWhich nof nthe
nfollowing nissues nis nthe nRoundtable nemphasizing?
A) Ensuring nthat nexternal nevidence, nrather nthan ninternal nevidence, nis
nintegrated ninton care
B) Fostering nthe nlevel nof nlearning nthat nexists nin nthe nAmerican nhealthcare nsystem
C) Issuing nclinical nguidelines nto nensure nbest nnursing npractice
D) Comparing nthe nimplementation nof nEBP nin nthe nUnited nStates nwith
nthat n of nothern
Western ncountries
6. You nhave nbecome nfrustrated nwith nsome naspects nof npatient ncare nthat nyou
nbelieve nare noutdated nand nineffective nat nthe n long-term ncare nfacility nwhere
nyou nhave nrecently nbegun npracticing. nConsequently, nyou nhave nresolved nto
nexamine nsome n of nthese npractices nin nlightn
of nevidence. nWhich nof nthe
nfollowing nshould noccur nfirst nin nthe nsteps nof nEBP?
A) Conducting nan nelectronic nsearch nof nthe nliterature nand nranking nindividual
nsources
B) Creating n“buy-in” nfrom nthe nother nclinicians nwho nprovide ncare nat nthe nfacility
C) Developing nan ninquisitive nand ncurious nmindset
D) Assessing nwhether nthe npractices nin nquestion nmay, nin nfact, nbe nevidence-based
7. Which nof nthe nfollowing nclinical nquestions nbest nexemplifies nthe nPICOT nformat?
A) What neffect ndoes nparents' nsmoking nhave non nthe nsmoking nhabits nof
ntheir nchildren,n ages n13 nto n16?
B) Among ncancer npatients, nwhat nrole ndoes nmeditation, nrather nthan
nbenzodiazepines,n have non nanxiety nlevels nduring nthe n7 ndays nfollowing
nhospital nadmission?
C) Among nundergraduate ncollege nstudents, nwhat nis nthe neffectiveness nof na
nsexual nhealthn campaign nundertaken nduring nthe nfirst n4 nweeks nof nthe nfall
nsemester nas nmeasured nby nincidence nof nnew ngonorrheal nand nchlamydial
ninfections nreported nto nthe ncampus nmedical ncenter?
D) In npatients naged n8 nto n12, nis nthe neffectiveness nof na npain nscale nusing nfaces
nsuperior nto na nnumeric nrating nscale nin nthe nemergency nroom ncontext?
8. After nformulating na nclinical nquestion, na nnurse nhas nproceeded nto nsearch nfor
nevidence nfor nways nto nfoster nrestful nsleep nin npatients nwho nare nreceiving
ncare nin nthe nintensive ncare n unit n(ICU). nThe nnurse nhas nidentified na nrelevant
nmeta-analysis nin nan nelectronic ndatabase. nWhatn will nthis nsource nof nevidence
nconsist nof?
A) A nstatistical nsummary nof nthe nresults nfrom nseveral ndifferent nstudies
B) An nexamination nof nthe ntheoretical nand nconceptual nunderpinnings nof nthe nissue
C) An ninterdisciplinary nanalysis nof nthe nclinical nquestion
n n n n n
NURSING & HEALTHCARE A GUIDE TO BEST PRACTICE
n n n n n n n n
5TH EDITION
n n
BY BERNADETTE MAZUREK MELNYK, ELLEN FINEOUT-
n n n n n
OVERHOLT
CHAPTER 1 - 23 COMPLET
n n n n
,Chapter 1 Making the Case for Evidence-Based
n n n n n n
Practice and Cultivating a Spirit of Inquiry
n n n n n n n
, In nthe nhospital nwhere nNurse nL. nprovides ncare, ntradition ndictates nthat noral
temperatures nbe nincluded nin nevery nset nof npatient nvital nsigns, nregardless nof
n
npatient ndiagnosis nor nacuity. nThisn
is nmost nlikely nan nexample nof nwhich nof nthe
nfollowing nphenomena?
A) The nprioritization nof ninternal nevidence nover nexternal nevidence
B) Practice nthat nlacks nevidence nto nsupport nits napplication
C) The nintegration nof npersonal nexpertise ninto nnursing ncare
D) Evidence-based npractice
2. The nclinical nnurse neducator n(CNE) non na npostsurgical nunit nhas nrecently
ncompleted na npatient nchart nreview nafter n the n implementation nof na n pilot
nprogram naimed nat npromoting nearly nambulation nfollowing nsurgery. nWhich
nof nthe nfollowing ncomponents nof nEBP nis nthen nurse nputting ninto npractice?
A) Patient npreferences
B) Research nutilization
C) Experience
D) Internal nevidence
3. Nurse nR. nhas nobserved nthat nreorienting ndemented npatients nas nfrequently nas
npossible ntendsn to nminimize nthe npatients' nlevel nof nagitation nin nthe nevening.
nThe nnurse nhas nshared nthis nobservation nwith na ncolleague, nwho nis nskeptical,
nstating nthat, n“It's nbest nto nstick n to nevidence-based npractice.” nHow ncan nNurse
nR. nbest nrespond?
A) “EBP ncan ninclude nclinicians' npersonal nexpertise.”
B) “Personal nexperience nis noften nmore nsound nthan nformal nevidence-based
npractice.”
C) “Traditional npractice nand nEBP nare nusually nshown nto nbe nthe nsame.”
D) “My nyears nof nexperience ncan nbe njust nas nvaluable nas nany
nliterature nreview norn randomized ntrial.”
4. Which nof nthe nfollowing nfactors nprovides nthe nmost nimportant nrationale nfor
nthe nconsistentn
implementation nof nEBP?
A) EBP nprovides nfor nthe nmost ncost-effective npatient ncare.
B) EBP nis naccessible nto nall nhealthcare nclinicians.
C) EBP nprovides nconsistency nin ncare nacross nhealthcare nsettings.
D) EBP nimproves npatient noutcomes.
, 5. The nInstitute nof nMedicine's nRoundtable non nEvidence-Based
nMedicine nhas nbeenn established nto naddress nEBP. nWhich nof nthe
nfollowing nissues nis nthe nRoundtable nemphasizing?
A) Ensuring nthat nexternal nevidence, nrather nthan ninternal nevidence, nis
nintegrated ninton care
B) Fostering nthe nlevel nof nlearning nthat nexists nin nthe nAmerican nhealthcare nsystem
C) Issuing nclinical nguidelines nto nensure nbest nnursing npractice
D) Comparing nthe nimplementation nof nEBP nin nthe nUnited nStates nwith
nthat n of nothern
Western ncountries
6. You nhave nbecome nfrustrated nwith nsome naspects nof npatient ncare nthat nyou
nbelieve nare noutdated nand nineffective nat nthe n long-term ncare nfacility nwhere
nyou nhave nrecently nbegun npracticing. nConsequently, nyou nhave nresolved nto
nexamine nsome n of nthese npractices nin nlightn
of nevidence. nWhich nof nthe
nfollowing nshould noccur nfirst nin nthe nsteps nof nEBP?
A) Conducting nan nelectronic nsearch nof nthe nliterature nand nranking nindividual
nsources
B) Creating n“buy-in” nfrom nthe nother nclinicians nwho nprovide ncare nat nthe nfacility
C) Developing nan ninquisitive nand ncurious nmindset
D) Assessing nwhether nthe npractices nin nquestion nmay, nin nfact, nbe nevidence-based
7. Which nof nthe nfollowing nclinical nquestions nbest nexemplifies nthe nPICOT nformat?
A) What neffect ndoes nparents' nsmoking nhave non nthe nsmoking nhabits nof
ntheir nchildren,n ages n13 nto n16?
B) Among ncancer npatients, nwhat nrole ndoes nmeditation, nrather nthan
nbenzodiazepines,n have non nanxiety nlevels nduring nthe n7 ndays nfollowing
nhospital nadmission?
C) Among nundergraduate ncollege nstudents, nwhat nis nthe neffectiveness nof na
nsexual nhealthn campaign nundertaken nduring nthe nfirst n4 nweeks nof nthe nfall
nsemester nas nmeasured nby nincidence nof nnew ngonorrheal nand nchlamydial
ninfections nreported nto nthe ncampus nmedical ncenter?
D) In npatients naged n8 nto n12, nis nthe neffectiveness nof na npain nscale nusing nfaces
nsuperior nto na nnumeric nrating nscale nin nthe nemergency nroom ncontext?
8. After nformulating na nclinical nquestion, na nnurse nhas nproceeded nto nsearch nfor
nevidence nfor nways nto nfoster nrestful nsleep nin npatients nwho nare nreceiving
ncare nin nthe nintensive ncare n unit n(ICU). nThe nnurse nhas nidentified na nrelevant
nmeta-analysis nin nan nelectronic ndatabase. nWhatn will nthis nsource nof nevidence
nconsist nof?
A) A nstatistical nsummary nof nthe nresults nfrom nseveral ndifferent nstudies
B) An nexamination nof nthe ntheoretical nand nconceptual nunderpinnings nof nthe nissue
C) An ninterdisciplinary nanalysis nof nthe nclinical nquestion
