TEST BANK for Evidence-Based
Practice in Nursing & Healthcare: A
Guide to Best Practice 5th Edition by
Bernadette Mazurek Melnyk & Ellen
Fineout-Overholt
COMPLETE CHAPTERS 1-23 WITH THE ANSWERS
AT THE BACK OF EACH CHAPTER| A+ PASS
Page |1 |of |129
, TABLE OF CONTENTS
| |
Chapter |1 |Making |the |Case |for |Evidence-Based |Practice |and |Cultivating |a |Spirit |of |Inquiry
Chapter |2 |Asking |Compelling |Clinical |Questions
|
Chapter |3 |Finding |Relevant |Evidence |to |Answer |Clinical |Questions |Chapter
4 |Critically |Appraising |Knowledge |for |Clinical |Decision |Making
|
Chapter |5 |Critically |Appraising |Quantitative |Evidence |for |Clinical |Decision |Making
Chapter |6 |Critically |Appraising |Qualitative |Evidence |for |Clinical |Decision |Making
|
Chapter |7 |Integration |of |Patient |Preferences |and |Values |and |Clinician |Expertise |into
|Evidence-Based |Decision |Making
Chapter |8 |Advancing |Optimal |Care |With |Robust |Clinical |Practice |Guidelines |Chapter
9 |Implementing |Evidence |in |Clinical |Settings
|
Chapter |10 |The |Role |of |Outcomes |and |Evidence- |Based |Quality |Improvement |in |Enhancing |and
|Evaluating |Practice
Chapter |11 |Implementing |the |Evidence-Based |Practice |Competencies |in |Clinical |and
|Academic |Settings |to |Ensure |Healthcare |Quality |and |Improved |Patient |Outcomes
Chapter |12 |Leadership |Strategies |for |Creating |and |Sustaining |Evidence-Based |Practice
|Organizations
Chapter |13 |Innovation |and |Evidence: |A |Partnership |in |Advancing |Best |Practice |and |High
|Quality |Care
Chapter |14 |Models |to |Guide |Implementation |and |Sustainability |of |Evidence-Based |Practice
Chapter |15 |Creating |a |Vision |and |Motivating |a |Change |to |Evidence-Based |Practice |in
|Individuals, |Teams, |and |Organizations
Chapter |16 |Teaching |Evidence-Based |Practice |in |Academic |Settings |Chapter
17 |Teaching |Evidence-Based |Practice |in |Clinical |Settings
|
Chapter |18 |ARCC |Evidence-Based |Practice |Mentors: |The |Key |to |Sustaining |Evidence-Based
|Practice
Chapter |19 |Using |Evidence |to |Influence |Health |and |Organizational |Policy
Page |2 |of |129
,Chapter |20 |Disseminating |Evidence |Through |Presentations, |Publications, |Health |Policy |Briefs,
|and |the |Media
Chapter |21 |Generating |Evidence |Through |Quantitative |and |Qualitative |Research
Chapter |22 |Writing |a |Successful |Grant |Proposal |to |Fund |Research |and |Evidence-Based
|Practice |Implementation |Project
Chapter |23 |Ethical |Considerations |for |Evidence |Implementation |and |Evidence |Generation
Chapter |1 |Making |the |Case |for |Evidence-Based |Practice |and |Cultivating |a |Spirit |of
|Inquiry
1. 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
2. The |clinical |nurse |educator |(CNE) |on |a |postsurgical |unit |has |recently |completed |a |patient |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
B) Research |utilization
C) Experience
D) Internal |evidence
Page |3 |of |129
, 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.”
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
B) Fostering |the |level |of |learning |that |exists |in |the |American |healthcare |system
C) Issuing |clinical |guidelines |to |ensure |best |nursing |practice
D) Comparing |the |implementation |of |EBP |in |the |United |States |with |that |of |other |Western |countries
6. You |have |become |frustrated |with |some |aspects |of |patient |care |that |you |believe |are |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
Page |4 |of |129
Practice in Nursing & Healthcare: A
Guide to Best Practice 5th Edition by
Bernadette Mazurek Melnyk & Ellen
Fineout-Overholt
COMPLETE CHAPTERS 1-23 WITH THE ANSWERS
AT THE BACK OF EACH CHAPTER| A+ PASS
Page |1 |of |129
, TABLE OF CONTENTS
| |
Chapter |1 |Making |the |Case |for |Evidence-Based |Practice |and |Cultivating |a |Spirit |of |Inquiry
Chapter |2 |Asking |Compelling |Clinical |Questions
|
Chapter |3 |Finding |Relevant |Evidence |to |Answer |Clinical |Questions |Chapter
4 |Critically |Appraising |Knowledge |for |Clinical |Decision |Making
|
Chapter |5 |Critically |Appraising |Quantitative |Evidence |for |Clinical |Decision |Making
Chapter |6 |Critically |Appraising |Qualitative |Evidence |for |Clinical |Decision |Making
|
Chapter |7 |Integration |of |Patient |Preferences |and |Values |and |Clinician |Expertise |into
|Evidence-Based |Decision |Making
Chapter |8 |Advancing |Optimal |Care |With |Robust |Clinical |Practice |Guidelines |Chapter
9 |Implementing |Evidence |in |Clinical |Settings
|
Chapter |10 |The |Role |of |Outcomes |and |Evidence- |Based |Quality |Improvement |in |Enhancing |and
|Evaluating |Practice
Chapter |11 |Implementing |the |Evidence-Based |Practice |Competencies |in |Clinical |and
|Academic |Settings |to |Ensure |Healthcare |Quality |and |Improved |Patient |Outcomes
Chapter |12 |Leadership |Strategies |for |Creating |and |Sustaining |Evidence-Based |Practice
|Organizations
Chapter |13 |Innovation |and |Evidence: |A |Partnership |in |Advancing |Best |Practice |and |High
|Quality |Care
Chapter |14 |Models |to |Guide |Implementation |and |Sustainability |of |Evidence-Based |Practice
Chapter |15 |Creating |a |Vision |and |Motivating |a |Change |to |Evidence-Based |Practice |in
|Individuals, |Teams, |and |Organizations
Chapter |16 |Teaching |Evidence-Based |Practice |in |Academic |Settings |Chapter
17 |Teaching |Evidence-Based |Practice |in |Clinical |Settings
|
Chapter |18 |ARCC |Evidence-Based |Practice |Mentors: |The |Key |to |Sustaining |Evidence-Based
|Practice
Chapter |19 |Using |Evidence |to |Influence |Health |and |Organizational |Policy
Page |2 |of |129
,Chapter |20 |Disseminating |Evidence |Through |Presentations, |Publications, |Health |Policy |Briefs,
|and |the |Media
Chapter |21 |Generating |Evidence |Through |Quantitative |and |Qualitative |Research
Chapter |22 |Writing |a |Successful |Grant |Proposal |to |Fund |Research |and |Evidence-Based
|Practice |Implementation |Project
Chapter |23 |Ethical |Considerations |for |Evidence |Implementation |and |Evidence |Generation
Chapter |1 |Making |the |Case |for |Evidence-Based |Practice |and |Cultivating |a |Spirit |of
|Inquiry
1. 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
2. The |clinical |nurse |educator |(CNE) |on |a |postsurgical |unit |has |recently |completed |a |patient |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
B) Research |utilization
C) Experience
D) Internal |evidence
Page |3 |of |129
, 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.”
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
B) Fostering |the |level |of |learning |that |exists |in |the |American |healthcare |system
C) Issuing |clinical |guidelines |to |ensure |best |nursing |practice
D) Comparing |the |implementation |of |EBP |in |the |United |States |with |that |of |other |Western |countries
6. You |have |become |frustrated |with |some |aspects |of |patient |care |that |you |believe |are |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
Page |4 |of |129
