,Chapter 1 Making the Case for Evidence-
x x x x x x
Based Practice and Cultivating a Spirit of Inquiry
x x x x x x x
,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be in
x x x x x x x x x x x x x x
cluded in every set of patient vital signs, regardless of patient diagnosis or acuity. This is m
x x x x x x x x x x x x x x x x
ost likely an example of which of the following phenomena?
x x x x x x x x x
A) The prioritization of internal evidence over external evidence
x x x x x x x
B) Practice that lacks evidence to support its application x x x x x x x
C) The integration of personal expertise into nursing care
x x x x x x x
D) Evidence-based practice x
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patien
x x x x x x x x x x x x x
t chart review after the implementation of a pilot program aimed at promoting early amb
x x x x x x x x x x x x x x
ulation following surgery. Which of the following components of EBP is the nurse puttin
x x x x x x x x x x x x x
g into practice?
x x
A) Patient preferences x
B) Research utilization x
C) Experience
D) Internal evidence x
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to
x x x x x x x x x x x x x x
minimize the patients' level of agitation in the evening. The nurse has shared this observati
x x x x x x x x x x x x x x
on with a colleague, who is skeptical, stating that, “It's best to stick to evidence-
x x x x x x x x x x x x x x
based practice.” How can Nurse R. best respond?
x x x x x x x
A) “EBP can include clinicians' personal expertise.” x x x x x
B) “Personal experience is often more sound than formal evidence-based practice.”
x x x x x x x x x
C) “Traditional practice and EBP are usually shown to be the same.” x x x x x x x x x x
D) “My years of experience can be just as valuable as any literature review or ra
x x x x x x x x x x x x x x
ndomized trial.” x
4. Which of the following factors provides the most important rationale for the consistent i
x x x x x x x x x x x x x
mplementation of EBP? x x
A) EBP provides for the most cost-effective patient care.
x x x x x x x
B) EBP is accessible to all healthcare clinicians.
x x x x x x
C) EBP provides consistency in care across healthcare settings.
x x x x x x x
D) EBP improves patient outcomes. x x x
Page 1 x
, 5. The Institute of Medicine's Roundtable on Evidence-
x x x x x x
Based Medicine has been established to address EBP. Which of the following iss
x x x x x x x x x x x x
ues is the Roundtable emphasizing?
x x x x
A) Ensuring that external evidence, rather than internal evidence, is integrated into c
x x x x x x x x x x x
are
B) Fostering the level of learning that exists in the American healthcare systemx x x x x x x x x x x
C) Issuing clinical guidelines to ensure best nursing practice x x x x x x x
D) Comparing the implementation of EBP in the United States with that of other W x x x x x x x x x x x x x
estern countries x
6. You have become frustrated with some aspects of patient care that you believe are outdate
x x x x x x x x x x x x x x
d and ineffective at the long-
x x x x x
term care facility where you have recently begun practicing. Consequently, you have resol
x x x x x x x x x x x x
ved to examine some of these practices in light of evidence. Which of the following should
x x x x x x x x x x x x x x x
xoccur first in the steps of EBP?
x x x x x x
A) Conducting an electronic search of the literature and ranking individual sources x x x x x x x x x x
B) Creating “buy-in” from the other clinicians who provide care at the facility
x x x x x x x x x x x
C) Developing an inquisitive and curious mindset x x x x x
D) Assessing whether the practices in question may, in fact, be evidence-based x x x x x x x x x x
7. Which of the following clinical questions best exemplifies the PICOT format?
x x x x x x x x x x
A) What effect does parents' smoking have on the smoking habits of their children, ag
x x x x x x x x x x x x x
es 13 to 16? x x x
B) Among cancer patients, what role does meditation, rather than benzodiazepines, h
x x x x x x x x x x
ave on anxiety levels during the 7 days following hospital admission?
x x x x x x x x x x
C) Among undergraduate college students, what is the effectiveness of a sexual health ca
x x x x x x x x x x x x
mpaign undertaken during the first 4 weeks of the fall semester as measured by incide
x x x x x x x x x x x x x x
nce of new gonorrheal and chlamydial infections reported to the campus medical cen
x x x x x x x x x x x x
ter?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a nu
x x x x x x x x x x x x x x x x x x
meric rating scale in the emergency room context?
x x x x x x x
8. After formulating a clinical question, a nurse has proceeded to search for evidence for way
x x x x x x x x x x x x x x
s to foster restful sleep in patients who are receiving care in the intensive care unit (ICU). T
x x x x x x x x x x x x x x x x x
he nurse has identified a relevant meta-
x x x x x x
analysis in an electronic database. What will this source of evidence consist of?
x x x x x x x x x x x x
A) A statistical summary of the results from several different studies
x x x x x x x x x
B) An examination of the theoretical and conceptual underpinnings of the issue
x x x x x x x x x x
C) An interdisciplinary analysis of the clinical question
x x x x x x
D) A qualitative study of different interventions related to the clinical question
x x x x x x x x x x
Page 2 x
x x x x x x
Based Practice and Cultivating a Spirit of Inquiry
x x x x x x x
,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be in
x x x x x x x x x x x x x x
cluded in every set of patient vital signs, regardless of patient diagnosis or acuity. This is m
x x x x x x x x x x x x x x x x
ost likely an example of which of the following phenomena?
x x x x x x x x x
A) The prioritization of internal evidence over external evidence
x x x x x x x
B) Practice that lacks evidence to support its application x x x x x x x
C) The integration of personal expertise into nursing care
x x x x x x x
D) Evidence-based practice x
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patien
x x x x x x x x x x x x x
t chart review after the implementation of a pilot program aimed at promoting early amb
x x x x x x x x x x x x x x
ulation following surgery. Which of the following components of EBP is the nurse puttin
x x x x x x x x x x x x x
g into practice?
x x
A) Patient preferences x
B) Research utilization x
C) Experience
D) Internal evidence x
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to
x x x x x x x x x x x x x x
minimize the patients' level of agitation in the evening. The nurse has shared this observati
x x x x x x x x x x x x x x
on with a colleague, who is skeptical, stating that, “It's best to stick to evidence-
x x x x x x x x x x x x x x
based practice.” How can Nurse R. best respond?
x x x x x x x
A) “EBP can include clinicians' personal expertise.” x x x x x
B) “Personal experience is often more sound than formal evidence-based practice.”
x x x x x x x x x
C) “Traditional practice and EBP are usually shown to be the same.” x x x x x x x x x x
D) “My years of experience can be just as valuable as any literature review or ra
x x x x x x x x x x x x x x
ndomized trial.” x
4. Which of the following factors provides the most important rationale for the consistent i
x x x x x x x x x x x x x
mplementation of EBP? x x
A) EBP provides for the most cost-effective patient care.
x x x x x x x
B) EBP is accessible to all healthcare clinicians.
x x x x x x
C) EBP provides consistency in care across healthcare settings.
x x x x x x x
D) EBP improves patient outcomes. x x x
Page 1 x
, 5. The Institute of Medicine's Roundtable on Evidence-
x x x x x x
Based Medicine has been established to address EBP. Which of the following iss
x x x x x x x x x x x x
ues is the Roundtable emphasizing?
x x x x
A) Ensuring that external evidence, rather than internal evidence, is integrated into c
x x x x x x x x x x x
are
B) Fostering the level of learning that exists in the American healthcare systemx x x x x x x x x x x
C) Issuing clinical guidelines to ensure best nursing practice x x x x x x x
D) Comparing the implementation of EBP in the United States with that of other W x x x x x x x x x x x x x
estern countries x
6. You have become frustrated with some aspects of patient care that you believe are outdate
x x x x x x x x x x x x x x
d and ineffective at the long-
x x x x x
term care facility where you have recently begun practicing. Consequently, you have resol
x x x x x x x x x x x x
ved to examine some of these practices in light of evidence. Which of the following should
x x x x x x x x x x x x x x x
xoccur first in the steps of EBP?
x x x x x x
A) Conducting an electronic search of the literature and ranking individual sources x x x x x x x x x x
B) Creating “buy-in” from the other clinicians who provide care at the facility
x x x x x x x x x x x
C) Developing an inquisitive and curious mindset x x x x x
D) Assessing whether the practices in question may, in fact, be evidence-based x x x x x x x x x x
7. Which of the following clinical questions best exemplifies the PICOT format?
x x x x x x x x x x
A) What effect does parents' smoking have on the smoking habits of their children, ag
x x x x x x x x x x x x x
es 13 to 16? x x x
B) Among cancer patients, what role does meditation, rather than benzodiazepines, h
x x x x x x x x x x
ave on anxiety levels during the 7 days following hospital admission?
x x x x x x x x x x
C) Among undergraduate college students, what is the effectiveness of a sexual health ca
x x x x x x x x x x x x
mpaign undertaken during the first 4 weeks of the fall semester as measured by incide
x x x x x x x x x x x x x x
nce of new gonorrheal and chlamydial infections reported to the campus medical cen
x x x x x x x x x x x x
ter?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a nu
x x x x x x x x x x x x x x x x x x
meric rating scale in the emergency room context?
x x x x x x x
8. After formulating a clinical question, a nurse has proceeded to search for evidence for way
x x x x x x x x x x x x x x
s to foster restful sleep in patients who are receiving care in the intensive care unit (ICU). T
x x x x x x x x x x x x x x x x x
he nurse has identified a relevant meta-
x x x x x x
analysis in an electronic database. What will this source of evidence consist of?
x x x x x x x x x x x x
A) A statistical summary of the results from several different studies
x x x x x x x x x
B) An examination of the theoretical and conceptual underpinnings of the issue
x x x x x x x x x x
C) An interdisciplinary analysis of the clinical question
x x x x x x
D) A qualitative study of different interventions related to the clinical question
x x x x x x x x x x
Page 2 x
