This comprehensive test bank accompanies the 5th edition of Evidence-Based Practice in Nursing & Healthcare by Melnyk and Fineout-Overholt. It includes chapter-by-chapter multiple-choice questions (with answer keys) covering core EBP concepts, clinical de

Test Bank For Evidence-Based Practice in Nursing & Healthcare A
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Guide to Best Practice 5th Edition
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by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
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Chapter 1 - 23 Complet
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,Chapter 1 Making the Case for Evidence-Based Practice
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and Cultivating a Spirit of Inquiry b b b b b b




In the hospital where Nurse L. provides care, tradition dictates that oral temperatures
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be included in every set of patient vital signs, regardless of patient diagnosis or acuity.
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Thisis most likely an example of which of the following phenomena? b b b b b b b b b b



A) The prioritization of internal evidence over external evidence
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B) Practice that lacks evidence to support its application b b b b b b b



C) The integration of personal expertise into nursing care
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D) Evidence-based practice b




2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a
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patient chart review after the implementation of a pilot program aimed at promoting
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early ambulation following surgery. Which of the following components of EBP is
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the nurse putting into practice?
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A) Patient preferences b



B) Research utilization b



C) Experience
D) Internal evidence b




3. Nurse R. has observed that reorienting demented patients as frequently as possible
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tendsto minimize the patients' level of agitation in the evening. The nurse has shared
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this observation with a colleague, who is skeptical, stating that, “It's best to stick to
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evidence-based practice.” How can Nurse R. best respond?
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A) “EBP can include clinicians' personal expertise.”b b b b b



B) “Personal experience is often more sound than formal evidence-based practice.”
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C) “Traditional practice and EBP are usually shown to be the same.” b b b b b b b b b b



D) “My years of experience can be just as valuable as any literature review
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orrandomized trial.”
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4. Which of the following factors provides the most important rationale for the
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consistentimplementation of EBP?
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A) EBP provides for the most cost-effective patient care.
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B) EBP is accessible to all healthcare clinicians.
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C) EBP provides consistency in care across healthcare settings.
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D) EBP improves patient outcomes. b b b

,5. The eInstitute eof eMedicine's eRoundtable eon eEvidence-Based eMedicine ehas
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ebeeneestablished eto eaddress eEBP. eWhich eof ethe efollowing eissues eis ethe
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eRoundtable eemphasizing?
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A) Ensuring ethat eexternal eevidence, erather ethan einternal eevidence, eis
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eintegrated eintoecare
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B) Fostering ethe elevel eof elearning ethat eexists ein ethe eAmerican ehealthcare esystem
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C) Issuing eclinical eguidelines eto eensure ebest enursing epractice
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D) Comparing ethe eimplementation eof eEBP ein ethe eUnited eStates ewith ethat b b b b b b b b b b



eof eothereWestern ecountries
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6. You ehave ebecome efrustrated ewith esome easpects eof epatient ecare ethat eyou
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ebelieve eare eoutdated eand eineffective eat ethe elong-term ecare efacility ewhere eyou
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ehave erecently ebegun epracticing. eConsequently, eyou ehave eresolved eto eexamine
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esome eof ethese epractices ein elighteof eevidence. eWhich eof ethe efollowing eshould
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eoccur efirst ein ethe esteps eof eEBP?
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A) Conducting ean eelectronic esearch eof ethe eliterature eand eranking eindividual esources
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B) Creating e“buy-in” efrom ethe eother eclinicians ewho eprovide ecare eat ethe efacility
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C) Developing ean einquisitive eand ecurious emindset b b b b b



D) Assessing ewhether ethe epractices ein equestion emay, ein efact, ebe eevidence-based
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7. Which eof ethe efollowing eclinical equestions ebest eexemplifies ethe ePICOT eformat?
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A) What eeffect edoes eparents' esmoking ehave eon ethe esmoking ehabits eof etheir
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echildren,eages e13 eto e16?
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B) Among ecancer epatients, ewhat erole edoes emeditation, erather ethan
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ebenzodiazepines,ehave eon eanxiety elevels eduring ethe e7 edays efollowing
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ehospital eadmission?
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C) Among eundergraduate ecollege estudents, ewhat eis ethe eeffectiveness eof ea
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esexual ehealthecampaign eundertaken eduring ethe efirst e4 eweeks eof ethe efall
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esemester eas emeasured eby eincidence eof enew egonorrheal eand echlamydial
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einfections ereported eto ethe ecampus emedical ecenter?
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D) In epatients eaged e8 eto e12, eis ethe eeffectiveness eof ea epain escale eusing efaces
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esuperior eto eaenumeric erating escale ein ethe eemergency eroom econtext?
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8. After eformulating ea eclinical equestion, ea enurse ehas eproceeded eto esearch efor
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eevidence efor eways eto efoster erestful esleep ein epatients ewho eare ereceiving ecare ein
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ethe eintensive ecare eunit e(ICU). eThe enurse ehas eidentified ea erelevant emeta-analysis
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ein ean eelectronic edatabase. eWhatewill ethis esource eof eevidence econsist eof?
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A) A estatistical esummary eof ethe eresults efrom eseveral edifferent estudies
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B) An eexamination eof ethe etheoretical eand econceptual eunderpinnings eof ethe eissue
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C) An einterdisciplinary eanalysis eof ethe eclinical equestion
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D) A equalitative estudy eof edifferent einterventions erelated eto ethe eclinical equestion
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, 9. The enurses eon ea epostpartum eunit ehave enoted ethat emany eprimiparous e(first-time)
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emothers eare egiving eup eon ebreastfeeding ewithin ethe e24 ehours efollowing edelivery,
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eand ethe enurses ewant eto ecreate euniform eguidelines efor epromoting ebreastfeeding
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eon ethe eunit. eWhich eof etheefollowing esources eis emost elikely eto eprovide ethe ebest
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eevidence ein etheir equest efor ean eintervention?
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A) Evidence efrom ea erandomized econtrol etrial ethat ehad emore ethan e2500 eparticipants
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B) Evidence efrom ea estudy ethat eis ewidely eregarded eas ea eclassic ewithin ethe
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eobstetricalenursing ecommunity
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C) Evidence efrom ea esystematic ereview eof ebreastfeeding-promotion estudies ethat
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eone eofethe enurses eidentified ein ean eelectronic edatabase
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D) The econsensus eopinion eof ethe emost esenior enurses eon ethe eunit
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10. The enurse eeducator eon ean eacute emedicine eunit eis eadvocating efor ethe euse eof
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evidence-based eclinical epractice eguidelines eon ewound ecare ein
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beorder eto estandardize eand eoptimize ethe epractice eof ethe enurses eon ethe
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eunit. eWhich eof ethe efollowing estatements ebestedescribes eclinical epractice
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eguidelines?
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A) The eresult eof ereplication estudies eof eexisting eresearch eby ean eimpartial ethird eparty
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B) A ecollection eof eauthorized einterventions ethat eare erequired eby elaw
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C) A enumber eof einterventions ethat eare ethe eresult eof ea elarge, epublically-funded eRCT
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D) A egroup eof epractice erecommendations ethat eresult efrom ea erigorous
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ereview eof etheeliterature
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11. A enurse eis econducting ea eliterature ereview eon ethe eevidence eregarding ethe euse eof
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evacuum edressings eon estage eIV epressure eulcers. eAfter elocating ea erecent estudy
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ethat eappears eto ebe erelevant, ewhich eof ethe efollowing equestions ewould ethe enurse
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econsider efirst ewhen ecriticallyeappraising ethe estudy?
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A) “Are ethe efindings eof ethis estudy ecost-effective ein eour eclinical econtext?”
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B) "How ewould ethe eimplementation eof ethis eintervention eaffect eour estaffing eneeds?"
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C) “Were ethe epatients ein ethe estudy esimilar eto ethe epatients eon emy eunit?”
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D) “Are ethe efindings eof ethe estudy esignificantly edifferent efrom ewhat ewe eare
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ecurrentlyedoing eon ethe eunit?
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12. The eprimary ecare eprovider eof ea e49-year-old emale epatient ehas eexamined eand
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ebriefly eexplained ethe eevidence ethat esupports ebeginning eregular edigital-rectal
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eexams. eWhich eofethe efollowing efactors ewould ejustify enot eperforming edigital-
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rectal eexaminations ein ethis epatient's ecare?
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A) The epatient eis evehemently eopposed eto eundergoing ea edigital-rectal eexam.
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B) Clinical epractice eguidelines efor eprostate ecare ehave enot ebeen epublished.
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C) The eclinician ehas ebeen eunable eto efind eany elarge eRCTs ein ea eliterature ereview.
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D) The eclinician ehas epreviously ewaited euntil epatients eare e55 eto ebegin
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eregularedigital-rectal eexams.
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