Test Bank For Evidence-Based Practice in Nursing &
Healthcare A Guide to Best Practice 5th Edition by
Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complete
,Chapter 1 Making the Case for Evidence-Based Practice and
Cultivating a Spirit of Inquiry
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
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 Iwith Ia Icolleague, Iwho Iis Iskeptical, Istating Ithat,
I“It's Ibest Ito Istick Ito Ievidence-based Ipractice.” IHow Ican
INurse IR. Ibest Irespond?
A) “EBP Ican Iinclude Iclinicians' Ipersonal Iexpertise.”
B) “Personal Iexperience Iis Ioften Imore Isound Ithan Iformal
Ievidence-based Ipractice.”
C) “Traditional Ipractice Iand IEBP Iare Iusually Ishown Ito Ibe Ithe
Isame.”
D) “My Iyears Iof Iexperience Ican Ibe Ijust Ias Ivaluable
Ias Iany Iliterature Ireview IorIrandomized Itrial.”
4. Which Iof Ithe Ifollowing Ifactors Iprovides Ithe Imost Iimportant
Irationale Ifor Ithe IconsistentIimplementation Iof IEBP?
A) EBP Iprovides Ifor Ithe Imost Icost-effective Ipatient Icare.
B) EBP Iis Iaccessible Ito Iall Ihealthcare Iclinicians.
C) EBP Iprovides Iconsistency Iin Icare Iacross Ihealthcare Isettings.
D) EBP Iimproves Ipatient Ioutcomes.
, 5. The IInstitute Iof IMedicine's IRoundtable Ion IEvidence-
Based IMedicine Ihas IbeenIestablished Ito Iaddress IEBP.
IWhich Iof Ithe Ifollowing Iissues Iis Ithe IRoundtable
Iemphasizing?
A) Ensuring Ithat Iexternal Ievidence, Irather Ithan Iinternal
Ievidence, Iis Iintegrated IintoIcare
B) Fostering Ithe Ilevel Iof Ilearning Ithat Iexists Iin Ithe IAmerican
Ihealthcare Isystem
C) Issuing Iclinical Iguidelines Ito Iensure Ibest Inursing Ipractice
D) Comparing Ithe Iimplementation Iof IEBP Iin Ithe IUnited
IStates Iwith Ithat Iof IotherIWestern Icountries
6. You Ihave Ibecome Ifrustrated Iwith Isome Iaspects Iof Ipatient
Icare Ithat Iyou Ibelieve Iare Ioutdated Iand Iineffective Iat Ithe
Ilong-term Icare Ifacility Iwhere Iyou Ihave Irecently Ibegun
Ipracticing. IConsequently, Iyou Ihave Iresolved Ito Iexamine
Isome Iof Ithese Ipractices Iin IlightIof Ievidence. IWhich Iof Ithe
Ifollowing Ishould Ioccur Ifirst Iin Ithe Isteps Iof IEBP?
A) Conducting Ian Ielectronic Isearch Iof Ithe Iliterature Iand Iranking
Iindividual Isources
B) Creating I“buy-in” Ifrom Ithe Iother Iclinicians Iwho Iprovide Icare Iat
Ithe Ifacility
C) Developing Ian Iinquisitive Iand Icurious Imindset
D) Assessing Iwhether Ithe Ipractices Iin Iquestion Imay, Iin Ifact, Ibe
Ievidence-based
7. Which Iof Ithe Ifollowing Iclinical Iquestions Ibest Iexemplifies Ithe
IPICOT Iformat?
A) What Ieffect Idoes Iparents' Ismoking Ihave Ion Ithe
Ismoking Ihabits Iof Itheir Ichildren,Iages I13 Ito I16?
B) Among Icancer Ipatients, Iwhat Irole Idoes Imeditation,
Irather Ithan Ibenzodiazepines,Ihave Ion Ianxiety Ilevels
Healthcare A Guide to Best Practice 5th Edition by
Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complete
,Chapter 1 Making the Case for Evidence-Based Practice and
Cultivating a Spirit of Inquiry
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
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 Iwith Ia Icolleague, Iwho Iis Iskeptical, Istating Ithat,
I“It's Ibest Ito Istick Ito Ievidence-based Ipractice.” IHow Ican
INurse IR. Ibest Irespond?
A) “EBP Ican Iinclude Iclinicians' Ipersonal Iexpertise.”
B) “Personal Iexperience Iis Ioften Imore Isound Ithan Iformal
Ievidence-based Ipractice.”
C) “Traditional Ipractice Iand IEBP Iare Iusually Ishown Ito Ibe Ithe
Isame.”
D) “My Iyears Iof Iexperience Ican Ibe Ijust Ias Ivaluable
Ias Iany Iliterature Ireview IorIrandomized Itrial.”
4. Which Iof Ithe Ifollowing Ifactors Iprovides Ithe Imost Iimportant
Irationale Ifor Ithe IconsistentIimplementation Iof IEBP?
A) EBP Iprovides Ifor Ithe Imost Icost-effective Ipatient Icare.
B) EBP Iis Iaccessible Ito Iall Ihealthcare Iclinicians.
C) EBP Iprovides Iconsistency Iin Icare Iacross Ihealthcare Isettings.
D) EBP Iimproves Ipatient Ioutcomes.
, 5. The IInstitute Iof IMedicine's IRoundtable Ion IEvidence-
Based IMedicine Ihas IbeenIestablished Ito Iaddress IEBP.
IWhich Iof Ithe Ifollowing Iissues Iis Ithe IRoundtable
Iemphasizing?
A) Ensuring Ithat Iexternal Ievidence, Irather Ithan Iinternal
Ievidence, Iis Iintegrated IintoIcare
B) Fostering Ithe Ilevel Iof Ilearning Ithat Iexists Iin Ithe IAmerican
Ihealthcare Isystem
C) Issuing Iclinical Iguidelines Ito Iensure Ibest Inursing Ipractice
D) Comparing Ithe Iimplementation Iof IEBP Iin Ithe IUnited
IStates Iwith Ithat Iof IotherIWestern Icountries
6. You Ihave Ibecome Ifrustrated Iwith Isome Iaspects Iof Ipatient
Icare Ithat Iyou Ibelieve Iare Ioutdated Iand Iineffective Iat Ithe
Ilong-term Icare Ifacility Iwhere Iyou Ihave Irecently Ibegun
Ipracticing. IConsequently, Iyou Ihave Iresolved Ito Iexamine
Isome Iof Ithese Ipractices Iin IlightIof Ievidence. IWhich Iof Ithe
Ifollowing Ishould Ioccur Ifirst Iin Ithe Isteps Iof IEBP?
A) Conducting Ian Ielectronic Isearch Iof Ithe Iliterature Iand Iranking
Iindividual Isources
B) Creating I“buy-in” Ifrom Ithe Iother Iclinicians Iwho Iprovide Icare Iat
Ithe Ifacility
C) Developing Ian Iinquisitive Iand Icurious Imindset
D) Assessing Iwhether Ithe Ipractices Iin Iquestion Imay, Iin Ifact, Ibe
Ievidence-based
7. Which Iof Ithe Ifollowing Iclinical Iquestions Ibest Iexemplifies Ithe
IPICOT Iformat?
A) What Ieffect Idoes Iparents' Ismoking Ihave Ion Ithe
Ismoking Ihabits Iof Itheir Ichildren,Iages I13 Ito I16?
B) Among Icancer Ipatients, Iwhat Irole Idoes Imeditation,
Irather Ithan Ibenzodiazepines,Ihave Ion Ianxiety Ilevels
