Test bank for evidence based practice in nursing and healthcare 4th edition by melnyk.

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, 1. In the hospital where Nurse L. provides care, tradition dictates that oral
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temperatures be included in every set of patient vital signs, regardless of patient
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diagnosis or acuity. This is most likely an example of which of the following
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phenomena?
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A) The prioritization of internal evidence over external evidence
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B) Practice that lacks evidence to support its application ix ix ix ix ix ix ix



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




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 ix



B) Research utilization ix



C) Experience
D) Internal evidence ix




3. Nurse R. has observed that reorienting demented patients as frequently as possible
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tends to 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.” ix ix ix ix ix



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.” ix ix ix ix ix ix ix ix ix ix



D) “My years of experience can be just as valuable as any literature review
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or randomized trial.”
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4. Which of the following factors provides the most important rationale for the
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consistent implementation 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. ix ix ix




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