Test Bank For Evidence-Based Practice in Nursing & Healthcare A
nn nn nn nn nn nn nn nn nn
Guide to Best Practice 5th Edition
nn nn nn nn nn nn
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
nn nn nn nn nn
Chapter 1 - 23 Complet
nn nn nn nn
, Chapter 1 Making the Case for Evidence-Based
nn nn nn nn nn nn
Practice and Cultivating a Spirit of Inquiry
nn nn nn nn nn nn nn
In nnthe nnhospital nnwhere nnNurse nnL. nnprovides nncare, nntradition nndictates nnthat nnoral
nntemperatures nnbe nnincluded nnin nnevery nnset nnof nnpatient nnvital nnsigns, nnregardless nnof
nnpatient nndiagnosis nnor nnacuity. nnThisn
is nnmost nnlikely nnan nnexample nnof nnwhich nnof nnthe
nnfollowing nnphenomena?
A) The nnprioritization nnof nninternal nnevidence nnover nnexternal nnevidence
B) Practice nnthat nnlacks nnevidence nnto nnsupport nnits nnapplication
C) The nnintegration nnof nnpersonal nnexpertise nninto nnnursing nncare
D) Evidence-based nnpractice
2. The nnclinical nnnurse nneducator nn(CNE) nnon nna nnpostsurgical nnunit nnhas nnrecently
nncompleted nna nnpatient nnchart nnreview nnafter nnthe nnimplementation nnof nna nnpilot
nnprogram nnaimed nnat nnpromoting nnearly nnambulation nnfollowing nnsurgery. nnWhich nnof
nnthe nnfollowing nncomponents nnof nnEBP nnis nnthen nurse nnputting nninto nnpractice?
A) Patient nnpreferences
B) Research nnutilization
C) Experience
D) Internal nnevidence
3. Nurse nnR. nnhas nnobserved nnthat nnreorienting nndemented nnpatients nnas nnfrequently nnas
nnpossible nntendsn to nnminimize nnthe nnpatients' nnlevel nnof nnagitation nnin nnthe nnevening.
nnThe nnnurse nnhas nnshared nnthis nnobservation nnwith nna nncolleague, nnwho nnis nnskeptical,
nnstating nnthat, nn“It's nnbest nnto nnstick nnto nnevidence-based nnpractice.” nnHow nncan nnNurse
nnR. nnbest nnrespond?
A) “EBP nncan nninclude nnclinicians' nnpersonal nnexpertise.”
B) “Personal nnexperience nnis nnoften nnmore nnsound nnthan nnformal nnevidence-based nnpractice.”
C) “Traditional nnpractice nnand nnEBP nnare nnusually nnshown nnto nnbe nnthe nnsame.”
D) “My nnyears nnof nnexperience nncan nnbe nnjust nnas nnvaluable nnas nnany
nnliterature nnreview nnorn randomized nntrial.”
4. Which nnof nnthe nnfollowing nnfactors nnprovides nnthe nnmost nnimportant nnrationale nnfor
nnthe nnconsistentnimplementation nnof nnEBP?
A) EBP nnprovides nnfor nnthe nnmost nncost-effective nnpatient nncare.
B) EBP nnis nnaccessible nnto nnall nnhealthcare nnclinicians.
,C) EBP nnprovides nnconsistency nnin nncare nnacross nnhealthcare nnsettings.
D) EBP nnimproves nnpatient nnoutcomes.
, 5. The nnInstitute nnof nnMedicine's nnRoundtable nnon nnEvidence-Based nnMedicine
nnhas nnbeenn established nnto nnaddress nnEBP. nnWhich nnof nnthe nnfollowing nnissues
nnis nnthe nnRoundtable nnemphasizing?
A) Ensuring nnthat nnexternal nnevidence, nnrather nnthan nninternal nnevidence, nnis
nnintegrated nninton care
B) Fostering nnthe nnlevel nnof nnlearning nnthat nnexists nnin nnthe nnAmerican nnhealthcare nnsystem
C) Issuing nnclinical nnguidelines nnto nnensure nnbest nnnursing nnpractice
D) Comparing nnthe nnimplementation nnof nnEBP nnin nnthe nnUnited nnStates nnwith
nnthat nnof nnothern
Western nncountries
6. You nnhave nnbecome nnfrustrated nnwith nnsome nnaspects nnof nnpatient nncare nnthat nnyou
nnbelieve nnare nnoutdated nnand nnineffective nnat nnthe nnlong-term nncare nnfacility nnwhere
nnyou nnhave nnrecently nnbegun nnpracticing. nnConsequently, nnyou nnhave nnresolved nnto
nnexamine nnsome nnof nnthese nnpractices nnin nnlightn of nnevidence. nnWhich nnof nnthe
nnfollowing nnshould nnoccur nnfirst nnin nnthe nnsteps nnof nnEBP?
A) Conducting nnan nnelectronic nnsearch nnof nnthe nnliterature nnand nnranking nnindividual nnsources
B) Creating nn“buy-in” nnfrom nnthe nnother nnclinicians nnwho nnprovide nncare nnat nnthe nnfacility
C) Developing nnan nninquisitive nnand nncurious nnmindset
D) Assessing nnwhether nnthe nnpractices nnin nnquestion nnmay, nnin nnfact, nnbe nnevidence-based
7. Which nnof nnthe nnfollowing nnclinical nnquestions nnbest nnexemplifies nnthe nnPICOT nnformat?
A) What nneffect nndoes nnparents' nnsmoking nnhave nnon nnthe nnsmoking nnhabits nnof
nntheir nnchildren,n ages nn13 nnto nn16?
B) Among nncancer nnpatients, nnwhat nnrole nndoes nnmeditation, nnrather nnthan
nnbenzodiazepines,n have nnon nnanxiety nnlevels nnduring nnthe nn7 nndays nnfollowing
nnhospital nnadmission?
C) Among nnundergraduate nncollege nnstudents, nnwhat nnis nnthe nneffectiveness nnof nna
nnsexual nnhealthn campaign nnundertaken nnduring nnthe nnfirst nn4 nnweeks nnof nnthe nnfall
nnsemester nnas nnmeasured nnby nnincidence nnof nnnew nngonorrheal nnand nnchlamydial
nninfections nnreported nnto nnthe nncampus nnmedical nncenter?
D) In nnpatients nnaged nn8 nnto nn12, nnis nnthe nneffectiveness nnof nna nnpain nnscale nnusing
nnfaces nnsuperior nnto nnannumeric nnrating nnscale nnin nnthe nnemergency nnroom
nncontext?
8. After nnformulating nna nnclinical nnquestion, nna nnnurse nnhas nnproceeded nnto nnsearch nnfor
nnevidence nnfor nnways nnto nnfoster nnrestful nnsleep nnin nnpatients nnwho nnare nnreceiving
nncare nnin nnthe nnintensive nncare nnunit nn(ICU). nnThe nnnurse nnhas nnidentified nna nnrelevant
nnmeta-analysis nnin nnan nnelectronic nndatabase. nnWhatn will nnthis nnsource nnof nnevidence
nnconsist nnof?
A) A nnstatistical nnsummary nnof nnthe nnresults nnfrom nnseveral nndifferent nnstudies
B) An nnexamination nnof nnthe nntheoretical nnand nnconceptual nnunderpinnings nnof nnthe nnissue
C) An nninterdisciplinary nnanalysis nnof nnthe nnclinical nnquestion
nn nn nn nn nn nn nn nn nn
Guide to Best Practice 5th Edition
nn nn nn nn nn nn
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
nn nn nn nn nn
Chapter 1 - 23 Complet
nn nn nn nn
, Chapter 1 Making the Case for Evidence-Based
nn nn nn nn nn nn
Practice and Cultivating a Spirit of Inquiry
nn nn nn nn nn nn nn
In nnthe nnhospital nnwhere nnNurse nnL. nnprovides nncare, nntradition nndictates nnthat nnoral
nntemperatures nnbe nnincluded nnin nnevery nnset nnof nnpatient nnvital nnsigns, nnregardless nnof
nnpatient nndiagnosis nnor nnacuity. nnThisn
is nnmost nnlikely nnan nnexample nnof nnwhich nnof nnthe
nnfollowing nnphenomena?
A) The nnprioritization nnof nninternal nnevidence nnover nnexternal nnevidence
B) Practice nnthat nnlacks nnevidence nnto nnsupport nnits nnapplication
C) The nnintegration nnof nnpersonal nnexpertise nninto nnnursing nncare
D) Evidence-based nnpractice
2. The nnclinical nnnurse nneducator nn(CNE) nnon nna nnpostsurgical nnunit nnhas nnrecently
nncompleted nna nnpatient nnchart nnreview nnafter nnthe nnimplementation nnof nna nnpilot
nnprogram nnaimed nnat nnpromoting nnearly nnambulation nnfollowing nnsurgery. nnWhich nnof
nnthe nnfollowing nncomponents nnof nnEBP nnis nnthen nurse nnputting nninto nnpractice?
A) Patient nnpreferences
B) Research nnutilization
C) Experience
D) Internal nnevidence
3. Nurse nnR. nnhas nnobserved nnthat nnreorienting nndemented nnpatients nnas nnfrequently nnas
nnpossible nntendsn to nnminimize nnthe nnpatients' nnlevel nnof nnagitation nnin nnthe nnevening.
nnThe nnnurse nnhas nnshared nnthis nnobservation nnwith nna nncolleague, nnwho nnis nnskeptical,
nnstating nnthat, nn“It's nnbest nnto nnstick nnto nnevidence-based nnpractice.” nnHow nncan nnNurse
nnR. nnbest nnrespond?
A) “EBP nncan nninclude nnclinicians' nnpersonal nnexpertise.”
B) “Personal nnexperience nnis nnoften nnmore nnsound nnthan nnformal nnevidence-based nnpractice.”
C) “Traditional nnpractice nnand nnEBP nnare nnusually nnshown nnto nnbe nnthe nnsame.”
D) “My nnyears nnof nnexperience nncan nnbe nnjust nnas nnvaluable nnas nnany
nnliterature nnreview nnorn randomized nntrial.”
4. Which nnof nnthe nnfollowing nnfactors nnprovides nnthe nnmost nnimportant nnrationale nnfor
nnthe nnconsistentnimplementation nnof nnEBP?
A) EBP nnprovides nnfor nnthe nnmost nncost-effective nnpatient nncare.
B) EBP nnis nnaccessible nnto nnall nnhealthcare nnclinicians.
,C) EBP nnprovides nnconsistency nnin nncare nnacross nnhealthcare nnsettings.
D) EBP nnimproves nnpatient nnoutcomes.
, 5. The nnInstitute nnof nnMedicine's nnRoundtable nnon nnEvidence-Based nnMedicine
nnhas nnbeenn established nnto nnaddress nnEBP. nnWhich nnof nnthe nnfollowing nnissues
nnis nnthe nnRoundtable nnemphasizing?
A) Ensuring nnthat nnexternal nnevidence, nnrather nnthan nninternal nnevidence, nnis
nnintegrated nninton care
B) Fostering nnthe nnlevel nnof nnlearning nnthat nnexists nnin nnthe nnAmerican nnhealthcare nnsystem
C) Issuing nnclinical nnguidelines nnto nnensure nnbest nnnursing nnpractice
D) Comparing nnthe nnimplementation nnof nnEBP nnin nnthe nnUnited nnStates nnwith
nnthat nnof nnothern
Western nncountries
6. You nnhave nnbecome nnfrustrated nnwith nnsome nnaspects nnof nnpatient nncare nnthat nnyou
nnbelieve nnare nnoutdated nnand nnineffective nnat nnthe nnlong-term nncare nnfacility nnwhere
nnyou nnhave nnrecently nnbegun nnpracticing. nnConsequently, nnyou nnhave nnresolved nnto
nnexamine nnsome nnof nnthese nnpractices nnin nnlightn of nnevidence. nnWhich nnof nnthe
nnfollowing nnshould nnoccur nnfirst nnin nnthe nnsteps nnof nnEBP?
A) Conducting nnan nnelectronic nnsearch nnof nnthe nnliterature nnand nnranking nnindividual nnsources
B) Creating nn“buy-in” nnfrom nnthe nnother nnclinicians nnwho nnprovide nncare nnat nnthe nnfacility
C) Developing nnan nninquisitive nnand nncurious nnmindset
D) Assessing nnwhether nnthe nnpractices nnin nnquestion nnmay, nnin nnfact, nnbe nnevidence-based
7. Which nnof nnthe nnfollowing nnclinical nnquestions nnbest nnexemplifies nnthe nnPICOT nnformat?
A) What nneffect nndoes nnparents' nnsmoking nnhave nnon nnthe nnsmoking nnhabits nnof
nntheir nnchildren,n ages nn13 nnto nn16?
B) Among nncancer nnpatients, nnwhat nnrole nndoes nnmeditation, nnrather nnthan
nnbenzodiazepines,n have nnon nnanxiety nnlevels nnduring nnthe nn7 nndays nnfollowing
nnhospital nnadmission?
C) Among nnundergraduate nncollege nnstudents, nnwhat nnis nnthe nneffectiveness nnof nna
nnsexual nnhealthn campaign nnundertaken nnduring nnthe nnfirst nn4 nnweeks nnof nnthe nnfall
nnsemester nnas nnmeasured nnby nnincidence nnof nnnew nngonorrheal nnand nnchlamydial
nninfections nnreported nnto nnthe nncampus nnmedical nncenter?
D) In nnpatients nnaged nn8 nnto nn12, nnis nnthe nneffectiveness nnof nna nnpain nnscale nnusing
nnfaces nnsuperior nnto nnannumeric nnrating nnscale nnin nnthe nnemergency nnroom
nncontext?
8. After nnformulating nna nnclinical nnquestion, nna nnnurse nnhas nnproceeded nnto nnsearch nnfor
nnevidence nnfor nnways nnto nnfoster nnrestful nnsleep nnin nnpatients nnwho nnare nnreceiving
nncare nnin nnthe nnintensive nncare nnunit nn(ICU). nnThe nnnurse nnhas nnidentified nna nnrelevant
nnmeta-analysis nnin nnan nnelectronic nndatabase. nnWhatn will nnthis nnsource nnof nnevidence
nnconsist nnof?
A) A nnstatistical nnsummary nnof nnthe nnresults nnfrom nnseveral nndifferent nnstudies
B) An nnexamination nnof nnthe nntheoretical nnand nnconceptual nnunderpinnings nnof nnthe nnissue
C) An nninterdisciplinary nnanalysis nnof nnthe nnclinical nnquestion
