Test Bank For Evidence-Based Practice in Nursing & Healthcare A
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Tg 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 Tg Tg Tg Tg Tg Tg
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. Thisis most likely an example of which of the following
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phenomena? Tg
A) The prioritization of internal evidence over external evidence
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B) Practice that lacks evidence to support its application
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C) The integration of personal expertise into nursing care
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D) Evidence-based practice Tg
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed
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Tga patient chart review after the implementation of a pilot program aimed at
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Tgpromoting early ambulation following surgery. Which of the following
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Tgcomponents of EBP is thenurse putting into practice? Tg Tg Tg Tg gT Tg Tg Tg
A) Patient preferences Tg
B) Research utilization Tg
C) Experience
D) Internal evidence Tg
3. Nurse R. has observed that reorienting demented patients as frequently as
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possible tendsto minimize the patients' level of agitation in the evening. The
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nurse has shared this observation with a colleague, who is skeptical, stating that,
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“It's best to stick to evidence-based practice.” How can Nurse R. best respond?
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A) “EBP can include clinicians' personal expertise.”
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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.” Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
D) “My years of experience can be just as valuable as any literature
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review 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.
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, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
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Tgbeenestablished to address EBP. Which of the following issues is the
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TgRoundtable emphasizing? Tg
A) Ensuring that external evidence, rather than internal evidence, is
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integrated intocare
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B) Fostering the level of learning that exists in the American healthcare system
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C) Issuing clinical guidelines to ensure best nursing practice
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D) Comparing the implementation of EBP in the United States with that of
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otherWestern countries
Tg gT Tg
6. You have become frustrated with some aspects of patient care that you believe
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Tgare outdated and ineffective at the long-term care facility where you have
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Tgrecently begun practicing. Consequently, you have resolved to examine some of
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Tgthese practices in lightof evidence. Which of the following should occur first in
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Tgthe steps of EBP?
Tg Tg Tg
A) Conducting an electronic search of the literature and ranking individual sources
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B) Creating “buy-in” from the other clinicians who provide care at the facility
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
C) Developing an inquisitive and curious mindset Tg Tg Tg Tg Tg
D) Assessing whether the practices in question may, in fact, be evidence-based
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7. Which of the following clinical questions best exemplifies the PICOT format?
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A) What effect does parents' smoking have on the smoking habits of their
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children,ages 13 to 16?
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B) Among cancer patients, what role does meditation, rather than
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benzodiazepines,have on anxiety levels during the 7 days following
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hospital admission?
Tg Tg
C) Among undergraduate college students, what is the effectiveness of a sexual
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healthcampaign undertaken during the first 4 weeks of the fall semester as
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measured by incidence of new gonorrheal and chlamydial infections
Tg Tg Tg Tg Tg Tg Tg Tg Tg
reported to the campus medical center?
Tg Tg Tg Tg Tg Tg
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces
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superior to anumeric rating scale in the emergency room context?
Tg Tg Tg gT Tg Tg Tg Tg Tg Tg Tg
8. After formulating a clinical question, a nurse has proceeded to search for
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Tgevidence for ways to foster restful sleep in patients who are receiving care in
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgthe intensive care unit (ICU). The nurse has identified a relevant meta-analysis in
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Tgan electronic database. Whatwill this source of evidence consist of?
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A) A statistical summary of the results from several different studies
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B) An examination of the theoretical and conceptual underpinnings of the issue
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C) An interdisciplinary analysis of the clinical question
Tg Tg Tg Tg Tg Tg
D) A qualitative study of different interventions related to the clinical question
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tg Guide to Best Practice 5th Edition
Tg Tg Tg Tg Tg
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Tg Tg Tg Tg Tg
Chapter 1 - 23 Complet
Tg Tg Tg Tg
,Chapter 1 Making the Case for Evidence-Based Practice
Tg Tg Tg Tg Tg Tg Tg
and Cultivating a Spirit of Inquiry Tg Tg Tg Tg Tg Tg
In the hospital where Nurse L. provides care, tradition dictates that oral
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
temperatures be included in every set of patient vital signs, regardless of patient
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
diagnosis or acuity. Thisis most likely an example of which of the following
Tg Tg Tg Tg gT Tg Tg Tg Tg Tg Tg Tg Tg Tg
phenomena? Tg
A) The prioritization of internal evidence over external evidence
Tg Tg Tg Tg Tg Tg Tg
B) Practice that lacks evidence to support its application
Tg Tg Tg Tg Tg Tg Tg
C) The integration of personal expertise into nursing care
Tg Tg Tg Tg Tg Tg Tg
D) Evidence-based practice Tg
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tga patient chart review after the implementation of a pilot program aimed at
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgpromoting early ambulation following surgery. Which of the following
Tg Tg Tg Tg Tg Tg Tg Tg
Tgcomponents of EBP is thenurse putting into practice? Tg Tg Tg Tg gT Tg Tg Tg
A) Patient preferences Tg
B) Research utilization Tg
C) Experience
D) Internal evidence Tg
3. Nurse R. has observed that reorienting demented patients as frequently as
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
possible tendsto minimize the patients' level of agitation in the evening. The
Tg Tg gT Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
nurse has shared this observation with a colleague, who is skeptical, stating that,
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
“It's best to stick to evidence-based practice.” How can Nurse R. best respond?
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
A) “EBP can include clinicians' personal expertise.”
Tg Tg Tg Tg Tg
B) “Personal experience is often more sound than formal evidence-based practice.”
Tg Tg Tg Tg Tg Tg Tg Tg Tg
C) “Traditional practice and EBP are usually shown to be the same.” Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
D) “My years of experience can be just as valuable as any literature
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
review orrandomized trial.”
Tg Tg gT Tg
4. Which of the following factors provides the most important rationale for the
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
consistentimplementation of EBP?
Tg gT Tg Tg
A) EBP provides for the most cost-effective patient care.
Tg Tg Tg Tg Tg Tg Tg
B) EBP is accessible to all healthcare clinicians.
Tg Tg Tg Tg Tg Tg
C) EBP provides consistency in care across healthcare settings.
Tg Tg Tg Tg Tg Tg Tg
,D) EBP improves patient outcomes.
Tg Tg Tg
, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
Tg Tg Tg Tg Tg Tg Tg Tg
Tgbeenestablished to address EBP. Which of the following issues is the
gT Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
TgRoundtable emphasizing? Tg
A) Ensuring that external evidence, rather than internal evidence, is
Tg Tg Tg Tg Tg Tg Tg Tg
integrated intocare
Tg Tg gT
B) Fostering the level of learning that exists in the American healthcare system
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
C) Issuing clinical guidelines to ensure best nursing practice
Tg Tg Tg Tg Tg Tg Tg
D) Comparing the implementation of EBP in the United States with that of
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
otherWestern countries
Tg gT Tg
6. You have become frustrated with some aspects of patient care that you believe
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgare outdated and ineffective at the long-term care facility where you have
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgrecently begun practicing. Consequently, you have resolved to examine some of
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgthese practices in lightof evidence. Which of the following should occur first in
Tg Tg Tg gT Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgthe steps of EBP?
Tg Tg Tg
A) Conducting an electronic search of the literature and ranking individual sources
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
B) Creating “buy-in” from the other clinicians who provide care at the facility
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
C) Developing an inquisitive and curious mindset Tg Tg Tg Tg Tg
D) Assessing whether the practices in question may, in fact, be evidence-based
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
7. Which of the following clinical questions best exemplifies the PICOT format?
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
A) What effect does parents' smoking have on the smoking habits of their
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
children,ages 13 to 16?
Tg gT Tg Tg Tg
B) Among cancer patients, what role does meditation, rather than
Tg Tg Tg Tg Tg Tg Tg Tg
benzodiazepines,have on anxiety levels during the 7 days following
Tg gT Tg Tg Tg Tg Tg Tg Tg Tg
hospital admission?
Tg Tg
C) Among undergraduate college students, what is the effectiveness of a sexual
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
healthcampaign undertaken during the first 4 weeks of the fall semester as
Tg gT Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
measured by incidence of new gonorrheal and chlamydial infections
Tg Tg Tg Tg Tg Tg Tg Tg Tg
reported to the campus medical center?
Tg Tg Tg Tg Tg Tg
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
superior to anumeric rating scale in the emergency room context?
Tg Tg Tg gT Tg Tg Tg Tg Tg Tg Tg
8. After formulating a clinical question, a nurse has proceeded to search for
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgevidence for ways to foster restful sleep in patients who are receiving care in
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgthe intensive care unit (ICU). The nurse has identified a relevant meta-analysis in
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
Tgan electronic database. Whatwill this source of evidence consist of?
Tg Tg Tg gT Tg Tg Tg Tg Tg Tg
A) A statistical summary of the results from several different studies
Tg Tg Tg Tg Tg Tg Tg Tg Tg
B) An examination of the theoretical and conceptual underpinnings of the issue
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
C) An interdisciplinary analysis of the clinical question
Tg Tg Tg Tg Tg Tg
D) A qualitative study of different interventions related to the clinical question
Tg Tg Tg Tg Tg Tg Tg Tg Tg Tg
