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
ss ss ss ss ss ss ss
and Cultivating a Spirit of Inquiry
ss ss ss ss ss ss
In ssthe sshospital sswhere ssNurse ssL. ssprovides sscare, sstradition ssdictates ssthat ssoral
temperatures ssbe ssincluded ssin ssevery ssset ssof sspatient ssvital sssigns, ssregardless ssof
ss
sspatient ssdiagnosis ssor ssacuity. ssThisi
s s ssmost sslikely ssan ssexample ssof sswhich ssof ssthe
ssfollowing ssphenomena?
A) The ssprioritization ssof ssinternal ssevidence ssover ssexternal ssevidence
B) Practice ssthat sslacks ssevidence ssto sssupport ssits ssapplication
C) The ssintegration ssof sspersonal ssexpertise ssinto ssnursing sscare
D) Evidence-based sspractice
2. The ssclinical ssnurse sseducator ss(CNE) sson ssa sspostsurgical ssunit sshas ssrecently
sscompleted ssa sspatient sschart ssreview ssafter ssthe ssimplementation ssof ssa sspilot
ssprogram ssaimed ssat sspromoting ssearly ssambulation ssfollowing sssurgery. ssWhich ssof
ssthe ssfollowing sscomponents ssof ssEBP ssis ssthesnurse ssputting ssinto sspractice?
A) Patient sspreferences
B) Research ssutilization
C) Experience
D) Internal ssevidence
3. Nurse ssR. sshas ssobserved ssthat ssreorienting ssdemented sspatients ssas ssfrequently ssas
sspossible sstendst s o ssminimize ssthe sspatients' sslevel ssof ssagitation ssin ssthe ssevening. ssThe
ssnurse sshas ssshared ssthis ssobservation sswith ssa sscolleague, sswho ssis ssskeptical, ssstating
ssthat, ss“It's ssbest ssto ssstick ssto ssevidence-based sspractice.” ssHow sscan ssNurse ssR. ssbest
ssrespond?
A) “EBP sscan ssinclude ssclinicians' sspersonal ssexpertise.”
B) “Personal ssexperience ssis ssoften ssmore sssound ssthan ssformal ssevidence-based sspractice.”
C) “Traditional sspractice ssand ssEBP ssare ssusually ssshown ssto ssbe ssthe sssame.”
D) “My ssyears ssof ssexperience sscan ssbe ssjust ssas ssvaluable ssas ssany ssliterature
ssreview ssorsrandomized sstrial.”
4. Which ssof ssthe ssfollowing ssfactors ssprovides ssthe ssmost ssimportant ssrationale ssfor ssthe
ssconsistentsimplementation ssof ssEBP?
A) EBP ssprovides ssfor ssthe ssmost sscost-effective sspatient sscare.
B) EBP ssis ssaccessible ssto ssall sshealthcare ssclinicians.
,C) EBP ssprovides ssconsistency ssin sscare ssacross sshealthcare sssettings.
D) EBP ssimproves sspatient ssoutcomes.
, 5. The ssInstitute ssof ssMedicine's ssRoundtable sson ssEvidence-Based ssMedicine
sshas ssbeene s stablished ssto ssaddress ssEBP. ssWhich ssof ssthe ssfollowing ssissues ssis
ssthe ssRoundtable ssemphasizing?
A) Ensuring ssthat ssexternal ssevidence, ssrather ssthan ssinternal ssevidence, ssis
ssintegrated ssintoscare
B) Fostering ssthe sslevel ssof sslearning ssthat ssexists ssin ssthe ssAmerican sshealthcare sssystem
C) Issuing ssclinical ssguidelines ssto ssensure ssbest ssnursing sspractice
D) Comparing ssthe ssimplementation ssof ssEBP ssin ssthe ssUnited ssStates sswith ssthat
ssof ssothersWestern sscountries
6. You sshave ssbecome ssfrustrated sswith sssome ssaspects ssof sspatient sscare ssthat ssyou
ssbelieve ssare ssoutdated ssand ssineffective ssat ssthe sslong-term sscare ssfacility sswhere ssyou
sshave ssrecently ssbegun sspracticing. ssConsequently, ssyou sshave ssresolved ssto ssexamine
sssome ssof ssthese sspractices ssin sslightsof ssevidence. ssWhich ssof ssthe ssfollowing ssshould
ssoccur ssfirst ssin ssthe sssteps ssof ssEBP?
A) Conducting ssan sselectronic sssearch ssof ssthe ssliterature ssand ssranking ssindividual sssources
B) Creating ss“buy-in” ssfrom ssthe ssother ssclinicians sswho ssprovide sscare ssat ssthe ssfacility
C) Developing ssan ssinquisitive ssand sscurious ssmindset
D) Assessing sswhether ssthe sspractices ssin ssquestion ssmay, ssin ssfact, ssbe ssevidence-based
7. Which ssof ssthe ssfollowing ssclinical ssquestions ssbest ssexemplifies ssthe ssPICOT ssformat?
A) What sseffect ssdoes ssparents' sssmoking sshave sson ssthe sssmoking sshabits ssof sstheir
sschildren, sages ss13 ssto ss16?
B) Among sscancer sspatients, sswhat ssrole ssdoes ssmeditation, ssrather ssthan
ssbenzodiazepines,shave sson ssanxiety sslevels ssduring ssthe ss7 ssdays ssfollowing
sshospital ssadmission?
C) Among ssundergraduate sscollege ssstudents, sswhat ssis ssthe sseffectiveness ssof ssa
sssexual sshealthscampaign ssundertaken ssduring ssthe ssfirst ss4 ssweeks ssof ssthe ssfall
sssemester ssas ssmeasured ssby ssincidence ssof ssnew ssgonorrheal ssand sschlamydial
ssinfections ssreported ssto ssthe sscampus ssmedical sscenter?
D) In sspatients ssaged ss8 ssto ss12, ssis ssthe sseffectiveness ssof ssa sspain ssscale ssusing ssfaces
sssuperior ssto ssasnumeric ssrating ssscale ssin ssthe ssemergency ssroom sscontext?
8. After ssformulating ssa ssclinical ssquestion, ssa ssnurse sshas ssproceeded ssto sssearch ssfor
ssevidence ssfor ssways ssto ssfoster ssrestful sssleep ssin sspatients sswho ssare ssreceiving sscare
ssin ssthe ssintensive sscare ssunit ss(ICU). ssThe ssnurse sshas ssidentified ssa ssrelevant ssmeta-
analysis ssin ssan sselectronic ssdatabase. ssWhatswill ssthis sssource ssof ssevidence ssconsist ssof?
A) A ssstatistical sssummary ssof ssthe ssresults ssfrom ssseveral ssdifferent ssstudies
B) An ssexamination ssof ssthe sstheoretical ssand ssconceptual ssunderpinnings ssof ssthe ssissue
C) An ssinterdisciplinary ssanalysis ssof ssthe ssclinical ssquestion
D) A ssqualitative ssstudy ssof ssdifferent ssinterventions ssrelated ssto ssthe ssclinical ssquestion
ss ss ss ss ss ss ss ss ss
Guide to Best Practice 5th Edition
ss ss ss ss ss ss
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
ss ss ss ss ss
Chapter 1 - 23 Complet
ss ss ss ss
,Chapter 1 Making the Case for Evidence-Based Practice
ss ss ss ss ss ss ss
and Cultivating a Spirit of Inquiry
ss ss ss ss ss ss
In ssthe sshospital sswhere ssNurse ssL. ssprovides sscare, sstradition ssdictates ssthat ssoral
temperatures ssbe ssincluded ssin ssevery ssset ssof sspatient ssvital sssigns, ssregardless ssof
ss
sspatient ssdiagnosis ssor ssacuity. ssThisi
s s ssmost sslikely ssan ssexample ssof sswhich ssof ssthe
ssfollowing ssphenomena?
A) The ssprioritization ssof ssinternal ssevidence ssover ssexternal ssevidence
B) Practice ssthat sslacks ssevidence ssto sssupport ssits ssapplication
C) The ssintegration ssof sspersonal ssexpertise ssinto ssnursing sscare
D) Evidence-based sspractice
2. The ssclinical ssnurse sseducator ss(CNE) sson ssa sspostsurgical ssunit sshas ssrecently
sscompleted ssa sspatient sschart ssreview ssafter ssthe ssimplementation ssof ssa sspilot
ssprogram ssaimed ssat sspromoting ssearly ssambulation ssfollowing sssurgery. ssWhich ssof
ssthe ssfollowing sscomponents ssof ssEBP ssis ssthesnurse ssputting ssinto sspractice?
A) Patient sspreferences
B) Research ssutilization
C) Experience
D) Internal ssevidence
3. Nurse ssR. sshas ssobserved ssthat ssreorienting ssdemented sspatients ssas ssfrequently ssas
sspossible sstendst s o ssminimize ssthe sspatients' sslevel ssof ssagitation ssin ssthe ssevening. ssThe
ssnurse sshas ssshared ssthis ssobservation sswith ssa sscolleague, sswho ssis ssskeptical, ssstating
ssthat, ss“It's ssbest ssto ssstick ssto ssevidence-based sspractice.” ssHow sscan ssNurse ssR. ssbest
ssrespond?
A) “EBP sscan ssinclude ssclinicians' sspersonal ssexpertise.”
B) “Personal ssexperience ssis ssoften ssmore sssound ssthan ssformal ssevidence-based sspractice.”
C) “Traditional sspractice ssand ssEBP ssare ssusually ssshown ssto ssbe ssthe sssame.”
D) “My ssyears ssof ssexperience sscan ssbe ssjust ssas ssvaluable ssas ssany ssliterature
ssreview ssorsrandomized sstrial.”
4. Which ssof ssthe ssfollowing ssfactors ssprovides ssthe ssmost ssimportant ssrationale ssfor ssthe
ssconsistentsimplementation ssof ssEBP?
A) EBP ssprovides ssfor ssthe ssmost sscost-effective sspatient sscare.
B) EBP ssis ssaccessible ssto ssall sshealthcare ssclinicians.
,C) EBP ssprovides ssconsistency ssin sscare ssacross sshealthcare sssettings.
D) EBP ssimproves sspatient ssoutcomes.
, 5. The ssInstitute ssof ssMedicine's ssRoundtable sson ssEvidence-Based ssMedicine
sshas ssbeene s stablished ssto ssaddress ssEBP. ssWhich ssof ssthe ssfollowing ssissues ssis
ssthe ssRoundtable ssemphasizing?
A) Ensuring ssthat ssexternal ssevidence, ssrather ssthan ssinternal ssevidence, ssis
ssintegrated ssintoscare
B) Fostering ssthe sslevel ssof sslearning ssthat ssexists ssin ssthe ssAmerican sshealthcare sssystem
C) Issuing ssclinical ssguidelines ssto ssensure ssbest ssnursing sspractice
D) Comparing ssthe ssimplementation ssof ssEBP ssin ssthe ssUnited ssStates sswith ssthat
ssof ssothersWestern sscountries
6. You sshave ssbecome ssfrustrated sswith sssome ssaspects ssof sspatient sscare ssthat ssyou
ssbelieve ssare ssoutdated ssand ssineffective ssat ssthe sslong-term sscare ssfacility sswhere ssyou
sshave ssrecently ssbegun sspracticing. ssConsequently, ssyou sshave ssresolved ssto ssexamine
sssome ssof ssthese sspractices ssin sslightsof ssevidence. ssWhich ssof ssthe ssfollowing ssshould
ssoccur ssfirst ssin ssthe sssteps ssof ssEBP?
A) Conducting ssan sselectronic sssearch ssof ssthe ssliterature ssand ssranking ssindividual sssources
B) Creating ss“buy-in” ssfrom ssthe ssother ssclinicians sswho ssprovide sscare ssat ssthe ssfacility
C) Developing ssan ssinquisitive ssand sscurious ssmindset
D) Assessing sswhether ssthe sspractices ssin ssquestion ssmay, ssin ssfact, ssbe ssevidence-based
7. Which ssof ssthe ssfollowing ssclinical ssquestions ssbest ssexemplifies ssthe ssPICOT ssformat?
A) What sseffect ssdoes ssparents' sssmoking sshave sson ssthe sssmoking sshabits ssof sstheir
sschildren, sages ss13 ssto ss16?
B) Among sscancer sspatients, sswhat ssrole ssdoes ssmeditation, ssrather ssthan
ssbenzodiazepines,shave sson ssanxiety sslevels ssduring ssthe ss7 ssdays ssfollowing
sshospital ssadmission?
C) Among ssundergraduate sscollege ssstudents, sswhat ssis ssthe sseffectiveness ssof ssa
sssexual sshealthscampaign ssundertaken ssduring ssthe ssfirst ss4 ssweeks ssof ssthe ssfall
sssemester ssas ssmeasured ssby ssincidence ssof ssnew ssgonorrheal ssand sschlamydial
ssinfections ssreported ssto ssthe sscampus ssmedical sscenter?
D) In sspatients ssaged ss8 ssto ss12, ssis ssthe sseffectiveness ssof ssa sspain ssscale ssusing ssfaces
sssuperior ssto ssasnumeric ssrating ssscale ssin ssthe ssemergency ssroom sscontext?
8. After ssformulating ssa ssclinical ssquestion, ssa ssnurse sshas ssproceeded ssto sssearch ssfor
ssevidence ssfor ssways ssto ssfoster ssrestful sssleep ssin sspatients sswho ssare ssreceiving sscare
ssin ssthe ssintensive sscare ssunit ss(ICU). ssThe ssnurse sshas ssidentified ssa ssrelevant ssmeta-
analysis ssin ssan sselectronic ssdatabase. ssWhatswill ssthis sssource ssof ssevidence ssconsist ssof?
A) A ssstatistical sssummary ssof ssthe ssresults ssfrom ssseveral ssdifferent ssstudies
B) An ssexamination ssof ssthe sstheoretical ssand ssconceptual ssunderpinnings ssof ssthe ssissue
C) An ssinterdisciplinary ssanalysis ssof ssthe ssclinical ssquestion
D) A ssqualitative ssstudy ssof ssdifferent ssinterventions ssrelated ssto ssthe ssclinical ssquestion
