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-
nc nc nc nc nc
Overholt Chapter 1 - 23 Complete
nc nc nc nc nc
,Chapter 1 Making the Case for Evidence-
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Based Practice and Cultivating a Spirit of Inqui nc ncnc nc nc nc nc nc
ry
In the hospital where Nurse L. provides care, tradition dictates that oral temperatures
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be included in every set of patient vital signs, regardless of patient diagnosis or acuity.
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This is most likely an example of which of the following 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
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C) The integration of personal expertise into nursing care
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D) Evidence-based practice nc
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a p
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atient chart review after the implementation of a pilot program aimed at promoting
nc nc nc nc nc nc nc nc nc nc nc nc nc
early ambulation following surgery. Which of the following components of EBP is th
nc nc nc nc nc nc nc nc nc nc nc nc
e nurse putting into practice?
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A) Patient preferences nc
B) Research utilization nc
C) Experience
D) Internal evidence nc
3. Nurse R. has observed that reorienting demented patients as frequently as possible tend
nc nc nc nc nc nc nc nc nc nc nc nc
s to minimize the patients' level of agitation in the evening. The nurse has shared this
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc n
observation with a colleague, who is skeptical, stating that, “It's best to stick to evide
c nc nc nc nc nc nc nc nc nc nc nc nc nc nc
nce-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.” nc nc nc nc nc nc nc nc nc nc
D) “My years of experience can be just as valuable as any literature review
nc nc nc nc nc nc nc nc nc nc nc nc nc
or randomized trial.” nc nc
4. Which of the following factors provides the most important rationale for the consiste
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nt 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. nc nc nc
,5. The Institute of Medicine's Roundtable on Evidence-
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Based Medicine has been established to address EBP. Which of the followin
nc nc nc nc nc nc nc nc nc nc nc
g issues is the Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated int
nc nc nc nc nc nc nc nc nc nc
o care nc
B) Fostering the level of learning that exists in the American healthcare system
nc nc nc nc nc nc nc nc nc nc nc
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 oth
nc nc nc nc nc nc nc nc nc nc nc nc
er Western countries nc nc
6. You have become frustrated with some aspects of patient care that you believe are ou
nc nc nc nc nc nc nc nc nc nc nc nc nc nc
tdated and ineffective at the long-
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term care facility where you have recently begun practicing. Consequently, you have
nc nc nc nc nc nc nc nc nc nc nc nc
resolved to examine some of these practices in light of evidence. Which of the followi
nc nc nc nc nc nc nc nc nc nc nc nc nc nc
ng should occur first in the steps of EBP?
nc nc nc nc nc nc nc nc
A) Conducting an electronic search of the literature and ranking individual sources
nc nc nc nc nc nc nc nc nc nc
B) Creating “buy-in” from the other clinicians who provide care at the facility
nc nc nc nc nc nc nc nc nc nc nc
C) Developing an inquisitive and curious mindset nc nc nc nc nc
D) Assessing whether the practices in question may, in fact, be evidence-based
nc nc nc nc nc nc nc nc nc nc
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 childre
nc nc nc nc nc nc nc nc nc nc nc nc
n, ages 13 to 16? nc nc nc nc
B) Among cancer patients, what role does meditation, rather than benzodiazepines
nc nc nc nc nc nc nc nc nc
, have on anxiety levels during the 7 days following hospital admission?
nc nc nc nc nc nc nc nc nc nc nc
C) Among undergraduate college students, what is the effectiveness of a sexual healt
nc nc nc nc nc nc nc nc nc nc nc
h campaign undertaken during the first 4 weeks of the fall semester as measured
nc nc nc nc nc nc nc nc nc nc nc nc nc n
by incidence of new gonorrheal and chlamydial infections reported to the campu
c nc nc nc nc nc nc nc nc nc nc nc
s medical center?nc nc
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
a numeric rating scale in the emergency room context?
nc nc nc nc nc nc nc nc nc
8. After formulating a clinical question, a nurse has proceeded to search for evidence fo
nc nc nc nc nc nc nc nc nc nc nc nc nc
r ways to foster restful sleep in patients who are receiving care in the intensive care u
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
nit (ICU). The nurse has identified a relevant meta-
nc nc nc nc nc nc nc nc
analysis in an electronic database. What will this source of evidence consist of?
nc nc nc nc nc nc nc nc nc nc nc nc
A) A statistical summary of the results from several different studies
nc nc nc nc nc nc nc nc nc
B) An examination of the theoretical and conceptual underpinnings of the issue
nc nc nc nc nc nc nc nc nc nc
C) An interdisciplinary analysis of the clinical question
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D) A qualitative study of different interventions related to the clinical question
nc nc nc nc nc nc nc nc nc nc
, 9. The nurses on a postpartum unit have noted that many primiparous (first-
nc nc nc nc nc nc nc nc nc nc nc
time) mothers are giving up on breastfeeding within the 24 hours following delivery,
nc nc nc nc nc nc nc nc nc nc nc nc nc
and the nurses want to create uniform guidelines for promoting breastfeeding on the u
nc nc nc nc nc nc nc nc nc nc nc nc nc
nit. Which of the following sources is most likely to provide the best evidence in thei
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
r quest for an intervention?
nc nc nc nc
A) Evidence from a randomized control trial that had more than 2500 participants
nc nc nc nc nc nc nc nc nc nc nc
B) Evidence from a study that is widely regarded as a classic within the obstetric
nc nc nc nc nc nc nc nc nc nc nc nc nc
al nursing community nc nc
C) Evidence from a systematic review of breastfeeding- nc nc nc nc nc nc
promotion studies that one of the nurses identified in an electronic database
nc nc nc nc nc nc nc nc nc nc nc
D) The consensus opinion of the most senior nurses on the unit
nc nc nc nc nc nc nc nc nc nc
10. The nurse educator on an acute medicine unit is advocating for the use of
nc nc nc nc nc nc nc nc nc nc nc nc nc
evidence-
based clinical practice guidelines on wound care in order to standardize and optimiz
nc nc nc nc nc nc nc nc nc nc nc nc
e the practice of the nurses on the unit. Which of the following statements best descr
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
ibes clinical practice guidelines?
nc nc nc
A) The result of replication studies of existing research by an impartial third party
nc nc nc nc nc nc nc nc nc nc nc nc
B) A collection of authorized interventions that are required by law
nc nc nc nc nc nc nc nc nc
C) A number of interventions that are the result of a large, publically-funded RCT
nc nc nc nc nc nc nc nc nc nc nc nc
D) A group of practice recommendations that result from a rigorous review of th
nc nc nc nc nc nc nc nc nc nc nc nc
e literature nc
11. A nurse is conducting a literature review on the evidence regarding the use of vacuu
nc nc nc nc nc nc nc nc nc nc nc nc nc nc
m dressings on stage IV pressure ulcers. After locating a recent study that appears to
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
be relevant, which of the following questions would the nurse consider first when criti
nc nc nc nc nc nc nc nc nc nc nc nc nc
cally appraising the study?
nc nc nc
A) “Are the findings of this study cost-effective in our clinical context?”
nc nc nc nc nc nc nc nc nc nc
B) "How would the implementation of this intervention affect our staffing needs?"
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C) “Were the patients in the study similar to the patients on my unit?”
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D) “Are the findings of the study significantly different from what we are currentl
nc nc nc nc nc nc nc nc nc nc nc nc
y doing on the unit? nc nc nc nc
12. The primary care provider of a 49-year-
nc nc nc nc nc nc
old male patient has examined and briefly explained the evidence that supports begi
nc nc nc nc nc nc nc nc nc nc nc nc
nning regular digital- nc nc
rectal exams. Which of the following factors would justify not performing digital-
nc nc nc nc nc nc nc nc nc nc nc
rectal examinations in this patient's care?
nc nc nc nc nc
A) The patient is vehemently opposed to undergoing a digital-rectal exam.
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B) Clinical practice guidelines for prostate care have not been published.
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C) The clinician has been unable to find any large RCTs in a literature review.
nc nc nc nc nc nc nc nc nc nc nc nc nc
D) The clinician has previously waited until patients are 55 to begin regula
nc nc nc nc nc nc nc nc nc nc nc
r digital-rectal exams.
nc nc
nc nc nc nc nc nc nc nc nc
Guide to Best Practice 5th Edition
nc nc nc nc nc
by Bernadette Mazurek Melnyk, Ellen Fineout-
nc nc nc nc nc
Overholt Chapter 1 - 23 Complete
nc nc nc nc nc
,Chapter 1 Making the Case for Evidence-
nc nc nc nc nc nc
Based Practice and Cultivating a Spirit of Inqui nc ncnc nc nc nc nc nc
ry
In the hospital where Nurse L. provides care, tradition dictates that oral temperatures
nc nc nc nc nc nc nc nc nc nc nc nc nc
be included in every set of patient vital signs, regardless of patient diagnosis or acuity.
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
This is most likely an example of which of the following phenomena?
nc nc nc nc nc nc nc nc nc nc nc
A) The prioritization of internal evidence over external evidence
nc nc nc nc nc nc nc
B) Practice that lacks evidence to support its application
nc nc nc nc nc nc nc
C) The integration of personal expertise into nursing care
nc nc nc nc nc nc nc
D) Evidence-based practice nc
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a p
nc nc nc nc nc nc nc nc nc nc nc nc nc
atient chart review after the implementation of a pilot program aimed at promoting
nc nc nc nc nc nc nc nc nc nc nc nc nc
early ambulation following surgery. Which of the following components of EBP is th
nc nc nc nc nc nc nc nc nc nc nc nc
e nurse putting into practice?
nc nc nc nc
A) Patient preferences nc
B) Research utilization nc
C) Experience
D) Internal evidence nc
3. Nurse R. has observed that reorienting demented patients as frequently as possible tend
nc nc nc nc nc nc nc nc nc nc nc nc
s to minimize the patients' level of agitation in the evening. The nurse has shared this
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc n
observation with a colleague, who is skeptical, stating that, “It's best to stick to evide
c nc nc nc nc nc nc nc nc nc nc nc nc nc nc
nce-based practice.” How can Nurse R. best respond?
nc nc nc nc nc nc nc
A) “EBP can include clinicians' personal expertise.”
nc nc nc nc nc
B) “Personal experience is often more sound than formal evidence-based practice.”
nc nc nc nc nc nc nc nc nc
C) “Traditional practice and EBP are usually shown to be the same.” nc nc nc nc nc nc nc nc nc nc
D) “My years of experience can be just as valuable as any literature review
nc nc nc nc nc nc nc nc nc nc nc nc nc
or randomized trial.” nc nc
4. Which of the following factors provides the most important rationale for the consiste
nc nc nc nc nc nc nc nc nc nc nc nc
nt implementation of EBP?
nc nc nc
A) EBP provides for the most cost-effective patient care.
nc nc nc nc nc nc nc
B) EBP is accessible to all healthcare clinicians.
nc nc nc nc nc nc
C) EBP provides consistency in care across healthcare settings.
nc nc nc nc nc nc nc
D) EBP improves patient outcomes. nc nc nc
,5. The Institute of Medicine's Roundtable on Evidence-
nc nc nc nc nc nc
Based Medicine has been established to address EBP. Which of the followin
nc nc nc nc nc nc nc nc nc nc nc
g issues is the Roundtable emphasizing?
nc nc nc nc nc
A) Ensuring that external evidence, rather than internal evidence, is integrated int
nc nc nc nc nc nc nc nc nc nc
o care nc
B) Fostering the level of learning that exists in the American healthcare system
nc nc nc nc nc nc nc nc nc nc nc
C) Issuing clinical guidelines to ensure best nursing practice
nc nc nc nc nc nc nc
D) Comparing the implementation of EBP in the United States with that of oth
nc nc nc nc nc nc nc nc nc nc nc nc
er Western countries nc nc
6. You have become frustrated with some aspects of patient care that you believe are ou
nc nc nc nc nc nc nc nc nc nc nc nc nc nc
tdated and ineffective at the long-
nc nc nc nc nc
term care facility where you have recently begun practicing. Consequently, you have
nc nc nc nc nc nc nc nc nc nc nc nc
resolved to examine some of these practices in light of evidence. Which of the followi
nc nc nc nc nc nc nc nc nc nc nc nc nc nc
ng should occur first in the steps of EBP?
nc nc nc nc nc nc nc nc
A) Conducting an electronic search of the literature and ranking individual sources
nc nc nc nc nc nc nc nc nc nc
B) Creating “buy-in” from the other clinicians who provide care at the facility
nc nc nc nc nc nc nc nc nc nc nc
C) Developing an inquisitive and curious mindset nc nc nc nc nc
D) Assessing whether the practices in question may, in fact, be evidence-based
nc nc nc nc nc nc nc nc nc nc
7. Which of the following clinical questions best exemplifies the PICOT format?
nc nc nc nc nc nc nc nc nc nc
A) What effect does parents' smoking have on the smoking habits of their childre
nc nc nc nc nc nc nc nc nc nc nc nc
n, ages 13 to 16? nc nc nc nc
B) Among cancer patients, what role does meditation, rather than benzodiazepines
nc nc nc nc nc nc nc nc nc
, have on anxiety levels during the 7 days following hospital admission?
nc nc nc nc nc nc nc nc nc nc nc
C) Among undergraduate college students, what is the effectiveness of a sexual healt
nc nc nc nc nc nc nc nc nc nc nc
h campaign undertaken during the first 4 weeks of the fall semester as measured
nc nc nc nc nc nc nc nc nc nc nc nc nc n
by incidence of new gonorrheal and chlamydial infections reported to the campu
c nc nc nc nc nc nc nc nc nc nc nc
s medical center?nc nc
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
a numeric rating scale in the emergency room context?
nc nc nc nc nc nc nc nc nc
8. After formulating a clinical question, a nurse has proceeded to search for evidence fo
nc nc nc nc nc nc nc nc nc nc nc nc nc
r ways to foster restful sleep in patients who are receiving care in the intensive care u
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
nit (ICU). The nurse has identified a relevant meta-
nc nc nc nc nc nc nc nc
analysis in an electronic database. What will this source of evidence consist of?
nc nc nc nc nc nc nc nc nc nc nc nc
A) A statistical summary of the results from several different studies
nc nc nc nc nc nc nc nc nc
B) An examination of the theoretical and conceptual underpinnings of the issue
nc nc nc nc nc nc nc nc nc nc
C) An interdisciplinary analysis of the clinical question
nc nc nc nc nc nc
D) A qualitative study of different interventions related to the clinical question
nc nc nc nc nc nc nc nc nc nc
, 9. The nurses on a postpartum unit have noted that many primiparous (first-
nc nc nc nc nc nc nc nc nc nc nc
time) mothers are giving up on breastfeeding within the 24 hours following delivery,
nc nc nc nc nc nc nc nc nc nc nc nc nc
and the nurses want to create uniform guidelines for promoting breastfeeding on the u
nc nc nc nc nc nc nc nc nc nc nc nc nc
nit. Which of the following sources is most likely to provide the best evidence in thei
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
r quest for an intervention?
nc nc nc nc
A) Evidence from a randomized control trial that had more than 2500 participants
nc nc nc nc nc nc nc nc nc nc nc
B) Evidence from a study that is widely regarded as a classic within the obstetric
nc nc nc nc nc nc nc nc nc nc nc nc nc
al nursing community nc nc
C) Evidence from a systematic review of breastfeeding- nc nc nc nc nc nc
promotion studies that one of the nurses identified in an electronic database
nc nc nc nc nc nc nc nc nc nc nc
D) The consensus opinion of the most senior nurses on the unit
nc nc nc nc nc nc nc nc nc nc
10. The nurse educator on an acute medicine unit is advocating for the use of
nc nc nc nc nc nc nc nc nc nc nc nc nc
evidence-
based clinical practice guidelines on wound care in order to standardize and optimiz
nc nc nc nc nc nc nc nc nc nc nc nc
e the practice of the nurses on the unit. Which of the following statements best descr
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
ibes clinical practice guidelines?
nc nc nc
A) The result of replication studies of existing research by an impartial third party
nc nc nc nc nc nc nc nc nc nc nc nc
B) A collection of authorized interventions that are required by law
nc nc nc nc nc nc nc nc nc
C) A number of interventions that are the result of a large, publically-funded RCT
nc nc nc nc nc nc nc nc nc nc nc nc
D) A group of practice recommendations that result from a rigorous review of th
nc nc nc nc nc nc nc nc nc nc nc nc
e literature nc
11. A nurse is conducting a literature review on the evidence regarding the use of vacuu
nc nc nc nc nc nc nc nc nc nc nc nc nc nc
m dressings on stage IV pressure ulcers. After locating a recent study that appears to
nc nc nc nc nc nc nc nc nc nc nc nc nc nc nc
be relevant, which of the following questions would the nurse consider first when criti
nc nc nc nc nc nc nc nc nc nc nc nc nc
cally appraising the study?
nc nc nc
A) “Are the findings of this study cost-effective in our clinical context?”
nc nc nc nc nc nc nc nc nc nc
B) "How would the implementation of this intervention affect our staffing needs?"
nc nc nc nc nc nc nc nc nc nc
C) “Were the patients in the study similar to the patients on my unit?”
nc nc nc nc nc nc nc nc nc nc nc nc
D) “Are the findings of the study significantly different from what we are currentl
nc nc nc nc nc nc nc nc nc nc nc nc
y doing on the unit? nc nc nc nc
12. The primary care provider of a 49-year-
nc nc nc nc nc nc
old male patient has examined and briefly explained the evidence that supports begi
nc nc nc nc nc nc nc nc nc nc nc nc
nning regular digital- nc nc
rectal exams. Which of the following factors would justify not performing digital-
nc nc nc nc nc nc nc nc nc nc nc
rectal examinations in this patient's care?
nc nc nc nc nc
A) The patient is vehemently opposed to undergoing a digital-rectal exam.
nc nc nc nc nc nc nc nc nc
B) Clinical practice guidelines for prostate care have not been published.
nc nc nc nc nc nc nc nc nc
C) The clinician has been unable to find any large RCTs in a literature review.
nc nc nc nc nc nc nc nc nc nc nc nc nc
D) The clinician has previously waited until patients are 55 to begin regula
nc nc nc nc nc nc nc nc nc nc nc
r digital-rectal exams.
nc nc
