Test Bank For Evidence-Based Practice in Nursing & Healthcare A
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
Chapter 1 Making the Case for Evidence-Based Practice
and Cultivating a Spirit of Inquiry
In the hospital where Nurse L. provides care, tradition dictates that oral temperatures
be included in every set of patient vital signs, regardless of patient diagnosis or acuity.
Thisis most likely an example of which of the following phenomena?
A) The prioritization of internal evidence over external evidence
B) Practice that lacks evidence to support its application
C) The integration of personal expertise into nursing care
D) Evidence-based practice
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a
patient chart review after the implementation of a pilot program aimed at promoting
early ambulation following surgery. Which of the following components of EBP is the
nurse putting into practice?
A) Patient preferences
B) Research utilization
C) Experience
D) Internal evidence
3. Nurse R. has observed that reorienting demented patients as frequently as possible
tendsto minimize the patients' level of agitation in the evening. The nurse has shared
this observation with a colleague, who is skeptical, stating that, “It's best to stick to
evidence-based practice.” How can Nurse R. best respond?
A) “EBP can include clinicians' personal expertise.”
B) “Personal experience is often more sound than formal evidence-based practice.”
, C) “Traditional practice and EBP are usually shown to be the same.”
D) “My years of experience can be just as valuable as any literature review
orrandomized trial.”
4. Which of the following factors provides the most important rationale for the
consistentimplementation of EBP?
A) EBP provides for the most cost-effective patient care.
B) EBP is accessible to all healthcare clinicians.
C) EBP provides consistency in care across healthcare settings.
D) EBP improves patient outcomes.
,5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
beenestablished to address EBP. Which of the following issues is the
Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated
intocare
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of
otherWestern countries
6. You have become frustrated with some aspects of patient care that you believe are
outdated and ineffective at the long-term care facility where you have recently begun
practicing. Consequently, you have resolved to examine some of these practices in
lightof evidence. Which of the following should occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be evidence-based
7. Which zof zthe zfollowing zclinical zquestions zbest zexemplifies zthe zPICOT zformat?
A) What zeffect zdoes zparents' zsmoking zhave zon zthe zsmoking zhabits zof ztheir
zchildren,zages z13 zto z16?
B) Among zcancer zpatients, zwhat zrole zdoes zmeditation, zrather zthan
zbenzodiazepines,zhave zon zanxiety zlevels zduring zthe z7 zdays zfollowing
zhospital zadmission?
C) Among zundergraduate zcollege zstudents, zwhat zis zthe zeffectiveness zof za zsexual
zhealthzcampaign zundertaken zduring zthe zfirst z4 zweeks zof zthe zfall zsemester zas
zmeasured zby zincidence zof znew zgonorrheal zand zchlamydial zinfections
zreported zto zthe zcampus zmedical zcenter?
D) In zpatients zaged z8 zto z12, zis zthe zeffectiveness zof za zpain zscale zusing zfaces
zsuperior zto zaznumeric zrating zscale zin zthe zemergency zroom zcontext?
8. After zformulating za zclinical zquestion, za znurse zhas zproceeded zto zsearch zfor
zevidence zfor zways zto zfoster zrestful zsleep zin zpatients zwho zare zreceiving zcare zin
zthe zintensive zcare zunit z(ICU). zThe znurse zhas zidentified za zrelevant zmeta-analysis zin
zan zelectronic zdatabase. zWhatzwill zthis zsource zof zevidence zconsist zof?
A) A zstatistical zsummary zof zthe zresults zfrom zseveral zdifferent zstudies
B) An zexamination zof zthe ztheoretical zand zconceptual zunderpinnings zof zthe zissue
C) An zinterdisciplinary zanalysis zof zthe zclinical zquestion
D) A zqualitative zstudy zof zdifferent zinterventions zrelated zto zthe zclinical zquestion
, 9. The znurses zon za zpostpartum zunit zhave znoted zthat zmany zprimiparous z(first-time)
zmothers zare zgiving zup zon zbreastfeeding zwithin zthe z24 zhours zfollowing zdelivery,
zand zthe znurses zwant zto zcreate zuniform zguidelines zfor zpromoting zbreastfeeding
zon zthe zunit. zWhich zof zthezfollowing zsources zis zmost zlikely zto zprovide zthe zbest
zevidence zin ztheir zquest zfor zan zintervention?
A) Evidence zfrom za zrandomized zcontrol ztrial zthat zhad zmore zthan z2500 zparticipants
B) Evidence zfrom za zstudy zthat zis zwidely zregarded zas za zclassic zwithin zthe
zobstetricalznursing zcommunity
C) Evidence zfrom za zsystematic zreview zof zbreastfeeding-promotion zstudies zthat
zone zofzthe znurses zidentified zin zan zelectronic zdatabase
D) The zconsensus zopinion zof zthe zmost zsenior znurses zon zthe zunit
10. The znurse zeducator zon zan zacute zmedicine zunit zis zadvocating zfor zthe zuse zof
evidence-based zclinical zpractice zguidelines zon zwound zcare zin zorder zto
zstandardize zand zoptimize zthe zpractice zof zthe znurses zon zthe zunit. zWhich zof zthe
zfollowing zstatements zbestzdescribes zclinical zpractice zguidelines?
A) The zresult zof zreplication zstudies zof zexisting zresearch zby zan zimpartial zthird zparty
B) A zcollection zof zauthorized zinterventions zthat zare zrequired zby zlaw
C) A znumber zof zinterventions zthat zare zthe zresult zof za zlarge, zpublically-funded zRCT
D) A zgroup zof zpractice zrecommendations zthat zresult zfrom za zrigorous zreview
zof zthezliterature
11. A znurse zis zconducting za zliterature zreview zon zthe zevidence zregarding zthe zuse zof
zvacuum zdressings zon zstage zIV zpressure zulcers. zAfter zlocating za zrecent zstudy zthat
zappears zto zbe zrelevant, zwhich zof zthe zfollowing zquestions zwould zthe znurse
zconsider zfirst zwhen zcriticallyzappraising zthe zstudy?
A) “Are zthe zfindings zof zthis zstudy zcost-effective zin zour zclinical zcontext?”
B) "How zwould zthe zimplementation zof zthis zintervention zaffect zour zstaffing zneeds?"
C) “Were zthe zpatients zin zthe zstudy zsimilar zto zthe zpatients zon zmy zunit?”
D) “Are zthe zfindings zof zthe zstudy zsignificantly zdifferent zfrom zwhat zwe zare
zcurrentlyzdoing zon zthe zunit?
12. The zprimary zcare zprovider zof za z49-year-old zmale zpatient zhas zexamined zand
zbriefly zexplained zthe zevidence zthat zsupports zbeginning zregular zdigital-rectal
zexams. zWhich zofzthe zfollowing zfactors zwould zjustify znot zperforming zdigital-rectal
zexaminations zin zthis zpatient's zcare?
A) The zpatient zis zvehemently zopposed zto zundergoing za zdigital-rectal zexam.
B) Clinical zpractice zguidelines zfor zprostate zcare zhave znot zbeen zpublished.
C) The zclinician zhas zbeen zunable zto zfind zany zlarge zRCTs zin za zliterature zreview.
D) The zclinician zhas zpreviously zwaited zuntil zpatients zare z55 zto zbegin
zregularzdigital-rectal zexams.
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
Chapter 1 Making the Case for Evidence-Based Practice
and Cultivating a Spirit of Inquiry
In the hospital where Nurse L. provides care, tradition dictates that oral temperatures
be included in every set of patient vital signs, regardless of patient diagnosis or acuity.
Thisis most likely an example of which of the following phenomena?
A) The prioritization of internal evidence over external evidence
B) Practice that lacks evidence to support its application
C) The integration of personal expertise into nursing care
D) Evidence-based practice
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a
patient chart review after the implementation of a pilot program aimed at promoting
early ambulation following surgery. Which of the following components of EBP is the
nurse putting into practice?
A) Patient preferences
B) Research utilization
C) Experience
D) Internal evidence
3. Nurse R. has observed that reorienting demented patients as frequently as possible
tendsto minimize the patients' level of agitation in the evening. The nurse has shared
this observation with a colleague, who is skeptical, stating that, “It's best to stick to
evidence-based practice.” How can Nurse R. best respond?
A) “EBP can include clinicians' personal expertise.”
B) “Personal experience is often more sound than formal evidence-based practice.”
, C) “Traditional practice and EBP are usually shown to be the same.”
D) “My years of experience can be just as valuable as any literature review
orrandomized trial.”
4. Which of the following factors provides the most important rationale for the
consistentimplementation of EBP?
A) EBP provides for the most cost-effective patient care.
B) EBP is accessible to all healthcare clinicians.
C) EBP provides consistency in care across healthcare settings.
D) EBP improves patient outcomes.
,5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
beenestablished to address EBP. Which of the following issues is the
Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated
intocare
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of
otherWestern countries
6. You have become frustrated with some aspects of patient care that you believe are
outdated and ineffective at the long-term care facility where you have recently begun
practicing. Consequently, you have resolved to examine some of these practices in
lightof evidence. Which of the following should occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be evidence-based
7. Which zof zthe zfollowing zclinical zquestions zbest zexemplifies zthe zPICOT zformat?
A) What zeffect zdoes zparents' zsmoking zhave zon zthe zsmoking zhabits zof ztheir
zchildren,zages z13 zto z16?
B) Among zcancer zpatients, zwhat zrole zdoes zmeditation, zrather zthan
zbenzodiazepines,zhave zon zanxiety zlevels zduring zthe z7 zdays zfollowing
zhospital zadmission?
C) Among zundergraduate zcollege zstudents, zwhat zis zthe zeffectiveness zof za zsexual
zhealthzcampaign zundertaken zduring zthe zfirst z4 zweeks zof zthe zfall zsemester zas
zmeasured zby zincidence zof znew zgonorrheal zand zchlamydial zinfections
zreported zto zthe zcampus zmedical zcenter?
D) In zpatients zaged z8 zto z12, zis zthe zeffectiveness zof za zpain zscale zusing zfaces
zsuperior zto zaznumeric zrating zscale zin zthe zemergency zroom zcontext?
8. After zformulating za zclinical zquestion, za znurse zhas zproceeded zto zsearch zfor
zevidence zfor zways zto zfoster zrestful zsleep zin zpatients zwho zare zreceiving zcare zin
zthe zintensive zcare zunit z(ICU). zThe znurse zhas zidentified za zrelevant zmeta-analysis zin
zan zelectronic zdatabase. zWhatzwill zthis zsource zof zevidence zconsist zof?
A) A zstatistical zsummary zof zthe zresults zfrom zseveral zdifferent zstudies
B) An zexamination zof zthe ztheoretical zand zconceptual zunderpinnings zof zthe zissue
C) An zinterdisciplinary zanalysis zof zthe zclinical zquestion
D) A zqualitative zstudy zof zdifferent zinterventions zrelated zto zthe zclinical zquestion
, 9. The znurses zon za zpostpartum zunit zhave znoted zthat zmany zprimiparous z(first-time)
zmothers zare zgiving zup zon zbreastfeeding zwithin zthe z24 zhours zfollowing zdelivery,
zand zthe znurses zwant zto zcreate zuniform zguidelines zfor zpromoting zbreastfeeding
zon zthe zunit. zWhich zof zthezfollowing zsources zis zmost zlikely zto zprovide zthe zbest
zevidence zin ztheir zquest zfor zan zintervention?
A) Evidence zfrom za zrandomized zcontrol ztrial zthat zhad zmore zthan z2500 zparticipants
B) Evidence zfrom za zstudy zthat zis zwidely zregarded zas za zclassic zwithin zthe
zobstetricalznursing zcommunity
C) Evidence zfrom za zsystematic zreview zof zbreastfeeding-promotion zstudies zthat
zone zofzthe znurses zidentified zin zan zelectronic zdatabase
D) The zconsensus zopinion zof zthe zmost zsenior znurses zon zthe zunit
10. The znurse zeducator zon zan zacute zmedicine zunit zis zadvocating zfor zthe zuse zof
evidence-based zclinical zpractice zguidelines zon zwound zcare zin zorder zto
zstandardize zand zoptimize zthe zpractice zof zthe znurses zon zthe zunit. zWhich zof zthe
zfollowing zstatements zbestzdescribes zclinical zpractice zguidelines?
A) The zresult zof zreplication zstudies zof zexisting zresearch zby zan zimpartial zthird zparty
B) A zcollection zof zauthorized zinterventions zthat zare zrequired zby zlaw
C) A znumber zof zinterventions zthat zare zthe zresult zof za zlarge, zpublically-funded zRCT
D) A zgroup zof zpractice zrecommendations zthat zresult zfrom za zrigorous zreview
zof zthezliterature
11. A znurse zis zconducting za zliterature zreview zon zthe zevidence zregarding zthe zuse zof
zvacuum zdressings zon zstage zIV zpressure zulcers. zAfter zlocating za zrecent zstudy zthat
zappears zto zbe zrelevant, zwhich zof zthe zfollowing zquestions zwould zthe znurse
zconsider zfirst zwhen zcriticallyzappraising zthe zstudy?
A) “Are zthe zfindings zof zthis zstudy zcost-effective zin zour zclinical zcontext?”
B) "How zwould zthe zimplementation zof zthis zintervention zaffect zour zstaffing zneeds?"
C) “Were zthe zpatients zin zthe zstudy zsimilar zto zthe zpatients zon zmy zunit?”
D) “Are zthe zfindings zof zthe zstudy zsignificantly zdifferent zfrom zwhat zwe zare
zcurrentlyzdoing zon zthe zunit?
12. The zprimary zcare zprovider zof za z49-year-old zmale zpatient zhas zexamined zand
zbriefly zexplained zthe zevidence zthat zsupports zbeginning zregular zdigital-rectal
zexams. zWhich zofzthe zfollowing zfactors zwould zjustify znot zperforming zdigital-rectal
zexaminations zin zthis zpatient's zcare?
A) The zpatient zis zvehemently zopposed zto zundergoing za zdigital-rectal zexam.
B) Clinical zpractice zguidelines zfor zprostate zcare zhave znot zbeen zpublished.
C) The zclinician zhas zbeen zunable zto zfind zany zlarge zRCTs zin za zliterature zreview.
D) The zclinician zhas zpreviously zwaited zuntil zpatients zare z55 zto zbegin
zregularzdigital-rectal zexams.
