Test,Bank,For,Evidence-
Based,Practice,in,Nursing,&,Healthcare,A,Guide,to,Best,Practice,5th,Edi
tion
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.
,This,is,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,pa
tient,chart,review,after,the,implementation,of,a,pilot,program,aimed,at,promoting,
early,ambulation,following,surgery.,Which,of,the,following,components,of,EBP,is,th
e,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,te
nds,to,minimize,the,patients',level,of,agitation,in,the,evening.,The,nurse,has,shared,th
is,observation,with,a,colleague,,who,is,skeptical,,stating,that,,“It's,best,to,stick,to,evid
ence-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,
or,randomized,trial.”
4. Which,of,the,following,factors,provides,the,most,important,rationale,for,the,consist
ent,implementation,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,been,established,to,address,EBP.,Which,of,the,following
,issues,is,the,Roundtable,emphasizing?
A) Ensuring,that,external,evidence,,rather,than,internal,evidence,,is,integrated,i
nto,care
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,oth
er,Western,countries
6. You,have,become,frustrated,with,some,aspects,of,patient,care,that,you,believe,are,o
utdated,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,light,of,evidence.,Which,of,the,followi
ng,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,of,the,following,clinical,questions,best,exemplifies,the,PICOT,format?
A) What,effect,does,parents',smoking,have,on,the,smoking,habits,of,their,childr
en,,ages,13,to,16?
B) Among,cancer,patients,,what,role,does,meditation,,rather,than,benzodiazepin
es,,have,on,anxiety,levels,during,the,7,days,following,hospital,admission?
C) Among,undergraduate,college,students,,what,is,the,effectiveness,of,a,sexual,hea
lth,campaign,undertaken,during,the,first,4,weeks,of,the,fall,semester,as,measure
d,by,incidence,of,new,gonorrheal,and,chlamydial,infections,reported,to,the,cam
pus,medical,center?
D) In,patients,aged,8,to,12,,is,the,effectiveness,of,a,pain,scale,using,faces,superior,t
o,a,numeric,rating,scale,in,the,emergency,room,context?
8. After,formulating,a,clinical,question,,a,nurse,has,proceeded,to,search,for,evidence,for
,ways,to,foster,restful,sleep,in,patients,who,are,receiving,care,in,the,intensive,care,u
nit,(ICU).,The,nurse,has,identified,a,relevant,meta-
analysis,in,an,electronic,database.,What,will,this,source,of,evidence,consist,of?
A) A,statistical,summary,of,the,results,from,several,different,studies
B) An,examination,of,the,theoretical,and,conceptual,underpinnings,of,the,issue
C) An,interdisciplinary,analysis,of,the,clinical,question
D) A,qualitative,study,of,different,interventions,related,to,the,clinical,question
Based,Practice,in,Nursing,&,Healthcare,A,Guide,to,Best,Practice,5th,Edi
tion
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.
,This,is,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,pa
tient,chart,review,after,the,implementation,of,a,pilot,program,aimed,at,promoting,
early,ambulation,following,surgery.,Which,of,the,following,components,of,EBP,is,th
e,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,te
nds,to,minimize,the,patients',level,of,agitation,in,the,evening.,The,nurse,has,shared,th
is,observation,with,a,colleague,,who,is,skeptical,,stating,that,,“It's,best,to,stick,to,evid
ence-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,
or,randomized,trial.”
4. Which,of,the,following,factors,provides,the,most,important,rationale,for,the,consist
ent,implementation,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,been,established,to,address,EBP.,Which,of,the,following
,issues,is,the,Roundtable,emphasizing?
A) Ensuring,that,external,evidence,,rather,than,internal,evidence,,is,integrated,i
nto,care
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,oth
er,Western,countries
6. You,have,become,frustrated,with,some,aspects,of,patient,care,that,you,believe,are,o
utdated,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,light,of,evidence.,Which,of,the,followi
ng,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,of,the,following,clinical,questions,best,exemplifies,the,PICOT,format?
A) What,effect,does,parents',smoking,have,on,the,smoking,habits,of,their,childr
en,,ages,13,to,16?
B) Among,cancer,patients,,what,role,does,meditation,,rather,than,benzodiazepin
es,,have,on,anxiety,levels,during,the,7,days,following,hospital,admission?
C) Among,undergraduate,college,students,,what,is,the,effectiveness,of,a,sexual,hea
lth,campaign,undertaken,during,the,first,4,weeks,of,the,fall,semester,as,measure
d,by,incidence,of,new,gonorrheal,and,chlamydial,infections,reported,to,the,cam
pus,medical,center?
D) In,patients,aged,8,to,12,,is,the,effectiveness,of,a,pain,scale,using,faces,superior,t
o,a,numeric,rating,scale,in,the,emergency,room,context?
8. After,formulating,a,clinical,question,,a,nurse,has,proceeded,to,search,for,evidence,for
,ways,to,foster,restful,sleep,in,patients,who,are,receiving,care,in,the,intensive,care,u
nit,(ICU).,The,nurse,has,identified,a,relevant,meta-
analysis,in,an,electronic,database.,What,will,this,source,of,evidence,consist,of?
A) A,statistical,summary,of,the,results,from,several,different,studies
B) An,examination,of,the,theoretical,and,conceptual,underpinnings,of,the,issue
C) An,interdisciplinary,analysis,of,the,clinical,question
D) A,qualitative,study,of,different,interventions,related,to,the,clinical,question
