Evidence-Based Practice in Nursing & Healthcare (4th Edition, Bernadette Mazurek Melnyk & Ellen Fineout-Overholt) – Complete Test Bank Chapters 1–23 | A+ Guide

Test Bank For Evidence-Based Practice in Nursing & Healthcare A Guide
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m 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 and
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Cultivating a Spirit of Inquiry m m m m m




In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be
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included in every set of patient vital signs, regardless of patient diagnosis or acuity.
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Thisis 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 m m m m m m m




C) The integration of personal expertise into nursing care
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D) Evidence-based practice m




2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a
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patient chart review after the implementation of a pilot program aimed at promoting
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early ambulation following surgery. Which of the following components of EBP is
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thenurse putting into practice?
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A) Patient preferences m




B) Research utilization m




C) Experience
D) Internal evidence m




3. Nurse R. has observed that reorienting demented patients as frequently as possible
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tendsto minimize the patients' level of agitation in the evening. The nurse has shared
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this observation with a colleague, who is skeptical, stating that, “It's best to stick to
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evidence-based practice.” How can Nurse R. best respond?
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A) “EBP can include clinicians' personal expertise.”m m m m m




B) “Personal experience is often more sound than formal evidence-based practice.” m m m m m m m m m




C) “Traditional practice and EBP are usually shown to be the same.” m m m m m m m m m m




D) “My years of experience can be just as valuable as any literature review
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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. m m m

,5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
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beenestablished to address EBP. Which of the following issues is the
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Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated
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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 m m m m m m m m m m m




otherWestern countries
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6. You have become frustrated with some aspects of patient care that you believe are
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outdated and ineffective at the long-term care facility where you have recently begun
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practicing. Consequently, you have resolved to examine some of these practices in
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lightof evidence. Which of the following should occur first in the steps of EBP?
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A) Conducting an electronic search of the literature and ranking individual sources m m m m m m m m m m




B) Creating “buy-in” from the other clinicians who provide care at the facility
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C) Developing an inquisitive and curious mindset m m m m m




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 hospital
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admission?
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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 reported to
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the campus medical center?
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D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
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anumeric rating scale in the emergency room context?
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8. After formulating a clinical question, a nurse has proceeded to search for evidence for
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ways to foster restful sleep in patients who are receiving care in the intensive care unit
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(ICU). The nurse has identified a relevant meta-analysis in an electronic database.
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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
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D) A qualitative study of different interventions related to the clinical question
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, 9. The nurses on a postpartum unit have noted that many primiparous (first-time)
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mothers are giving up on breastfeeding within the 24 hours following delivery, and the
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nurses want to create uniform guidelines for promoting breastfeeding on the unit.
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Which of thefollowing sources is most likely to provide the best evidence in their quest
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for an intervention?
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A) Evidence from a randomized control trial that had more than 2500 participantsm m m m m m m m m m m




B) Evidence from a study that is widely regarded as a classic within the m m m m m m m m m m m m




obstetricalnursing community
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C) Evidence from a systematic review of breastfeeding-promotion studies that onem m m m m m m m m




ofthe nurses identified in an electronic database
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D) The consensus opinion of the most senior nurses on the unit
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10. The nurse educator on an acute medicine unit is advocating for the use of
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evidence-based clinical practice guidelines on wound care in order to standardize and m m m m m m m m m m m




optimize the practice of the nurses on the unit. Which of the following statements
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bestdescribes clinical practice guidelines?
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A) The result of replication studies of existing research by an impartial third party
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B) A collection of authorized interventions that are required by law
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C) A number of interventions that are the result of a large, publically-funded RCT
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D) A group of practice recommendations that result from a rigorous review of
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theliterature m m




11. A nurse is conducting a literature review on the evidence regarding the use of vacuum
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dressings on stage IV pressure ulcers. After locating a recent study that appears to be
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relevant, which of the following questions would the nurse consider first when
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criticallyappraising the study?
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A) “Are the findings of this study cost-effective in our clinical context?”
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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
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currentlydoing on the unit?
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12. The primary care provider of a 49-year-old male patient has examined and briefly
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explained the evidence that supports beginning regular digital-rectal exams. Which
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ofthe following factors would justify not performing digital-rectal examinations in
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this patient's care?
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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.
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D) The clinician has previously waited until patients are 55 to begin
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regulardigital-rectal exams.
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