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
F F F F F F F
and Cultivating a Spirit of Inquiry
F F F F F F
In Fthe Fhospital Fwhere FNurse FL. Fprovides Fcare, Ftradition Fdictates Fthat Foral
temperatures Fbe Fincluded Fin Fevery Fset Fof Fpatient Fvital Fsigns, Fregardless Fof Fpatient
F
Fdiagnosis For Facuity. FThisFis Fmost Flikely Fan Fexample Fof Fwhich Fof Fthe Ffollowing
Fphenomena?
A) The Fprioritization Fof Finternal Fevidence Fover Fexternal Fevidence
B) Practice Fthat Flacks Fevidence Fto Fsupport Fits Fapplication
C) The Fintegration Fof Fpersonal Fexpertise Finto Fnursing Fcare
D) Evidence-based Fpractice
2. The Fclinical Fnurse Feducator F(CNE) Fon Fa Fpostsurgical Funit Fhas Frecently Fcompleted Fa
Fpatient Fchart Freview Fafter Fthe Fimplementation Fof Fa Fpilot Fprogram Faimed Fat
Fpromoting Fearly Fambulation Ffollowing Fsurgery. FWhich Fof Fthe Ffollowing
Fcomponents Fof FEBP Fis FtheFnurse Fputting Finto Fpractice?
A) Patient Fpreferences
B) Research Futilization
C) Experience
D) Internal Fevidence
3. Nurse FR. Fhas Fobserved Fthat Freorienting Fdemented Fpatients Fas Ffrequently Fas Fpossible
FtendsFto Fminimize Fthe Fpatients' Flevel Fof Fagitation Fin Fthe Fevening. FThe Fnurse Fhas
Fshared Fthis Fobservation Fwith Fa Fcolleague, Fwho Fis Fskeptical, Fstating Fthat, F“It's Fbest
Fto Fstick Fto Fevidence-based Fpractice.” FHow Fcan FNurse FR. Fbest Frespond?
A) “EBP Fcan Finclude Fclinicians' Fpersonal Fexpertise.”
B) “Personal Fexperience Fis Foften Fmore Fsound Fthan Fformal Fevidence-based Fpractice.”
C) “Traditional Fpractice Fand FEBP Fare Fusually Fshown Fto Fbe Fthe Fsame.”
D) “My Fyears Fof Fexperience Fcan Fbe Fjust Fas Fvaluable Fas Fany Fliterature
Freview ForFrandomized Ftrial.”
4. Which Fof Fthe Ffollowing Ffactors Fprovides Fthe Fmost Fimportant Frationale Ffor Fthe
FconsistentFimplementation Fof FEBP?
A) EBP Fprovides Ffor Fthe Fmost Fcost-effective Fpatient Fcare.
B) EBP Fis Faccessible Fto Fall Fhealthcare Fclinicians.
C) EBP Fprovides Fconsistency Fin Fcare Facross Fhealthcare Fsettings.
,D) EBP Fimproves Fpatient Foutcomes.
, 5. The FInstitute Fof FMedicine's FRoundtable Fon FEvidence-Based FMedicine Fhas
FbeenFestablished Fto Faddress FEBP. FWhich Fof Fthe Ffollowing Fissues Fis Fthe
FRoundtable Femphasizing?
A) Ensuring Fthat Fexternal Fevidence, Frather Fthan Finternal Fevidence, Fis
Fintegrated FintoFcare
B) Fostering Fthe Flevel Fof Flearning Fthat Fexists Fin Fthe FAmerican Fhealthcare Fsystem
C) Issuing Fclinical Fguidelines Fto Fensure Fbest Fnursing Fpractice
D) Comparing Fthe Fimplementation Fof FEBP Fin Fthe FUnited FStates Fwith Fthat Fof
FotherFWestern Fcountries
6. You Fhave Fbecome Ffrustrated Fwith Fsome Faspects Fof Fpatient Fcare Fthat Fyou Fbelieve
Fare Foutdated Fand Fineffective Fat Fthe Flong-term Fcare Ffacility Fwhere Fyou Fhave
Frecently Fbegun Fpracticing. FConsequently, Fyou Fhave Fresolved Fto Fexamine Fsome Fof
Fthese Fpractices Fin FlightFof Fevidence. FWhich Fof Fthe Ffollowing Fshould Foccur Ffirst Fin Fthe
Fsteps Fof FEBP?
A) Conducting Fan Felectronic Fsearch Fof Fthe Fliterature Fand Franking Findividual Fsources
B) Creating F“buy-in” Ffrom Fthe Fother Fclinicians Fwho Fprovide Fcare Fat Fthe Ffacility
C) Developing Fan Finquisitive Fand Fcurious Fmindset
D) Assessing Fwhether Fthe Fpractices Fin Fquestion Fmay, Fin Ffact, Fbe Fevidence-based
7. Which Fof Fthe Ffollowing Fclinical Fquestions Fbest Fexemplifies Fthe FPICOT Fformat?
A) What Feffect Fdoes Fparents' Fsmoking Fhave Fon Fthe Fsmoking Fhabits Fof Ftheir
Fchildren,Fages F13 Fto F16?
B) Among Fcancer Fpatients, Fwhat Frole Fdoes Fmeditation, Frather Fthan
Fbenzodiazepines,Fhave Fon Fanxiety Flevels Fduring Fthe F7 Fdays Ffollowing Fhospital
Fadmission?
C) Among Fundergraduate Fcollege Fstudents, Fwhat Fis Fthe Feffectiveness Fof Fa Fsexual
FhealthFcampaign Fundertaken Fduring Fthe Ffirst F4 Fweeks Fof Fthe Ffall Fsemester Fas
Fmeasured Fby Fincidence Fof Fnew Fgonorrheal Fand Fchlamydial Finfections Freported
Fto Fthe Fcampus Fmedical Fcenter?
D) In Fpatients Faged F8 Fto F12, Fis Fthe Feffectiveness Fof Fa Fpain Fscale Fusing Ffaces
Fsuperior Fto FaFnumeric Frating Fscale Fin Fthe Femergency Froom Fcontext?
8. After Fformulating Fa Fclinical Fquestion, Fa Fnurse Fhas Fproceeded Fto Fsearch Ffor Fevidence
Ffor Fways Fto Ffoster Frestful Fsleep Fin Fpatients Fwho Fare Freceiving Fcare Fin Fthe Fintensive
Fcare Funit F(ICU). FThe Fnurse Fhas Fidentified Fa Frelevant Fmeta-analysis Fin Fan Felectronic
Fdatabase. FWhatFwill Fthis Fsource Fof Fevidence Fconsist Fof?
A) A Fstatistical Fsummary Fof Fthe Fresults Ffrom Fseveral Fdifferent Fstudies
B) An Fexamination Fof Fthe Ftheoretical Fand Fconceptual Funderpinnings Fof Fthe Fissue
C) An Finterdisciplinary Fanalysis Fof Fthe Fclinical Fquestion
D) A Fqualitative Fstudy Fof Fdifferent Finterventions Frelated Fto Fthe Fclinical Fquestion