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