CX CX CX CX CX CX CX CX CX
Guide to Best Practice 5th Edition
CX CX CX CX CX
by Bernadette Mazurek Melnyk, Ellen Fineout-
CX CX CX CX CX
Overholt Chapter 1 - 23 Complete
CX CX CX CX CX
,Chapter 1 Making the Case for Evidence-
CX CX CX CX CX CX
Based Practice and Cultivating a Spirit of In
CX CXCX CX CX CX CX CX
quiry
InCXtheCXhospitalCXwhereCXNurseCXL.CXprovidesCXcare,CXtraditionCXdictatesCXthatCXoralCXtempe
raturesCXbeCXincludedCXinCXeveryCXsetCXofCXpatientCXvitalCXsigns,CXregardlessCXofCXpatientCXdiag
nosisCXorCXacuity.CXThisCXisCXmostCXlikelyCXanCXexampleCXofCXwhichCXofCXtheCXfollowingCXphe
nomena?
A) TheCXprioritizationCXofCXinternalCXevidenceCXoverCXexternalCXevidence
B) PracticeCXthatCXlacksCXevidenceCXtoCXsupportCXitsCXapplication
C) TheCXintegrationCXofCXpersonalCXexpertiseCXintoCXnursingCXcare
D) Evidence-basedCXpractice
2. TheCXclinicalCXnurseCXeducatorCX(CNE)CXonCXaCXpostsurgicalCXunitCXhasCXrecentlyCXcomple
tedCXaCXpatientCXchartCXreviewCXafterCXtheCXimplementationCXofCXaCXpilotCXprogramCXaimedC
XatCXpromotingCXearlyCXambulationCXfollowingCXsurgery.CXWhichCXofCXtheCXfollowingCXco
mponentsCXofCXEBPCXisCXtheCXnurseCXputtingCXintoCXpractice?
A) PatientCXpreferences
B) ResearchCXutilization
C) Experience
D) InternalCXevidence
3. NurseCXR.CXhasCXobservedCXthatCXreorientingCXdementedCXpatientsCXasCXfrequentlyCXasCXpossi
bleCXtendsCXtoCXminimizeCXtheCXpatients'CXlevelCXofCXagitationCXinCXtheCXevening.CXTheCXnurs
eCXhasCXsharedCXthisCXobservationCXwithCXaCXcolleague,CXwhoCXisCXskeptical,CXstatingCXthat,CX
“It'sCXbestCXtoCXstickCXtoCXevidence-
basedCXpractice.”CXHowCXcanCXNurseCXR.CXbestCXrespond?
A) “EBPCXcanCXincludeCXclinicians'CXpersonalCXexpertise.”
B) “PersonalCXexperienceCXisCXoftenCXmoreCXsoundCXthanCXformalCXevidence-basedCXpractice.”
C) “TraditionalCXpracticeCXandCXEBPCXareCXusuallyCXshownCXtoCXbeCXtheCXsame.”
D) “MyCXyearsCXofCXexperienceCXcanCXbeCXjustCXasCXvaluableCXasCXanyCXliteratureCX
reviewCXorCXrandomizedCXtrial.”
4. WhichCXofCXtheCXfollowingCXfactorsCXprovidesCXtheCXmostCXimportantCXrationaleCXforCXtheCXc
onsistentCXimplementationCXofCXEBP?
A) EBPCXprovidesCXforCXtheCXmostCXcost-effectiveCXpatientCXcare.
B) EBPCXisCXaccessibleCXtoCXallCXhealthcareCXclinicians.
C) EBPCXprovidesCXconsistencyCXinCXcareCXacrossCXhealthcareCXsettings.
D) EBPCXimprovesCXpatientCXoutcomes.
,5. TheCXInstituteCXofCXMedicine'sCXRoundtableCXonCXEvidence-
BasedCXMedicineCXhasCXbeenCXestablishedCXtoCXaddressCXEBP.CXWhichCXofCXtheCXf
ollowingCXissuesCXisCXtheCXRoundtableCXemphasizing?
A) EnsuringCXthatCXexternalCXevidence,CXratherCXthanCXinternalCXevidence,CXisCXintegrat
edCXintoCXcare
B) FosteringCXtheCXlevelCXofCXlearningCXthatCXexistsCXinCXtheCXAmericanCXhealthcareCXsystem
C) IssuingCXclinicalCXguidelinesCXtoCXensureCXbestCXnursingCXpractice
D) ComparingCXtheCXimplementationCXofCXEBPCXinCXtheCXUnitedCXStatesCXwithCXthatC
XofCXotherCXWesternCXcountries
6. YouCXhaveCXbecomeCXfrustratedCXwithCXsomeCXaspectsCXofCXpatientCXcareCXthatCXyouCXbeliev
eCXareCXoutdatedCXandCXineffectiveCXatCXtheCXlong-
termCXcareCXfacilityCXwhereCXyouCXhaveCXrecentlyCXbegunCXpracticing.CXConsequently,CXyo
uCXhaveCXresolvedCXtoCXexamineCXsomeCXofCXtheseCXpracticesCXinCXlightCXofCXevidence.CXWhic
hCXofCXtheCXfollowingCXshouldCXoccurCXfirstCXinCXtheCXstepsCXofCXEBP?
A) ConductingCXanCXelectronicCXsearchCXofCXtheCXliteratureCXandCXrankingCXindividualCXsources
B) CreatingCX“buy-in”CXfromCXtheCXotherCXcliniciansCXwhoCXprovideCXcareCXatCXtheCXfacility
C) DevelopingCXanCXinquisitiveCXandCXcuriousCXmindset
D) AssessingCXwhetherCXtheCXpracticesCXinCXquestionCXmay,CXinCXfact,CXbeCXevidence-based
7. WhichCXofCXtheCXfollowingCXclinicalCXquestionsCXbestCXexemplifiesCXtheCXPICOTCXformat?
A) WhatCXeffectCXdoesCXparents'CXsmokingCXhaveCXonCXtheCXsmokingCXhabitsCXofCXtheirCX
children,CXagesCX13CXtoCX16?
B) AmongCXcancerCXpatients,CXwhatCXroleCXdoesCXmeditation,CXratherCXthanCXbenzodiaz
epines,CXhaveCXonCXanxietyCXlevelsCXduringCXtheCX7CXdaysCXfollowingCXhospitalCXad
mission?
C) AmongCXundergraduateCXcollegeCXstudents,CXwhatCXisCXtheCXeffectivenessCXofCXaCXsexua
lCXhealthCXcampaignCXundertakenCXduringCXtheCXfirstCX4CXweeksCXofCXtheCXfallCXsemeste
rCXasCXmeasuredCXbyCXincidenceCXofCXnewCXgonorrhealCXandCXchlamydialCXinfectionsCXr
eportedCXtoCXtheCXcampusCXmedicalCXcenter?
D) InCXpatientsCXagedCX8CXtoCX12,CXisCXtheCXeffectivenessCXofCXaCXpainCXscaleCXusingCXfacesCXs
uperiorCXtoCXaCXnumericCXratingCXscaleCXinCXtheCXemergencyCXroomCXcontext?
8. AfterCXformulatingCXaCXclinicalCXquestion,CXaCXnurseCXhasCXproceededCXtoCXsearchCXforCXevid
enceCXforCXwaysCXtoCXfosterCXrestfulCXsleepCXinCXpatientsCXwhoCXareCXreceivingCXcareCXinCXthe
CXintensiveCXcareCXunitCX(ICU).CXTheCXnurseCXhasCXidentifiedCXaCXrelevantCXmeta-
analysisCXinCXanCXelectronicCXdatabase.CXWhatCXwillCXthisCXsourceCXofCXevidenceCXconsistCXof
?
A) ACXstatisticalCXsummaryCXofCXtheCXresultsCXfromCXseveralCXdifferentCXstudies
B) AnCXexaminationCXofCXtheCXtheoreticalCXandCXconceptualCXunderpinningsCXofCXtheCXissue
C) AnCXinterdisciplinaryCXanalysisCXofCXtheCXclinicalCXquestion
D) ACXqualitativeCXstudyCXofCXdifferentCXinterventionsCXrelatedCXtoCXtheCXclinicalCXquestion
, 9. TheCXnursesCXonCXaCXpostpartumCXunitCXhaveCXnotedCXthatCXmanyCXprimiparousCX(first-
time)CXmothersCXareCXgivingCXupCXonCXbreastfeedingCXwithinCXtheCX24CXhoursCXfollowingCXd
elivery,CXandCXtheCXnursesCXwantCXtoCXcreateCXuniformCXguidelinesCXforCXpromotingCXbreastf
eedingCXonCXtheCXunit.CXWhichCXofCXtheCXfollowingCXsourcesCXisCXmostCXlikelyCXtoCXprovideCXt
heCXbestCXevidenceCXinCXtheirCXquestCXforCXanCXintervention?
A) EvidenceCXfromCXaCXrandomizedCXcontrolCXtrialCXthatCXhadCXmoreCXthanCX2500CXparticipants
B) EvidenceCXfromCXaCXstudyCXthatCXisCXwidelyCXregardedCXasCXaCXclassicCXwithinCXtheCX
obstetricalCXnursingCXcommunity
C) EvidenceCXfromCXaCXsystematicCXreviewCXofCXbreastfeeding-
promotionCXstudiesCXthatCXoneCXofCXtheCXnursesCXidentifiedCXinCXanCXelectronicCXdataba
se
D) TheCXconsensusCXopinionCXofCXtheCXmostCXseniorCXnursesCXonCXtheCXunit
10. TheCXnurseCXeducatorCXonCXanCXacuteCXmedicineCXunitC X isCXadvocatingCXforCXtheCXuseCXof
evidence-
basedCXclinicalCXpracticeCXguidelinesCXonCXwoundCXcareCXinCXorderCXtoCXstandardizeCXandC
XoptimizeCXtheCXpracticeCXofCXtheCXnursesCXonCXtheCXunit.CXWhichCXofCXtheCXfollowingCXstate
mentsCXbestCXdescribesCXclinicalCXpracticeCXguidelines?
A) TheCXresultCXofCXreplicationCXstudiesCXofCXexistingCXresearchCXbyCXanCXimpartialCXthirdCXparty
B) ACXcollectionCXofCXauthorizedCXinterventionsCXthatCXareCXrequiredCXbyCXlaw
C) ACXnumberCXofCXinterventionsCXthatCXareCXtheCXresultCXofCXaCXlarge,CXpublically-fundedCXRCT
D) ACXgroupCXofCXpracticeCXrecommendationsCXthatCXresultCXfromCXaCXrigorousCXrevie
wCXofCXtheCXliterature
11. ACXnurseCXisCXconductingCXaCXliteratureCXreviewCXonCXtheCXevidenceCXregardingCXtheCXuseCXo
fCXvacuumCXdressingsCXonCXstageCXIVCXpressureCXulcers.CXAfterCXlocatingCXaCXrecentCXstudyCX
thatCXappearsCXtoCXbeCXrelevant,CXwhichCXofCXtheCXfollowingCXquestionsCXwouldCXtheCXnurseCX
considerCXfirstCXwhenCXcriticallyCXappraisingCXtheCXstudy?
A) “AreCXtheCXfindingsCXofCXthisCXstudyCXcost-effectiveCXinCXourCXclinicalCXcontext?”
B) "HowCXwouldCXtheCXimplementationCXofCXthisCXinterventionCXaffectCXourCXstaffingCXneeds?"
C) “WereCXtheCXpatientsCXinCXtheCXstudyCXsimilarCXtoCXtheCXpatientsCXonCXmyCXunit?”
D) “AreCXtheCXfindingsCXofCXtheCXstudyCXsignificantlyCXdifferentCXfromCXwhatCXweCXareCX
currentlyCXdoingCXonCXtheCXunit?
12. TheCXprimaryCXcareCXproviderCXofCXaCX49-year-
oldCXmaleCXpatientCXhasCXexaminedCXandCXbrieflyCXexplainedCXtheCXevidenceCXthatCXsuppo
rtsCXbeginningCXregularCXdigital-
rectalCXexams.CXWhichCXofCXtheCXfollowingCXfactorsCXwouldCXjustifyCXnotCXperformingCXdi
gital-rectalCXexaminationsCXinCXthisCXpatient'sCXcare?
A) TheCXpatientCXisCXvehementlyCXopposedCXtoCXundergoingCXaCXdigital-rectalCXexam.
B) ClinicalCXpracticeCXguidelinesCXforCXprostateCXcareCXhaveCXnotCXbeenCXpublished.
C) TheCXclinicianCXhasCXbeenCXunableCXtoCXfindCXanyCXlargeCXRCTsCXinCXaCXliteratureCXreview.
D) TheCXclinicianCXhasCXpreviouslyCXwaitedCXuntilCXpatientsCXareCX55CXtoCXbegin
CXregularCXdigital-rectalCXexams.