1
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best Practice 4th Edition
Full Test Bank For
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best
Practice 4th Edition
By Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
, 2
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best Practice 4th Edition
TABLE OF CONTENTS
Chapter 1 Making The Case For Evidence-Based Practice And Cultivating A Spirit Of Inquiry .................. 4
Answer Key ................................................................................................................................................................. 6
Chapter 2 Asking Compelling Clinical Questions .................................................................................................... 7
Answer Key ................................................................................................................................................................. 9
Chapter 3 Finding Relevant Evidence To Answer Clinical Questions ............................................................... 10
Answer Key .............................................................................................................................................................. 12
Chapter 4 Critically Appraising Knowledge For Clinical Decision Making .................................................... 13
Answer Key .............................................................................................................................................................. 15
Chapter 5 Critically Appraising Quantitative Evidence For Clinical Decision Making ................................. 16
Answer Key .............................................................................................................................................................. 18
Chapter 6 Critically Appraising Qualitative Evidence For Clinical Decision Making ................................... 19
Answer Key .............................................................................................................................................................. 21
Chapter 7 Integration Of Patient Preferences And Values And Clinician Expertise Into Evidence-Based
Decision Making .......................................................................................................................................................... 22
Answer Key .............................................................................................................................................................. 24
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines ............................................ 25
Answer Key .............................................................................................................................................................. 28
Chapter 9 Implementing Evidence In Clinical Settings ........................................................................................ 28
Answer Key .............................................................................................................................................................. 31
Chapter 10 The Role Of Outcomes And Evidence- Based Quality Improvement In Enhancing And
Evaluating Practice ..................................................................................................................................................... 31
Answer Key .............................................................................................................................................................. 34
Chapter 11 Implementing The Evidence-Based Practice Competencies In Clinical And Academic Settings
To Ensure Healthcare Quality And Improved Patient Outcomes....................................................................... 34
Answer Key .............................................................................................................................................................. 37
Chapter 12 Leadership Strategies For Creating And Sustaining Evidence-Based Practice Organizations
........................................................................................................................................................................................ 37
Answer Key .............................................................................................................................................................. 40
Chapter 13 Innovation And Evidence: A Partnership In Advancing Best Practice And High Quality Care
........................................................................................................................................................................................ 40
Answer Key .............................................................................................................................................................. 44
Chapter 14 Models To Guide Implementation And Sustainability Of Evidence-Based Practice ............... 44
Answer Key .............................................................................................................................................................. 47
Chapter 15 Creating A Vision And Motivating A Change To Evidence-Based Practice In Individuals, Teams,
And Organizations ..................................................................................................................................................... 47
Answer Key .............................................................................................................................................................. 50
Chapter 16 Teaching Evidence-Based Practice In Academic Settings ............................................................. 50
Answer Key .............................................................................................................................................................. 53
Chapter 17 Teaching Evidence-Based Practice In Clinical Settings ................................................................. 53
, 3
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best Practice 4th Edition
Answer Key .............................................................................................................................................................. 56
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key To Sustaining Evidence-Based Practice .. 56
Answer Key .............................................................................................................................................................. 59
Chapter 19 Using Evidence To Influence Health And Organizational Policy ................................................. 59
Answer Key .............................................................................................................................................................. 62
Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, And The
Media............................................................................................................................................................................ 62
Answer Key .............................................................................................................................................................. 65
Chapter 21 Generating Evidence Through Quantitative And Qualitative Research.................................... 65
Answer Key .............................................................................................................................................................. 68
Chapter 22 Writing A Successful Grant Proposal To Fund Research And Evidence-Based Practice
Implementation Project .............................................................................................................................................. 68
Answer Key .............................................................................................................................................................. 71
Chapter 23 Ethical Considerations For Evidence Implementation And Evidence Generation ..................... 71
Answer Key .............................................................................................................................................................. 74
, 4
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best Practice 4th Edition
EVIDENCE BASED PRACTICE IN NURSING AND HEALTHCARE 4TH EDITION BY MELNYK
Chapter 1 Making The Case For Evidence-Based Practice And Cultivating A Spirit Of Inquiry
1. 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 Patient Chart
Review After The Implementation Of A Pilot Program Aimed At Promoting Early Ambulation Following
Surgery. Which Of The Following Components Of EBP Is The 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 Tends To
Minimize The Patients' Level Of Agitation In The Evening. The Nurse Has Shared This Observation With A
Colleague, Who Is Skeptical, Stating That, “It's Best To Stick To Evidence-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 Consistent
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 Into 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 Other Western Countries
6. You Have Become Frustrated With Some Aspects Of Patient Care That You Believe Are Outdated
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 Following
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
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best Practice 4th Edition
Full Test Bank For
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best
Practice 4th Edition
By Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
, 2
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best Practice 4th Edition
TABLE OF CONTENTS
Chapter 1 Making The Case For Evidence-Based Practice And Cultivating A Spirit Of Inquiry .................. 4
Answer Key ................................................................................................................................................................. 6
Chapter 2 Asking Compelling Clinical Questions .................................................................................................... 7
Answer Key ................................................................................................................................................................. 9
Chapter 3 Finding Relevant Evidence To Answer Clinical Questions ............................................................... 10
Answer Key .............................................................................................................................................................. 12
Chapter 4 Critically Appraising Knowledge For Clinical Decision Making .................................................... 13
Answer Key .............................................................................................................................................................. 15
Chapter 5 Critically Appraising Quantitative Evidence For Clinical Decision Making ................................. 16
Answer Key .............................................................................................................................................................. 18
Chapter 6 Critically Appraising Qualitative Evidence For Clinical Decision Making ................................... 19
Answer Key .............................................................................................................................................................. 21
Chapter 7 Integration Of Patient Preferences And Values And Clinician Expertise Into Evidence-Based
Decision Making .......................................................................................................................................................... 22
Answer Key .............................................................................................................................................................. 24
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines ............................................ 25
Answer Key .............................................................................................................................................................. 28
Chapter 9 Implementing Evidence In Clinical Settings ........................................................................................ 28
Answer Key .............................................................................................................................................................. 31
Chapter 10 The Role Of Outcomes And Evidence- Based Quality Improvement In Enhancing And
Evaluating Practice ..................................................................................................................................................... 31
Answer Key .............................................................................................................................................................. 34
Chapter 11 Implementing The Evidence-Based Practice Competencies In Clinical And Academic Settings
To Ensure Healthcare Quality And Improved Patient Outcomes....................................................................... 34
Answer Key .............................................................................................................................................................. 37
Chapter 12 Leadership Strategies For Creating And Sustaining Evidence-Based Practice Organizations
........................................................................................................................................................................................ 37
Answer Key .............................................................................................................................................................. 40
Chapter 13 Innovation And Evidence: A Partnership In Advancing Best Practice And High Quality Care
........................................................................................................................................................................................ 40
Answer Key .............................................................................................................................................................. 44
Chapter 14 Models To Guide Implementation And Sustainability Of Evidence-Based Practice ............... 44
Answer Key .............................................................................................................................................................. 47
Chapter 15 Creating A Vision And Motivating A Change To Evidence-Based Practice In Individuals, Teams,
And Organizations ..................................................................................................................................................... 47
Answer Key .............................................................................................................................................................. 50
Chapter 16 Teaching Evidence-Based Practice In Academic Settings ............................................................. 50
Answer Key .............................................................................................................................................................. 53
Chapter 17 Teaching Evidence-Based Practice In Clinical Settings ................................................................. 53
, 3
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best Practice 4th Edition
Answer Key .............................................................................................................................................................. 56
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key To Sustaining Evidence-Based Practice .. 56
Answer Key .............................................................................................................................................................. 59
Chapter 19 Using Evidence To Influence Health And Organizational Policy ................................................. 59
Answer Key .............................................................................................................................................................. 62
Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, And The
Media............................................................................................................................................................................ 62
Answer Key .............................................................................................................................................................. 65
Chapter 21 Generating Evidence Through Quantitative And Qualitative Research.................................... 65
Answer Key .............................................................................................................................................................. 68
Chapter 22 Writing A Successful Grant Proposal To Fund Research And Evidence-Based Practice
Implementation Project .............................................................................................................................................. 68
Answer Key .............................................................................................................................................................. 71
Chapter 23 Ethical Considerations For Evidence Implementation And Evidence Generation ..................... 71
Answer Key .............................................................................................................................................................. 74
, 4
Evidence-Based Practice In Nursing & Healthcare: A Guide To Best Practice 4th Edition
EVIDENCE BASED PRACTICE IN NURSING AND HEALTHCARE 4TH EDITION BY MELNYK
Chapter 1 Making The Case For Evidence-Based Practice And Cultivating A Spirit Of Inquiry
1. 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 Patient Chart
Review After The Implementation Of A Pilot Program Aimed At Promoting Early Ambulation Following
Surgery. Which Of The Following Components Of EBP Is The 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 Tends To
Minimize The Patients' Level Of Agitation In The Evening. The Nurse Has Shared This Observation With A
Colleague, Who Is Skeptical, Stating That, “It's Best To Stick To Evidence-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 Consistent
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 Into 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 Other Western Countries
6. You Have Become Frustrated With Some Aspects Of Patient Care That You Believe Are Outdated
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 Following
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
