Test Bank For Evidence-
m m m
Based Practice in Nursing & Healthcare A Guide to Best Practice 5th E
m m m m m m m m m m m m
dition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
m m m m m
Chapter 1 - 23 Complet
m m m m
, Chapter 1 Making the Case for Evidence-
m m m m m m
Based Practice and Cultivating a Spirit of Inquiry
m m m m m m m
, InmthemhospitalmwheremNursemL.mprovidesmcare,mtraditionmdictatesmthatmoralmtemperatur
esmbemincludedminmeverymsetmofmpatientmvitalmsigns,mregardlessmofmpatientmdiagnosismorm
acuity.mThismismmostmlikelymanmexamplemofmwhichmofmthemfollowingmphenomena?
A) Themprioritizationmofminternalmevidencemovermexternalmevidence
B) Practicemthatmlacksmevidencemtomsupportmitsmapplication
C) Themintegrationmofmpersonalmexpertisemintomnursingmcare
D) Evidence-basedmpractice
2. Themclinicalmnursemeducatorm(CNE)monmampostsurgicalmunitmhasmrecentlymcompletedmam
patientmchartmreviewmaftermthemimplementationmofmampilotmprogrammaimedmatmpromo
tingmearlymambulationmfollowingmsurgery.mWhichmofmthemfollowingmcomponentsmofmEB
Pmismthemnursemputtingmintompractice?
A) Patientmpreferences
B) Researchmutilization
C) Experience
D) Internalmevidence
3. NursemR.mhasmobservedmthatmreorientingmdementedmpatientsmasmfrequentlymasmpossible
mtendsmtomminimizemthempatients'mlevelmofmagitationminmthemevening.mThemnursemhasmsha
redmthismobservationmwithmamcolleague,mwhomismskeptical,mstatingmthat,m“It'smbestmtomstic
kmtomevidence-basedmpractice.”mHowmcanmNursemR.mbestmrespond?
A) “EBPmcanmincludemclinicians'mpersonalmexpertise.”
B) “Personalmexperiencemismoftenmmoremsoundmthanmformalmevidence-basedmpractice.”
C) “TraditionalmpracticemandmEBPmaremusuallymshownmtombemthemsame.”
D) “Mymyearsmofmexperiencemcanmbemjustmasmvaluablemasmanymliteraturemrevie
wmormrandomizedmtrial.”
4. Whichmofmthemfollowingmfactorsmprovidesmthemmostmimportantmrationalemformthemconsi
stentmimplementationmofmEBP?
A) EBPmprovidesmformthemmostmcost-effectivempatientmcare.
B) EBPmismaccessiblemtomallmhealthcaremclinicians.
C) EBPmprovidesmconsistencyminmcaremacrossmhealthcaremsettings.
D) EBPmimprovesmpatientmoutcomes.
, 5. ThemInstitutemofmMedicine'smRoundtablemonmEvidence-
BasedmMedicinemhasmbeenmestablishedmtomaddressmEBP.mWhichmofmthemfollowi
ngmissuesmismthemRoundtablememphasizing?
A) Ensuringmthatmexternalmevidence,mrathermthanminternalmevidence,mismintegrated
mintom
care
B) FosteringmthemlevelmofmlearningmthatmexistsminmthemAmericanmhealthcaremsystem
C) Issuingmclinicalmguidelinesmtomensurembestmnursingmpractice
D) ComparingmthemimplementationmofmEBPminmthemUnitedmStatesmwithmthatmofmo
thermWesternmcountries
6. Youmhavembecomemfrustratedmwithmsomemaspectsmofmpatientmcaremthatmyoumbelievemar
emoutdatedmandmineffectivematmthemlong-
termmcaremfacilitymwheremyoumhavemrecentlymbegunmpracticing.mConsequently,myoumhav
emresolvedmtomexaminemsomemofmthesempracticesminmlightmofmevidence.mWhichmofmthemfol
lowingmshouldmoccurmfirstminmthemstepsmofmEBP?
A) Conductingmanmelectronicmsearchmofmthemliteraturemandmrankingmindividualmsources
B) Creatingm“buy-in”mfrommthemothermcliniciansmwhomprovidemcarematmthemfacility
C) Developingmanminquisitivemandmcuriousmmindset
D) Assessingmwhethermthempracticesminmquestionmmay,minmfact,mbemevidence-based
7. WhichmofmthemfollowingmclinicalmquestionsmbestmexemplifiesmthemPICOTmformat?
A) Whatmeffectmdoesmparents'msmokingmhavemonmthemsmokingmhabitsmofmtheirmchil
dren,magesm13mtom16?
B) Amongmcancermpatients,mwhatmrolemdoesmmeditation,mrathermthanmbenzodiazep
ines,mhavemonmanxietymlevelsmduringmthem7mdaysmfollowingmhospitalmadmission?
C) Amongmundergraduatemcollegemstudents,mwhatmismthemeffectivenessmofmamsexualmh
ealthmcampaignmundertakenmduringmthemfirstm4mweeksmofmthemfallmsemestermasmme
asuredmbymincidencemofmnewmgonorrhealmandmchlamydialminfectionsmreportedmtomt
hemcampusmmedicalmcenter?
D) Inmpatientsmagedm8mtom12,mismthemeffectivenessmofmampainmscalemusingmfacesmsuperio
rmtomamnumericmratingmscaleminmthememergencymroommcontext?
8. Aftermformulatingmamclinicalmquestion,mamnursemhasmproceededmtomsearchmformevidencem
formwaysmtomfostermrestfulmsleepminmpatientsmwhomaremreceivingmcareminmthemintensivemc
aremunitm(ICU).mThemnursemhasmidentifiedmamrelevantmmeta-
analysisminmanmelectronicmdatabase.mWhatmwillmthismsourcemofmevidencemconsistmof?
A) Amstatisticalmsummarymofmthemresultsmfrommseveralmdifferentmstudies
B) Anmexaminationmofmthemtheoreticalmandmconceptualmunderpinningsmofmthemissue
C) Anminterdisciplinarymanalysismofmthemclinicalmquestion
D) Amqualitativemstudymofmdifferentminterventionsmrelatedmtomthemclinicalmquestion
m m m
Based Practice in Nursing & Healthcare A Guide to Best Practice 5th E
m m m m m m m m m m m m
dition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
m m m m m
Chapter 1 - 23 Complet
m m m m
, Chapter 1 Making the Case for Evidence-
m m m m m m
Based Practice and Cultivating a Spirit of Inquiry
m m m m m m m
, InmthemhospitalmwheremNursemL.mprovidesmcare,mtraditionmdictatesmthatmoralmtemperatur
esmbemincludedminmeverymsetmofmpatientmvitalmsigns,mregardlessmofmpatientmdiagnosismorm
acuity.mThismismmostmlikelymanmexamplemofmwhichmofmthemfollowingmphenomena?
A) Themprioritizationmofminternalmevidencemovermexternalmevidence
B) Practicemthatmlacksmevidencemtomsupportmitsmapplication
C) Themintegrationmofmpersonalmexpertisemintomnursingmcare
D) Evidence-basedmpractice
2. Themclinicalmnursemeducatorm(CNE)monmampostsurgicalmunitmhasmrecentlymcompletedmam
patientmchartmreviewmaftermthemimplementationmofmampilotmprogrammaimedmatmpromo
tingmearlymambulationmfollowingmsurgery.mWhichmofmthemfollowingmcomponentsmofmEB
Pmismthemnursemputtingmintompractice?
A) Patientmpreferences
B) Researchmutilization
C) Experience
D) Internalmevidence
3. NursemR.mhasmobservedmthatmreorientingmdementedmpatientsmasmfrequentlymasmpossible
mtendsmtomminimizemthempatients'mlevelmofmagitationminmthemevening.mThemnursemhasmsha
redmthismobservationmwithmamcolleague,mwhomismskeptical,mstatingmthat,m“It'smbestmtomstic
kmtomevidence-basedmpractice.”mHowmcanmNursemR.mbestmrespond?
A) “EBPmcanmincludemclinicians'mpersonalmexpertise.”
B) “Personalmexperiencemismoftenmmoremsoundmthanmformalmevidence-basedmpractice.”
C) “TraditionalmpracticemandmEBPmaremusuallymshownmtombemthemsame.”
D) “Mymyearsmofmexperiencemcanmbemjustmasmvaluablemasmanymliteraturemrevie
wmormrandomizedmtrial.”
4. Whichmofmthemfollowingmfactorsmprovidesmthemmostmimportantmrationalemformthemconsi
stentmimplementationmofmEBP?
A) EBPmprovidesmformthemmostmcost-effectivempatientmcare.
B) EBPmismaccessiblemtomallmhealthcaremclinicians.
C) EBPmprovidesmconsistencyminmcaremacrossmhealthcaremsettings.
D) EBPmimprovesmpatientmoutcomes.
, 5. ThemInstitutemofmMedicine'smRoundtablemonmEvidence-
BasedmMedicinemhasmbeenmestablishedmtomaddressmEBP.mWhichmofmthemfollowi
ngmissuesmismthemRoundtablememphasizing?
A) Ensuringmthatmexternalmevidence,mrathermthanminternalmevidence,mismintegrated
mintom
care
B) FosteringmthemlevelmofmlearningmthatmexistsminmthemAmericanmhealthcaremsystem
C) Issuingmclinicalmguidelinesmtomensurembestmnursingmpractice
D) ComparingmthemimplementationmofmEBPminmthemUnitedmStatesmwithmthatmofmo
thermWesternmcountries
6. Youmhavembecomemfrustratedmwithmsomemaspectsmofmpatientmcaremthatmyoumbelievemar
emoutdatedmandmineffectivematmthemlong-
termmcaremfacilitymwheremyoumhavemrecentlymbegunmpracticing.mConsequently,myoumhav
emresolvedmtomexaminemsomemofmthesempracticesminmlightmofmevidence.mWhichmofmthemfol
lowingmshouldmoccurmfirstminmthemstepsmofmEBP?
A) Conductingmanmelectronicmsearchmofmthemliteraturemandmrankingmindividualmsources
B) Creatingm“buy-in”mfrommthemothermcliniciansmwhomprovidemcarematmthemfacility
C) Developingmanminquisitivemandmcuriousmmindset
D) Assessingmwhethermthempracticesminmquestionmmay,minmfact,mbemevidence-based
7. WhichmofmthemfollowingmclinicalmquestionsmbestmexemplifiesmthemPICOTmformat?
A) Whatmeffectmdoesmparents'msmokingmhavemonmthemsmokingmhabitsmofmtheirmchil
dren,magesm13mtom16?
B) Amongmcancermpatients,mwhatmrolemdoesmmeditation,mrathermthanmbenzodiazep
ines,mhavemonmanxietymlevelsmduringmthem7mdaysmfollowingmhospitalmadmission?
C) Amongmundergraduatemcollegemstudents,mwhatmismthemeffectivenessmofmamsexualmh
ealthmcampaignmundertakenmduringmthemfirstm4mweeksmofmthemfallmsemestermasmme
asuredmbymincidencemofmnewmgonorrhealmandmchlamydialminfectionsmreportedmtomt
hemcampusmmedicalmcenter?
D) Inmpatientsmagedm8mtom12,mismthemeffectivenessmofmampainmscalemusingmfacesmsuperio
rmtomamnumericmratingmscaleminmthememergencymroommcontext?
8. Aftermformulatingmamclinicalmquestion,mamnursemhasmproceededmtomsearchmformevidencem
formwaysmtomfostermrestfulmsleepminmpatientsmwhomaremreceivingmcareminmthemintensivemc
aremunitm(ICU).mThemnursemhasmidentifiedmamrelevantmmeta-
analysisminmanmelectronicmdatabase.mWhatmwillmthismsourcemofmevidencemconsistmof?
A) Amstatisticalmsummarymofmthemresultsmfrommseveralmdifferentmstudies
B) Anmexaminationmofmthemtheoreticalmandmconceptualmunderpinningsmofmthemissue
C) Anminterdisciplinarymanalysismofmthemclinicalmquestion
D) Amqualitativemstudymofmdifferentminterventionsmrelatedmtomthemclinicalmquestion
