TESTBANKforEvidence-Based
s s s
Practice in Nursing & Healthcare: A
s s s s s
Guide to Best Practice 5th Edition by
s s s s s s s
s Bernadette Mazurek Melnyk&Ellen s s s s
Fineout-Overholt s
COMPLETE CHAPTERS 1-23 WITH THE ANSWERS
s s s s s
AT THE BACK OF EACH CHAPTER| A+ PASS
s s s s s s s s
Page 1 of 129
s s s
, TABLE OF CONTENTS s s
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry Chapter
s s s s s s s s s s s s s s
s 2 Asking Compelling Clinical Questions
s s s s
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions Chapter
s s s s s s s s s
4 Critically Appraising Knowledge for Clinical Decision Making
s s s s s s s s
Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making
s s s s s s s s s
s Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making
s s s s s s s s s
Chapter 7 Integration of Patient Preferences and Values and Clinician Expertise into
s s s s s s s s s s s
Evidence-Based Decision Making
s s s
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines Chapter 9
s s s s s s s s s s s
s Implementing Evidence in Clinical Settings s s s s
Chapter 10 The Role of Outcomes and Evidence- Based Quality Improvement in Enhancing and
s s s s s s s s s s s s s
Evaluating Practice
s s
Chapter 11 Implementing the Evidence-Based Practice Competencies in Clinical and
s s s s s s s s s
Academic Settings to Ensure Healthcare Quality and Improved Patient Outcomes
s s s s s s s s s s
Chapter 12 Leadership Strategies for Creating and Sustaining Evidence-Based Practice
s s s s s s s s s
Organizations
s
Chapter 13 Innovation and Evidence: A Partnership in Advancing Best Practice and High
s s s s s s s s s s s s
Quality Care
s s
Chapter 14 Models to Guide Implementation and Sustainability of Evidence-Based Practice
s s s s s s s s s s
Chapter 15 Creating a Vision and Motivating a Change to Evidence-Based Practice in
s s s s s s s s s s s s
Individuals, Teams, and Organizations
s s s s
Chapter 16 Teaching Evidence-Based Practice in Academic Settings Chapter
s s s s s s s s
s 17 Teaching Evidence-Based Practice in Clinical Settings
s s s s s s
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based
s s s s s s s s s s
Practice
s
Chapter 19 Using Evidence to Influence Health and Organizational Policy
s s s s s s s s s
Page 2 of 129 s s s
,Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs,
s s s s s s s s s
and the Media
s s s
Chapter 21 Generating Evidence Through Quantitative and Qualitative Research
s s s s s s s s
Chapter 22 Writing a Successful Grant Proposal to Fund Research and Evidence-Based Practice
s s s s s s s s s s s s
Implementation Project
s s
Chapter 23 Ethical Considerations for Evidence Implementation and Evidence Generation
s s s s s s s s s
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of
s s s s s s s s s s s s
Inquiry s
1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be included in every
s s s s s s s s s s s s s s s s
set of patient vital signs, regardless of patient diagnosis or acuity. This is most likely an example of which of
s s s s s s s s s s s s s s s s s s s s
the following phenomena?
s s s
A) The prioritization of internal evidence over external evidence
s s s s s s s
B) Practice that lacks evidence to support its application
s s s s s s s
C) The integration of personal expertise into nursing care
s s s s s s s
D) Evidence-based practice s
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient chart review
s s s s s s s s s s s s s s s
after the implementation of a pilot program aimed at promoting early ambulation following surgery.
s s s s s s s s s s s s s s
Which of the following components of EBP is the nurse putting into practice?
s s s s s s s s s s s s s
A) Patient preferences s
B) Research utilization s
C) Experience
D) Internal evidence s
Page 3 of 129 s s s
, 3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to minimize the
s s s s s s s s s s s s s s s
patients' level of agitation in the evening. The nurse has shared this observation with a colleague, who is
s s s s s s s s s s s s s s s s s s
skeptical, stating that, “It's best to stick to evidence-based practice.” How can Nurse R. best respond?
s s s s s s s s s s s s s s s s
A) “EBP can include clinicians' personal expertise.”
s s s s s
B) “Personal experience is often more sound than formal evidence-based practice.”
s s s s s s s s s
C) “Traditional practice and EBP are usually shown to be the same.” s s s s s s s s s s
D) “My years of experience can be just as valuable as any literature review or randomized trial.”
s s s s s s s s s s s s s s s
4. Which of the following factors provides the most important rationale for the consistent implementation of
s s s s s s s s s s s s s s
EBP?
s
A) EBP provides for the most cost-effective patient care.
s s s s s s s
B) EBP is accessible to all healthcare clinicians.
s s s s s s
C) EBP provides consistency in care across healthcare settings.
s s s s s s s
D) EBP improves patient outcomes. s s s
5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been established to address
s s s s s s s s s s s s
EBP. Which of the following issues is the Roundtable emphasizing?
s s s s s s s s s s
A) Ensuring that external evidence, rather than internal evidence, is integrated into care
s s s s s s s s s s s
B) Fostering the level of learning that exists in the American healthcare system
s s s s s s s s s s s
C) Issuing clinical guidelines to ensure best nursing practice
s s s s s s s
D) Comparing the implementation of EBP in the United States with that of other Western countries
s s s s s s s s s s s s s s
6. You have become frustrated with some aspects of patient care that you believe are outdated and
s s s s s s s s s s s s s s s
ineffective at the long-term care facility where you have recently begun practicing. Consequently, you
s s s s s s s s s s s s s s
have resolved to examine some of these practices in light of evidence. Which of the following should
s s s s s s s s s s s s s s s s s
occur first in the steps of EBP?
s s s s s s s
A) Conducting an electronic search of the literature and ranking individual sources s s s s s s s s s s
B) Creating “buy-in” from the other clinicians who provide care at the facility
s s s s s s s s s s s
C) Developing an inquisitive and curious mindset s s s s s
Page 4 of 129 s s s
s s s
Practice in Nursing & Healthcare: A
s s s s s
Guide to Best Practice 5th Edition by
s s s s s s s
s Bernadette Mazurek Melnyk&Ellen s s s s
Fineout-Overholt s
COMPLETE CHAPTERS 1-23 WITH THE ANSWERS
s s s s s
AT THE BACK OF EACH CHAPTER| A+ PASS
s s s s s s s s
Page 1 of 129
s s s
, TABLE OF CONTENTS s s
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry Chapter
s s s s s s s s s s s s s s
s 2 Asking Compelling Clinical Questions
s s s s
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions Chapter
s s s s s s s s s
4 Critically Appraising Knowledge for Clinical Decision Making
s s s s s s s s
Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making
s s s s s s s s s
s Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making
s s s s s s s s s
Chapter 7 Integration of Patient Preferences and Values and Clinician Expertise into
s s s s s s s s s s s
Evidence-Based Decision Making
s s s
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines Chapter 9
s s s s s s s s s s s
s Implementing Evidence in Clinical Settings s s s s
Chapter 10 The Role of Outcomes and Evidence- Based Quality Improvement in Enhancing and
s s s s s s s s s s s s s
Evaluating Practice
s s
Chapter 11 Implementing the Evidence-Based Practice Competencies in Clinical and
s s s s s s s s s
Academic Settings to Ensure Healthcare Quality and Improved Patient Outcomes
s s s s s s s s s s
Chapter 12 Leadership Strategies for Creating and Sustaining Evidence-Based Practice
s s s s s s s s s
Organizations
s
Chapter 13 Innovation and Evidence: A Partnership in Advancing Best Practice and High
s s s s s s s s s s s s
Quality Care
s s
Chapter 14 Models to Guide Implementation and Sustainability of Evidence-Based Practice
s s s s s s s s s s
Chapter 15 Creating a Vision and Motivating a Change to Evidence-Based Practice in
s s s s s s s s s s s s
Individuals, Teams, and Organizations
s s s s
Chapter 16 Teaching Evidence-Based Practice in Academic Settings Chapter
s s s s s s s s
s 17 Teaching Evidence-Based Practice in Clinical Settings
s s s s s s
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based
s s s s s s s s s s
Practice
s
Chapter 19 Using Evidence to Influence Health and Organizational Policy
s s s s s s s s s
Page 2 of 129 s s s
,Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs,
s s s s s s s s s
and the Media
s s s
Chapter 21 Generating Evidence Through Quantitative and Qualitative Research
s s s s s s s s
Chapter 22 Writing a Successful Grant Proposal to Fund Research and Evidence-Based Practice
s s s s s s s s s s s s
Implementation Project
s s
Chapter 23 Ethical Considerations for Evidence Implementation and Evidence Generation
s s s s s s s s s
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of
s s s s s s s s s s s s
Inquiry s
1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be included in every
s s s s s s s s s s s s s s s s
set of patient vital signs, regardless of patient diagnosis or acuity. This is most likely an example of which of
s s s s s s s s s s s s s s s s s s s s
the following phenomena?
s s s
A) The prioritization of internal evidence over external evidence
s s s s s s s
B) Practice that lacks evidence to support its application
s s s s s s s
C) The integration of personal expertise into nursing care
s s s s s s s
D) Evidence-based practice s
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient chart review
s s s s s s s s s s s s s s s
after the implementation of a pilot program aimed at promoting early ambulation following surgery.
s s s s s s s s s s s s s s
Which of the following components of EBP is the nurse putting into practice?
s s s s s s s s s s s s s
A) Patient preferences s
B) Research utilization s
C) Experience
D) Internal evidence s
Page 3 of 129 s s s
, 3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to minimize the
s s s s s s s s s s s s s s s
patients' level of agitation in the evening. The nurse has shared this observation with a colleague, who is
s s s s s s s s s s s s s s s s s s
skeptical, stating that, “It's best to stick to evidence-based practice.” How can Nurse R. best respond?
s s s s s s s s s s s s s s s s
A) “EBP can include clinicians' personal expertise.”
s s s s s
B) “Personal experience is often more sound than formal evidence-based practice.”
s s s s s s s s s
C) “Traditional practice and EBP are usually shown to be the same.” s s s s s s s s s s
D) “My years of experience can be just as valuable as any literature review or randomized trial.”
s s s s s s s s s s s s s s s
4. Which of the following factors provides the most important rationale for the consistent implementation of
s s s s s s s s s s s s s s
EBP?
s
A) EBP provides for the most cost-effective patient care.
s s s s s s s
B) EBP is accessible to all healthcare clinicians.
s s s s s s
C) EBP provides consistency in care across healthcare settings.
s s s s s s s
D) EBP improves patient outcomes. s s s
5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been established to address
s s s s s s s s s s s s
EBP. Which of the following issues is the Roundtable emphasizing?
s s s s s s s s s s
A) Ensuring that external evidence, rather than internal evidence, is integrated into care
s s s s s s s s s s s
B) Fostering the level of learning that exists in the American healthcare system
s s s s s s s s s s s
C) Issuing clinical guidelines to ensure best nursing practice
s s s s s s s
D) Comparing the implementation of EBP in the United States with that of other Western countries
s s s s s s s s s s s s s s
6. You have become frustrated with some aspects of patient care that you believe are outdated and
s s s s s s s s s s s s s s s
ineffective at the long-term care facility where you have recently begun practicing. Consequently, you
s s s s s s s s s s s s s s
have resolved to examine some of these practices in light of evidence. Which of the following should
s s s s s s s s s s s s s s s s s
occur first in the steps of EBP?
s s s s s s s
A) Conducting an electronic search of the literature and ranking individual sources s s s s s s s s s s
B) Creating “buy-in” from the other clinicians who provide care at the facility
s s s s s s s s s s s
C) Developing an inquisitive and curious mindset s s s s s
Page 4 of 129 s s s
