Test Bank For Evidence-Based Practice in Nursing & Healthcare A
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
1lsa Guide to Best Practice 5th Edition
1lsa 1lsa 1lsa 1lsa 1lsa
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
1lsa 1lsa 1lsa 1lsa 1lsa
Chapter 1 - 23 Complet
1lsa 1lsa 1lsa 1lsa
,Chapter 1 Making the Case for Evidence-Based Practice
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
and Cultivating a Spirit of Inquiry 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
In the hospital where Nurse L. provides care, tradition dictates that oral
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
1lsa temperatures be included in every set of patient vital signs, regardless of 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
1lsa patient diagnosis or acuity. Thisis most likely an example of which of the
1lsa 1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
following phenomena? 1lsa 1lsa
A) The prioritization of internal evidence over external evidence
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
B) Practice that lacks evidence to support its application
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) The integration of personal expertise into nursing care
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) Evidence-based practice 1lsa
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
a patient chart review after the implementation of a pilot program aimed at
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
promoting early ambulation following surgery. Which of the following
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
components of EBP is thenurse putting into practice?
1lsa 1lsa 1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa
A) Patient preferences 1lsa
B) Research utilization 1lsa
C) Experience
D) Internal evidence 1lsa
3. Nurse R. has observed that reorienting demented patients as frequently as
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
possible tendsto minimize the patients' level of agitation in the evening. The
1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
nurse has shared this observation with a colleague, who is skeptical, stating
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
that, “It's best to stick to evidence-based practice.” How can Nurse R. best
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
respond?
1lsa
A) “EBP can include clinicians' personal expertise.”
1lsa 1lsa 1lsa 1lsa 1lsa
B) “Personal experience is often more sound than formal evidence-based practice.”
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) “Traditional practice and EBP are usually shown to be the same.” 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) “My years of experience can be just as valuable as any literature
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
review orrandomized trial.”
1lsa 1lsa s1
la 1lsa
4. Which of the following factors provides the most important rationale for the
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
consistentimplementation of EBP?
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la 1lsa 1lsa
A) EBP provides for the most cost-effective patient care.
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
B) EBP is accessible to all healthcare clinicians.
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
,C) EBP provides consistency in care across healthcare settings.
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) EBP improves patient outcomes.
1lsa 1lsa 1lsa
, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
beenestablished to address EBP. Which of the following issues is the
1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
Roundtable emphasizing?
1lsa 1lsa
A) Ensuring that external evidence, rather than internal evidence, is
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
integrated intocare
1lsa 1lsa s1
la
B) Fostering the level of learning that exists in the American healthcare system
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) Issuing clinical guidelines to ensure best nursing practice
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) Comparing the implementation of EBP in the United States with that 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
of otherWestern countries
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la 1lsa
6. You have become frustrated with some aspects of patient care that you believe
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
are outdated and ineffective at the long-term care facility where you have
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
recently begun practicing. Consequently, you have resolved to examine some
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
of these practices in lightof evidence. Which of the following should occur first
1lsa 1lsa 1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
in the steps of EBP?
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A) Conducting an electronic search of the literature and ranking individual sources 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
B) Creating “buy-in” from the other clinicians who provide care at the facility
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) Developing an inquisitive and curious mindset 1lsa 1lsa 1lsa 1lsa 1lsa
D) Assessing whether the practices in question may, in fact, be evidence-based
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
7. Which of the following clinical questions best exemplifies the PICOT format?
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
A) What effect does parents' smoking have on the smoking habits of their
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
children,ages 13 to 16?
1lsa s1
la 1lsa 1lsa 1lsa
B) Among cancer patients, what role does meditation, rather than
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
benzodiazepines,have on anxiety levels during the 7 days following
1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
hospital admission?
1lsa 1lsa
C) Among undergraduate college students, what is the effectiveness of a
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
sexual healthcampaign undertaken during the first 4 weeks of the fall
1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
semester as measured by incidence of new gonorrheal and chlamydial
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
infections reported to the campus medical center?
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
superior to anumeric rating scale in the emergency room context?
1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
8. After formulating a clinical question, a nurse has proceeded to search for
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
evidence for ways to foster restful sleep in patients who are receiving care in
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
the intensive care unit (ICU). The nurse has identified a relevant meta-analysis
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
in an electronic database. Whatwill this source of evidence consist of?
1lsa 1lsa 1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
A) A statistical summary of the results from several different studies
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
B) An examination of the theoretical and conceptual underpinnings of the issue
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) An interdisciplinary analysis of the clinical question
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) A qualitative study of different interventions related to the clinical question
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
1lsa Guide to Best Practice 5th Edition
1lsa 1lsa 1lsa 1lsa 1lsa
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
1lsa 1lsa 1lsa 1lsa 1lsa
Chapter 1 - 23 Complet
1lsa 1lsa 1lsa 1lsa
,Chapter 1 Making the Case for Evidence-Based Practice
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
and Cultivating a Spirit of Inquiry 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
In the hospital where Nurse L. provides care, tradition dictates that oral
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
1lsa temperatures be included in every set of patient vital signs, regardless of 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
1lsa patient diagnosis or acuity. Thisis most likely an example of which of the
1lsa 1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
following phenomena? 1lsa 1lsa
A) The prioritization of internal evidence over external evidence
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
B) Practice that lacks evidence to support its application
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) The integration of personal expertise into nursing care
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) Evidence-based practice 1lsa
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
a patient chart review after the implementation of a pilot program aimed at
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
promoting early ambulation following surgery. Which of the following
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
components of EBP is thenurse putting into practice?
1lsa 1lsa 1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa
A) Patient preferences 1lsa
B) Research utilization 1lsa
C) Experience
D) Internal evidence 1lsa
3. Nurse R. has observed that reorienting demented patients as frequently as
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
possible tendsto minimize the patients' level of agitation in the evening. The
1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
nurse has shared this observation with a colleague, who is skeptical, stating
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
that, “It's best to stick to evidence-based practice.” How can Nurse R. best
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
respond?
1lsa
A) “EBP can include clinicians' personal expertise.”
1lsa 1lsa 1lsa 1lsa 1lsa
B) “Personal experience is often more sound than formal evidence-based practice.”
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) “Traditional practice and EBP are usually shown to be the same.” 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) “My years of experience can be just as valuable as any literature
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
review orrandomized trial.”
1lsa 1lsa s1
la 1lsa
4. Which of the following factors provides the most important rationale for the
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
consistentimplementation of EBP?
1lsa s1
la 1lsa 1lsa
A) EBP provides for the most cost-effective patient care.
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
B) EBP is accessible to all healthcare clinicians.
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
,C) EBP provides consistency in care across healthcare settings.
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) EBP improves patient outcomes.
1lsa 1lsa 1lsa
, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
beenestablished to address EBP. Which of the following issues is the
1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
Roundtable emphasizing?
1lsa 1lsa
A) Ensuring that external evidence, rather than internal evidence, is
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
integrated intocare
1lsa 1lsa s1
la
B) Fostering the level of learning that exists in the American healthcare system
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) Issuing clinical guidelines to ensure best nursing practice
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) Comparing the implementation of EBP in the United States with that 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
of otherWestern countries
1lsa 1lsa s1
la 1lsa
6. You have become frustrated with some aspects of patient care that you believe
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
are outdated and ineffective at the long-term care facility where you have
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
recently begun practicing. Consequently, you have resolved to examine some
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
of these practices in lightof evidence. Which of the following should occur first
1lsa 1lsa 1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
in the steps of EBP?
1lsa 1lsa 1lsa 1lsa 1lsa
A) Conducting an electronic search of the literature and ranking individual sources 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
B) Creating “buy-in” from the other clinicians who provide care at the facility
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) Developing an inquisitive and curious mindset 1lsa 1lsa 1lsa 1lsa 1lsa
D) Assessing whether the practices in question may, in fact, be evidence-based
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
7. Which of the following clinical questions best exemplifies the PICOT format?
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
A) What effect does parents' smoking have on the smoking habits of their
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
children,ages 13 to 16?
1lsa s1
la 1lsa 1lsa 1lsa
B) Among cancer patients, what role does meditation, rather than
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
benzodiazepines,have on anxiety levels during the 7 days following
1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
hospital admission?
1lsa 1lsa
C) Among undergraduate college students, what is the effectiveness of a
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
sexual healthcampaign undertaken during the first 4 weeks of the fall
1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
semester as measured by incidence of new gonorrheal and chlamydial
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
infections reported to the campus medical center?
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
superior to anumeric rating scale in the emergency room context?
1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
8. After formulating a clinical question, a nurse has proceeded to search for
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
evidence for ways to foster restful sleep in patients who are receiving care in
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
the intensive care unit (ICU). The nurse has identified a relevant meta-analysis
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
in an electronic database. Whatwill this source of evidence consist of?
1lsa 1lsa 1lsa 1lsa 1lsa s1
la 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
A) A statistical summary of the results from several different studies
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
B) An examination of the theoretical and conceptual underpinnings of the issue
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
C) An interdisciplinary analysis of the clinical question
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
D) A qualitative study of different interventions related to the clinical question
1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa 1lsa
