TEST BANK For Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edition by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt, Chapters 1 - 23, Complete Newest Version

Test Bank For Evidence-Based Practice in Nursing & Healthcare A
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1l Guide to Best Practice 5th Edition
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by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt Chapter
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1 - 23 Complete
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,Chapter 1 Making the Case for Evidence-Based Practice and
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Cultivating a Spirit of Inquiry 1l 1l 1l 1l 1l




1. In the hospital where Nurse L. provides care, tradition dictates that
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oral temperatures be included in every set of patient vital signs,
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regardless of patient diagnosis or acuity. Thisis most likely an example
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of which of the following 1 l 1 l 1 l 1 l 1 l



phenomena?
A) The prioritization of internal evidence over external evidence
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B) Practice that lacks evidence to support its application
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C) The integration of personal expertise into nursing care
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D) Evidence-based practice 1 l




2. The clinical nurse educator (CNE) on a postsurgical unit has recently
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completed a patient chart review after the implementation of a pilot
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program aimed at promoting early ambulation following surgery. Which
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of the following components of EBP is thenurse putting into practice?
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A) Patient preferences 1l



B) Research utilization 1 l



C) Experience
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3. Nurse R. has observed that reorienting demented patients as frequently as
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possible tendsto minimize the patients' level of agitation in the evening.
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The nurse has shared this observation with a colleague, who is skeptical,
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stating that, “It's best to stick to evidence-based practice.” How can Nurse
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R. best respond?
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A) “EBP can include clinicians' personal expertise.”
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B) “Personal experience is often more sound than formal evidence-based practice.”
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C) “Traditional practice and EBP are usually shown to be the same.” 1 l 1 l 1 l 1 l 1 l 1 l 1l 1 l 1 l 1 l



D) “My years of experience can be just as valuable as any
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literature review orrandomized trial.”
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4. Which of the following factors provides the most important rationale
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for the consistentimplementation of EBP?
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A) EBP provides for the most cost-effective patient care.
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B) EBP is accessible to all healthcare clinicians.
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C) EBP provides consistency in care across healthcare settings.
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D) EBP improves patient outcomes. 1 l 1 l 1 l

,5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has
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beenestablished to address EBP. Which of the following issues is the
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1 Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated
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intocare 1 l



B) Fostering the level of learning that exists in the American healthcare system
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C) Issuing clinical guidelines to ensure best nursing practice 1 l 1 l 1 l 1 l 1 l 1 l 1 l



D) Comparing the implementation of EBP in the United States with that 1 l 1 l 1 l 1l 1 l 1l 1l 1 l 1 l 1l



of otherWestern countries
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6. You have become frustrated with some aspects of patient care that you
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believe are outdated and ineffective at the long-term care facility where
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you have recently begun practicing. Consequently, you have resolved to examine
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some of these practices in lightof evidence. Which of the following should
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occur first in the steps of EBP?
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A) Conducting an electronic search of the literature and ranking individual sources 1 l 1 l 1 l 1 l 1 l 1 l 1l 1 l 1 l 1 l



B) Creating “buy-in” from the other clinicians who provide care at the facility
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C) Developing an inquisitive and curious mindset 1 l 1 l 1 l 1 l 1 l



D) Assessing whether the practices in question may, in fact, be evidence-based 1l 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l




7. Which of the following clinical questions best exemplifies the PICOT format?
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A) What effect does parents' smoking have on the smoking habits of their
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children,ages 13 to 16?
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B) Among cancer patients, what role does meditation, rather than1l 1l 1l 1l 1l 1l 1l 1l



benzodiazepines,have on anxiety levels during the 7 days following hospital
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admission? 1 l



C) Among undergraduate college students, what is the effectiveness of a sexual
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healthcampaign undertaken during the first 4 weeks of the fall
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semester as measured by incidence of new gonorrheal and chlamydial
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infections reported to the campus medical center?
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D) In patients aged 8 to 12, is the effectiveness of a pain scale
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using faces superior to anumeric rating scale in the emergency
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room context?
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8. After formulating a clinical question, a nurse has proceeded to search for evidence
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1 for ways to foster restful sleep in patients who are receiving care in the intensive
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1 care unit (ICU). The nurse has identified a relevant meta-analysis in an electronic
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database. Whatwill this source of evidence consist of?
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A) A statistical summary of the results from several different studies
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B) An examination of the theoretical and conceptual underpinnings of the issue
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C) An interdisciplinary analysis of the clinical question
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D) A qualitative study of different interventions related to the clinical question
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, 9. The nurses on a postpartum unit have noted that many primiparous (first-
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time) mothers are giving up on breastfeeding within the 24 hours following
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delivery, and the nurses want to create uniform guidelines for promoting
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breastfeeding on the unit. Which of thefollowing sources is most likely
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to provide the best evidence in their quest for an intervention?
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A) Evidence from a randomized control trial that had more than 2500 participants 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l



B) Evidence from a study that is widely regarded as a classic 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l



within the obstetricalnursing community
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C) Evidence from a systematic review of breastfeeding-promotion studies that 1l 1l 1l 1l 1l 1l 1l 1l



one ofthe nurses identified in an electronic database
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D) The consensus opinion of the most senior nurses on the unit
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10. The nurse educator on an acute medicine unit is advocating for the use
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of evidence-based clinical practice guidelines on wound care in order to
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standardize and optimize the practice of the nurses on the
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1 unit. Which of the following statements bestdescribes clinical practice
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guidelines?
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A) The result of replication studies of existing research by an impartial third party
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B) A collection of authorized interventions that are required by law
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C) A number of interventions that are the result of a large, publically-funded RCT
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D) A group of practice recommendations that result from a rigorous review
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of theliterature 1l 1l




11. A nurse is conducting a literature review on the evidence regarding the
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use of vacuum dressings on stage IV pressure ulcers. After locating a
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recent study that appears to be relevant, which of the following questions
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would the nurse consider first when criticallyappraising the study?
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A) “Are the findings of this study cost-effective in our clinical context?”
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B) "How would the implementation of this intervention affect our staffing needs?"
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C) “Were the patients in the study similar to the patients on my unit?”1l 1 l 1 l 1 l 1 l 1l 1 l 1 l 1 l 1 l 1 l 1 l



D) “Are the findings of the study significantly different from what we are
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currentlydoing on the unit?
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12. The primary care provider of a 49-year-old male patient has examined and
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briefly explained the evidence that supports beginning regular digital-
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rectal exams. Which ofthe following factors would justify not performing digital-
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rectal examinations in this patient's care?
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A) The patient is vehemently opposed to undergoing a digital-rectal exam.
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B) Clinical practice guidelines for prostate care have not been published. 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l 1 l



C) The clinician has been unable to find any large RCTs in a literature review.
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D) The clinician has previously waited until patients are 55 to begin
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regulardigital-rectal exams.
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