Test Bank For Evidence-Based Practice in Nursing & Healthcare A
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
Chapter 1 Making the Case for Evidence-Based Practice
and Cultivating a Spirit of Inquiry
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.
Thisis 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
tendsto 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
orrandomized trial.”
4. Which of the following factors provides the most important rationale for the
consistentimplementation 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 rInstitute rof rMedicine's rRoundtable ron rEvidence-Based rMedicine rhas
rbeenrestablished rto raddress rEBP. rWhich rof rthe rfollowing rissues ris rthe
rRoundtable remphasizing?
A) Ensuring rthat rexternal revidence, rrather rthan rinternal revidence, ris
rintegrated rintorcare
B) Fostering rthe rlevel rof rlearning rthat rexists rin rthe rAmerican rhealthcare rsystem
C) Issuing rclinical rguidelines rto rensure rbest rnursing rpractice
D) Comparing rthe rimplementation rof rEBP rin rthe rUnited rStates rwith rthat rof
rotherrWestern rcountries
6. You rhave rbecome rfrustrated rwith rsome raspects rof rpatient rcare rthat ryou rbelieve
rare routdated rand rineffective rat rthe rlong-term rcare rfacility rwhere ryou rhave
rrecently rbegun rpracticing. rConsequently, ryou rhave rresolved rto rexamine rsome rof
rthese rpractices rin rlightrof revidence. rWhich rof rthe rfollowing rshould roccur rfirst rin
rthe rsteps rof rEBP?
A) Conducting ran relectronic rsearch rof rthe rliterature rand rranking rindividual rsources
B) Creating r“buy-in” rfrom rthe rother rclinicians rwho rprovide rcare rat rthe rfacility
C) Developing ran rinquisitive rand rcurious rmindset
D) Assessing rwhether rthe rpractices rin rquestion rmay, rin rfact, rbe revidence-based
7. Which rof rthe rfollowing rclinical rquestions rbest rexemplifies rthe rPICOT rformat?
A) What reffect rdoes rparents' rsmoking rhave ron rthe rsmoking rhabits rof rtheir
rchildren,rages r13 rto r16?
B) Among rcancer rpatients, rwhat rrole rdoes rmeditation, rrather rthan
rbenzodiazepines,rhave ron ranxiety rlevels rduring rthe r7 rdays rfollowing
rhospital radmission?
C) Among rundergraduate rcollege rstudents, rwhat ris rthe reffectiveness rof ra rsexual
rhealthrcampaign rundertaken rduring rthe rfirst r4 rweeks rof rthe rfall rsemester ras
rmeasured rby rincidence rof rnew rgonorrheal rand rchlamydial rinfections rreported
rto rthe rcampus rmedical rcenter?
D) In rpatients raged r8 rto r12, ris rthe reffectiveness rof ra rpain rscale rusing rfaces
rsuperior rto rarnumeric rrating rscale rin rthe remergency rroom rcontext?
8. After rformulating ra rclinical rquestion, ra rnurse rhas rproceeded rto rsearch rfor
revidence rfor rways rto rfoster rrestful rsleep rin rpatients rwho rare rreceiving rcare rin rthe
rintensive rcare runit r(ICU). rThe rnurse rhas ridentified ra rrelevant rmeta-analysis rin ran
relectronic rdatabase. rWhatrwill rthis rsource rof revidence rconsist rof?
A) A rstatistical rsummary rof rthe rresults rfrom rseveral rdifferent rstudies
B) An rexamination rof rthe rtheoretical rand rconceptual runderpinnings rof rthe rissue
C) An rinterdisciplinary ranalysis rof rthe rclinical rquestion
D) A rqualitative rstudy rof rdifferent rinterventions rrelated rto rthe rclinical rquestion
, 9. The rnurses ron ra rpostpartum runit rhave rnoted rthat rmany rprimiparous r(first-time)
rmothers rare rgiving rup ron rbreastfeeding rwithin rthe r24 rhours rfollowing rdelivery,
rand rthe rnurses rwant rto rcreate runiform rguidelines rfor rpromoting rbreastfeeding ron
rthe runit. rWhich rof rtherfollowing rsources ris rmost rlikely rto rprovide rthe rbest
revidence rin rtheir rquest rfor ran rintervention?
A) Evidence rfrom ra rrandomized rcontrol rtrial rthat rhad rmore rthan r2500 rparticipants
B) Evidence rfrom ra rstudy rthat ris rwidely rregarded ras ra rclassic rwithin rthe
robstetricalrnursing rcommunity
C) Evidence rfrom ra rsystematic rreview rof rbreastfeeding-promotion rstudies rthat
rone rofrthe rnurses ridentified rin ran relectronic rdatabase
D) The rconsensus ropinion rof rthe rmost rsenior rnurses ron rthe runit
10. The rnurse reducator ron ran racute rmedicine runit ris radvocating rfor rthe ruse rof
evidence-based rclinical rpractice rguidelines ron rwound rcare rin rorder rto rstandardize
rand roptimize rthe rpractice rof rthe rnurses ron rthe runit. rWhich rof rthe rfollowing
rstatements rbestrdescribes rclinical rpractice rguidelines?
A) The rresult rof rreplication rstudies rof rexisting rresearch rby ran rimpartial rthird rparty
B) A rcollection rof rauthorized rinterventions rthat rare rrequired rby rlaw
C) A rnumber rof rinterventions rthat rare rthe rresult rof ra rlarge, rpublically-funded rRCT
D) A rgroup rof rpractice rrecommendations rthat rresult rfrom ra rrigorous rreview
rof rtherliterature
11. A rnurse ris rconducting ra rliterature rreview ron rthe revidence rregarding rthe ruse rof
rvacuum rdressings ron rstage rIV rpressure rulcers. rAfter rlocating ra rrecent rstudy rthat
rappears rto rbe rrelevant, rwhich rof rthe rfollowing rquestions rwould rthe rnurse
rconsider rfirst rwhen rcriticallyrappraising rthe rstudy?
A) “Are rthe rfindings rof rthis rstudy rcost-effective rin rour rclinical rcontext?”
B) "How rwould rthe rimplementation rof rthis rintervention raffect rour rstaffing rneeds?"
C) “Were rthe rpatients rin rthe rstudy rsimilar rto rthe rpatients ron rmy runit?”
D) “Are rthe rfindings rof rthe rstudy rsignificantly rdifferent rfrom rwhat rwe rare
rcurrentlyrdoing ron rthe runit?
12. The rprimary rcare rprovider rof ra r49-year-old rmale rpatient rhas rexamined rand
rbriefly rexplained rthe revidence rthat rsupports rbeginning rregular rdigital-rectal
rexams. rWhich rofrthe rfollowing rfactors rwould rjustify rnot rperforming rdigital-rectal
rexaminations rin rthis rpatient's rcare?
A) The rpatient ris rvehemently ropposed rto rundergoing ra rdigital-rectal rexam.
B) Clinical rpractice rguidelines rfor rprostate rcare rhave rnot rbeen rpublished.
C) The rclinician rhas rbeen runable rto rfind rany rlarge rRCTs rin ra rliterature rreview.
D) The rclinician rhas rpreviously rwaited runtil rpatients rare r55 rto rbegin
rregularrdigital-rectal rexams.
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
Chapter 1 Making the Case for Evidence-Based Practice
and Cultivating a Spirit of Inquiry
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.
Thisis 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
tendsto 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
orrandomized trial.”
4. Which of the following factors provides the most important rationale for the
consistentimplementation 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 rInstitute rof rMedicine's rRoundtable ron rEvidence-Based rMedicine rhas
rbeenrestablished rto raddress rEBP. rWhich rof rthe rfollowing rissues ris rthe
rRoundtable remphasizing?
A) Ensuring rthat rexternal revidence, rrather rthan rinternal revidence, ris
rintegrated rintorcare
B) Fostering rthe rlevel rof rlearning rthat rexists rin rthe rAmerican rhealthcare rsystem
C) Issuing rclinical rguidelines rto rensure rbest rnursing rpractice
D) Comparing rthe rimplementation rof rEBP rin rthe rUnited rStates rwith rthat rof
rotherrWestern rcountries
6. You rhave rbecome rfrustrated rwith rsome raspects rof rpatient rcare rthat ryou rbelieve
rare routdated rand rineffective rat rthe rlong-term rcare rfacility rwhere ryou rhave
rrecently rbegun rpracticing. rConsequently, ryou rhave rresolved rto rexamine rsome rof
rthese rpractices rin rlightrof revidence. rWhich rof rthe rfollowing rshould roccur rfirst rin
rthe rsteps rof rEBP?
A) Conducting ran relectronic rsearch rof rthe rliterature rand rranking rindividual rsources
B) Creating r“buy-in” rfrom rthe rother rclinicians rwho rprovide rcare rat rthe rfacility
C) Developing ran rinquisitive rand rcurious rmindset
D) Assessing rwhether rthe rpractices rin rquestion rmay, rin rfact, rbe revidence-based
7. Which rof rthe rfollowing rclinical rquestions rbest rexemplifies rthe rPICOT rformat?
A) What reffect rdoes rparents' rsmoking rhave ron rthe rsmoking rhabits rof rtheir
rchildren,rages r13 rto r16?
B) Among rcancer rpatients, rwhat rrole rdoes rmeditation, rrather rthan
rbenzodiazepines,rhave ron ranxiety rlevels rduring rthe r7 rdays rfollowing
rhospital radmission?
C) Among rundergraduate rcollege rstudents, rwhat ris rthe reffectiveness rof ra rsexual
rhealthrcampaign rundertaken rduring rthe rfirst r4 rweeks rof rthe rfall rsemester ras
rmeasured rby rincidence rof rnew rgonorrheal rand rchlamydial rinfections rreported
rto rthe rcampus rmedical rcenter?
D) In rpatients raged r8 rto r12, ris rthe reffectiveness rof ra rpain rscale rusing rfaces
rsuperior rto rarnumeric rrating rscale rin rthe remergency rroom rcontext?
8. After rformulating ra rclinical rquestion, ra rnurse rhas rproceeded rto rsearch rfor
revidence rfor rways rto rfoster rrestful rsleep rin rpatients rwho rare rreceiving rcare rin rthe
rintensive rcare runit r(ICU). rThe rnurse rhas ridentified ra rrelevant rmeta-analysis rin ran
relectronic rdatabase. rWhatrwill rthis rsource rof revidence rconsist rof?
A) A rstatistical rsummary rof rthe rresults rfrom rseveral rdifferent rstudies
B) An rexamination rof rthe rtheoretical rand rconceptual runderpinnings rof rthe rissue
C) An rinterdisciplinary ranalysis rof rthe rclinical rquestion
D) A rqualitative rstudy rof rdifferent rinterventions rrelated rto rthe rclinical rquestion
, 9. The rnurses ron ra rpostpartum runit rhave rnoted rthat rmany rprimiparous r(first-time)
rmothers rare rgiving rup ron rbreastfeeding rwithin rthe r24 rhours rfollowing rdelivery,
rand rthe rnurses rwant rto rcreate runiform rguidelines rfor rpromoting rbreastfeeding ron
rthe runit. rWhich rof rtherfollowing rsources ris rmost rlikely rto rprovide rthe rbest
revidence rin rtheir rquest rfor ran rintervention?
A) Evidence rfrom ra rrandomized rcontrol rtrial rthat rhad rmore rthan r2500 rparticipants
B) Evidence rfrom ra rstudy rthat ris rwidely rregarded ras ra rclassic rwithin rthe
robstetricalrnursing rcommunity
C) Evidence rfrom ra rsystematic rreview rof rbreastfeeding-promotion rstudies rthat
rone rofrthe rnurses ridentified rin ran relectronic rdatabase
D) The rconsensus ropinion rof rthe rmost rsenior rnurses ron rthe runit
10. The rnurse reducator ron ran racute rmedicine runit ris radvocating rfor rthe ruse rof
evidence-based rclinical rpractice rguidelines ron rwound rcare rin rorder rto rstandardize
rand roptimize rthe rpractice rof rthe rnurses ron rthe runit. rWhich rof rthe rfollowing
rstatements rbestrdescribes rclinical rpractice rguidelines?
A) The rresult rof rreplication rstudies rof rexisting rresearch rby ran rimpartial rthird rparty
B) A rcollection rof rauthorized rinterventions rthat rare rrequired rby rlaw
C) A rnumber rof rinterventions rthat rare rthe rresult rof ra rlarge, rpublically-funded rRCT
D) A rgroup rof rpractice rrecommendations rthat rresult rfrom ra rrigorous rreview
rof rtherliterature
11. A rnurse ris rconducting ra rliterature rreview ron rthe revidence rregarding rthe ruse rof
rvacuum rdressings ron rstage rIV rpressure rulcers. rAfter rlocating ra rrecent rstudy rthat
rappears rto rbe rrelevant, rwhich rof rthe rfollowing rquestions rwould rthe rnurse
rconsider rfirst rwhen rcriticallyrappraising rthe rstudy?
A) “Are rthe rfindings rof rthis rstudy rcost-effective rin rour rclinical rcontext?”
B) "How rwould rthe rimplementation rof rthis rintervention raffect rour rstaffing rneeds?"
C) “Were rthe rpatients rin rthe rstudy rsimilar rto rthe rpatients ron rmy runit?”
D) “Are rthe rfindings rof rthe rstudy rsignificantly rdifferent rfrom rwhat rwe rare
rcurrentlyrdoing ron rthe runit?
12. The rprimary rcare rprovider rof ra r49-year-old rmale rpatient rhas rexamined rand
rbriefly rexplained rthe revidence rthat rsupports rbeginning rregular rdigital-rectal
rexams. rWhich rofrthe rfollowing rfactors rwould rjustify rnot rperforming rdigital-rectal
rexaminations rin rthis rpatient's rcare?
A) The rpatient ris rvehemently ropposed rto rundergoing ra rdigital-rectal rexam.
B) Clinical rpractice rguidelines rfor rprostate rcare rhave rnot rbeen rpublished.
C) The rclinician rhas rbeen runable rto rfind rany rlarge rRCTs rin ra rliterature rreview.
D) The rclinician rhas rpreviously rwaited runtil rpatients rare r55 rto rbegin
rregularrdigital-rectal rexams.
