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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 Complete 2024

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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 Institute of Medicine's Roundtable on Evidence-Based Medicine has beenestablished to address EBP. Which of the following issues is the Roundtable emphasizing? A) Ensuring that external evidence, rather than internal evidence, is integrated intocare B) Fostering the level of learning that exists in the American healthcare system C) Issuing clinical guidelines to ensure best nursing practice D) Comparing the implementation of EBP in the United States with that of otherWestern countries 6. You have become frustrated with some aspects of patient care that you believe are outdated and ineffective at the long-term care facility where you have recently begun practicing. Consequently, you have resolved to examine some of these practices in lightof evidence. Which of the following should occur first in the steps of EBP? A) Conducting an electronic search of the literature and ranking individual sources B) Creating “buy-in” from the other clinicians who provide care at the facility C) Developing an inquisitive and curious mindset D) Assessing whether the practices in question may, in fact, be evidence-based 7. Which of the following clinical questions best exemplifies the PICOT format? A) What effect does parents' smoking have on the smoking habits of their children,ages 13 to 16? B) Among cancer patients, what role does meditation, rather than benzodiazepines,have on anxiety levels during the 7 days following hospital admission? C) Among undergraduate college students, what is the effectiveness of a sexual healthcampaign undertaken during the first 4 weeks of the fall semester as measured by incidence of new gonorrheal and chlamydial infections reported to the campus medical center? D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to anumeric rating scale in the emergency room context? 8. After formulating a clinical question, a nurse has proceeded to search for evidence for ways to foster restful sleep in patients who are receiving care in the intensive care unit (ICU). The nurse has identified a relevant meta-analysis in an electronic database. Whatwill this source of evidence consist of? A) A statistical summary of the results from several different studies B) An examination of the theoretical and conceptual underpinnings of the issue C) An interdisciplinary analysis of the clinical question D) A qualitative study of different interventions related to the clinical question 9. The nurses on a postpartum unit have noted that many primiparous (first-time) mothers are giving up on breastfeeding within the 24 hours following delivery, and the nurses want to create uniform guidelines for promoting breastfeeding on the unit. Which of thefollowing sources is most likely to provide the best evidence in their quest for an intervention? A) Evidence from a randomized control trial that had more than 2500 participants B) Evidence from a study that is widely regarded as a classic within the obstetricalnursing community C) Evidence from a systematic review of breastfeeding-promotion studies that one ofthe nurses identified in an electronic database D) The consensus opinion of the most senior nurses on the unit 10. The nurse educator on an acute medicine unit is advocating for the use of evidence-based clinical practice guidelines on wound care in order to standardize and optimize the practice of the nurses on the unit. Which of the following statements bestdescribes clinical practice guidelines? A) The result of replication studies of existing research by an impartial third party B) A collection of authorized interventions that are required by law C) A number of interventions that are the result of a large, publically-funded RCT D) A group of practice recommendations that result from a rigorous review of theliterature 11. A nurse is conducting a literature review on the evidence regarding the use of vacuum dressings on stage IV pressure ulcers. After locating a recent study that appears to be relevant, which of the following questions would the nurse consider first when criticallyappraising the study? A) “Are the findings of this study cost-effective in our clinical context?” B)

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Bernadette Mazurek Melnyk, Ellen Fineout-Overholt Evidence-based Practice in Nursing & Healthcare

Edición:Desconocido
ISBN:9781496384539
Edición:Desconocido

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Institución: Evidence-Based Practice in Nursing
Grado: Evidence-Based Practice in Nursing

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Subido en: 18 de enero de 2025
Número de páginas: 154
Escrito en: 2024/2025
Tipo: Examen
Contiene: Preguntas y respuestas

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evidence based practice in nursing healthcare
test bank for evidence based practice in nursing
finding relevant evidence to answer clinical quest
critically appraising knowledge for clinical decis
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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-
d d d d d d

Based Practice and Cultivating a Spirit of Inquiry
d d d d d d d

IndthedhospitaldwheredNursedL.dprovidesdcare,dtraditionddictatesdthatdoraldtemperaturesd
bedincludeddindeverydsetdofdpatientdvitaldsigns,dregardlessdofdpatientddiagnosisdordacuity.d
Thisdisdmostdlikelydandexampledofdwhichdofdthedfollowingdphenomena?
A) Thedprioritizationdofdinternaldevidencedoverdexternaldevidence
B) Practicedthatdlacksdevidencedtodsupportditsdapplication
C) Thedintegrationdofdpersonaldexpertisedintodnursingdcare
D) Evidence-baseddpractice

2. Thedclinicaldnursededucatord(CNE)dondadpostsurgicaldunitdhasdrecentlydcompleteddadpati
entdchartdreviewdafterdthedimplementationdofdadpilotdprogramdaimeddatdpromotingdear
lydambulationdfollowingdsurgery.dWhichdofdthedfollowingdcomponentsdofdEBPdisdthednur
sedputtingdintodpractice?
A) Patientdpreferences
B) Researchdutilization
C) Experience
D) Internaldevidence

3. NursedR.dhasdobserveddthatdreorientingddementeddpatientsdasdfrequentlydasdpossibledte
ndsdtodminimizedthedpatients'dleveldofdagitationdindthedevening.dThednursedhasdshareddthi
sdobservationdwithdadcolleague,dwhodisdskeptical,dstatingdthat,d“It'sdbestdtodstickdtodevide
nce-baseddpractice.”dHowdcandNursedR.dbestdrespond?
A) “EBPdcandincludedclinicians'dpersonaldexpertise.”
B) “Personaldexperiencedisdoftendmoredsounddthandformaldevidence-baseddpractice.”
C) “TraditionaldpracticedanddEBPdaredusuallydshowndtodbedthedsame.”
D) “Mydyearsdofdexperiencedcandbedjustdasdvaluabledasdanydliteraturedreviewdo
rdrandomizeddtrial.”

4. Whichdofdthedfollowingdfactorsdprovidesdthedmostdimportantdrationaledfordthedconsiste
ntdimplementationdofdEBP?
A) EBPdprovidesdfordthedmostdcost-effectivedpatientdcare.
B) EBPdisdaccessibledtodalldhealthcaredclinicians.
C) EBPdprovidesdconsistencydindcaredacrossdhealthcaredsettings.
D) EBPdimprovesdpatientdoutcomes.

,5. ThedInstitutedofdMedicine'sdRoundtabledondEvidence-
BaseddMedicinedhasdbeendestablisheddtodaddressdEBP.dWhichdofdthedfollowingdi
ssuesdisdthedRoundtabledemphasizing?
A) Ensuringdthatdexternaldevidence,dratherdthandinternaldevidence,disdintegrateddin
todcare
B) FosteringdthedleveldofdlearningdthatdexistsdindthedAmericandhealthcaredsystem
C) Issuingdclinicaldguidelinesdtodensuredbestdnursingdpractice
D) ComparingdthedimplementationdofdEBPdindthedUniteddStatesdwithdthatdofdothe
rdWesterndcountries

6. Youdhavedbecomedfrustrateddwithdsomedaspectsdofdpatientdcaredthatdyoudbelievedaredou
tdateddanddineffectivedatdthedlong-
termdcaredfacilitydwheredyoudhavedrecentlydbegundpracticing.dConsequently,dyoudhavedr
esolveddtodexaminedsomedofdthesedpracticesdindlightdofdevidence.dWhichdofdthedfollowing
dshoulddoccurdfirstdindthedstepsdofdEBP?

A) Conductingdandelectronicdsearchdofdthedliteraturedanddrankingdindividualdsources
B) Creatingd“buy-in”dfromdthedotherdcliniciansdwhodprovidedcaredatdthedfacility
C) Developingdandinquisitivedanddcuriousdmindset
D) Assessingdwhetherdthedpracticesdindquestiondmay,dindfact,dbedevidence-based

7. WhichdofdthedfollowingdclinicaldquestionsdbestdexemplifiesdthedPICOTdformat?
A) Whatdeffectddoesdparents'dsmokingdhavedondthedsmokingdhabitsdofdtheirdchildre
n,dagesd13dtod16?
B) Amongdcancerdpatients,dwhatdroleddoesdmeditation,dratherdthandbenzodiazepin
es,dhavedondanxietydlevelsdduringdthed7ddaysdfollowingdhospitaldadmission?
C) Amongdundergraduatedcollegedstudents,dwhatdisdthedeffectivenessdofdadsexualdheal
thdcampaigndundertakendduringdthedfirstd4dweeksdofdthedfalldsemesterdasdmeasuredd
bydincidencedofdnewdgonorrhealdanddchlamydialdinfectionsdreporteddtodthedcampus
dmedicaldcenter?

D) Indpatientsdagedd8dtod12,disdthedeffectivenessdofdadpaindscaledusingdfacesdsuperiordtod
adnumericdratingdscaledindthedemergencydroomdcontext?

8. Afterdformulatingdadclinicaldquestion,dadnursedhasdproceededdtodsearchdfordevidencedford
waysdtodfosterdrestfuldsleepdindpatientsdwhodaredreceivingdcaredindthedintensivedcaredunit
d(ICU).dThednursedhasdidentifieddadrelevantdmeta-

analysisdindandelectronicddatabase.dWhatdwilldthisdsourcedofdevidencedconsistdof?
A) Adstatisticaldsummarydofdthedresultsdfromdseveralddifferentdstudies
B) Andexaminationdofdthedtheoreticaldanddconceptualdunderpinningsdofdthedissue
C) Andinterdisciplinarydanalysisdofdthedclinicaldquestion
D) Adqualitativedstudydofddifferentdinterventionsdrelateddtodthedclinicaldquestion

, 9. Thednursesdondadpostpartumdunitdhavednoteddthatdmanydprimiparousd(first-
time)dmothersdaredgivingdupdondbreastfeedingdwithindthed24dhoursdfollowingddelivery,da
nddthednursesdwantdtodcreateduniformdguidelinesdfordpromotingdbreastfeedingdondthedu
nit.dWhichdofdthedfollowingdsourcesdisdmostdlikelydtodprovidedthedbestdevidencedindtheirdq
uestdfordandintervention?
A) Evidencedfromdadrandomizeddcontroldtrialdthatdhaddmoredthand2500dparticipants
B) Evidencedfromdadstudydthatdisdwidelydregardeddasdadclassicdwithindthedobstetrica
ldnursingdcommunity
C) Evidencedfromdadsystematicdreviewdofdbreastfeeding-
promotiondstudiesdthatdonedofdthednursesdidentifieddindandelectronicddatabase
D) Thedconsensusdopiniondofdthedmostdseniordnursesdondthedunit

10. Thednursededucatordondandacutedmedicinedunitdisdadvocatingdfordthedusedof
evidence-
baseddclinicaldpracticedguidelinesdondwounddcaredindorderdtodstandardizedanddoptimiz
edthedpracticedofdthednursesdondthedunit.dWhichdofdthedfollowingdstatementsdbestddescr
ibesdclinicaldpracticedguidelines?
A) Thedresultdofdreplicationdstudiesdofdexistingdresearchdbydandimpartialdthirddparty
B) Adcollectiondofdauthorizeddinterventionsdthatdaredrequireddbydlaw
C) Adnumberdofdinterventionsdthatdaredthedresultdofdadlarge,dpublically-fundeddRCT
D) Adgroupdofdpracticedrecommendationsdthatdresultdfromdadrigorousdreviewdofdth
edliterature

11. Adnursedisdconductingdadliteraturedreviewdondthedevidencedregardingdthedusedofdvacuumd
dressingsdondstagedIVdpressuredulcers.dAfterdlocatingdadrecentdstudydthatdappearsdtodbedr
elevant,dwhichdofdthedfollowingdquestionsdwoulddthednursedconsiderdfirstdwhendcriticallyd
appraisingdthedstudy?
A) “Aredthedfindingsdofdthisdstudydcost-effectivedindourdclinicaldcontext?”
B) "Howdwoulddthedimplementationdofdthisdinterventiondaffectdourdstaffingdneeds?"
C) “Weredthedpatientsdindthedstudydsimilardtodthedpatientsdondmydunit?”
D) “Aredthedfindingsdofdthedstudydsignificantlyddifferentdfromdwhatdwedaredcurrentl
yddoingdondthedunit?

12. Thedprimarydcaredproviderdofdad49-year-
olddmaledpatientdhasdexamineddanddbrieflydexplaineddthedevidencedthatdsupportsdbegi
nningdregularddigital-
rectaldexams.dWhichdofdthedfollowingdfactorsdwoulddjustifydnotdperformingddigital-
rectaldexaminationsdindthisdpatient'sdcare?
A) Thedpatientdisdvehementlydopposeddtodundergoingdaddigital-rectaldexam.
B) Clinicaldpracticedguidelinesdfordprostatedcaredhavednotdbeendpublished.
C) ThedcliniciandhasdbeendunabledtodfinddanydlargedRCTsdindadliteraturedreview.
D) Thedcliniciandhasdpreviouslydwaitedduntildpatientsdared55dtodbegindregula

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