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

,Chapter 1 Making the Case for Evidence-Based
b b b b b b




Practice and Cultivating a Spirit of Inquiry
b b b b b b b

,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be
b b b b b b b b b b b b b


bincluded in every set of patient vital signs, regardless of patient diagnosis or acuity. This
b b b b b b b b b b b b b b


bis most likely an example of which of the following phenomena?
b b b b b b b b b b


A) The prioritization of internal evidence over external evidence
b b b b b b b


B) Practice that lacks evidence to support its application
b b b b b b b


C) The integration of personal expertise into nursing care
b b b b b b b


D) Evidence-based practice b




2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a
b b b b b b b b b b b b


patient chart review after the implementation of a pilot program aimed at promoting
b b b b b b b b b b b b b


early ambulation following surgery. Which of the following components of EBP is the
b b b b b b b b b b b b b


nurse putting into practice?
b b b b


A) Patient preferences b


B) Research utilization b


C) Experience
D) Internal evidence b




3. Nurse R. has observed that reorienting demented patients as frequently as possible tends
b b b b b b b b b b b b


to minimize the patients' level of agitation in the evening. The nurse has shared this
b b b b b b b b b b b b b b b


observation with a colleague, who is skeptical, stating that, “It's best to stick to
b b b b b b b b b b b b b b


evidence-based practice.” How can Nurse R. best respond?
b b b b b b b b


A) “EBP can include clinicians' personal expertise.”
b b b b b


B) “Personal experience is often more sound than formal evidence-based practice.”
b b b b b b b b b


C) “Traditional practice and EBP are usually shown to be the same.” b b b b b b b b b b


D) “My years of experience can be just as valuable as any literature review or
b b b b b b b b b b b b b


randomized trial.”
b b




4. Which of the following factors provides the most important rationale for the consistent
b b b b b b b b b b b b


implementation of EBP?
b b b


A) EBP provides for the most cost-effective patient care.
b b b b b b b


B) EBP is accessible to all healthcare clinicians.
b b b b b b


C) EBP provides consistency in care across healthcare settings.
b b b b b b b


D) EBP improves patient outcomes. b b b




Page 1 b



WWW.TESTBANKTANK.COM

, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been
b b b b b b b b b


established to address EBP. Which of the following issues is the Roundtable
b b b b b b b b b b b b


emphasizing?
b


A) Ensuring that external evidence, rather than internal evidence, is integrated into
b b b b b b b b b b


care b


B) Fostering the level of learning that exists in the American healthcare system
b b b b b b b b b b b


C) Issuing clinical guidelines to ensure best nursing practice
b b b b b b b


D) Comparing the implementation of EBP in the United States with that of other b b b b b b b b b b b b


Western countries
b b




6. You have become frustrated with some aspects of patient care that you believe are
b b b b b b b b b b b b b


outdated and ineffective at the long-term care facility where you have recently begun
b b b b b b b b b b b b b


practicing. Consequently, you have resolved to examine some of these practices in light
b b b b b b b b b b b b b


of evidence. Which of the following should occur first in the steps of EBP?
b b b b b b b b b b b b b b


A) Conducting an electronic search of the literature and ranking individual sources b b b b b b b b b b


B) Creating “buy-in” from the other clinicians who provide care at the facility
b b b b b b b b b b b


C) Developing an inquisitive and curious mindset b b b b b


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




7. Which of the following clinical questions best exemplifies the PICOT format?
b b b b b b b b b b


A) What effect does parents' smoking have on the smoking habits of their children,
b b b b b b b b b b b b


ages 13 to 16?
b b b b


B) Among cancer patients, what role does meditation, rather than benzodiazepines,
b b b b b b b b b


have on anxiety levels during the 7 days following hospital admission?
b b b b b b b b b b b


C) Among undergraduate college students, what is the effectiveness of a sexual health
b b b b b b b b b b b


campaign undertaken during the first 4 weeks of the fall semester as measured by
b b b b b b b b b b b b b b


incidence of new gonorrheal and chlamydial infections reported to the campus
b b b b b b b b b b b


medical center?
b b


D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a
b b b b b b b b b b b b b b b b b


numeric rating scale in the emergency room context?
b b b b b b b b




8. After formulating a clinical question, a nurse has proceeded to search for evidence for
b b b b b b b b b b b b b


ways to foster restful sleep in patients who are receiving care in the intensive care unit
b b b b b b b b b b b b b b b b


(ICU). The nurse has identified a relevant meta-analysis in an electronic database. What
b b b b b b b b b b b b b


will this source of evidence consist of?
b b b b b b b


A) A statistical summary of the results from several different studies
b b b b b b b b b


B) An examination of the theoretical and conceptual underpinnings of the issue
b b b b b b b b b b


C) An interdisciplinary analysis of the clinical question
b b b b b b


D) A qualitative study of different interventions related to the clinical question
b b b b b b b b b b




Page 2 b



WWW.TESTBANKTANK.COM