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 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 cnurses con ca cpostpartum cunit chave cnoted cthat cmany cprimiparous c(first-time)
cmothers care cgiving cup con cbreastfeeding cwithin cthe c24 chours cfollowing cdelivery,
cand cthe cnurses cwant cto ccreate cuniform cguidelines cfor cpromoting cbreastfeeding
con cthe cunit. cWhich cof cthecfollowing csources cis cmost clikely cto cprovide cthe cbest
cevidence cin ctheir cquest cfor can cintervention?
A) Evidence cfrom ca crandomized ccontrol ctrial cthat chad cmore cthan c2500 cparticipants
B) Evidence cfrom ca cstudy cthat cis cwidely cregarded cas ca cclassic cwithin cthe
cobstetricalcnursing ccommunity
C) Evidence cfrom ca csystematic creview cof cbreastfeeding-promotion cstudies cthat
cone cofcthe cnurses cidentified cin can celectronic cdatabase
D) The cconsensus copinion cof cthe cmost csenior cnurses con cthe cunit
10. The cnurse ceducator con can cacute cmedicine cunit cis cadvocating cfor cthe cuse cof
evidence-based cclinical cpractice cguidelines con cwound ccare cin corder cto
cstandardize cand coptimize cthe cpractice cof cthe cnurses con cthe cunit. cWhich cof cthe
cfollowing cstatements cbestcdescribes cclinical cpractice cguidelines?
A) The cresult cof creplication cstudies cof cexisting cresearch cby can cimpartial cthird cparty
B) A ccollection cof cauthorized cinterventions cthat care crequired cby claw
C) A cnumber cof cinterventions cthat care cthe cresult cof ca clarge, cpublically-funded cRCT
D) A cgroup cof cpractice crecommendations cthat cresult cfrom ca crigorous
creview cof cthecliterature
11. A cnurse cis cconducting ca cliterature creview con cthe cevidence cregarding cthe cuse cof
cvacuum cdressings con cstage cIV cpressure culcers. cAfter clocating ca crecent cstudy cthat
cappears cto cbe crelevant, cwhich cof cthe cfollowing cquestions cwould cthe cnurse
cconsider cfirst cwhen ccriticallycappraising cthe cstudy?
A) “Are cthe cfindings cof cthis cstudy ccost-effective cin cour cclinical ccontext?”
B) "How cwould cthe cimplementation cof cthis cintervention caffect cour cstaffing cneeds?"
C) “Were cthe cpatients cin cthe cstudy csimilar cto cthe cpatients con cmy cunit?”
D) “Are cthe cfindings cof cthe cstudy csignificantly cdifferent cfrom cwhat cwe care
ccurrentlycdoing con cthe cunit?
12. The cprimary ccare cprovider cof ca c49-year-old cmale cpatient chas cexamined cand
cbriefly cexplained cthe cevidence cthat csupports cbeginning cregular cdigital-rectal
cexams. cWhich cofcthe cfollowing cfactors cwould cjustify cnot cperforming cdigital-
rectal cexaminations cin cthis cpatient's ccare?
A) The cpatient cis cvehemently copposed cto cundergoing ca cdigital-rectal cexam.
B) Clinical cpractice cguidelines cfor cprostate ccare chave cnot cbeen cpublished.
C) The cclinician chas cbeen cunable cto cfind cany clarge cRCTs cin ca cliterature creview.
D) The cclinician chas cpreviously cwaited cuntil cpatients care c55 cto cbegin
cregularcdigital-rectal cexams.
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 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 cnurses con ca cpostpartum cunit chave cnoted cthat cmany cprimiparous c(first-time)
cmothers care cgiving cup con cbreastfeeding cwithin cthe c24 chours cfollowing cdelivery,
cand cthe cnurses cwant cto ccreate cuniform cguidelines cfor cpromoting cbreastfeeding
con cthe cunit. cWhich cof cthecfollowing csources cis cmost clikely cto cprovide cthe cbest
cevidence cin ctheir cquest cfor can cintervention?
A) Evidence cfrom ca crandomized ccontrol ctrial cthat chad cmore cthan c2500 cparticipants
B) Evidence cfrom ca cstudy cthat cis cwidely cregarded cas ca cclassic cwithin cthe
cobstetricalcnursing ccommunity
C) Evidence cfrom ca csystematic creview cof cbreastfeeding-promotion cstudies cthat
cone cofcthe cnurses cidentified cin can celectronic cdatabase
D) The cconsensus copinion cof cthe cmost csenior cnurses con cthe cunit
10. The cnurse ceducator con can cacute cmedicine cunit cis cadvocating cfor cthe cuse cof
evidence-based cclinical cpractice cguidelines con cwound ccare cin corder cto
cstandardize cand coptimize cthe cpractice cof cthe cnurses con cthe cunit. cWhich cof cthe
cfollowing cstatements cbestcdescribes cclinical cpractice cguidelines?
A) The cresult cof creplication cstudies cof cexisting cresearch cby can cimpartial cthird cparty
B) A ccollection cof cauthorized cinterventions cthat care crequired cby claw
C) A cnumber cof cinterventions cthat care cthe cresult cof ca clarge, cpublically-funded cRCT
D) A cgroup cof cpractice crecommendations cthat cresult cfrom ca crigorous
creview cof cthecliterature
11. A cnurse cis cconducting ca cliterature creview con cthe cevidence cregarding cthe cuse cof
cvacuum cdressings con cstage cIV cpressure culcers. cAfter clocating ca crecent cstudy cthat
cappears cto cbe crelevant, cwhich cof cthe cfollowing cquestions cwould cthe cnurse
cconsider cfirst cwhen ccriticallycappraising cthe cstudy?
A) “Are cthe cfindings cof cthis cstudy ccost-effective cin cour cclinical ccontext?”
B) "How cwould cthe cimplementation cof cthis cintervention caffect cour cstaffing cneeds?"
C) “Were cthe cpatients cin cthe cstudy csimilar cto cthe cpatients con cmy cunit?”
D) “Are cthe cfindings cof cthe cstudy csignificantly cdifferent cfrom cwhat cwe care
ccurrentlycdoing con cthe cunit?
12. The cprimary ccare cprovider cof ca c49-year-old cmale cpatient chas cexamined cand
cbriefly cexplained cthe cevidence cthat csupports cbeginning cregular cdigital-rectal
cexams. cWhich cofcthe cfollowing cfactors cwould cjustify cnot cperforming cdigital-
rectal cexaminations cin cthis cpatient's ccare?
A) The cpatient cis cvehemently copposed cto cundergoing ca cdigital-rectal cexam.
B) Clinical cpractice cguidelines cfor cprostate ccare chave cnot cbeen cpublished.
C) The cclinician chas cbeen cunable cto cfind cany clarge cRCTs cin ca cliterature creview.
D) The cclinician chas cpreviously cwaited cuntil cpatients care c55 cto cbegin
cregularcdigital-rectal cexams.
