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 Com plet

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-
X X X X X X



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




InXtheXhospitalXwhereXNurseXL.XprovidesXcare,XtraditionXdictatesXthatXoralXtemperaturesX
beXincludedXinXeveryXsetXofXpatientXvitalXsigns,XregardlessXofXpatientXdiagnosisXorXacuity.X
ThisXisXmostXlikelyXanXexampleXofXwhichXofXtheXfollowingXphenomena?
A) TheXprioritizationXofXinternalXevidenceXoverXexternalXevidence
B) PracticeXthatXlacksXevidenceXtoXsupportXitsXapplication
C) TheXintegrationXofXpersonalXexpertiseXintoXnursingXcare
D) Evidence-basedXpractice


2. TheXclinicalXnurseXeducatorX(CNE)XonXaXpostsurgicalXunitXhasXrecentlyXcompletedXaXpati
entXchartXreviewXafterXtheXimplementationXofXaXpilotXprogramXaimedXatXpromotingXear
lyXambulationXfollowingXsurgery.XWhichXofXtheXfollowingXcomponentsXofXEBPXisXtheXnur
seXputtingXintoXpractice?
A) PatientXpreferences
B) ResearchXutilization
C) Experience
D) InternalXevidence


3. NurseXR.XhasXobservedXthatXreorientingXdementedXpatientsXasXfrequentlyXasXpossibleXte
ndsXtoXminimizeXtheXpatients'XlevelXofXagitationXinXtheXevening.XTheXnurseXhasXsharedXthis
XobservationXwithXaXcolleague,XwhoXisXskeptical,XstatingXthat,X“It'sXbestXtoXstickXtoXeviden

ce-basedXpractice.”XHowXcanXNurseXR.XbestXrespond?
A) “EBPXcanXincludeXclinicians'XpersonalXexpertise.”
B) “PersonalXexperienceXisXoftenXmoreXsoundXthanXformalXevidence-basedXpractice.”
C) “TraditionalXpracticeXandXEBPXareXusuallyXshownXtoXbeXtheXsame.”
D) “MyXyearsXofXexperienceXcanXbeXjustXasXvaluableXasXanyXliteratureXreviewXo
rXrandomizedXtrial.”


4. WhichXofXtheXfollowingXfactorsXprovidesXtheXmostXimportantXrationaleXforXtheXconsiste
ntXimplementationXofXEBP?
A) EBPXprovidesXforXtheXmostXcost-effectiveXpatientXcare.
B) EBPXisXaccessibleXtoXallXhealthcareXclinicians.
C) EBPXprovidesXconsistencyXinXcareXacrossXhealthcareXsettings.
D) EBPXimprovesXpatientXoutcomes.

,5. TheXInstituteXofXMedicine'sXRoundtableXonXEvidence-
BasedXMedicineXhasXbeenXestablishedXtoXaddressXEBP.XWhichXofXtheXfollowingXi
ssuesXisXtheXRoundtableXemphasizing?
A) EnsuringXthatXexternalXevidence,XratherXthanXinternalXevidence,XisXintegratedXin
toXcare
B) FosteringXtheXlevelXofXlearningXthatXexistsXinXtheXAmericanXhealthcareXsystem
C) IssuingXclinicalXguidelinesXtoXensureXbestXnursingXpractice
D) ComparingXtheXimplementationXofXEBPXinXtheXUnitedXStatesXwithXthatXofXothe
rXWesternXcountries


6. YouXhaveXbecomeXfrustratedXwithXsomeXaspectsXofXpatientXcareXthatXyouXbelieveXareXou
tdatedXandXineffectiveXatXtheXlong-
termXcareXfacilityXwhereXyouXhaveXrecentlyXbegunXpracticing.XConsequently,XyouXhaveXr
esolvedXtoXexamineXsomeXofXtheseXpracticesXinXlightXofXevidence.XWhichXofXtheXfollowing
XshouldXoccurXfirstXinXtheXstepsXofXEBP?

A) ConductingXanXelectronicXsearchXofXtheXliteratureXandXrankingXindividualXsources
B) CreatingX“buy-in”XfromXtheXotherXcliniciansXwhoXprovideXcareXatXtheXfacility
C) DevelopingXanXinquisitiveXandXcuriousXmindset
D) AssessingXwhetherXtheXpracticesXinXquestionXmay,XinXfact,XbeXevidence-based


7. WhichXofXtheXfollowingXclinicalXquestionsXbestXexemplifiesXtheXPICOTXformat?
A) WhatXeffectXdoesXparents'XsmokingXhaveXonXtheXsmokingXhabitsXofXtheirXchildre
n,XagesX13XtoX16?
B) AmongXcancerXpatients,XwhatXroleXdoesXmeditation,XratherXthanXbenzodiazepin
es,XhaveXonXanxietyXlevelsXduringXtheX7XdaysXfollowingXhospitalXadmission?
C) AmongXundergraduateXcollegeXstudents,XwhatXisXtheXeffectivenessXofXaXsexualXheal
thXcampaignXundertakenXduringXtheXfirstX4XweeksXofXtheXfallXsemesterXasXmeasuredX
byXincidenceXofXnewXgonorrhealXandXchlamydialXinfectionsXreportedXtoXtheXcampus
XmedicalXcenter?

D) InXpatientsXagedX8XtoX12,XisXtheXeffectivenessXofXaXpainXscaleXusingXfacesXsuperiorXtoX
aXnumericXratingXscaleXinXtheXemergencyXroomXcontext?


8. AfterXformulatingXaXclinicalXquestion,XaXnurseXhasXproceededXtoXsearchXforXevidenceXforX
waysXtoXfosterXrestfulXsleepXinXpatientsXwhoXareXreceivingXcareXinXtheXintensiveXcareXunit
X(ICU).XTheXnurseXhasXidentifiedXaXrelevantXmeta-

analysisXinXanXelectronicXdatabase.XWhatXwillXthisXsourceXofXevidenceXconsistXof?
A) AXstatisticalXsummaryXofXtheXresultsXfromXseveralXdifferentXstudies
B) AnXexaminationXofXtheXtheoreticalXandXconceptualXunderpinningsXofXtheXissue
C) AnXinterdisciplinaryXanalysisXofXtheXclinicalXquestion
D) AXqualitativeXstudyXofXdifferentXinterventionsXrelatedXtoXtheXclinicalXquestion

, 9. TheXnursesXonXaXpostpartumXunitXhaveXnotedXthatXmanyXprimiparousX(first-
time)XmothersXareXgivingXupXonXbreastfeedingXwithinXtheX24XhoursXfollowingXdelivery,Xa
ndXtheXnursesXwantXtoXcreateXuniformXguidelinesXforXpromotingXbreastfeedingXonXtheXu
nit.XWhichXofXtheXfollowingXsourcesXisXmostXlikelyXtoXprovideXtheXbestXevidenceXinXtheirXq
uestXforXanXintervention?
A) EvidenceXfromXaXrandomizedXcontrolXtrialXthatXhadXmoreXthanX2500Xparticipants
B) EvidenceXfromXaXstudyXthatXisXwidelyXregardedXasXaXclassicXwithinXtheXobstetrica
lXnursingXcommunity
C) EvidenceXfromXaXsystematicXreviewXofXbreastfeeding-
promotionXstudiesXthatXoneXofXtheXnursesXidentifiedXinXanXelectronicXdatabase
D) TheXconsensusXopinionXofXtheXmostXseniorXnursesXonXtheXunit


10. TheXnurseXeducatorXonXanXacuteXmedicineXunitXisXadvocatingXforXtheXuseXof
evidence-
basedXclinicalXpracticeXguidelinesXonXwoundXcareXinXorderXtoXstandardizeXandXoptimize
XtheXpracticeXofXtheXnursesXonXtheXunit.XWhichXofXtheXfollowingXstatementsXbestXdescri
besXclinicalXpracticeXguidelines?
A) TheXresultXofXreplicationXstudiesXofXexistingXresearchXbyXanXimpartialXthirdXparty
B) AXcollectionXofXauthorizedXinterventionsXthatXareXrequiredXbyXlaw
C) AXnumberXofXinterventionsXthatXareXtheXresultXofXaXlarge,Xpublically-fundedXRCT
D) AXgroupXofXpracticeXrecommendationsXthatXresultXfromXaXrigorousXreviewXofXth
eXliterature


11. AXnurseXisXconductingXaXliteratureXreviewXonXtheXevidenceXregardingXtheXuseXofXvacuumX
dressingsXonXstageXIVXpressureXulcers.XAfterXlocatingXaXrecentXstudyXthatXappearsXtoXbeXr
elevant,XwhichXofXtheXfollowingXquestionsXwouldXtheXnurseXconsiderXfirstXwhenXcriticallyX
appraisingXtheXstudy?
A) “AreXtheXfindingsXofXthisXstudyXcost-effectiveXinXourXclinicalXcontext?”
B) "HowXwouldXtheXimplementationXofXthisXinterventionXaffectXourXstaffingXneeds?"
C) “WereXtheXpatientsXinXtheXstudyXsimilarXtoXtheXpatientsXonXmyXunit?”
D) “AreXtheXfindingsXofXtheXstudyXsignificantlyXdifferentXfromXwhatXweXareXcurrentlyX
doingXonXtheXunit?


12. TheXprimaryXcareXproviderXofXaX49-year-
oldXmaleXpatientXhasXexaminedXandXbrieflyXexplainedXtheXevidenceXthatXsupportsXbegi
nningXregularXdigital-
rectalXexams.XWhichXofXtheXfollowingXfactorsXwouldXjustifyXnotXperformingXdigital-
rectalXexaminationsXinXthisXpatient'sXcare?
A) TheXpatientXisXvehementlyXopposedXtoXundergoingXaXdigital-rectalXexam.
B) ClinicalXpracticeXguidelinesXforXprostateXcareXhaveXnotXbeenXpublished.
C) TheXclinicianXhasXbeenXunableXtoXfindXanyXlargeXRCTsXinXaXliteratureXreview.
D) TheXclinicianXhasXpreviouslyXwaitedXuntilXpatientsXareX55XtoXbeginXregula