Test bank for evidence based practice in nursing and healthcare 4th edition by melnyk

Test Bank For Evidence-Based Practice in Nursing &
Healthcare A Guide to BestPractice 5th Edition by Melnyk, Ellen
Fineout-Overholt Chapter1 - 23 Complete

, Chapter 1 Making the Case for Evidence- K K K K K K


Based Practice and Cultivating a Spirit of Inquiry
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In the hospital where Nurse L. provides care, tradition dictates
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Kthat oral temperatures be included in every set of patient vita
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l signs, regardless of patient diagnosis or acuity. Thisis most lik
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ely an example of which of the following phenomena?
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A) The prioritization of internal evidence over external evidence
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B) Practice that lacks evidence to support its application K K K K K K K


C) The integration of personal expertise into nursing care
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D) Evidence-based practice K




2. The clinical nurse educator (CNE) on a postsurgical unit has re
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cently completed a patient chart review after the implement
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ation of a pilot program aimed at promoting early ambulati
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on following surgery. Which of the following components of
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EBP is thenurse putting into practice?
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A) Patient preferences K


B) Research utilization K


C) Experience
D) Internal evidence K




3. Nurse R. has observed that reorienting demented patients as
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frequently as possible tendsto minimize the patients' level of K K K K K K K K K K


agitation in the evening. The nurse has shared this observation
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with a colleague, who is skeptical, stating that, “It's best to stic
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k to evidence-
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, based practice.” How can Nurse R. best respond?
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A) “EBP can include clinicians' personal expertise.”
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B) “Personal experience is often more sound than formal evidence-
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based practice.” K


C) “Traditional practice and EBP are usually shown to be the same.”
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D) “My years of experience can be just as valuable as
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any literature review orrandomized trial.”
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4. Which of the following factors provides the most important r
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ationale for the consistentimplementation of EBP?
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A) EBP provides for the most cost-effective patient care.
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B) EBP is accessible to all healthcare clinicians.
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C) EBP provides consistency in care across healthcare settings.
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D) EBP improves patient outcomes.
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, 5. The Institute of Medicine's Roundtable on Evidence-
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Based Medicine has beenestablished to address EBP.
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Which of the following issues is the Roundtable emphas
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izing?
A) Ensuring that external evidence, rather than internal evi K K K K K K K


dence, is integrated intocare K K K K


B) Fostering the level of learning that exists in the American healthc K K K K K K K K K K


are system K


C) Issuing clinical guidelines to ensure best nursing practice
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D) Comparing the implementation of EBP in the United St K K K K K K K K


ates with that of otherWestern countries
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6. You have become frustrated with some aspects of patient car
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e that you believe are outdated and ineffective at the long-
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term care facility where you have recently begun practicing.
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Consequently, you have resolved to examine some of these p K K K K K K K K K


ractices in lightof evidence. Which of the following should occ
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ur first in the steps of EBP?
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A) Conducting an electronic search of the literature and ranking ind K K K K K K K K K


ividual sources K


B) Creating “buy- K


in” from the other clinicians who provide care at the facility
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C) Developing an inquisitive and curious mindset K K K K K


D) Assessing whether the practices in question may, in fact, be evid K K K K K K K K K K


ence-based


7. Which of the following clinical questions best exemplifies the PICOT
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format?
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A) What effect does parents' smoking have on the smoking
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habits of their children,ages 13 to 16?
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B) Among cancer patients, what role does meditation, rath
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er than benzodiazepines,have on anxiety levels during
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