Test Bank For Evidence-Based Practice in Nursing & Healthcare 4th Edition by Bernadette Mazurek Melnyk; Ellen Fineout-Overholt, Chapters 1-23, A+ guide.

,Chapter 1 Making the Case for Evidence-
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Based Practice and Cultivating a Spirit of Inquiry
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,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be incl
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uded in every set of patient vital signs, regardless of patient diagnosis or acuity. This is most li
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kely 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 r r r r r r r


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




2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patient c
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hart review after the implementation of a pilot program aimed at promoting early ambulati
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on following surgery. Which of the following components of EBP is the nurse putting into
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practice?
A) Patient preferences r


B) Research utilization r


C) Experience
D) Internal evidence r




3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to m
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inimize the patients' level of 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 stick 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.” r r r r r


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


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


D) “My years of experience can be just as valuable as any literature review or rand
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omized trial.” r




4. Which of the following factors provides the most important rationale for the consistent imp
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lementation of EBP? r r


A) EBP provides for the most cost-effective patient care.
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B) EBP is accessible to all healthcare clinicians. r r r r r r


C) EBP provides consistency in care across healthcare settings.
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D) EBP improves patient outcomes. r r r




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, 5. The Institute of Medicine's Roundtable on Evidence-
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Based Medicine has been established to address EBP. Which of the following issu
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es is the Roundtable emphasizing?
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A) Ensuring that external evidence, rather than internal evidence, is integrated into car r r r r r r r r r r r


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


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


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


stern countries r




6. You have become frustrated with some aspects of patient care that you believe are outdated
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and ineffective at the long-
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term care facility where you have recently begun practicing. Consequently, you have resolv
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ed to examine some of these practices in light of evidence. Which of the following should oc
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cur first in the steps of EBP?
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A) Conducting an electronic search of the literature and ranking individual sources r r r r r r r r r r


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


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


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




7. Which of the following clinical questions best exemplifies the PICOT format?
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A) What effect does parents' smoking have on the smoking habits of their children, age
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s 13 to 16? r r r


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


ve on anxiety levels during the 7 days following hospital admission?
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C) Among undergraduate college students, what is the effectiveness of a sexual health ca r r r r r r r r r r r r


mpaign undertaken during the first 4 weeks of the fall semester as measured by inciden r r r r r r r r r r r r r r


ce of new gonorrheal and chlamydial infections reported to the campus medical center
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?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a nume
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ric rating scale in the emergency room context? r r r r r r r




8. After formulating a clinical question, a nurse has proceeded to search for evidence for ways t
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o foster restful sleep in patients who are receiving care in the intensive care unit (ICU). The n
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urse has identified a relevant meta-
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analysis in an electronic database. What will this source of evidence consist of?
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A) A statistical summary of the results from several different studies
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B) An examination of the theoretical and conceptual underpinnings of the issue
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C) An interdisciplinary analysis of the clinical questionr r r r r r


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