Evidence-Based Practice in Nursing & Healthcare – Practice Questions & Rationalized Answers (5th Edition, Melnyk) - PDF

,
,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 in
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cluded in every set of patient vital signs, regardless of patient diagnosis or acuity. This is m
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ost likely 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 x x x x x x x


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




2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a patien
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t chart review after the implementation of a pilot program aimed at promoting early amb
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ulation following surgery. Which of the following components of EBP is the nurse puttin
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g into practice?
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A) Patient preferences x


B) Research utilization x


C) Experience
D) Internal evidence x




3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to
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minimize the patients' level of agitation in the evening. The nurse has shared this observati
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on 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.” x x x x x


B) “Personal experience is often more sound than formal evidence-based practice.”
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C) “Traditional practice and EBP are usually shown to be the same.” x x x x x x x x x x


D) “My years of experience can be just as valuable as any literature review or ra
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ndomized trial.” x




4. Which of the following factors provides the most important rationale for the consistent i
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mplementation of EBP? x x


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. x x x




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