Test Bank
Evidence-Based Practice In Nursing & Healthcare A
Guide To Best Practice
By Bernadette Melnyk
5th Edition
,Table Of Content
Chapter 1 Making The Case For Evidence-Based Practice And Cultivating A Spirit Of Inquiry
Chapter 2 Asking Compelling Clinical Questions
Chapter 3 Finding Relevant Evidence To Answer Clinical Questions
Chapter 4 Critically Appraising Knowledge For Clinical Decision Making
Chapter 5 Critically Appraising Quantitative Evidence For Clinical Decision Making
Chapter 6 Critically Appraising Qualitative Evidence For Clinical Decision Making
Chapter 7 Integration Of Patient Preferences And Values And Clinician Expertise Into Evidence-Based
Decision Making
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines
Chapter 9 Implementing Evidence In Clinical Settings
Chapter 10 The Role Of Outcomes And Evidence-Based Quality Improvement In Enhancing And Evaluating
Practice Changes
Chapter 11 Implementing The Evidence-Based Practice Competencies In Clinical And Academic Settings To
Ensure Healthcare
Chapter 12 Leadership Strategies For Creating And Sustaining Evidence-Based Practice Organizations
Chapter 13 Innovation And Evidence: A Partnership In Advancing Best Practice And High Quality Care
Chapter 14 Models To Guide Implementation And Sustainability Of Evidence-Based Practice
Chapter 15 Creating A Vision And Motivating A Change To Evidence-Based Practice In Individuals, Teams,
And Organizations
Chapter 16 Teaching Evidence-Based Practice In Academic Settings
Chapter 17 Teaching Evidence-Based Practice In Clinical Settings
Chapter 18 Arcc Evidence-Based Practice Mentors: The Key To Sustaining Evidence-Based Practice
Chapter 19 Using Evidence To Influence Health And Organizational Policy
Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, And The
Media
Chapter 21 Generating Evidence Through Quantitative And Qualitative Research
Chapter 22 Writing A Successful Grant Proposal To Fund Research And Evidence-Based Practice
Implementation Projects
Chapter 23 Ethical Considerations For Evidence Implementation And Evidence Generation
,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. This
is 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 tends
to 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 or
randomized trial.”
4. Which of the following factors provides the most important rationale for the consistent
implementation 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 been
established to address ebp. Which of the following issues is the roundtable
emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated into
care
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 other
western 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 light
of 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 health
campaign 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 a
numeric 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. What
will 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
Evidence-Based Practice In Nursing & Healthcare A
Guide To Best Practice
By Bernadette Melnyk
5th Edition
,Table Of Content
Chapter 1 Making The Case For Evidence-Based Practice And Cultivating A Spirit Of Inquiry
Chapter 2 Asking Compelling Clinical Questions
Chapter 3 Finding Relevant Evidence To Answer Clinical Questions
Chapter 4 Critically Appraising Knowledge For Clinical Decision Making
Chapter 5 Critically Appraising Quantitative Evidence For Clinical Decision Making
Chapter 6 Critically Appraising Qualitative Evidence For Clinical Decision Making
Chapter 7 Integration Of Patient Preferences And Values And Clinician Expertise Into Evidence-Based
Decision Making
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines
Chapter 9 Implementing Evidence In Clinical Settings
Chapter 10 The Role Of Outcomes And Evidence-Based Quality Improvement In Enhancing And Evaluating
Practice Changes
Chapter 11 Implementing The Evidence-Based Practice Competencies In Clinical And Academic Settings To
Ensure Healthcare
Chapter 12 Leadership Strategies For Creating And Sustaining Evidence-Based Practice Organizations
Chapter 13 Innovation And Evidence: A Partnership In Advancing Best Practice And High Quality Care
Chapter 14 Models To Guide Implementation And Sustainability Of Evidence-Based Practice
Chapter 15 Creating A Vision And Motivating A Change To Evidence-Based Practice In Individuals, Teams,
And Organizations
Chapter 16 Teaching Evidence-Based Practice In Academic Settings
Chapter 17 Teaching Evidence-Based Practice In Clinical Settings
Chapter 18 Arcc Evidence-Based Practice Mentors: The Key To Sustaining Evidence-Based Practice
Chapter 19 Using Evidence To Influence Health And Organizational Policy
Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, And The
Media
Chapter 21 Generating Evidence Through Quantitative And Qualitative Research
Chapter 22 Writing A Successful Grant Proposal To Fund Research And Evidence-Based Practice
Implementation Projects
Chapter 23 Ethical Considerations For Evidence Implementation And Evidence Generation
,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. This
is 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 tends
to 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 or
randomized trial.”
4. Which of the following factors provides the most important rationale for the consistent
implementation 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 been
established to address ebp. Which of the following issues is the roundtable
emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated into
care
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 other
western 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 light
of 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 health
campaign 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 a
numeric 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. What
will 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
