TEST BANK FOR
il il
EVIDENCE BASED il
PRACTICE IN NURSINGil il
AND HEALTHCARE 4TH
il il
EDITION BY MELNYK
il il
All chapters
il
,Chapter 1 Making the Case for Evidence-
il il il il il il
BasedPractice and Cultivating a Spirit of
li il il il il il
Inquiry
il
,1. In ilthe ilhospital ilwhere ilNurse ilL. ilprovides ilcare, iltradition ildictates ilthat iloral
iltemperatures ilbe ilincluded ilin ilevery ilset ilof ilpatient ilvital ilsigns, ilregardless ilof
ilpatient ildiagnosis ilor ilacuity. ilThis lii s ilmost illikely ilan ilexample ilof ilwhich ilof ilthe
ilfollowing ilphenomena?
A) The ilprioritization ilof ilinternal ilevidence ilover ilexternal ilevidence
B) Practice ilthat illacks ilevidence ilto ilsupport ilits ilapplication
C) The ilintegration ilof ilpersonal ilexpertise ilinto ilnursing ilcare
D) Evidence-based ilpractice
2. The ilclinical ilnurse ileducator il(CNE) ilon ila ilpostsurgical ilunit ilhas ilrecently
ilcompleted ila ilpatient ilchart ilreview ilafter ilthe ilimplementation ilof ila ilpilot ilprogram
ilaimed ilat ilpromoting ilearly ilambulation ilfollowing ilsurgery. ilWhich ilof ilthe
ilfollowing ilcomponents ilof ilEBP ilis ilthelinurse ilputting ilinto ilpractice?
A) Patient ilpreferences
B) Research ilutilization
C) Experience
D) Internal ilevidence
3. Nurse ilR. ilhas ilobserved ilthat ilreorienting ildemented ilpatients ilas ilfrequently ilas
ilpossible iltendslti o ilminimize ilthe ilpatients' illevel ilof ilagitation ilin ilthe ilevening. ilThe
ilnurse ilhas ilshared ilthis ilobservation ilwith ila ilcolleague, ilwho ilis ilskeptical, ilstating
ilthat, il“It's ilbest ilto ilstick ilto ilevidence-based ilpractice.” ilHow ilcan ilNurse ilR. ilbest
ilrespond?
A) “EBP ilcan ilinclude ilclinicians' ilpersonal ilexpertise.”
B) “Personal ilexperience ilis iloften ilmore ilsound ilthan ilformal ilevidence-based ilpractice.”
C) “Traditional ilpractice iland ilEBP ilare ilusually ilshown ilto ilbe ilthe ilsame.”
D) “My ilyears ilof ilexperience ilcan ilbe iljust ilas ilvaluable ilas ilany illiterature
ilreview ilorlirandomized iltrial.”
4. Which ilof ilthe ilfollowing ilfactors ilprovides ilthe ilmost ilimportant ilrationale ilfor ilthe
ilconsistentlii mplementation ilof ilEBP?
A) EBP ilprovides ilfor ilthe ilmost ilcost-effective ilpatient ilcare.
B) EBP ilis ilaccessible ilto ilall ilhealthcare ilclinicians.
C) EBP ilprovides ilconsistency ilin ilcare ilacross ilhealthcare ilsettings.
D) EBP ilimproves ilpatient iloutcomes.
Page
il1
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, 5. The ilInstitute ilof ilMedicine's ilRoundtable ilon ilEvidence-Based ilMedicine
ilhas ilbeenle i stablished ilto iladdress ilEBP. ilWhich ilof ilthe ilfollowing ilissues ilis
ilthe ilRoundtable ilemphasizing?
A) Ensuring ilthat ilexternal ilevidence, ilrather ilthan ilinternal ilevidence, ilis
ilintegrated ilintolicare
B) Fostering ilthe illevel ilof illearning ilthat ilexists ilin ilthe ilAmerican ilhealthcare ilsystem
C) Issuing ilclinical ilguidelines ilto ilensure ilbest ilnursing ilpractice
D) Comparing ilthe ilimplementation ilof ilEBP ilin ilthe ilUnited ilStates ilwith ilthat
ilof ilotherliWestern ilcountries
6. You ilhave ilbecome ilfrustrated ilwith ilsome ilaspects ilof ilpatient ilcare ilthat ilyou ilbelieve
ilare iloutdated iland ilineffective ilat ilthe illong-term ilcare ilfacility ilwhere ilyou ilhave
ilrecently ilbegun ilpracticing. ilConsequently, ilyou ilhave ilresolved ilto ilexamine ilsome
ilof ilthese ilpractices ilin illightliof ilevidence. ilWhich ilof ilthe ilfollowing ilshould iloccur
ilfirst ilin ilthe ilsteps ilof ilEBP?
A) Conducting ilan ilelectronic ilsearch ilof ilthe illiterature iland ilranking ilindividual ilsources
B) Creating il“buy-in” ilfrom ilthe ilother ilclinicians ilwho ilprovide ilcare ilat ilthe ilfacility
C) Developing ilan ilinquisitive iland ilcurious ilmindset
D) Assessing ilwhether ilthe ilpractices ilin ilquestion ilmay, ilin ilfact, ilbe ilevidence-based
7. Which ilof ilthe ilfollowing ilclinical ilquestions ilbest ilexemplifies ilthe ilPICOT ilformat?
A) What ileffect ildoes ilparents' ilsmoking ilhave ilon ilthe ilsmoking ilhabits ilof iltheir
ilchildren,liages il13 ilto il16?
B) Among ilcancer ilpatients, ilwhat ilrole ildoes ilmeditation, ilrather ilthan
ilbenzodiazepines,lihave ilon ilanxiety illevels ilduring ilthe il7 ildays ilfollowing
ilhospital iladmission?
C) Among ilundergraduate ilcollege ilstudents, ilwhat ilis ilthe ileffectiveness ilof ila
ilsexual ilhealthlicampaign ilundertaken ilduring ilthe ilfirst il4 ilweeks ilof ilthe ilfall
ilsemester ilas ilmeasured ilby ilincidence ilof ilnew ilgonorrheal iland ilchlamydial
ilinfections ilreported ilto ilthe ilcampus ilmedical ilcenter?
D) In ilpatients ilaged il8 ilto il12, ilis ilthe ileffectiveness ilof ila ilpain ilscale ilusing ilfaces
ilsuperior ilto ilalinumeric ilrating ilscale ilin ilthe ilemergency ilroom ilcontext?
8. After ilformulating ila ilclinical ilquestion, ila ilnurse ilhas ilproceeded ilto ilsearch ilfor
ilevidence ilfor ilways ilto ilfoster ilrestful ilsleep ilin ilpatients ilwho ilare ilreceiving ilcare ilin
ilthe ilintensive ilcare ilunit il(ICU). ilThe ilnurse ilhas ilidentified ila ilrelevant ilmeta-analysis
ilin ilan ilelectronic ildatabase. ilWhatliwill ilthis ilsource ilof ilevidence ilconsist ilof?
A) A ilstatistical ilsummary ilof ilthe ilresults ilfrom ilseveral ildifferent ilstudies
B) An ilexamination ilof ilthe iltheoretical iland ilconceptual ilunderpinnings ilof ilthe ilissue
C) An ilinterdisciplinary ilanalysis ilof ilthe ilclinical ilquestion
D) A ilqualitative ilstudy ilof ildifferent ilinterventions ilrelated ilto ilthe ilclinical ilquestion
Page
il2
WWW.TESTBANKTANK.COM
il il
EVIDENCE BASED il
PRACTICE IN NURSINGil il
AND HEALTHCARE 4TH
il il
EDITION BY MELNYK
il il
All chapters
il
,Chapter 1 Making the Case for Evidence-
il il il il il il
BasedPractice and Cultivating a Spirit of
li il il il il il
Inquiry
il
,1. In ilthe ilhospital ilwhere ilNurse ilL. ilprovides ilcare, iltradition ildictates ilthat iloral
iltemperatures ilbe ilincluded ilin ilevery ilset ilof ilpatient ilvital ilsigns, ilregardless ilof
ilpatient ildiagnosis ilor ilacuity. ilThis lii s ilmost illikely ilan ilexample ilof ilwhich ilof ilthe
ilfollowing ilphenomena?
A) The ilprioritization ilof ilinternal ilevidence ilover ilexternal ilevidence
B) Practice ilthat illacks ilevidence ilto ilsupport ilits ilapplication
C) The ilintegration ilof ilpersonal ilexpertise ilinto ilnursing ilcare
D) Evidence-based ilpractice
2. The ilclinical ilnurse ileducator il(CNE) ilon ila ilpostsurgical ilunit ilhas ilrecently
ilcompleted ila ilpatient ilchart ilreview ilafter ilthe ilimplementation ilof ila ilpilot ilprogram
ilaimed ilat ilpromoting ilearly ilambulation ilfollowing ilsurgery. ilWhich ilof ilthe
ilfollowing ilcomponents ilof ilEBP ilis ilthelinurse ilputting ilinto ilpractice?
A) Patient ilpreferences
B) Research ilutilization
C) Experience
D) Internal ilevidence
3. Nurse ilR. ilhas ilobserved ilthat ilreorienting ildemented ilpatients ilas ilfrequently ilas
ilpossible iltendslti o ilminimize ilthe ilpatients' illevel ilof ilagitation ilin ilthe ilevening. ilThe
ilnurse ilhas ilshared ilthis ilobservation ilwith ila ilcolleague, ilwho ilis ilskeptical, ilstating
ilthat, il“It's ilbest ilto ilstick ilto ilevidence-based ilpractice.” ilHow ilcan ilNurse ilR. ilbest
ilrespond?
A) “EBP ilcan ilinclude ilclinicians' ilpersonal ilexpertise.”
B) “Personal ilexperience ilis iloften ilmore ilsound ilthan ilformal ilevidence-based ilpractice.”
C) “Traditional ilpractice iland ilEBP ilare ilusually ilshown ilto ilbe ilthe ilsame.”
D) “My ilyears ilof ilexperience ilcan ilbe iljust ilas ilvaluable ilas ilany illiterature
ilreview ilorlirandomized iltrial.”
4. Which ilof ilthe ilfollowing ilfactors ilprovides ilthe ilmost ilimportant ilrationale ilfor ilthe
ilconsistentlii mplementation ilof ilEBP?
A) EBP ilprovides ilfor ilthe ilmost ilcost-effective ilpatient ilcare.
B) EBP ilis ilaccessible ilto ilall ilhealthcare ilclinicians.
C) EBP ilprovides ilconsistency ilin ilcare ilacross ilhealthcare ilsettings.
D) EBP ilimproves ilpatient iloutcomes.
Page
il1
WWW.TESTBANKTANK.COM
, 5. The ilInstitute ilof ilMedicine's ilRoundtable ilon ilEvidence-Based ilMedicine
ilhas ilbeenle i stablished ilto iladdress ilEBP. ilWhich ilof ilthe ilfollowing ilissues ilis
ilthe ilRoundtable ilemphasizing?
A) Ensuring ilthat ilexternal ilevidence, ilrather ilthan ilinternal ilevidence, ilis
ilintegrated ilintolicare
B) Fostering ilthe illevel ilof illearning ilthat ilexists ilin ilthe ilAmerican ilhealthcare ilsystem
C) Issuing ilclinical ilguidelines ilto ilensure ilbest ilnursing ilpractice
D) Comparing ilthe ilimplementation ilof ilEBP ilin ilthe ilUnited ilStates ilwith ilthat
ilof ilotherliWestern ilcountries
6. You ilhave ilbecome ilfrustrated ilwith ilsome ilaspects ilof ilpatient ilcare ilthat ilyou ilbelieve
ilare iloutdated iland ilineffective ilat ilthe illong-term ilcare ilfacility ilwhere ilyou ilhave
ilrecently ilbegun ilpracticing. ilConsequently, ilyou ilhave ilresolved ilto ilexamine ilsome
ilof ilthese ilpractices ilin illightliof ilevidence. ilWhich ilof ilthe ilfollowing ilshould iloccur
ilfirst ilin ilthe ilsteps ilof ilEBP?
A) Conducting ilan ilelectronic ilsearch ilof ilthe illiterature iland ilranking ilindividual ilsources
B) Creating il“buy-in” ilfrom ilthe ilother ilclinicians ilwho ilprovide ilcare ilat ilthe ilfacility
C) Developing ilan ilinquisitive iland ilcurious ilmindset
D) Assessing ilwhether ilthe ilpractices ilin ilquestion ilmay, ilin ilfact, ilbe ilevidence-based
7. Which ilof ilthe ilfollowing ilclinical ilquestions ilbest ilexemplifies ilthe ilPICOT ilformat?
A) What ileffect ildoes ilparents' ilsmoking ilhave ilon ilthe ilsmoking ilhabits ilof iltheir
ilchildren,liages il13 ilto il16?
B) Among ilcancer ilpatients, ilwhat ilrole ildoes ilmeditation, ilrather ilthan
ilbenzodiazepines,lihave ilon ilanxiety illevels ilduring ilthe il7 ildays ilfollowing
ilhospital iladmission?
C) Among ilundergraduate ilcollege ilstudents, ilwhat ilis ilthe ileffectiveness ilof ila
ilsexual ilhealthlicampaign ilundertaken ilduring ilthe ilfirst il4 ilweeks ilof ilthe ilfall
ilsemester ilas ilmeasured ilby ilincidence ilof ilnew ilgonorrheal iland ilchlamydial
ilinfections ilreported ilto ilthe ilcampus ilmedical ilcenter?
D) In ilpatients ilaged il8 ilto il12, ilis ilthe ileffectiveness ilof ila ilpain ilscale ilusing ilfaces
ilsuperior ilto ilalinumeric ilrating ilscale ilin ilthe ilemergency ilroom ilcontext?
8. After ilformulating ila ilclinical ilquestion, ila ilnurse ilhas ilproceeded ilto ilsearch ilfor
ilevidence ilfor ilways ilto ilfoster ilrestful ilsleep ilin ilpatients ilwho ilare ilreceiving ilcare ilin
ilthe ilintensive ilcare ilunit il(ICU). ilThe ilnurse ilhas ilidentified ila ilrelevant ilmeta-analysis
ilin ilan ilelectronic ildatabase. ilWhatliwill ilthis ilsource ilof ilevidence ilconsist ilof?
A) A ilstatistical ilsummary ilof ilthe ilresults ilfrom ilseveral ildifferent ilstudies
B) An ilexamination ilof ilthe iltheoretical iland ilconceptual ilunderpinnings ilof ilthe ilissue
C) An ilinterdisciplinary ilanalysis ilof ilthe ilclinical ilquestion
D) A ilqualitative ilstudy ilof ildifferent ilinterventions ilrelated ilto ilthe ilclinical ilquestion
Page
il2
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