Test Bank For Evidence-Based Practice in Nursing & Healthcare A
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
,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.
Thisis 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
tendsto 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
orrandomized trial.”
4. Which of the following factors provides the most important rationale for the
consistentimplementation 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 eInstitute eof eMedicine's eRoundtable eon eEvidence-Based eMedicine ehas
ebeeneestablished eto eaddress eEBP. eWhich eof ethe efollowing eissues eis ethe
eRoundtable eemphasizing?
A) Ensuring ethat eexternal eevidence, erather ethan einternal eevidence, eis
eintegrated eintoecare
B) Fostering ethe elevel eof elearning ethat eexists ein ethe eAmerican ehealthcare esystem
C) Issuing eclinical eguidelines eto eensure ebest enursing epractice
D) Comparing ethe eimplementation eof eEBP ein ethe eUnited eStates ewith ethat
eof eothereWestern ecountries
6. You ehave ebecome efrustrated ewith esome easpects eof epatient ecare ethat eyou
ebelieve eare eoutdated eand eineffective eat ethe elong-term ecare efacility ewhere eyou
ehave erecently ebegun epracticing. eConsequently, eyou ehave eresolved eto eexamine
esome eof ethese epractices ein elighteof eevidence. eWhich eof ethe efollowing eshould
eoccur efirst ein ethe esteps eof eEBP?
A) Conducting ean eelectronic esearch eof ethe eliterature eand eranking eindividual esources
B) Creating e“buy-in” efrom ethe eother eclinicians ewho eprovide ecare eat ethe efacility
C) Developing ean einquisitive eand ecurious emindset
D) Assessing ewhether ethe epractices ein equestion emay, ein efact, ebe eevidence-based
7. Which eof ethe efollowing eclinical equestions ebest eexemplifies ethe ePICOT eformat?
A) What eeffect edoes eparents' esmoking ehave eon ethe esmoking ehabits eof etheir
echildren,eages e13 eto e16?
B) Among ecancer epatients, ewhat erole edoes emeditation, erather ethan
ebenzodiazepines,ehave eon eanxiety elevels eduring ethe e7 edays efollowing
ehospital eadmission?
C) Among eundergraduate ecollege estudents, ewhat eis ethe eeffectiveness eof ea
esexual ehealthecampaign eundertaken eduring ethe efirst e4 eweeks eof ethe efall
esemester eas emeasured eby eincidence eof enew egonorrheal eand echlamydial
einfections ereported eto ethe ecampus emedical ecenter?
D) In epatients eaged e8 eto e12, eis ethe eeffectiveness eof ea epain escale eusing efaces
esuperior eto eaenumeric erating escale ein ethe eemergency eroom econtext?
8. After eformulating ea eclinical equestion, ea enurse ehas eproceeded eto esearch efor
eevidence efor eways eto efoster erestful esleep ein epatients ewho eare ereceiving ecare ein
ethe eintensive ecare eunit e(ICU). eThe enurse ehas eidentified ea erelevant emeta-analysis
ein ean eelectronic edatabase. eWhatewill ethis esource eof eevidence econsist eof?
A) A estatistical esummary eof ethe eresults efrom eseveral edifferent estudies
B) An eexamination eof ethe etheoretical eand econceptual eunderpinnings eof ethe eissue
C) An einterdisciplinary eanalysis eof ethe eclinical equestion
D) A equalitative estudy eof edifferent einterventions erelated eto ethe eclinical equestion
, 9. The enurses eon ea epostpartum eunit ehave enoted ethat emany eprimiparous e(first-time)
emothers eare egiving eup eon ebreastfeeding ewithin ethe e24 ehours efollowing edelivery,
eand ethe enurses ewant eto ecreate euniform eguidelines efor epromoting ebreastfeeding
eon ethe eunit. eWhich eof etheefollowing esources eis emost elikely eto eprovide ethe ebest
eevidence ein etheir equest efor ean eintervention?
A) Evidence efrom ea erandomized econtrol etrial ethat ehad emore ethan e2500 eparticipants
B) Evidence efrom ea estudy ethat eis ewidely eregarded eas ea eclassic ewithin ethe
eobstetricalenursing ecommunity
C) Evidence efrom ea esystematic ereview eof ebreastfeeding-promotion estudies ethat
eone eofethe enurses eidentified ein ean eelectronic edatabase
D) The econsensus eopinion eof ethe emost esenior enurses eon ethe eunit
10. The enurse eeducator eon ean eacute emedicine eunit eis eadvocating efor ethe euse eof
evidence-based eclinical epractice eguidelines eon ewound ecare ein eorder eto
estandardize eand eoptimize ethe epractice eof ethe enurses eon ethe eunit. eWhich eof
ethe efollowing estatements ebestedescribes eclinical epractice eguidelines?
A) The eresult eof ereplication estudies eof eexisting eresearch eby ean eimpartial ethird eparty
B) A ecollection eof eauthorized einterventions ethat eare erequired eby elaw
C) A enumber eof einterventions ethat eare ethe eresult eof ea elarge, epublically-funded eRCT
D) A egroup eof epractice erecommendations ethat eresult efrom ea erigorous
ereview eof etheeliterature
11. A enurse eis econducting ea eliterature ereview eon ethe eevidence eregarding ethe euse eof
evacuum edressings eon estage eIV epressure eulcers. eAfter elocating ea erecent estudy
ethat eappears eto ebe erelevant, ewhich eof ethe efollowing equestions ewould ethe enurse
econsider efirst ewhen ecriticallyeappraising ethe estudy?
A) “Are ethe efindings eof ethis estudy ecost-effective ein eour eclinical econtext?”
B) "How ewould ethe eimplementation eof ethis eintervention eaffect eour estaffing eneeds?"
C) “Were ethe epatients ein ethe estudy esimilar eto ethe epatients eon emy eunit?”
D) “Are ethe efindings eof ethe estudy esignificantly edifferent efrom ewhat ewe eare
ecurrentlyedoing eon ethe eunit?
12. The eprimary ecare eprovider eof ea e49-year-old emale epatient ehas eexamined eand
ebriefly eexplained ethe eevidence ethat esupports ebeginning eregular edigital-rectal
eexams. eWhich eofethe efollowing efactors ewould ejustify enot eperforming edigital-
rectal eexaminations ein ethis epatient's ecare?
A) The epatient eis evehemently eopposed eto eundergoing ea edigital-rectal eexam.
B) Clinical epractice eguidelines efor eprostate ecare ehave enot ebeen epublished.
C) The eclinician ehas ebeen eunable eto efind eany elarge eRCTs ein ea eliterature ereview.
D) The eclinician ehas epreviously ewaited euntil epatients eare e55 eto ebegin
eregularedigital-rectal eexams.
Guide to Best Practice 5th Edition
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
Chapter 1 - 23 Complet
,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.
Thisis 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
tendsto 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
orrandomized trial.”
4. Which of the following factors provides the most important rationale for the
consistentimplementation 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 eInstitute eof eMedicine's eRoundtable eon eEvidence-Based eMedicine ehas
ebeeneestablished eto eaddress eEBP. eWhich eof ethe efollowing eissues eis ethe
eRoundtable eemphasizing?
A) Ensuring ethat eexternal eevidence, erather ethan einternal eevidence, eis
eintegrated eintoecare
B) Fostering ethe elevel eof elearning ethat eexists ein ethe eAmerican ehealthcare esystem
C) Issuing eclinical eguidelines eto eensure ebest enursing epractice
D) Comparing ethe eimplementation eof eEBP ein ethe eUnited eStates ewith ethat
eof eothereWestern ecountries
6. You ehave ebecome efrustrated ewith esome easpects eof epatient ecare ethat eyou
ebelieve eare eoutdated eand eineffective eat ethe elong-term ecare efacility ewhere eyou
ehave erecently ebegun epracticing. eConsequently, eyou ehave eresolved eto eexamine
esome eof ethese epractices ein elighteof eevidence. eWhich eof ethe efollowing eshould
eoccur efirst ein ethe esteps eof eEBP?
A) Conducting ean eelectronic esearch eof ethe eliterature eand eranking eindividual esources
B) Creating e“buy-in” efrom ethe eother eclinicians ewho eprovide ecare eat ethe efacility
C) Developing ean einquisitive eand ecurious emindset
D) Assessing ewhether ethe epractices ein equestion emay, ein efact, ebe eevidence-based
7. Which eof ethe efollowing eclinical equestions ebest eexemplifies ethe ePICOT eformat?
A) What eeffect edoes eparents' esmoking ehave eon ethe esmoking ehabits eof etheir
echildren,eages e13 eto e16?
B) Among ecancer epatients, ewhat erole edoes emeditation, erather ethan
ebenzodiazepines,ehave eon eanxiety elevels eduring ethe e7 edays efollowing
ehospital eadmission?
C) Among eundergraduate ecollege estudents, ewhat eis ethe eeffectiveness eof ea
esexual ehealthecampaign eundertaken eduring ethe efirst e4 eweeks eof ethe efall
esemester eas emeasured eby eincidence eof enew egonorrheal eand echlamydial
einfections ereported eto ethe ecampus emedical ecenter?
D) In epatients eaged e8 eto e12, eis ethe eeffectiveness eof ea epain escale eusing efaces
esuperior eto eaenumeric erating escale ein ethe eemergency eroom econtext?
8. After eformulating ea eclinical equestion, ea enurse ehas eproceeded eto esearch efor
eevidence efor eways eto efoster erestful esleep ein epatients ewho eare ereceiving ecare ein
ethe eintensive ecare eunit e(ICU). eThe enurse ehas eidentified ea erelevant emeta-analysis
ein ean eelectronic edatabase. eWhatewill ethis esource eof eevidence econsist eof?
A) A estatistical esummary eof ethe eresults efrom eseveral edifferent estudies
B) An eexamination eof ethe etheoretical eand econceptual eunderpinnings eof ethe eissue
C) An einterdisciplinary eanalysis eof ethe eclinical equestion
D) A equalitative estudy eof edifferent einterventions erelated eto ethe eclinical equestion
, 9. The enurses eon ea epostpartum eunit ehave enoted ethat emany eprimiparous e(first-time)
emothers eare egiving eup eon ebreastfeeding ewithin ethe e24 ehours efollowing edelivery,
eand ethe enurses ewant eto ecreate euniform eguidelines efor epromoting ebreastfeeding
eon ethe eunit. eWhich eof etheefollowing esources eis emost elikely eto eprovide ethe ebest
eevidence ein etheir equest efor ean eintervention?
A) Evidence efrom ea erandomized econtrol etrial ethat ehad emore ethan e2500 eparticipants
B) Evidence efrom ea estudy ethat eis ewidely eregarded eas ea eclassic ewithin ethe
eobstetricalenursing ecommunity
C) Evidence efrom ea esystematic ereview eof ebreastfeeding-promotion estudies ethat
eone eofethe enurses eidentified ein ean eelectronic edatabase
D) The econsensus eopinion eof ethe emost esenior enurses eon ethe eunit
10. The enurse eeducator eon ean eacute emedicine eunit eis eadvocating efor ethe euse eof
evidence-based eclinical epractice eguidelines eon ewound ecare ein eorder eto
estandardize eand eoptimize ethe epractice eof ethe enurses eon ethe eunit. eWhich eof
ethe efollowing estatements ebestedescribes eclinical epractice eguidelines?
A) The eresult eof ereplication estudies eof eexisting eresearch eby ean eimpartial ethird eparty
B) A ecollection eof eauthorized einterventions ethat eare erequired eby elaw
C) A enumber eof einterventions ethat eare ethe eresult eof ea elarge, epublically-funded eRCT
D) A egroup eof epractice erecommendations ethat eresult efrom ea erigorous
ereview eof etheeliterature
11. A enurse eis econducting ea eliterature ereview eon ethe eevidence eregarding ethe euse eof
evacuum edressings eon estage eIV epressure eulcers. eAfter elocating ea erecent estudy
ethat eappears eto ebe erelevant, ewhich eof ethe efollowing equestions ewould ethe enurse
econsider efirst ewhen ecriticallyeappraising ethe estudy?
A) “Are ethe efindings eof ethis estudy ecost-effective ein eour eclinical econtext?”
B) "How ewould ethe eimplementation eof ethis eintervention eaffect eour estaffing eneeds?"
C) “Were ethe epatients ein ethe estudy esimilar eto ethe epatients eon emy eunit?”
D) “Are ethe efindings eof ethe estudy esignificantly edifferent efrom ewhat ewe eare
ecurrentlyedoing eon ethe eunit?
12. The eprimary ecare eprovider eof ea e49-year-old emale epatient ehas eexamined eand
ebriefly eexplained ethe eevidence ethat esupports ebeginning eregular edigital-rectal
eexams. eWhich eofethe efollowing efactors ewould ejustify enot eperforming edigital-
rectal eexaminations ein ethis epatient's ecare?
A) The epatient eis evehemently eopposed eto eundergoing ea edigital-rectal eexam.
B) Clinical epractice eguidelines efor eprostate ecare ehave enot ebeen epublished.
C) The eclinician ehas ebeen eunable eto efind eany elarge eRCTs ein ea eliterature ereview.
D) The eclinician ehas epreviously ewaited euntil epatients eare e55 eto ebegin
eregularedigital-rectal eexams.
