TEST BANK FOR
h h
EVIDENCE BASED h
PRACTICE IN NURSING
h h
AND HEALTHCARE 4TH
h h
EDITION BY MELNYK
h h
All chapters
h
,Chapter 1 Making the Case for Evidence-Based Practice
h h h h h h h
and Cultivating a Spirit of Inquiry
h h h h h h
,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be
h h h h h h h h h h h h h
included in every set of patient vital signs, regardless of patient diagnosis or acuity. This is
h h h h h h h h h h h h h h h h
most likely an example of which of the following phenomena?
h h h h h h h h h h
A) The prioritization of internal evidence over external evidence
h h h h h h h
B) Practice that lacks evidence to support its application h h h h h h h
C) The integration of personal expertise into nursing care
h h h h h h h
D) Evidence-based practice h
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a
h h h h h h h h h h h h
patient chart review after the implementation of a pilot program aimed at promoting
h h h h h h h h h h h h h
early ambulation following surgery. Which of the following components of EBP is the
h h h h h h h h h h h h h
nurse putting into practice?
h h h h
A) Patient preferences h
B) Research utilization h
C) Experience
D) Internal evidence h
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to
h h h h h h h h h h h h h
minimize the patients' level of agitation in the evening. The nurse has shared this
h h h h h h h h h h h h h h
observation with a colleague, who is skeptical, stating that, “It's best to stick to evidence-
h h h h h h h h h h h h h h h
based practice.” How can Nurse R. best respond?
h h h h h h h
A) “EBP can include clinicians' personal expertise.”
h h h h h
B) “Personal experience is often more sound than formal evidence-based practice.”
h h h h h h h h h
C) “Traditional practice and EBP are usually shown to be the same.” h h h h h h h h h h
D) “My years of experience can be just as valuable as any literature review or
h h h h h h h h h h h h h
randomized trial.”
h h
4. Which of the following factors provides the most important rationale for the consistent
h h h h h h h h h h h h
implementation of EBP?
h h h
A) EBP provides for the most cost-effective patient care.
h h h h h h h
B) EBP is accessible to all healthcare clinicians.
h h h h h h
C) EBP provides consistency in care across healthcare settings.
h h h h h h h
D) EBP improves patient outcomes. h h h
Page 1 h
, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been
h h h h h h h h h
established to address EBP. Which of the following issues is the Roundtable
h h h h h h h h h h h h
emphasizing?
h
A) Ensuring that external evidence, rather than internal evidence, is integrated into
h h h h h h h h h h
care h
B) Fostering the level of learning that exists in the American healthcare systemh h h h h h h h h h h
C) Issuing clinical guidelines to ensure best nursing practice
h h h h h h h
D) Comparing the implementation of EBP in the United States with that of other h h h h h h h h h h h h
Western countries
h h
6. You have become frustrated with some aspects of patient care that you believe are
h h h h h h h h h h h h h
outdated and ineffective at the long-term care facility where you have recently begun
h h h h h h h h h h h h h
practicing. Consequently, you have resolved to examine some of these practices in light of
h h h h h h h h h h h h h h
evidence. Which of the following should occur first in the steps of EBP?
h h h h h h h h h h h h h
A) Conducting an electronic search of the literature and ranking individual sources h h h h h h h h h h
B) Creating “buy-in” from the other clinicians who provide care at the facility
h h h h h h h h h h h
C) Developing an inquisitive and curious mindset h h h h h
D) Assessing whether the practices in question may, in fact, be evidence-based h h h h h h h h h h
7. Which of the following clinical questions best exemplifies the PICOT format?
h h h h h h h h h h
A) What effect does parents' smoking have on the smoking habits of their children,
h h h h h h h h h h h h
ages 13 to 16?
h h h h
B) Among cancer patients, what role does meditation, rather than benzodiazepines,
h h h h h h h h h
have on anxiety levels during the 7 days following hospital admission?
h h h h h h h h h h h
C) Among undergraduate college students, what is the effectiveness of a sexual health
h h h h h h h h h h h
campaign undertaken during the first 4 weeks of the fall semester as measured by
h h h h h h h h h h h h h h
incidence of new gonorrheal and chlamydial infections reported to the campus
h h h h h h h h h h h
medical center?
h h
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a
h h h h h h h h h h h h h h h h h
numeric rating scale in the emergency room context?
h h h h h h h h
8. After formulating a clinical question, a nurse has proceeded to search for evidence for
h h h h h h h h h h h h h
ways to foster restful sleep in patients who are receiving care in the intensive care unit
h h h h h h h h h h h h h h h h
(ICU). The nurse has identified a relevant meta-analysis in an electronic database. What
h h h h h h h h h h h h h
will this source of evidence consist of?
h h h h h h h
A) A statistical summary of the results from several different studies
h h h h h h h h h
B) An examination of the theoretical and conceptual underpinnings of the issue
h h h h h h h h h h
C) An interdisciplinary analysis of the clinical question
h h h h h h
D) A qualitative study of different interventions related to the clinical question
h h h h h h h h h h
Page 2 h
h h
EVIDENCE BASED h
PRACTICE IN NURSING
h h
AND HEALTHCARE 4TH
h h
EDITION BY MELNYK
h h
All chapters
h
,Chapter 1 Making the Case for Evidence-Based Practice
h h h h h h h
and Cultivating a Spirit of Inquiry
h h h h h h
,1. In the hospital where Nurse L. provides care, tradition dictates that oral temperatures be
h h h h h h h h h h h h h
included in every set of patient vital signs, regardless of patient diagnosis or acuity. This is
h h h h h h h h h h h h h h h h
most likely an example of which of the following phenomena?
h h h h h h h h h h
A) The prioritization of internal evidence over external evidence
h h h h h h h
B) Practice that lacks evidence to support its application h h h h h h h
C) The integration of personal expertise into nursing care
h h h h h h h
D) Evidence-based practice h
2. The clinical nurse educator (CNE) on a postsurgical unit has recently completed a
h h h h h h h h h h h h
patient chart review after the implementation of a pilot program aimed at promoting
h h h h h h h h h h h h h
early ambulation following surgery. Which of the following components of EBP is the
h h h h h h h h h h h h h
nurse putting into practice?
h h h h
A) Patient preferences h
B) Research utilization h
C) Experience
D) Internal evidence h
3. Nurse R. has observed that reorienting demented patients as frequently as possible tends to
h h h h h h h h h h h h h
minimize the patients' level of agitation in the evening. The nurse has shared this
h h h h h h h h h h h h h h
observation with a colleague, who is skeptical, stating that, “It's best to stick to evidence-
h h h h h h h h h h h h h h h
based practice.” How can Nurse R. best respond?
h h h h h h h
A) “EBP can include clinicians' personal expertise.”
h h h h h
B) “Personal experience is often more sound than formal evidence-based practice.”
h h h h h h h h h
C) “Traditional practice and EBP are usually shown to be the same.” h h h h h h h h h h
D) “My years of experience can be just as valuable as any literature review or
h h h h h h h h h h h h h
randomized trial.”
h h
4. Which of the following factors provides the most important rationale for the consistent
h h h h h h h h h h h h
implementation of EBP?
h h h
A) EBP provides for the most cost-effective patient care.
h h h h h h h
B) EBP is accessible to all healthcare clinicians.
h h h h h h
C) EBP provides consistency in care across healthcare settings.
h h h h h h h
D) EBP improves patient outcomes. h h h
Page 1 h
, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine has been
h h h h h h h h h
established to address EBP. Which of the following issues is the Roundtable
h h h h h h h h h h h h
emphasizing?
h
A) Ensuring that external evidence, rather than internal evidence, is integrated into
h h h h h h h h h h
care h
B) Fostering the level of learning that exists in the American healthcare systemh h h h h h h h h h h
C) Issuing clinical guidelines to ensure best nursing practice
h h h h h h h
D) Comparing the implementation of EBP in the United States with that of other h h h h h h h h h h h h
Western countries
h h
6. You have become frustrated with some aspects of patient care that you believe are
h h h h h h h h h h h h h
outdated and ineffective at the long-term care facility where you have recently begun
h h h h h h h h h h h h h
practicing. Consequently, you have resolved to examine some of these practices in light of
h h h h h h h h h h h h h h
evidence. Which of the following should occur first in the steps of EBP?
h h h h h h h h h h h h h
A) Conducting an electronic search of the literature and ranking individual sources h h h h h h h h h h
B) Creating “buy-in” from the other clinicians who provide care at the facility
h h h h h h h h h h h
C) Developing an inquisitive and curious mindset h h h h h
D) Assessing whether the practices in question may, in fact, be evidence-based h h h h h h h h h h
7. Which of the following clinical questions best exemplifies the PICOT format?
h h h h h h h h h h
A) What effect does parents' smoking have on the smoking habits of their children,
h h h h h h h h h h h h
ages 13 to 16?
h h h h
B) Among cancer patients, what role does meditation, rather than benzodiazepines,
h h h h h h h h h
have on anxiety levels during the 7 days following hospital admission?
h h h h h h h h h h h
C) Among undergraduate college students, what is the effectiveness of a sexual health
h h h h h h h h h h h
campaign undertaken during the first 4 weeks of the fall semester as measured by
h h h h h h h h h h h h h h
incidence of new gonorrheal and chlamydial infections reported to the campus
h h h h h h h h h h h
medical center?
h h
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a
h h h h h h h h h h h h h h h h h
numeric rating scale in the emergency room context?
h h h h h h h h
8. After formulating a clinical question, a nurse has proceeded to search for evidence for
h h h h h h h h h h h h h
ways to foster restful sleep in patients who are receiving care in the intensive care unit
h h h h h h h h h h h h h h h h
(ICU). The nurse has identified a relevant meta-analysis in an electronic database. What
h h h h h h h h h h h h h
will this source of evidence consist of?
h h h h h h h
A) A statistical summary of the results from several different studies
h h h h h h h h h
B) An examination of the theoretical and conceptual underpinnings of the issue
h h h h h h h h h h
C) An interdisciplinary analysis of the clinical question
h h h h h h
D) A qualitative study of different interventions related to the clinical question
h h h h h h h h h h
Page 2 h
