TEST BANK FOR
EVIDENCE BASED
PRACTICE IN NURSING
AND HEALTHCARE 4TH
EDITION BY MELNYK
All chapters
,Chapter 1 Making the Case for Evidence-Based
Practice and Cultivating a Spirit of Inquiry
,1. InthehospitalwhereNurseL.providescare,traditiondictatesthatoraltemperaturesbeincluded
ineverysetofpatientvitalsigns,regardlessofpatientdiagnosisoracuity.Thisismostlikelyanex
ampleofwhichofthefollowingphenomena?
A) Theprioritizationofinternalevidenceoverexternalevidence
B) Practicethatlacksevidencetosupportitsapplication
C) Theintegrationofpersonalexpertiseintonursingcare
D) Evidence-basedpractice
2. Theclinicalnurseeducator(CNE)onapostsurgicalunithasrecentlycompletedapatientchart
reviewaftertheimplementationofapilotprogramaimedatpromotingearlyambulationfollo
wingsurgery.WhichofthefollowingcomponentsofEBPisthenurseputtingintopractice?
A) Patientpreferences
B) Researchutilization
C) Experience
D) Internalevidence
3. NurseR.hasobservedthatreorientingdementedpatientsasfrequentlyaspossibletendstomini
mizethepatients'levelofagitationintheevening.Thenursehassharedthisobservationwithaco
lleague,whoisskeptical,statingthat,“It'sbesttosticktoevidence-
basedpractice.”HowcanNurseR.bestrespond?
A) “EBPcanincludeclinicians'personalexpertise.”
B) “Personalexperienceisoftenmoresoundthanformalevidence-basedpractice.”
C) “TraditionalpracticeandEBPareusuallyshowntobethesame.”
D) “Myyearsofexperiencecanbejustasvaluableasanyliteraturerevieworrandom
izedtrial.”
4. Whichofthefollowingfactorsprovidesthemostimportantrationalefortheconsistentimple
mentationofEBP?
A) EBPprovidesforthemostcost-effectivepatientcare.
B) EBPisaccessibletoallhealthcareclinicians.
C) EBPprovidesconsistencyincareacrosshealthcaresettings.
D) EBPimprovespatientoutcomes.
Page1
WWW.TESTBANKTANK.COM
, 5. TheInstituteofMedicine'sRoundtableonEvidence-
BasedMedicinehasbeenestablishedtoaddressEBP.Whichofthefollowingissuesi
stheRoundtableemphasizing?
A) Ensuringthatexternalevidence,ratherthaninternalevidence,isintegratedintocare
B) FosteringtheleveloflearningthatexistsintheAmericanhealthcaresystem
C) Issuingclinicalguidelinestoensurebestnursingpractice
D) ComparingtheimplementationofEBPintheUnitedStateswiththatofotherWester
ncountries
6. Youhavebecomefrustratedwithsomeaspectsofpatientcarethatyoubelieveareoutdatedandi
neffectiveatthelong-
termcarefacilitywhereyouhaverecentlybegunpracticing.Consequently,youhaveresolvedt
oexaminesomeofthesepracticesinlightofevidence.Whichofthefollowingshouldoccurfirsti
nthestepsofEBP?
A) Conductinganelectronicsearchoftheliteratureandrankingindividualsources
B) Creating“buy-in”fromtheotherclinicianswhoprovidecareatthefacility
C) Developinganinquisitiveandcuriousmindset
D) Assessingwhetherthepracticesinquestionmay,infact,beevidence-based
7. WhichofthefollowingclinicalquestionsbestexemplifiesthePICOTformat?
A) Whateffectdoesparents'smokinghaveonthesmokinghabitsoftheirchildren,ages13
to16?
B) Amongcancerpatients,whatroledoesmeditation,ratherthanbenzodiazepines,have
onanxietylevelsduringthe7daysfollowinghospitaladmission?
C) Amongundergraduatecollegestudents,whatistheeffectivenessofasexualhealthcampa
ignundertakenduringthefirst4weeksofthefallsemesterasmeasuredbyincidenceofnew
gonorrhealandchlamydialinfectionsreportedtothecampusmedicalcenter?
D) Inpatientsaged8to12,istheeffectivenessofapainscaleusingfacessuperiortoanumericra
tingscaleintheemergencyroomcontext?
8. Afterformulatingaclinicalquestion,anursehasproceededtosearchforevidenceforwaystofos
terrestfulsleepinpatientswhoarereceivingcareintheintensivecareunit(ICU).Thenursehasid
entifiedarelevantmeta-
analysisinanelectronicdatabase.Whatwillthissourceofevidenceconsistof?
A) Astatisticalsummaryoftheresultsfromseveraldifferentstudies
B) Anexaminationofthetheoreticalandconceptualunderpinningsoftheissue
C) Aninterdisciplinaryanalysisoftheclinicalquestion
D) Aqualitativestudyofdifferentinterventionsrelatedtotheclinicalquestion
Page2
WWW.TESTBANKTANK.COM
EVIDENCE BASED
PRACTICE IN NURSING
AND HEALTHCARE 4TH
EDITION BY MELNYK
All chapters
,Chapter 1 Making the Case for Evidence-Based
Practice and Cultivating a Spirit of Inquiry
,1. InthehospitalwhereNurseL.providescare,traditiondictatesthatoraltemperaturesbeincluded
ineverysetofpatientvitalsigns,regardlessofpatientdiagnosisoracuity.Thisismostlikelyanex
ampleofwhichofthefollowingphenomena?
A) Theprioritizationofinternalevidenceoverexternalevidence
B) Practicethatlacksevidencetosupportitsapplication
C) Theintegrationofpersonalexpertiseintonursingcare
D) Evidence-basedpractice
2. Theclinicalnurseeducator(CNE)onapostsurgicalunithasrecentlycompletedapatientchart
reviewaftertheimplementationofapilotprogramaimedatpromotingearlyambulationfollo
wingsurgery.WhichofthefollowingcomponentsofEBPisthenurseputtingintopractice?
A) Patientpreferences
B) Researchutilization
C) Experience
D) Internalevidence
3. NurseR.hasobservedthatreorientingdementedpatientsasfrequentlyaspossibletendstomini
mizethepatients'levelofagitationintheevening.Thenursehassharedthisobservationwithaco
lleague,whoisskeptical,statingthat,“It'sbesttosticktoevidence-
basedpractice.”HowcanNurseR.bestrespond?
A) “EBPcanincludeclinicians'personalexpertise.”
B) “Personalexperienceisoftenmoresoundthanformalevidence-basedpractice.”
C) “TraditionalpracticeandEBPareusuallyshowntobethesame.”
D) “Myyearsofexperiencecanbejustasvaluableasanyliteraturerevieworrandom
izedtrial.”
4. Whichofthefollowingfactorsprovidesthemostimportantrationalefortheconsistentimple
mentationofEBP?
A) EBPprovidesforthemostcost-effectivepatientcare.
B) EBPisaccessibletoallhealthcareclinicians.
C) EBPprovidesconsistencyincareacrosshealthcaresettings.
D) EBPimprovespatientoutcomes.
Page1
WWW.TESTBANKTANK.COM
, 5. TheInstituteofMedicine'sRoundtableonEvidence-
BasedMedicinehasbeenestablishedtoaddressEBP.Whichofthefollowingissuesi
stheRoundtableemphasizing?
A) Ensuringthatexternalevidence,ratherthaninternalevidence,isintegratedintocare
B) FosteringtheleveloflearningthatexistsintheAmericanhealthcaresystem
C) Issuingclinicalguidelinestoensurebestnursingpractice
D) ComparingtheimplementationofEBPintheUnitedStateswiththatofotherWester
ncountries
6. Youhavebecomefrustratedwithsomeaspectsofpatientcarethatyoubelieveareoutdatedandi
neffectiveatthelong-
termcarefacilitywhereyouhaverecentlybegunpracticing.Consequently,youhaveresolvedt
oexaminesomeofthesepracticesinlightofevidence.Whichofthefollowingshouldoccurfirsti
nthestepsofEBP?
A) Conductinganelectronicsearchoftheliteratureandrankingindividualsources
B) Creating“buy-in”fromtheotherclinicianswhoprovidecareatthefacility
C) Developinganinquisitiveandcuriousmindset
D) Assessingwhetherthepracticesinquestionmay,infact,beevidence-based
7. WhichofthefollowingclinicalquestionsbestexemplifiesthePICOTformat?
A) Whateffectdoesparents'smokinghaveonthesmokinghabitsoftheirchildren,ages13
to16?
B) Amongcancerpatients,whatroledoesmeditation,ratherthanbenzodiazepines,have
onanxietylevelsduringthe7daysfollowinghospitaladmission?
C) Amongundergraduatecollegestudents,whatistheeffectivenessofasexualhealthcampa
ignundertakenduringthefirst4weeksofthefallsemesterasmeasuredbyincidenceofnew
gonorrhealandchlamydialinfectionsreportedtothecampusmedicalcenter?
D) Inpatientsaged8to12,istheeffectivenessofapainscaleusingfacessuperiortoanumericra
tingscaleintheemergencyroomcontext?
8. Afterformulatingaclinicalquestion,anursehasproceededtosearchforevidenceforwaystofos
terrestfulsleepinpatientswhoarereceivingcareintheintensivecareunit(ICU).Thenursehasid
entifiedarelevantmeta-
analysisinanelectronicdatabase.Whatwillthissourceofevidenceconsistof?
A) Astatisticalsummaryoftheresultsfromseveraldifferentstudies
B) Anexaminationofthetheoreticalandconceptualunderpinningsoftheissue
C) Aninterdisciplinaryanalysisoftheclinicalquestion
D) Aqualitativestudyofdifferentinterventionsrelatedtotheclinicalquestion
Page2
WWW.TESTBANKTANK.COM
