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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-
L L L L L L



Based Practice and Cultivating a Spirit of Inquiry
L L L L L L L




InLtheLhospitalLwhereLNurseLL.LprovidesLcare,LtraditionLdictatesLthatLoralLtemperaturesLb
eLincludedLinLeveryLsetLofLpatientLvitalLsigns,LregardlessLofLpatientLdiagnosisLorLacuity.LT
hisLisLmostLlikelyLanLexampleLofLwhichLofLtheLfollowingLphenomena?
A) TheLprioritizationLofLinternalLevidenceLoverLexternalLevidence
B) PracticeLthatLlacksLevidenceLtoLsupportLitsLapplication
C) TheLintegrationLofLpersonalLexpertiseLintoLnursingLcare
D) Evidence-basedLpractice


2. TheLclinicalLnurseLeducatorL(CNE)LonLaLpostsurgicalLunitLhasLrecentlyLcompletedLaLpati
entLchartLreviewLafterLtheLimplementationLofLaLpilotLprogramLaimedLatLpromotingLear
lyLambulationLfollowingLsurgery.LWhichLofLtheLfollowingLcomponentsLofLEBPLisLtheLnur
seLputtingLintoLpractice?
A) PatientLpreferences
B) ResearchLutilization
C) Experience
D) InternalLevidence


3. NurseLR.LhasLobservedLthatLreorientingLdementedLpatientsLasLfrequentlyLasLpossibleLten
dsLtoLminimizeLtheLpatients'LlevelLofLagitationLinLtheLevening.LTheLnurseLhasLsharedLthisL
observationLwithLaLcolleague,LwhoLisLskeptical,LstatingLthat,L“It'sLbestLtoLstickLtoLevidenc
e-basedLpractice.”LHowLcanLNurseLR.LbestLrespond?
A) “EBPLcanLincludeLclinicians'LpersonalLexpertise.”
B) “PersonalLexperienceLisLoftenLmoreLsoundLthanLformalLevidence-basedLpractice.”
C) “TraditionalLpracticeLandLEBPLareLusuallyLshownLtoLbeLtheLsame.”
D) “MyLyearsLofLexperienceLcanLbeLjustLasLvaluableLasLanyLliteratureLreviewLo
rLrandomizedLtrial.”


4. WhichLofLtheLfollowingLfactorsLprovidesLtheLmostLimportantLrationaleLforLtheLconsiste
ntLimplementationLofLEBP?
A) EBPLprovidesLforLtheLmostLcost-effectiveLpatientLcare.
B) EBPLisLaccessibleLtoLallLhealthcareLclinicians.
C) EBPLprovidesLconsistencyLinLcareLacrossLhealthcareLsettings.
D) EBPLimprovesLpatientLoutcomes.

,5. TheLInstituteLofLMedicine'sLRoundtableLonLEvidence-
BasedLMedicineLhasLbeenLestablishedLtoLaddressLEBP.LWhichLofLtheLfollowingLi
ssuesLisLtheLRoundtableLemphasizing?
A) EnsuringLthatLexternalLevidence,LratherLthanLinternalLevidence,LisLintegratedLin
toLcare
B) FosteringLtheLlevelLofLlearningLthatLexistsLinLtheLAmericanLhealthcareLsystem
C) IssuingLclinicalLguidelinesLtoLensureLbestLnursingLpractice
D) ComparingLtheLimplementationLofLEBPLinLtheLUnitedLStatesLwithLthatLofLothe
rLWesternLcountries


6. YouLhaveLbecomeLfrustratedLwithLsomeLaspectsLofLpatientLcareLthatLyouLbelieveLareLou
tdatedLandLineffectiveLatLtheLlong-
termLcareLfacilityLwhereLyouLhaveLrecentlyLbegunLpracticing.LConsequently,LyouLhaveLr
esolvedLtoLexamineLsomeLofLtheseLpracticesLinLlightLofLevidence.LWhichLofLtheLfollowing
LshouldLoccurLfirstLinLtheLstepsLofLEBP?

A) ConductingLanLelectronicLsearchLofLtheLliteratureLandLrankingLindividualLsources
B) CreatingL“buy-in”LfromLtheLotherLcliniciansLwhoLprovideLcareLatLtheLfacility
C) DevelopingLanLinquisitiveLandLcuriousLmindset
D) AssessingLwhetherLtheLpracticesLinLquestionLmay,LinLfact,LbeLevidence-based


7. WhichLofLtheLfollowingLclinicalLquestionsLbestLexemplifiesLtheLPICOTLformat?
A) WhatLeffectLdoesLparents'LsmokingLhaveLonLtheLsmokingLhabitsLofLtheirLchildre
n,LagesL13LtoL16?
B) AmongLcancerLpatients,LwhatLroleLdoesLmeditation,LratherLthanLbenzodiazepin
es,LhaveLonLanxietyLlevelsLduringLtheL7LdaysLfollowingLhospitalLadmission?
C) AmongLundergraduateLcollegeLstudents,LwhatLisLtheLeffectivenessLofLaLsexualLheal
thLcampaignLundertakenLduringLtheLfirstL4LweeksLofLtheLfallLsemesterLasLmeasuredL
byLincidenceLofLnewLgonorrhealLandLchlamydialLinfectionsLreportedLtoLtheLcampus
LmedicalLcenter?

D) InLpatientsLagedL8LtoL12,LisLtheLeffectivenessLofLaLpainLscaleLusingLfacesLsuperiorLtoL
aLnumericLratingLscaleLinLtheLemergencyLroomLcontext?


8. AfterLformulatingLaLclinicalLquestion,LaLnurseLhasLproceededLtoLsearchLforLevidenceLforL
waysLtoLfosterLrestfulLsleepLinLpatientsLwhoLareLreceivingLcareLinLtheLintensiveLcareLunitL
(ICU).LTheLnurseLhasLidentifiedLaLrelevantLmeta-
analysisLinLanLelectronicLdatabase.LWhatLwillLthisLsourceLofLevidenceLconsistLof?
A) ALstatisticalLsummaryLofLtheLresultsLfromLseveralLdifferentLstudies
B) AnLexaminationLofLtheLtheoreticalLandLconceptualLunderpinningsLofLtheLissue
C) AnLinterdisciplinaryLanalysisLofLtheLclinicalLquestion
D) ALqualitativeLstudyLofLdifferentLinterventionsLrelatedLtoLtheLclinicalLquestion

, 9. TheLnursesLonLaLpostpartumLunitLhaveLnotedLthatLmanyLprimiparousL(first-
time)LmothersLareLgivingLupLonLbreastfeedingLwithinLtheL24LhoursLfollowingLdelivery,La
ndLtheLnursesLwantLtoLcreateLuniformLguidelinesLforLpromotingLbreastfeedingLonLtheLu
nit.LWhichLofLtheLfollowingLsourcesLisLmostLlikelyLtoLprovideLtheLbestLevidenceLinLtheirLq
uestLforLanLintervention?
A) EvidenceLfromLaLrandomizedLcontrolLtrialLthatLhadLmoreLthanL2500Lparticipants
B) EvidenceLfromLaLstudyLthatLisLwidelyLregardedLasLaLclassicLwithinLtheLobstetrica
lLnursingLcommunity
C) EvidenceLfromLaLsystematicLreviewLofLbreastfeeding-
promotionLstudiesLthatLoneLofLtheLnursesLidentifiedLinLanLelectronicLdatabase
D) TheLconsensusLopinionLofLtheLmostLseniorLnursesLonLtheLunit


10. TheLnurseLeducatorLonLanLacuteLmedicineLunitLisLadvocatingLforLtheLuseLof
evidence-
basedLclinicalLpracticeLguidelinesLonLwoundLcareLinLorderLtoLstandardizeLandLoptimize
LtheLpracticeLofLtheLnursesLonLtheLunit.LWhichLofLtheLfollowingLstatementsLbestLdescri

besLclinicalLpracticeLguidelines?
A) TheLresultLofLreplicationLstudiesLofLexistingLresearchLbyLanLimpartialLthirdLparty
B) ALcollectionLofLauthorizedLinterventionsLthatLareLrequiredLbyLlaw
C) ALnumberLofLinterventionsLthatLareLtheLresultLofLaLlarge,Lpublically-fundedLRCT
D) ALgroupLofLpracticeLrecommendationsLthatLresultLfromLaLrigorousLreviewLofLth
eLliterature


11. ALnurseLisLconductingLaLliteratureLreviewLonLtheLevidenceLregardingLtheLuseLofLvacuumL
dressingsLonLstageLIVLpressureLulcers.LAfterLlocatingLaLrecentLstudyLthatLappearsLtoLbeLr
elevant,LwhichLofLtheLfollowingLquestionsLwouldLtheLnurseLconsiderLfirstLwhenLcriticallyL
appraisingLtheLstudy?
A) “AreLtheLfindingsLofLthisLstudyLcost-effectiveLinLourLclinicalLcontext?”
B) "HowLwouldLtheLimplementationLofLthisLinterventionLaffectLourLstaffingLneeds?"
C) “WereLtheLpatientsLinLtheLstudyLsimilarLtoLtheLpatientsLonLmyLunit?”
D) “AreLtheLfindingsLofLtheLstudyLsignificantlyLdifferentLfromLwhatLweLareLcurrentlyL
doingLonLtheLunit?


12. TheLprimaryLcareLproviderLofLaL49-year-
oldLmaleLpatientLhasLexaminedLandLbrieflyLexplainedLtheLevidenceLthatLsupportsLbegi
nningLregularLdigital-
rectalLexams.LWhichLofLtheLfollowingLfactorsLwouldLjustifyLnotLperformingLdigital-
rectalLexaminationsLinLthisLpatient'sLcare?
A) TheLpatientLisLvehementlyLopposedLtoLundergoingLaLdigital-rectalLexam.
B) ClinicalLpracticeLguidelinesLforLprostateLcareLhaveLnotLbeenLpublished.
C) TheLclinicianLhasLbeenLunableLtoLfindLanyLlargeLRCTsLinLaLliteratureLreview.
D) TheLclinicianLhasLpreviouslyLwaitedLuntilLpatientsLareL55LtoLbeginLregularL

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