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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 Complete 2024

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Evidence-Based Practice in Nursing & Healthcare

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Evidence-Based Practice In Nursing & Healthcare

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Uploaded on November 19, 2024
Number of pages 155
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Type Exam (elaborations)
Contains Questions & answers

criti
chapter 1 making the case for evidence based pract
chapter 2 asking compelling clinical questions
chapter 3 finding relevant evidence to answer
critically appraising knowledge for clinical decis

Institution Evidence-Based Practice in Nursing & Healthcare
Course Evidence-Based Practice in Nursing & Healthcare

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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 Complete 2024

,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 Institute of Medicine's Roundtable on Evidence-Based Medicine has
beenestablished to address EBP. Which of the following issues is the
Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is integrated
intocare
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that of
otherWestern countries

6. You have become frustrated with some aspects of patient care that you believe are
outdated and ineffective at the long-term care facility where you have recently begun
practicing. Consequently, you have resolved to examine some of these practices in
lightof evidence. Which of the following should occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be evidence-based

7. Which of the following clinical questions best exemplifies the PICOT format?
A) What effect does parents' smoking have on the smoking habits of their
children,ages 13 to 16?
B) Among cancer patients, what role does meditation, rather than
benzodiazepines,have on anxiety levels during the 7 days following hospital
admission?
C) Among undergraduate college students, what is the effectiveness of a sexual
healthcampaign undertaken during the first 4 weeks of the fall semester as
measured by incidence of new gonorrheal and chlamydial infections reported to
the campus medical center?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to
anumeric rating scale in the emergency room context?

8. After formulating a clinical question, a nurse has proceeded to search for evidence for
ways to foster restful sleep in patients who are receiving care in the intensive care unit
(ICU). The nurse has identified a relevant meta-analysis in an electronic database.
Whatwill this source of evidence consist of?
A) A statistical summary of the results from several different studies
B) An examination of the theoretical and conceptual underpinnings of the issue
C) An interdisciplinary analysis of the clinical question
D) A qualitative study of different interventions related to the clinical question

, 9. The znurses zon za zpostpartum zunit zhave znoted zthat zmany zprimiparous z(first-time)
zmothers zare zgiving zup zon zbreastfeeding zwithin zthe z24 zhours zfollowing zdelivery,
zand zthe znurses zwant zto zcreate zuniform zguidelines zfor zpromoting zbreastfeeding
zon zthe zunit. zWhich zof zthezfollowing zsources zis zmost zlikely zto zprovide zthe zbest
zevidence zin ztheir zquest zfor zan zintervention?
A) Evidence zfrom za zrandomized zcontrol ztrial zthat zhad zmore zthan z2500 zparticipants
B) Evidence zfrom za zstudy zthat zis zwidely zregarded zas za zclassic zwithin zthe
zobstetricalznursing zcommunity
C) Evidence zfrom za zsystematic zreview zof zbreastfeeding-promotion zstudies zthat
zone zofzthe znurses zidentified zin zan zelectronic zdatabase
D) The zconsensus zopinion zof zthe zmost zsenior znurses zon zthe zunit

10. The znurse zeducator zon zan zacute zmedicine zunit zis zadvocating zfor zthe zuse zof
evidence-based zclinical zpractice zguidelines zon zwound zcare zin zorder zto
zstandardize zand zoptimize zthe zpractice zof zthe znurses zon zthe zunit. zWhich zof zthe
zfollowing zstatements zbestzdescribes zclinical zpractice zguidelines?
A) The zresult zof zreplication zstudies zof zexisting zresearch zby zan zimpartial zthird zparty
B) A zcollection zof zauthorized zinterventions zthat zare zrequired zby zlaw
C) A znumber zof zinterventions zthat zare zthe zresult zof za zlarge, zpublically-funded zRCT
D) A zgroup zof zpractice zrecommendations zthat zresult zfrom za zrigorous zreview
zof zthezliterature

11. A znurse zis zconducting za zliterature zreview zon zthe zevidence zregarding zthe zuse zof
zvacuum zdressings zon zstage zIV zpressure zulcers. zAfter zlocating za zrecent zstudy zthat
zappears zto zbe zrelevant, zwhich zof zthe zfollowing zquestions zwould zthe znurse
zconsider zfirst zwhen zcriticallyzappraising zthe zstudy?
A) “Are zthe zfindings zof zthis zstudy zcost-effective zin zour zclinical zcontext?”
B) "How zwould zthe zimplementation zof zthis zintervention zaffect zour zstaffing zneeds?"
C) “Were zthe zpatients zin zthe zstudy zsimilar zto zthe zpatients zon zmy zunit?”
D) “Are zthe zfindings zof zthe zstudy zsignificantly zdifferent zfrom zwhat zwe zare
zcurrentlyzdoing zon zthe zunit?

12. The zprimary zcare zprovider zof za z49-year-old zmale zpatient zhas zexamined zand
zbriefly zexplained zthe zevidence zthat zsupports zbeginning zregular zdigital-rectal
zexams. zWhich zofzthe zfollowing zfactors zwould zjustify znot zperforming zdigital-rectal
zexaminations zin zthis zpatient's zcare?
A) The zpatient zis zvehemently zopposed zto zundergoing za zdigital-rectal zexam.
B) Clinical zpractice zguidelines zfor zprostate zcare zhave znot zbeen zpublished.
C) The zclinician zhas zbeen zunable zto zfind zany zlarge zRCTs zin za zliterature zreview.
D) The zclinician zhas zpreviously zwaited zuntil zpatients zare z55 zto zbegin
zregularzdigital-rectal zexams.

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Exam (elaborations)

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 Complete 2024

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