Test Bank For Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice 4th Edition
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1. A nurse who provides care on a renal unit has posed a number of clinical questions in an effort to implement EBP. Which of the following questions could those nurses best answer by consulting a textbook?
A) “What effect does a diagnosis of renal failure have on type 2 diabetics' glucose monit...
evidence based practice in nursing amp healthcare a
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Nursing Test Banks
Nursing Test Banks
Nursing Test Banks
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1. The leadership of a large, tertiary care hospital is under pressure from various sources to
implement both evidence-based practice (EBP) and quality improvement (QI). Which of
the following statements most accurately conveys an aspect of these philosophies?
A) EBP integrates patient preferences into clinical care decisions.
B) QI allows for the expertise of clinicians to be taken into account.
C) QI does not account for effects on patients who will be excluded from care.
D) EBP is linked to better patient outcomes than QI.
2. Which of the following factors differentiates evidence-based practice (EBP)
implementation from clinical research?
A) Clinical research has more stringent ethical standards than EBP implementation.
B) EBP implementation is often less generalizable than clinical research.
C) The implementation of EBP creates new knowledge while clinical research
confirms or disputes existing knowledge.
D) EBP implementation takes place on a larger scale than clinical research.
3. A leadership team is planning an evidence-based practice (EBP) initiative that will
address the policies and protocols around wound care. Which of the following
developments in the implementation may be construed as unethical?
A) Evidence-based treatments may be a benefit to some patients' healing but
exacerbate others.
B) The implementation of evidence-based wound care may be impractical from
a staffing perspective.
C) The clinical practice guidelines that form the basis of the practice change may have
been developed at a different site.
D) Clinicians may find that existing routines around wound care are difficult to
change.
4. Which of the following activities would most likely be categorized as evidence-based
practice (EBP) implementation rather than clinical research?
A) Testing the effectiveness of new composite dressing in promoting wound healing
B) Assessing whether a school-based antismoking initiative reduces smoking rates
among teenagers
C) Determining the efficacy of an innovative antihypertensive medication in
patients who do not respond to standard therapy
D) Examining whether the introduction of a clinical practice guideline around falls
prevention results in a reduction in falls
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, 5. Which of the following beliefs underlies many of the ethical debates surrounding
evidence-based practice (EBP) implementation?
A) It is sometimes claimed that ethics approval for the implementation of others'
research should be obtained by the person who originally conducted that research.
B) Some believe that the implementation of existing research does not require ethical
approval.
C) Some nurses state that considering patient preferences and integrating these
into practice is an adequate form of ethics approval.
D) It is sometimes claimed that EBP is inherently ethical, negating the need for further
ethics approval.
6. In preparation for a credentialing process, a county hospital will be conducting an audit.
What is the primary focus of this activity?
A) Evaluating whether ethical principles are being integrated into bedside care
B) Determining caregivers' knowledge base around evidence-based practice (EBP)
C) Determining whether patient outcomes at the hospital align with
patient expectations
D) Evaluating whether current practice is based on the best available evidence
7. Which of the following activities most clearly requires ethical approval?
A) Implementation of a new clinical practice guideline
B) Recruitment for a case-control study
C) Modification of hospital policy and procedures
D) Modification of a nurse's practice habits
8. Which of the following factors should be prioritized in the decision of whether to
seek ethical approval for a project involving a change in practice?
A) The project's classification as either quality improvement (QI) or clinical research
B) The stated values and mission statement of the site where it will be implemented
C) The question of whether the implementation represents a risk to participants
D) The stance of the agency or foundation that is funding the implementation
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