Evidence Based Practice in Nursing And Healthcare 4th edition - Test Bank
1.
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. This is 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
tends to 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
or randomized trial.”
4.
Which of the following
factors provides the most important rationale for the consistent implementation 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 been established to address EBP. Which of the following issues
is the Roundtable emphasizing?
A) Ensuring that external
evidence, rather than internal
evidence, is integrated into care
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 other Western 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care that you believe are outdated and ineffective at the long-term care facility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 light of 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 health campaign 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 a numeric 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. What will 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
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