Evidence Based Practice in Nursing & Healthcare A Guide to Best Practice 2nd Edition By Bernadette Mazurek Melnyk
Evidence Based Practice in Nursing & Healthcare A Guide to Best Practice 2nd Edition By Bernadette Mazurek Melnyk
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Chapter 14- Teaching Evidence-Based Practice in Clinical Settings
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | On a busy postsurgical care unit, many patients have undergone bowel surgery and are faced with the prospect of caring for a new permanent or temporary ostomy. Traditionally, preoperative and predischarge teaching has been minimal and sporadic, with high levels of patient anxiety evident. An initiative for implementing evidence-based practice around patient education ideally should originate with which of the following people or groups? | |
| A) | The nurses who provide care on the postsurgical unit | |
| B) | The medical team who perform colectomies and bowel resections | |
| C) | The leadership who oversee the care and organization of the hospital’s surgical program | |
| D) | Patient and family groups who have experienced bowel surgery in the past | |
| 2. | A nurse educator who works in a postpartum obstetrical unit wishes to introduce an evidence-based algorithm for the nursing management of breastfeeding challenges. How can the educator best create a desire among nurses for a change in practice? | |
| A) | Create incentives for nurses for complying with a change in practice | |
| B) | Evenly distribute the workload required for implementing the change among the nursing staff | |
| C) | Demonstrate how a similar change has improved outcomes in other hospitals | |
| D) | Link the change to the mandates released by regulatory agencies | |
| 3. | Assessment of the characteristics and practices of the nurses at a large, university hospital reveals that numerous barriers to the implementation of evidence-based practice exist. On which of the following barriers should the nurse educators focus their efforts in an attempt to integrate evidence with patient care at the hospital? | |
| A) | The majority of nurses graduated from nursing school more than 10 years ago. | |
| B) | Most nurses cannot demonstrate the ability to search a bibliographic database. | |
| C) | The average age of nurses at the hospital is 49 years. | |
| D) | Nurses must care for an increasing number of patients per shift. | |
| 4. | Traditional practice has proven resilient at a county hospital, and efforts to implement the evidence-based practice (EBP) paradigm have been met with significant resistance from nurses. What is the most significant disadvantage of basing nursing practice on tradition? | |
| A) | It denies the individuality of patients. | |
| B) | It is a less efficient use of time and resources than EBP. | |
| C) | It promotes intellectual stagnation on the part of nurses. | |
| D) | It does not guarantee predictable outcomes. | |
Answer Key
| 1. | A |
| 2. | C |
| 3. | B |
| 4. | D |
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