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 4- Critically Appraising Knowledge for Clinical Decision Making
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is providing care for a 73-year-old female patient whose balance is compromised by a vestibular disorder. The nurse has advocated for the installation of balance bars and handholds throughout the patient’s home, but the patient is reluctant, saying, “Those are for old people.” Which of the following is the best guide for making the decision? | |
| A) | The patient’s preference and history of using such devices | |
| B) | Research that addresses the effectiveness of this intervention | |
| C) | Existing evidence: the nurse’s experience with the intervention and the patient’s opinion | |
| D) | The cost of installation, the opinion of the patient and her peers, and evidence-based articles regarding the intervention | |
| 2. | What is the relationship between research utilization (RU) and evidence-based practice (EBP)? | |
| A) | RU is based on an individual clinician’s personal research, while EBP is based on published research. | |
| B) | RU considers the personal expertise of nurses, while EBP is based solely on published evidence. | |
| C) | RU provides a general guide to practice, while EBP provides patient-specific insights. | |
| D) | RU is often based on a single study, while EBP considers the larger body of knowledge. | |
| 3. | A nurse has approached the unit educator with a recently-published article that calls into question the unit’s practices around routine changing of peripheral intravenous sites. How should the findings of this article be best translated into practice? | |
| A) | Unit practices should be amended to reflect the findings of the study. | |
| B) | The nurses on the unit should combine the study results with their own expertise to create a new guide for practice. | |
| C) | The nurses should search for further evidence before changing unit practices. | |
| D) | The nurses should conduct a trial similar to that in the published study. | |
| 4. | In light of the continually-changing clinical context in which she provides care, a nurse is aware of the need to ensure that her practice is current. Which of the following actions is most likely to help the nurse achieve this goal? | |
| A) | Continually eliciting input from more senior nurses | |
| B) | Staying current with published evidence that has been critically appraised | |
| C) | Regularly attending continuing education opportunities | |
| D) | Reviewing the practice guidelines and evidence that are presented in textbooks available on the unit and at the hospital library | |
Answer Key
| 1. | C |
| 2. | D |
| 3. | C |
| 4. | B |
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