ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
The nurse has been reading extensively on a particular clinical problem, using both the closest medical library and the Internet. Which of the following would be the most helpful source?
Correct Answer: D
Rationale: The correct answer is D: A systematic review related to the clinical problem. This is because a systematic review provides a comprehensive summary of all available evidence on a specific topic, including individual studies such as randomized controlled trials. It helps to synthesize and critically appraise the existing research, offering a high level of evidence to guide clinical practice.
Choice A may provide in-depth research but may not cover all relevant studies.
Choice B is a single study and may not offer a broad perspective.
Choice C focuses on a single researcher and may not encompass the full spectrum of evidence.
Question 2 of 5
A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary schoolchildren. Which of the following would be the best way to use EBP in this situation?
Correct Answer: B
Rationale: The correct answer is B because comparing and contrasting randomized controlled trials related to learning in elementary schoolchildren is the best way to use evidence-based practice (EBP). This method involves systematically reviewing existing research studies to determine the most effective health education programs. Randomized controlled trials are considered the gold standard in research, providing the highest level of evidence. By analyzing these trials, the nurse can identify interventions that have been proven to be successful in increasing retention of learning in elementary schoolchildren.
Choice A is incorrect because relying solely on anecdotal evidence from other school health nurses does not constitute evidence-based practice.
Choice C is incorrect as developing games may be a creative approach, but it does not ensure the effectiveness of the health education programs.
Choice D is also incorrect as the internet may not always provide reliable or evidence-based information.
Question 3 of 5
A nurse is familiar with evidence-based practice (EBP) and wants to implement it into the care of clients. Which of the following would present the biggest challenge?
Correct Answer: D
Rationale: The correct answer is D because showing clients that EBP will improve their health outcomes presents the biggest challenge. This is because clients may be resistant to change or skeptical about new approaches. It requires effective communication and education to convince clients of the benefits of EBP. Assessing current practice (
A) and accessing resources, convincing administration (
B), and distinguishing EBP from old standards (
C) are challenges that can be addressed through education and training. In contrast, clients' attitudes and beliefs are harder to change, making option D the most challenging aspect of implementing EBP.
Question 4 of 5
Which of the following groups is pressuring clinicians the most to use evidence-based practice (EBP)?
Correct Answer: A
Rationale: The correct answer is A: Administrators. Administrators are pressuring clinicians the most to use evidence-based practice (EBP) as they are responsible for ensuring quality care, cost-effectiveness, and adherence to standards. They implement policies mandating EBP to improve patient outcomes and reduce healthcare costs. Nurses and physicians may advocate for EBP, but administrators hold the most influence due to their oversight of healthcare operations. Insurance companies focus more on reimbursement criteria rather than direct pressure for EBP implementation.
Question 5 of 5
A nurse implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. Older adults may have different learning styles, preferences, and abilities compared to other age groups. The nurse may have overlooked these factors when implementing the computer games, resulting in poor outcomes. This highlights the importance of tailoring educational programs to fit the specific needs of the target audience.
Explanation for incorrect choices:
B: Inadequate incorporation of evidence into practice - This choice suggests a lack of proper implementation of research evidence, which is not directly related to the poor outcomes observed in this scenario.
C: Inferior quality of the available research evidence - The quality of the research evidence does not necessarily explain why the nurse did not achieve the desired outcomes.
D: Lack of skills when evaluating the evidence - While important, the lack of skills in evaluating evidence does not directly address the issue of poor outcomes with older adults in this context.