A busy school health nurse concerned over the rising incidence of obesity wants to implement evidence-based practice (EBP) but faces barriers because of time constraints. Which of the following actions should the nurse take first?

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Public Health Foundation Questions

Question 1 of 5

A busy school health nurse concerned over the rising incidence of obesity wants to implement evidence-based practice (EBP) but faces barriers because of time constraints. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The correct answer is C because it aligns with the EBP process by emphasizing the evaluation of best practices to identify effective strategies for weight control in children. By evaluating best practices, the nurse can make informed decisions based on evidence, which is crucial for implementing effective interventions. This step allows the nurse to prioritize interventions that have been shown to have high success rates, optimizing resources and time management. A: Identifying obese students for close monitoring is important but does not address the need for evidence-based practices. D: Scheduling physician appointments is important, but it does not address the nurse's initial goal of implementing evidence-based practice to address rising obesity rates.

Question 2 of 5

A health care provider is concerned about the high number of clients with type 2 diabetes mellitus who have poor glucose control. What would be the best reference for the provider to implement evidence-based practice (EBP) in the management of this problem?

Correct Answer: B

Rationale: Step-by-step rationale: 1. Current research findings are the best reference for evidence-based practice (EBP) as they provide the most up-to-date and reliable information on managing type 2 diabetes. 2. Research findings are based on rigorous scientific methods and study designs, ensuring validity and reliability. 3. Published protocols may be outdated or not evidence-based, limiting their effectiveness in guiding practice. 4. Colleagues' opinions may vary and may not always be based on the latest research or best practices. 5. Nursing journals may contain valuable information, but the most relevant and recent research findings are the ideal source for implementing EBP effectively. Summary: Choosing current research findings as the reference for EBP is crucial for staying informed with the latest evidence-based practices in managing type 2 diabetes. Published protocols may be outdated, colleagues' opinions may vary, and while nursing journals contain valuable information, they may not always provide the most recent and reliable data.

Question 3 of 5

A nurse manager wants to facilitate incorporation of evidence-based practice (EBP) in the clinical setting. Which of the following would be the best strategy to accomplish this goal?

Correct Answer: C

Rationale: The correct answer is C because encouraging group reflection on nursing ideals and expectations fosters a shared understanding and commitment to EBP. This strategy promotes critical thinking, collaboration, and buy-in from staff, leading to successful implementation of EBP. Choice A is incorrect because eliminating all protocols not evidence-based may lead to chaos and resistance. Choice B and D are incomplete and do not provide a clear strategy for integrating EBP effectively.

Question 4 of 5

The Institute of Medicine (IOM), now known as the Health and of the National Academies of Sciences, Engineering, and Medicine, stated in their report, The Future of the Public's Health, that there are three core functions that society carries out to collectively supportthe optimum conditions for public health. Which one of the following is notone of these functions?

Correct Answer: D

Rationale: The correct answer is D: Implementation. The three core functions identified by the IOM are Assessment, Policy Development, and Assurance. 1. Assessment involves systematically collecting, analyzing, and making available information on the health of a community. 2. Policy Development refers to developing comprehensive public health policies and plans to address health issues. 3. Assurance involves ensuring that necessary services are provided to achieve agreed-upon goals. Implementation, while important, is not explicitly mentioned as one of the core functions in the IOM report. It is a critical step in carrying out public health initiatives but falls under the broader umbrella of assurance.

Question 5 of 5

Describe public health in terms of current frameworks, community partnerships, and the concept of population health.

Correct Answer: A

Rationale: The correct answer, A, is supported by the concept of population health, which focuses on health outcomes of a group of individuals, including the impact of age demographics on disease prevalence. As the population ages, the percentage of individuals over 65 increases, leading to a higher prevalence of chronic diseases due to age-related factors. This aligns with the framework of public health, which emphasizes preventive measures and interventions to improve the health of the entire population. Choice B is incorrect because it does not directly address the relationship between population demographics and health outcomes. Choice C is incorrect as it focuses on developmental stages related to aging rather than the broader impact of age demographics on disease prevalence. Choice D is incorrect because it only mentions the cost of medications and does not consider the broader implications of population health and chronic disease prevalence.

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