A community health nurse is determining the best way to address an outbreak of a new infectious disease using evidence-based practice (EBP). Which of the following actions would the nurse most likely take?

Correct Answer: B

Rationale: The correct answer is B: Review outcomes of clinical trials. In EBP, decisions are based on the best available evidence from research studies such as clinical trials. By reviewing outcomes of clinical trials, the nurse can gather relevant and reliable information to guide interventions for the new infectious disease outbreak. A: Reviewing policies and procedures may provide organizational guidelines but may not be specific to the new infectious disease outbreak. C: Reviewing nursing textbooks may offer general knowledge but may not provide the most up-to-date and specific information on the outbreak. D: Reviewing reputable sites on the Internet can be helpful, but information may vary in quality and accuracy, making it less reliable than outcomes of clinical trials.

Correct Answer: A

Rationale: The correct answer is A: Administrators. Administrators are pressuring clinicians the most to use EBP due to their focus on improving patient outcomes, reducing costs, and meeting accreditation standards. They have the authority to implement EBP policies and allocate resources. Insurance companies may incentivize EBP, but they do not directly pressure clinicians. Nurses and physicians may support EBP, but they do not have the same level of influence or decision-making power as administrators.

Correct Answer: B

Rationale: The correct answer is B: Drafting policy for increases in noncompetitive physical activity programs. This primary prevention strategy focuses on promoting physical activity for all children, not just overweight ones. By implementing noncompetitive physical activity programs, the nurse can encourage all students to engage in regular exercise, which can help prevent obesity and other health issues. A: Developing individualized exercise programs for overweight children is a secondary prevention strategy, not primary prevention. C: Monitoring BMI in children is a screening tool, not a primary prevention strategy. D: Notifying parents of height-weight scale comparison is informative but does not directly address primary prevention through promoting physical activity for all children. In summary, the correct answer focuses on implementing a broad intervention that targets all school-aged children to prevent health issues, while the other choices are more specific and do not address primary prevention at a population level.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Colleagues lacking skills in literature search & research critique hinder evidence-based practice implementation. 2. Nurses rely on each other for support and guidance in improving practice. 3. Lack of research skills can lead to reliance on outdated practices. 4. Improving colleagues' research skills is crucial for enhancing the evidence base in the agency. Summary: - B: Dedication to history & tradition may hinder innovation but not directly related to evidence base enhancement. - C: Limited research in the area poses a challenge, but it's not a barrier that can't be overcome. - D: Inconsistencies in meta-analyses can be addressed through critical appraisal, not a direct barrier to enhancing evidence base.

Correct Answer: A

Rationale: The correct answer is A. With aging, there is an increased prevalence of both non-communicable and communicable diseases. As individuals age, their immune system weakens, making them more susceptible to infections. Non-communicable diseases like cardiovascular diseases and cancer also become more common with age. Therefore, the correct answer acknowledges the presence of both types of diseases in the elderly population. Choice B is incomplete and does not address the prevalence of diseases with aging. Choices C and D are blank and do not provide any relevant information.