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 addressing an outbreak of a new infectious disease, evidence-based practice involves using the best available evidence to make informed decisions. Clinical trials provide valuable data on the effectiveness of treatments and interventions for specific diseases. By reviewing outcomes of clinical trials, the nurse can make evidence-based decisions on the most effective strategies to address the outbreak. Incorrect choices: A: Reviewing policies and procedures may provide guidance on organizational protocols but may not offer specific evidence on the most effective interventions for the new infectious disease. C: Reviewing nursing textbooks may provide general information but may not offer the most up-to-date and specific evidence on the new infectious disease. D: Reviewing reputable sites on the Internet can be helpful, but the information may vary in quality and reliability compared to the evidence obtained from clinical trials.

Correct Answer: B

Rationale: The correct answer is B: Compare and contrast randomized controlled trials related to learning in elementary schoolchildren. This is the best way to use evidence-based practice (EBP) because it involves analyzing scientific studies that have used rigorous methodology to test interventions in real-world settings. By comparing and contrasting these trials, the school health nurse can identify the most effective health education programs for elementary schoolchildren based on empirical evidence. Other choices are incorrect: A: Asking other school health nurses about their programs is anecdotal and lacks empirical evidence. C: Developing games may be engaging but doesn't necessarily ensure the effectiveness of the programs. D: Searching the internet for programs may not guarantee the quality or validity of the information.

Correct Answer: A

Rationale: The correct answer is A: Administrators. Administrators are the group that typically sets policies, guidelines, and expectations within healthcare settings, including the adoption of evidence-based practice (EBP) to improve patient outcomes and quality of care. They have the authority to enforce compliance and allocate resources for EBP implementation. Nurses (C) and physicians (D) may be encouraged to use EBP, but administrators have more influence in driving its adoption. Insurance companies (B) may incentivize EBP through reimbursement policies, but they do not have direct control over clinicians' practice decisions like administrators do.

Correct Answer: B

Rationale: The correct answer is B: Current research findings. Research findings are essential for evidence-based practice (EBP) as they provide the most up-to-date and reliable information on managing type 2 diabetes mellitus. They are based on rigorous scientific methods and can guide healthcare providers in making informed decisions. Published protocols (A) may be outdated or not based on the latest evidence. Opinions of colleagues (C) vary and may not always be evidence-based. Nursing journals (D) may contain research findings, but the most direct and reliable source for current evidence is from recent research studies.

Correct Answer: A

Rationale: The correct answer is A: Reminding clients via telephone, e-mail, or mail. This option directly addresses the issue of increasing attendance by actively reminding individuals of their screening appointments, which can significantly improve compliance rates. By proactively reaching out through various communication channels, it increases the likelihood of individuals showing up for their appointments. Other choices are incorrect because: B: Emphasizing long life and happy family may not directly address the issue of attendance and may not be a strong motivator for everyone. C: Pointing out cost and convenience is important but may not be sufficient to motivate individuals to attend their appointments. D: Stressing dangerousness of the condition can induce fear, but fear-based messaging may not always be effective in influencing behavior positively.