A health care provider is concerned about the high number of clients with type 2 diabetes who have poor glucose control. In order to implement evidence-informed practice to manage this problem, what would be the best reference for the health care provider to use?

Correct Answer: B

Rationale: The correct answer is B: Current research findings. Research findings provide evidence-based information that is supported by rigorous scientific methods, ensuring credibility and accuracy. By using current research, the health care provider can make informed decisions based on the most up-to-date and relevant information. Published protocols (A) may be valuable, but they can become outdated and may not always reflect the latest evidence. Colleagues' opinions (C) are subjective and may not be based on scientific evidence. Media reports (D) can be sensationalized and often lack the depth and accuracy required for evidence-informed practice.

Correct Answer: D

Rationale: The correct answer is D: Interdisciplinary conflict. This type of conflict arises when professionals from different disciplines have differing opinions or approaches to a situation. In this scenario, the conflict stems from the differing perspectives of the community health nurse (CHN) and the family physician regarding the best care setting for the palliative care client. The CHN prioritizes the client's preference for dying at home, while the physician may prioritize medical care in a hospital setting. This conflict highlights the clash between healthcare professionals' roles, expertise, and values, leading to potential disagreements on the best course of action. Interpersonal conflict (A) involves conflicts between individuals, whereas intrapersonal conflict (B) is an internal conflict within an individual. Intergroup conflict (C) typically involves conflicts between different groups, rather than individual professionals within a healthcare team.

Correct Answer: C

Rationale: The correct answer is C because starting a rehabilitation clinic for middle-aged adults residing in low-income housing represents secondary prevention. This service aims to detect and treat health issues early to prevent the progression of diseases. It focuses on individuals who already have risk factors or early signs of a disease. Administering the influenza vaccine (A) is an example of primary prevention, aiming to prevent the initial occurrence of a disease. Initiating an infant car seat safety screening program (B) falls under primary prevention as well, aiming to prevent injuries. Setting up a support group for teenage mothers (D) is more of a tertiary prevention approach, focusing on managing and improving outcomes for individuals already affected by a condition.

Correct Answer: C

Rationale: The correct answer is C: Intervention. The nurse practitioner is delivering immunization services through the mobile clinic to increase vaccination rates. This falls under the intervention phase of the nursing process, where actions are taken to achieve the desired outcomes. Goal setting (A) involves establishing specific objectives, planning (B) involves developing a strategy to achieve those goals, and evaluation (D) involves assessing the effectiveness of the interventions. In this scenario, the nurse practitioner is actively providing the immunizations, which aligns with the intervention phase of the nursing process.

Correct Answer: D

Rationale: The correct answer is D: Upholding the client's autonomy. In acute healthcare situations, the dominant concern is typically respecting the patient's right to make decisions about their own care. Upholding autonomy ensures that the patient's wishes and values are prioritized in treatment decisions. This is supported by ethical principles such as respect for persons and patient-centered care. Choice A: Doing what is best for the community is not typically the dominant concern in acute healthcare situations as individual patient care is prioritized over broader community interests. Choice B: Doing what is best for the family may be important but it does not override the patient's right to autonomy in making decisions about their own healthcare. Choice C: Obeying legal mandates is important but it does not necessarily address the ethical principle of respecting the patient's autonomy.