ATI RN
Evidence-Based Practice in Nursing Studocu NURS 3321 Questions
Question 1 of 5
A nurse executive is implementing evidence-based practice at a community nursing center that serves a large Cuban immigrant population. Which of the following actions would be the most helpful for the nurse?
Correct Answer: C
Rationale: Step 1: Involving Cuban immigrants in the center's advisory ensures their unique perspectives and needs are considered. Step 2: Direct input from the community helps tailor services to cultural beliefs and preferences. Step 3: This approach promotes trust, engagement, and better health outcomes within the immigrant population. Step 4: It enhances cultural sensitivity and understanding among staff members. Step 5: Overall, inviting Cuban immigrants to serve on the center's advisory is the most effective way to implement evidence-based practice and improve the quality of care provided to the community.
Question 2 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. Systematic reviews provide a comprehensive summary of existing research on a specific topic, including clinical problems. They critically analyze multiple studies to draw evidence-based conclusions. This is more helpful than the other options because it synthesizes a wide range of research, offering a higher level of evidence. Option A, a journal issue, may have relevant articles but lacks the comprehensive analysis of a systematic review. Option B, a clinical trial, provides specific data but not a broad overview. Option C, a researcher, can offer insights but may not cover the breadth of research as a systematic review.
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 implementing evidence-based practice (EBP) requires the nurse to show clients that EBP will improve their health outcomes. This is crucial as clients may be resistant to change or may not understand the benefits of EBP compared to traditional practices. By involving clients in the decision-making process and demonstrating how EBP leads to better health outcomes, the nurse can increase acceptance and adherence to evidence-based care. Assessing current practice, convincing administration, and distinguishing EBP from old standards are important steps in implementing EBP, but ultimately, the success of EBP relies on client engagement and understanding of its benefits.
Question 4 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: Correct Answer: A Rationale: 1. Failure to consider client and setting differences is the most likely cause because older adults may have different learning preferences and capabilities compared to other age groups. 2. Older adults may not be familiar or comfortable with computer games, leading to poor outcomes despite research evidence suggesting effectiveness. 3. Considering client and setting differences is crucial in implementing successful educational programs tailored to the specific needs of the target population. Summary: B: Inadequate incorporation of evidence into practice is incorrect because the research evidence has shown improved retention, indicating that the evidence was appropriately incorporated. C: Inferior quality of the available research evidence is incorrect as the research demonstrated evidence of improved retention. D: Lack of skills when evaluating the evidence is incorrect as the issue lies more with understanding the specific needs and preferences of the older adult population.
Question 5 of 5
A school nurse is developing a primary prevention strategy for school-aged children. Which of the following interventions would the nurse most likely implement?
Correct Answer: B
Rationale: The correct answer is B because drafting policies for increases in noncompetitive physical activity programs is an example of primary prevention. This intervention focuses on implementing measures to prevent the occurrence of health problems before they develop. By promoting physical activity for all children, the nurse can help prevent various health issues including obesity and related complications. Option A is incorrect because it focuses on individualized exercise programs, which is more of a secondary prevention strategy aimed at managing existing health conditions. Option C is incorrect as monitoring BMI is more of a screening tool rather than a primary prevention strategy. Option D is also incorrect as notifying parents about height-weight norms does not directly address prevention at the population level.