A nurse in community health has implemented an education program that incorporates computer games to reinforce learning in a community of older adults. Although the research demonstrates evidence of improved retention of information, the nurse experiences exactly the opposite for this group of clients. What is the most likely cause of such poor outcomes?

Correct Answer: A

Rationale: The correct answer is A: Failure to consider client and setting differences. In this scenario, the nurse implemented a program based on research that showed improved retention using computer games. However, the poor outcomes suggest that the nurse may not have considered the unique characteristics, preferences, and needs of older adults in the community. Older adults may have different learning styles, cognitive abilities, or comfort levels with technology. By not tailoring the program to fit the specific client population and setting, the nurse failed to account for these differences, leading to the poor outcomes. Choices B, C, and D are incorrect because they do not directly address the issue of client and setting differences, which is the root cause of the problem in this case.

Correct Answer: B

Rationale: The correct answer is B because reviewing outcomes of clinical trials provides scientific evidence on the effectiveness of treatments for the new infectious disease. Clinical trials follow a rigorous methodology that evaluates the safety and efficacy of interventions. This helps the nurse make informed decisions based on proven results. Choice A is incorrect because policies and procedures may not always be evidence-based or updated to address a new infectious disease outbreak. Choice C is incorrect as nursing textbooks may not have the most current information on a new disease. Choice D is incorrect because information obtained from the internet may not be reliable or evidence-based.

Correct Answer: A

Rationale: The correct answer is A because colleagues who lack skills in literature search and research critique can hinder a nurse's ability to increase the evidence base in practice. This is because collaboration and knowledge-sharing are essential in evidence-based practice. Choice B is incorrect as dedication to history and tradition does not necessarily impede evidence-based practice. Choice C is incorrect because emphasis on conformity does not directly relate to the nurse's decision to increase evidence base. Choice D is incorrect as having extensive experience in research interpretation should actually support, rather than interfere with, improving evidence-based practice.

Correct Answer: C

Rationale: The correct answer is C: The opportunity for the women to practice what they learned. This is crucial because practical application reinforces learning. By allowing the women to practice breast self-examination techniques during the session, they can gain confidence and ensure they understand the process correctly. This hands-on approach enhances retention and ensures the information is effectively internalized. Choice A (Lots of time for audience members to ask questions and clarify the information) is important but not as critical as providing the opportunity for practice. While addressing questions is beneficial, practical application solidifies learning. Choice B (An explanation of why culturally appropriate images are more acceptable) is relevant for engaging the audience but not as essential as hands-on practice. Cultural sensitivity is important but does not directly impact the effectiveness of the teaching session. Choice D (The use of simple language instead of printed material in case the women could not read) is also important for accessibility but does not address the core issue of reinforcing learning through practice. Simplified language aids comprehension but

Correct Answer: D

Rationale: The correct answer is D, throughout the program. This ensures continuous communication and allows for real-time adjustments to meet participants' needs. Feedback throughout the program helps maintain engagement and improves learning outcomes. Options A and B are limited in scope and may miss important feedback points. Option C only captures feedback at the end, missing opportunities for immediate improvement. Overall, option D is the most effective as it allows for ongoing assessment and enhancement of the program.