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.

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.

Correct Answer: C

Rationale: The correct answer is C because encouraging group reflection on the ideals and expectations of nursing care promotes a shared understanding and commitment to EBP. This strategy fosters collaboration, critical thinking, and engagement among staff, leading to a more effective implementation of EBP. A: Eliminating all non-evidence-based protocols may hinder practice improvement and overlook valuable experiences and insights. B: Without a specific action or strategy provided, it lacks a clear direction for promoting EBP. D: Without any information, it is difficult to determine how this strategy directly relates to facilitating EBP in the clinical setting.

Correct Answer: C

Rationale: Correct Answer: C Rationale: 1. Evidence-based decision-making (EBDM) involves using interventions with replicable results based on high-quality research evidence. 2. By utilizing interventions with replicable results, healthcare providers can ensure consistency and effectiveness in patient care. 3. This process helps in making informed decisions that are based on scientific evidence rather than personal biases or experiences. 4. Choosing interventions with replicable results leads to better patient outcomes and improved quality of care. Summary of Incorrect Choices: A: Incorrect. EBDM is not a one-step process; it involves multiple steps including identifying a clinical question, searching for evidence, appraising the evidence, and applying it to practice. B: Incorrect. EBDM aims to minimize subjective decision-making by relying on objective research evidence rather than personal opinions. D: Incorrect. While past nursing experiences can inform decision-making, EBDM emphasizes the use of current research evidence to guide practice.

Correct Answer: A

Rationale: The correct answer is A: Case reports. Case reports are considered the lowest level of evidence because they are anecdotal and provide information based on individual cases, lacking generalizability. Cohort studies, randomized control trials, and cross-sectional studies provide more robust evidence due to their study designs, larger sample sizes, and ability to establish causal relationships. Cohort studies follow a group over time, RCTs involve randomization and control groups, and cross-sectional studies provide a snapshot of a population at a specific point. Case reports are valuable for generating hypotheses but are not sufficient to establish strong evidence due to their limitations in terms of bias and generalizability.