A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary school children. What may be the best way to use EBP in this situation?

Correct Answer: B

Rationale: The correct answer is B because comparing and contrasting randomized clinical trials related to learning in elementary school children allows the nurse to identify the most effective strategies backed by scientific evidence. This method ensures that the health education programs are based on proven interventions, increasing the likelihood of improving learning retention. Choice A is incorrect as it relies on anecdotal evidence and personal experiences rather than empirical data from research. Choice C involves developing games, but without referring to research or evidence, it lacks a systematic approach. Choice D suggests using the Internet, which may not guarantee access to high-quality, evidence-based programs.

Correct Answer: B

Rationale: The correct answer is B because a knowledge manager can help the school health nurse by evaluating best practices to determine the ones with the highest success rates for weight control in children. By doing so, the nurse can save time and effort by focusing on implementing strategies that have been proven to be effective in addressing obesity. This approach aligns with evidence-based practice (EBP) principles, ensuring that interventions are based on the best available evidence. Choice A is incorrect because simply identifying obese students is not sufficient to address the issue effectively without a plan based on evidence-based practices. Choice C is incorrect as organizing files and handling administrative tasks may help with efficiency but does not directly address the issue of implementing evidence-based practices for obesity management. Choice D is incorrect as setting up a program without evaluating its effectiveness first may not lead to the desired outcomes.

Correct Answer: D

Rationale: The correct answer is D because supporting nurses in using practice-oriented research findings in decision making is crucial for incorporating evidence-based practice (EBP). Nurse managers can help by providing resources, training, and mentorship to ensure that nurses are equipped to integrate research into their clinical practice. This approach promotes a culture of continuous learning and improvement. Eliminating all protocols not evidence-based (A) is drastic and may hinder workflow. Encouraging group reflection (B) is beneficial but doesn't directly support EBP implementation. Referring agency nurses to Internet sources (C) may not ensure the quality or relevance of information accessed. In summary, choice D is the best way as it empowers nurses to utilize research findings effectively, leading to improved patient outcomes.

Correct Answer: A

Rationale: The correct answer is A: Client reminders via telephone, e-mail, or mail. This method is effective because it directly addresses the issue of increasing attendance by providing proactive communication to remind individuals of their appointments. This approach helps reduce no-show rates and ensures higher attendance rates. Reminders via telephone, e-mail, or mail are personalized and can be tailored to individual preferences, increasing the likelihood of recipients taking action. Emphasizing long life and happy family (B) may not directly address the issue of attendance, while pointing out the affordability and convenience of screening tests (C) may not be persuasive enough to motivate attendance. Stressing the dangerousness of the condition if not caught early (D) may induce fear but may not be as effective in increasing attendance as personalized reminders.

Correct Answer: C

Rationale: The correct answer is C: Evaluation. At this step of the affective domain, the participant is able to assess their progress and outcomes related to weight loss. They can critically analyze the effectiveness of their healthy eating and exercise habits in maintaining a healthy weight for 2 years. This involves making judgments, reflecting on their journey, and determining the success of their efforts. Summary of why the other choices are incorrect: A: Analysis - This step involves breaking down information into parts to understand their relationships. The participant is not analyzing the weight-loss process but rather evaluating the outcomes. B: Application - In this step, the participant would be applying their knowledge and skills to new situations. The scenario describes maintenance of a healthy weight, not necessarily applying knowledge to new contexts. D: Knowledge - This step focuses on recalling facts and information. The participant in the scenario has gone beyond acquiring knowledge and is now evaluating their experiences and results.