ATI RN
Evidence-Based Practice in Nursing Studocu NURS 3321 Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse manager wants to facilitate incorporation of evidence-based practice (EBP) in the clinical setting. Which of the following would be the best strategy to accomplish this goal?
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.
Question 5 of 5
The nurse is discussing the importance of evidence-based decision-making (EBDM) with a group of students. Which statement by a student indicates understanding of this process?
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.