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.

Correct Answer: C

Rationale: The correct answer is C: Synthesizing the literature. In evidence-based decision-making, after conducting a literature search, the nurse needs to synthesize the information by compiling research findings and identifying trends in the data. This step involves analyzing and integrating the evidence to draw meaningful conclusions. Defining the problem (choice B) is the initial step before conducting a literature search. Appraising the literature (choice D) comes after synthesizing the information, where the nurse evaluates the quality and relevance of the studies.

Correct Answer: D

Rationale: The correct answer is D because obtaining informed consent from each participant in the study is an essential ethical practice in research. This ensures that participants are fully aware of the study's purpose, procedures, risks, and benefits before deciding to participate. It upholds the principles of autonomy, respect for individuals, and beneficence. Requiring all participants to provide informed consent promotes transparency and protects participants' rights. Choices A, B, and C are incorrect because they do not align with the ethical principle of informed consent for all research participants, regardless of their vulnerability, the study's risks, or completion status.

Correct Answer: A

Rationale: The correct answer is A: Qualitative. A qualitative study allows the nurse to explore and understand the experiences, perceptions, and behaviors of the immigrant group in depth. Through methods like interviews and observations, the nurse can gain rich insights into their cultural beliefs and health practices. In contrast, a randomized control study (B) focuses on comparing interventions, not on understanding experiences. Needs assessment (C) involves identifying community needs but may not capture the nuances of immigrant experiences. Quality improvement (D) aims to enhance processes and outcomes, not to explore subjective experiences.

Correct Answer: C

Rationale: The primary goal of integrating environmental health into nursing practice is to promote environmental justice. This involves addressing disparities in exposure to environmental hazards and ensuring equitable access to a healthy environment for all individuals. By prioritizing environmental justice, nurses can advocate for policies and practices that protect vulnerable populations and prevent environmental health risks. Improving health care infrastructure (A) focuses on healthcare facilities, not environmental health. Enhancing patient satisfaction (B) is important but not the primary goal of environmental health integration. Reducing healthcare costs (D) is a benefit but not the main purpose of addressing environmental health in nursing practice.