What advice would you give a new nurse on how to care for very poor families? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A because being supportive in any way possible is essential in caring for very poor families. As a nurse, offering emotional support, empathy, and understanding can help build trust and rapport with the family, leading to better health outcomes. Choice B is incorrect because while educating families on free health resources is important, it may not address the immediate needs of very poor families who may require more practical support. Choice C is incorrect because offering medication samples may not always be feasible or sustainable. It is crucial to consider the long-term implications and potential ethical issues related to providing free medication samples. Choice D is incorrect because recognizing the family's poverty should not mean refraining from discussing payment options. Open communication regarding financial constraints can help in finding solutions and ensuring the family receives the care they need.

Correct Answer: B

Rationale: The correct answer is B: Insurance companies and other third-party payers. They play a significant role in pressuring clinicians to use EBP due to their focus on cost-effectiveness and quality care. These entities often require clinicians to adhere to evidence-based guidelines to receive reimbursement, incentivizing the adoption of EBP. Incorrect choices: A: Administrators may see cost savings with EBP, but they do not have the same direct influence on clinicians as insurance companies. C: Nurses recognizing EBP's effectiveness is important but may not be the chief group pressuring clinicians. D: While physicians recognizing EBP's effectiveness is crucial, insurance companies hold more financial influence over clinical practice.

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.