What is the biggest challenge for community health nurses (CHNs) who are familiar with evidence-informed practice and want to implement it in their care of clients?

Correct Answer: A

Rationale: The correct answer is A because interpreting vast amounts of evidence and integrating it into practice is a significant challenge for community health nurses (CHNs) familiar with evidence-informed practice. CHNs need to sift through numerous research studies, guidelines, and data to make informed decisions about client care. By effectively integrating evidence into practice, CHNs can ensure that their interventions are based on the best available evidence, leading to improved client outcomes. Choice B is incorrect because advocating for change is not the primary challenge related to implementing evidence-informed practice. Choice C is incorrect because distinguishing evidence-informed practice from outdated standards is important but not the biggest challenge. Choice D is incorrect because showing clients the benefits of evidence-informed practice is essential but not the main challenge faced by CHNs in implementing it.

Correct Answer: B

Rationale: The correct answer is B: Deontological ethics. Deontological ethics focuses on the moral duty or obligation to act in a certain way, regardless of the consequences. In this scenario, the CHN is stating that it is the wife's responsibility to care for her ill husband based on a sense of duty or moral obligation, rather than considering the consequences or outcomes. This type of thinking aligns with deontological ethics as it emphasizes following moral principles or rules. Incorrect choices: A: Consequentialism - This ethical theory focuses on the outcomes or consequences of actions rather than the inherent rightness or wrongness of the actions themselves. The CHN's statement does not prioritize consequences. C: Principlism - Principlism involves ethical decision-making based on a set of ethical principles such as autonomy, beneficence, nonmaleficence, and justice. The CHN's statement does not directly relate to these principles. D: Utilitarianism - Utilitarianism is

Correct Answer: C

Rationale: The correct answer is C. The rationale is that the CHN should apply a rule that they would recommend to anyone in a similar situation. This criteria ensures that the decision-making process is fair, ethical, and beneficial for the client. Choice A is incorrect as it focuses on avoiding trouble with the employer rather than client well-being. Choice B is incorrect as relying solely on the support of an expert may not always align with the best interests of the client. Choice D is incorrect as the supervisor's comfort level does not guarantee the rule is appropriate for the client. Ultimately, choice C prioritizes client-centered care and ethical decision-making.

Correct Answer: D

Rationale: The correct answer is D because advocacy is truly successful when systematic social changes are made to improve quality of life. This is because advocacy aims to address underlying structural issues and create sustainable, long-term improvements. Choices A, B, and C focus on initial responses or actions, but they do not necessarily lead to lasting impact or systemic change. Audiences agreeing with the CHN, legislators discussing legislation, and people demanding better treatment are important steps in advocacy, but the ultimate goal should be to bring about tangible changes at the systemic level to achieve lasting improvements in quality of life for the community.

Correct Answer: B

Rationale: The correct answer is B: Cultural blindness. This statement exemplifies cultural blindness because it ignores the importance of cultural differences and assumes that everyone has the same expectations and needs. Cultural awareness (A) involves recognizing and respecting cultural differences. Cultural knowledge (C) involves understanding different cultures. Cultural preservation (D) involves protecting and maintaining cultural traditions. In this case, the statement demonstrates a lack of awareness and sensitivity to cultural diversity, making it an example of cultural blindness.