Which action would be most helpful for the nurse executive to implement evidence-based practice at a community nursing center that serves a large Cuban immigrant population?

Correct Answer: C

Rationale: The correct answer is C: Include Cuban immigrants from the community on the center's advisory board. This choice is the most helpful because involving the Cuban immigrant population directly in the decision-making process ensures that their unique needs and perspectives are considered when implementing evidence-based practice. By having Cuban immigrants on the advisory board, the nurse executive can gain valuable insights into the community's cultural preferences, beliefs, and barriers to healthcare access. This approach promotes cultural humility and fosters trust and collaboration between the center and the community. Choices A, B, and D are incorrect because they lack direct involvement of the Cuban immigrant population in the decision-making process. Having university experts review policies (A) may provide valuable insights but does not prioritize the community's input. Weekly staff meetings (B) may be helpful for internal discussions but do not involve the community directly. Sending personnel to conferences and seminars (D) can enhance knowledge but does not ensure community engagement in decision-making.

Correct Answer: A

Rationale: The correct answer is A: Failure to consider client and setting differences. In this scenario, the nurse implemented a program based on research that showed improved retention using computer games. However, the poor outcomes suggest that the nurse may not have considered the unique characteristics, preferences, and needs of older adults in the community. Older adults may have different learning styles, cognitive abilities, or comfort levels with technology. By not tailoring the program to fit the specific client population and setting, the nurse failed to account for these differences, leading to the poor outcomes. Choices B, C, and D are incorrect because they do not directly address the issue of client and setting differences, which is the root cause of the problem in this case.

Correct Answer: B

Rationale: The correct answer is B because increasing noncompetitive physical activity programs in schools aligns with primary prevention efforts. By implementing policies that promote regular exercise for all students, the school nurse can proactively address wellness and weight control issues. This approach targets the entire student population, not just overweight children, and encourages healthy habits for all. A: Developing individualized exercise programs for overweight children is more focused on secondary prevention rather than primary prevention. It addresses existing weight issues rather than preventing them. C: Monitoring body mass index in children focuses on early detection rather than primary prevention. It does not address the broader population or promote general wellness. D: Notifying parents about their child's weight in comparison to national norms is important but does not actively promote primary prevention through school-wide initiatives like increased physical activity programs.

Correct Answer: B

Rationale: The correct answer is B because reviewing outcomes of clinical trials provides scientific evidence on the effectiveness of treatments for the new infectious disease. Clinical trials follow a rigorous methodology that evaluates the safety and efficacy of interventions. This helps the nurse make informed decisions based on proven results. Choice A is incorrect because policies and procedures may not always be evidence-based or updated to address a new infectious disease outbreak. Choice C is incorrect as nursing textbooks may not have the most current information on a new disease. Choice D is incorrect because information obtained from the internet may not be reliable or evidence-based.

Correct Answer: A

Rationale: The correct answer is A because colleagues who lack skills in literature search and research critique can hinder a nurse's ability to increase the evidence base in practice. This is because collaboration and knowledge-sharing are essential in evidence-based practice. Choice B is incorrect as dedication to history and tradition does not necessarily impede evidence-based practice. Choice C is incorrect because emphasis on conformity does not directly relate to the nurse's decision to increase evidence base. Choice D is incorrect as having extensive experience in research interpretation should actually support, rather than interfere with, improving evidence-based practice.