Which intervention by community mental health nurses is most likely to help prevent youth violence?

Correct Answer: C

Rationale: The correct answer is C. Community mental health nurses partnering with associations to provide alternative activities that improve social skills is most likely to help prevent youth violence. This intervention addresses the root causes of violence by promoting positive social interactions and skill-building, reducing the likelihood of engaging in violent behavior. Distributing literature blaming violence on intelligence (A) does not address the underlying issues. Explaining the detrimental effects of youth violence (B) may raise awareness but does not offer a proactive solution. Recommending increased funding for prosecution and jail (D) focuses on punishment rather than prevention.

Correct Answer: D

Rationale: The correct answer is D: A systematic review related to the clinical problem. A systematic review provides a comprehensive summary of all the available evidence on a specific topic, including individual studies and their findings. This is more reliable than a single study or an issue of a journal because it synthesizes multiple studies to draw more robust conclusions. Choice A (a journal issue) may not cover all relevant research, choice B (a single clinical trial) may not represent the full scope of evidence, and choice C (a single researcher) may have bias or limitations. A systematic review is the most helpful as it offers a comprehensive overview of the existing evidence, helping the nurse make informed decisions based on the best available knowledge.

Correct Answer: A

Rationale: The correct answer is A because assessing one's current practice and accessing evidence-based resources are foundational steps in implementing EBP. By evaluating current practices, nurses can identify areas for improvement and determine the need for evidence-based interventions. Accessing credible resources ensures that interventions are based on the best available evidence. Choice B is incorrect because while gaining support from administration is important, it is not the biggest challenge in implementing EBP. Choice C is incorrect because distinguishing EBP from old standards is a part of the learning process but not the primary challenge. Choice D is incorrect because although involving clients in EBP is important, it is not the biggest challenge faced by nurses in implementing EBP.

Correct Answer: B

Rationale: The correct answer is B: Current research findings. This is because research findings provide the most up-to-date and evidence-based information on the management of type 2 diabetes mellitus. Research studies undergo rigorous evaluation and peer review, ensuring the validity and reliability of the information presented. By relying on current research, the health care provider can make informed decisions and implement evidence-based practices that are supported by scientific evidence. Choices A, C, and D are incorrect because: A: Published protocols may be outdated or not based on the most current evidence. C: Colleagues' opinions may be subjective and not necessarily evidence-based. D: While nursing journals may contain valuable information, they may not always provide the most recent research findings specifically related to the management of type 2 diabetes mellitus.

Correct Answer: B

Rationale: The correct answer is B because eliciting opinions from nurses on how EBP will affect workload is crucial for creating a work environment conducive to EBP implementation. By involving nurses in the decision-making process, the administrator gains insight into potential barriers and concerns, allowing for tailored strategies to address workload issues. This fosters a sense of ownership and commitment among staff, promoting buy-in and collaboration in implementing EBP. A: Conducting market research on customer satisfaction with EBP is not directly related to creating a work environment conducive to EBP implementation. C: Purchasing computers and Internet access, while important for accessing EBP resources, does not address the organizational culture or workload concerns. D: Sending staff to conferences can be beneficial for knowledge acquisition but may not necessarily address the specific needs and concerns of the nursing staff regarding EBP implementation in their work environment.