Correct Answer: B

Rationale: The correct answer is B: Selecting only studies with meta-analyses since they are the weakest form of evidence. Meta-analyses are considered the highest level of evidence as they combine results from multiple studies, providing a more comprehensive and reliable assessment of the research topic. By including only studies with meta-analyses, one can ensure a thorough evaluation of the quality and strength of the research study. Other choices are incorrect because: A: Discarding systematic reviews is not advisable as they provide a structured and comprehensive analysis of existing research. C: Setting a specific sample size limit may exclude valuable studies with smaller sample sizes that are still methodologically sound. D: Relying solely on randomized controlled trials may limit the scope of research considered. E: Evaluating studies against appropriate standards is important but doesn't guarantee the highest quality and strength of research.

Correct Answer: B

Rationale: The correct answer is B because advising the patient on which treatment options to select does not promote patient engagement. It undermines the patient's autonomy and decision-making process. Patients should be empowered to make informed choices based on their preferences and values.
Choice A is correct as assessing the patient's understanding helps tailor communication.
Choice C shows initiative in involving the family but may not directly relate to patient engagement.
Choice D demonstrates effective communication, supporting the patient's understanding.

Correct Answer: A,C,D

Rationale:
Correct
Answer: A, C, D

A: Debriefing promotes an examination of the consequences of actions. This is crucial as it helps individuals reflect on their decisions and behaviors, leading to improved learning outcomes.

C: Debriefing has the potential to lead to a cognitive shift. By engaging in debriefing sessions, individuals may gain new perspectives, challenge assumptions, and enhance critical thinking skills.

D: The skill of the debriefer can influence the success of the debriefing. An experienced and skilled debriefer can facilitate discussions effectively, ask insightful questions, and guide participants towards meaningful insights.

Incorrect options:
B: Self-guided exploration is not the most effective approach to debriefing. While personal reflection is valuable, debriefing often benefits from external facilitation to ensure a comprehensive analysis.

E: Debriefing does not involve setting aside the significance of actions. On the contrary, it emphasizes reflecting on the significance and implications of actions to foster learning and growth.

Correct Answer: B

Rationale: The correct answer is B. When nurses disagree with a new policy in the ICU, the resulting conflict can divert attention and energy from patient care, potentially impacting patient well-being. This is the most likely outcome because conflicts within a team can create tension and distractions, leading to decreased focus on providing optimal care for patients.

Option A is incorrect because while conflict can sometimes help identify common values, the immediate outcome is more likely to involve negative consequences such as tension and mistrust. Option C is incorrect as the policy change may not necessarily lead to an improvement in unit performance, especially if it causes discord among the team. Option D is incorrect as it assumes that dissenting nurses will automatically recognize the benefits of the decision, which may not always be the case. Option E is unrelated to the scenario described in the question.

Correct Answer: D

Rationale: The correct answer is D: Review the correct procedure with staff members who use the mechanical lifts incorrectly. This answer is correct because it directly addresses the root cause of the issue, which is the incorrect use of mechanical lifts leading to back injuries. By reviewing the correct procedure with staff members, the unit manager can ensure that employees are properly trained and following safety protocols.


Choice A is incorrect because filing a grievance does not directly address the issue of incorrect mechanical lift usage.
Choice B is incorrect as it places blame on the employees rather than addressing the systemic issue.
Choice C is incorrect as blindly adopting procedures from other hospitals may not be effective without understanding the specific needs of the unit.

In summary, the best course of action is to educate and train staff on the correct procedures to prevent further back injuries related to mechanical lift usage.