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A nurse manager wants to facilitate incorporation of evidence-based practice (EBP) in the clinical setting. Which of the following would be the best strategy to accomplish this goal?
- A. Eliminate all protocols and standards that are not evidence base
- C. Encourage group reflection on the ideals and expectations of nursing car
Correct Answer: C
Rationale: The correct answer is C: Encourage group reflection on the ideals and expectations of nursing care. This strategy promotes a collaborative approach to understanding and implementing EBP. Group reflection fosters critical thinking, stimulates discussion, and encourages shared decision-making, leading to a deeper understanding and acceptance of EBP within the team. It also promotes a culture of continuous learning and improvement.
Eliminating all protocols not evidence-based (option A) may hinder current practice and create resistance. Without alternatives listed for other choices, it is challenging to provide detailed explanations for their incorrectness.
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Which environmental health activity would the nurse perform while engaged in the core public health function of assurance?
- A. Educating the community about the need to boil contaminated drinking water
- B. Collecting data about health issues related to contaminated drinking water
- C. Developing polices to regulate the discharge of pollutants into the waterways
- D. Assessing measures to reduce exposure to contaminated water
Correct Answer: D
Rationale: The correct answer is D: Assessing measures to reduce exposure to contaminated water. This activity falls under the assurance function as it involves ensuring that appropriate measures are in place to protect the community from health risks associated with contaminated water. By assessing these measures, the nurse is actively working to reduce the community's exposure to harmful contaminants, thereby fulfilling the role of assuring the public's health.
A: Educating the community about the need to boil contaminated drinking water falls under the core function of education rather than assurance.
B: Collecting data about health issues related to contaminated drinking water is a part of the assessment function, not assurance.
C: Developing policies to regulate the discharge of pollutants into the waterways is more aligned with the policy development function rather than assurance.
In summary, the correct answer focuses on actively evaluating and implementing measures to reduce exposure to contaminated water, which directly contributes to the assurance function of environmental health.
A nurse implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
- A. Failure to consider client and setting differences
- B. Inadequate incorporation of evidence into practice
- C. Inferior quality of the available research evidence
- D. Lack of skills when evaluating the evidence
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. Older adults may have different learning styles, preferences, and abilities compared to other age groups. The nurse may have overlooked these factors when implementing the computer games, resulting in poor outcomes. This highlights the importance of tailoring educational programs to fit the specific needs of the target audience.
Explanation for incorrect choices:
B: Inadequate incorporation of evidence into practice - This choice suggests a lack of proper implementation of research evidence, which is not directly related to the poor outcomes observed in this scenario.
C: Inferior quality of the available research evidence - The quality of the research evidence does not necessarily explain why the nurse did not achieve the desired outcomes.
D: Lack of skills when evaluating the evidence - While important, the lack of skills in evaluating evidence does not directly address the issue of poor outcomes with older adults in this context.
Select the great public health achievements in the United States in the 20th century. (Select all that apply.)
- A. Elimination of common infectious diseases
- B. Recognition of tobacco as a health hazard
- C. Fluoridation of drinking water
- D. Healthier mothers and babies
Correct Answer: A
Rationale: The correct answer is A: Elimination of common infectious diseases. This achievement significantly improved public health by decreasing morbidity and mortality rates. It was made possible through advancements in vaccination programs, sanitation practices, and public health education. This achievement led to the eradication of diseases like smallpox and the near-elimination of diseases like polio. The other choices are incorrect because although they are also important public health achievements, they do not have the same widespread impact as the elimination of common infectious diseases. Recognizing tobacco as a health hazard (B) led to public health campaigns and regulations but did not have the same broad-reaching impact. Fluoridation of drinking water (C) improved dental health but did not have the same magnitude of impact on overall public health. Healthier mothers and babies (D) is crucial but does not encompass the scope of achievement represented by the elimination of common infectious diseases.
A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural community that currently lacks access to them. This is an example of which public health intervention?
- A. Surveillance
- B. Outreach
- C. Screening
- D. Case management
Correct Answer: B
Rationale: The correct answer is B: Outreach. Outreach involves actively reaching out to provide services to underserved populations, like bringing vaccinations to a rural community without access. Surveillance (A) involves monitoring health data. Screening (C) is identifying individuals at risk. Case management (D) is coordinating care for individuals. In this scenario, Outreach is the best intervention to address the community's lack of access.
The partner tells the nurse that she is able to manage the client’s physical care but she doesn’t want to leave him home alone while she travels for work. Which of the following referrals should the nurse make?
- A. Respite care
- B. Promoting healthy lifestyle behavior choices among the community members
- C. Eliciting the health history of a client presenting with an illness
- D. Establishing screening programs to diagnosis diseases as early as possible
Correct Answer: A
Rationale: The correct answer is A: Respite care. Respite care provides temporary relief to the primary caregiver by offering a safe environment for the client while the partner is away. This ensures the client's well-being and safety in the partner's absence. Other choices are incorrect because B focuses on community health, C involves health history assessment, and D pertains to screening programs which are not relevant to the partner's immediate concern of leaving the client home alone.