Deck 5: Evidence-Informed Practice in Community Health Nursing

Question 1

Which of the following actions by the nurse executive would best implement evidence-informed practice at a community nursing centre that serves a large Cuban immigrant population?

A)Having university experts with cultural competency expertise review the centre's policies
B)Having weekly staff meetings for the purpose of determining which methods seem to work best when helping immigrants
C)Including Cuban immigrants from the community on the centre's advisory board
D)Sending centre staff to conferences and seminars that focus on providing health care to immigrants from Spanish-speaking countries

Answer 1

Including Cuban immigrants from the community on the centre's advisory board

Question 2

The CHN who best applies evidence-informed practice directly performs which of the following actions to determine the best way to address an outbreak of a new infectious disease?

A)Reviews policies and procedures
B)Reviews outcomes of clinical trials
C)Reviews several nursing textbooks
D)Gets information from the Internet

Answer 2

Reviews outcomes of clinical trials

Question 3

A CHN plans to use evidence-informed practice to guide the development of health education programs that are most likely to increase retention of information in elementary school children.Which option represents the best way to use evidence-informed practice in this situation?

A)Asking other CHNs about what they included in their own education programs
B)Comparing and contrasting findings from randomized clinical trials related to learning in elementary school children
C)Developing a series of games to accompany the programs developed to promote health
D)Seeking out and examining information on the Internet on health education programs for elementary school children.

Answer 3

Comparing and contrasting findings from randomized clinical trials related to learning in elementary school children

Question 4

Which of the following is included in the ways in which a CHN can best facilitate incorporation of evidence-informed practice in the clinical setting?

A)Elimination of all protocols and standards that are not evidence based
B)Group reflection on the ideals and expectations of nursing care
C)Incorporation of more practice-oriented research into decision making
D)Revision of mission statements and organizational philosophies

Question 5

A nursing administrator who wishes to develop a work environment conducive to the implementation of evidence-informed practice can best achieve it through which of the following actions?

A)Conducting market research to determine customer satisfaction with evidence-informed practice
B)Eliciting opinions from CHNs on how evidence-informed practice will affect workload
C)Increasing access of nursing research holdings, including nursing research journals, in the libraries of health care institutions
D)Sending staff to conferences related to incorporation of evidence-informed practice into practice

Question 6

For CHNs who are familiar with evidence-informed practice and want to implement it in their care of clients, which of the following is the biggest challenge?

A)Accessing the evidence and integrating it into practice
B)Convincing others that it is beneficial
C)Distinguishing evidence-informed practice from practice based on old standards
D)Showing clients that evidence-informed practice will improve their health outcomes

Question 7

Which of the following represents the first step to take when using evidence-informed practice in the clinical setting?

A)Eliminating all protocols and standards that are not evidence based
B)Gathering data on the clinical problem
C)Formulating the clinical question
D)Revising mission statements and organizational philosophies

Question 8

A health care provider is concerned about the high number of clients with type 2 diabetes who have poor glucose control.In order to implement evidence-informed practice to manage this problem, which one of the following would be the best reference for the health care provider to use?

A)Published protocols
B)Current research findings
C)Opinions of colleagues
D)Nursing journals

Question 9

A busy CHN who is concerned that obesity is increasing rapidly among children in her community wants to implement evidence-informed practice but faces barriers because of time constraints.A knowledge manager can help this CHN by doing which of the following?

A)Identifying students who are obese in order to closely monitor for weight control success or failure
B)Evaluating best practices to identify those practices that have the highest success rates for weight control in children
C)Organizing files, scheduling appointments, and handling phone calls in order to decrease interruptions
D)Setting up an obesity management program for children whose body mass index exceeds normal

Question 10

A CHN implemented an education program that incorporated computer games to reinforce learning in a community of older adults.Although earlier research had demonstrated evidence of improved retention of information by using this method, the CHN found exactly the opposite effect in this group of clients.Which one of the following is the most likely cause of the poor outcome in the education program?

A)Failure to consider client individuality
B)Inadequate incorporation of evidence into practice
C)Inferior quality of the available research evidence
D)The CHN's lack of skills in evaluating the evidence