Chapter 05: EVIDENCE-INFORMED PRACTICE IN COMMUNITY HEALTH NURSING

Chapter 05: EVIDENCE-INFORMED PRACTICE IN COMMUNITY HEALTH NURSING

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

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

 

 

ANS:  C

Although all of the proposed options are good, in order to determine whether the centre’s practice is serving the needs of the population, the nurse executive will need to consult members of the population being served. This means that evidence would be applied to practice with input from the community. For example, decisions related to the services to be offered in a community health nurse (CHN)-managed clinic would be made with input from the clinic’s advisory board, which should include community leaders and consumers of the clinic’s services. The needs of Cuban immigrants may not be the same as those of immigrants from other Spanish-speaking countries, such as Mexico or Spain.

 

DIF:    Cognitive Level: Analysis                REF:   p. 152             OBJ:   2

TOP:   CRNE Competency: Health and Wellness

 

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

 

 

ANS:  B

Evidence-informed practice is defined as combining the best evidence derived from research with clinical practice, knowledge, expertise, and unique client expectations, preferences, or choices when making clinical decisions. Getting ideas from the Internet is helpful only if evidence-informed practice sites are accessed; however, most Internet sites do not offer information grounded in evidence-informed practice.

 

DIF:    Cognitive Level: Analysis                REF:   p. 152             OBJ:   3

TOP:   CRNE Competency: Health and Wellness

 

3. 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

 

 

ANS:  A

The challenge for the CHN is accessing the evidence and integrating it into practice, thus moving beyond practice based solely on experience, tradition, or ritual.

 

DIF:    Cognitive Level: Application           REF:   p. 153             OBJ:   3

TOP:   CRNE Competency: Health and Wellness

 

4. 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.

 

 

ANS:  B

Randomized clinical trials are the gold standard for evidence gathering in evidence-informed practice.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 159             OBJ:   2

TOP:    CRNE Competency: Health and Wellness