ATI RN Evidence-Based Practice in
Community and Public Health Assessment
A school nurse has determined that playground safety needs to be improved. Using a quality
improvement process that mirrors the steps of evidence-based practice, which of the following
steps should the nurse take before selecting changes aimed at improving playground safety?
(Select all relevant options.) - Organizing an effort to work on improvement
Rationale: The nurse should identify that in the steps of the PDSA framework, organizing an
effort to work on improvement occurs before selecting changes aimed at performance
improvement
- Preparing for the change Justification: The nurse ought to point out that according to the
PDSA framework, selecting changes aimed at improving performance precedes planning the
change. - Clarifying current knowledge of the process
Rationale: The nurse should identify that in steps of the PDSA framework, clarifying current
knowledge of the process occurs before selecting changes aimed at performance improvement.
A school nurse is looking into how homelessness affects the vaccination rates of school-age
children. In what order will the nurse examine each item, from most robust type of evidence to
least robust? (Move the steps into the box on the right, placing them in the order of strength of
evidence. Make use of every step.) 1. Systematic reviews of all randomized controlled trials
about the effects of homelessness on child immunization rates that were published within the
past five years 2. A randomized controlled trial about the effects of homelessness on
immunization rates on one stat's population of school=age children
3. Observational cohort studies about immunization rates performed with a population of
homeless school-age children during the last 3 years.
4. An expert opinion presented in a conference in the current year from a pediatric
immunologist.
A nurse at a public health department is presenting information about Healthy People 2030 to a
group of community health workers. The nurse will discuss specific, evidence-based Healthy
People 2030 interventions in which of the following categories? Objectives
Justification: The nurse should talk about interventions based on evidence with Healthy People
2030 goals. A community health nurse is reporting their findings from research conducted about
the need for primary care clinics in a community. According to Wilder's community-engagement
research model, which of the following activities would the nurse report if the community was
engaged in the research in the collaborator role? (Select all relevant options.) - Residents filled
out questionnaires on the survey tool.
Justification: The nurse should mention that the community participated as a collaborator by
responding to surveys. - Residents volunteered to count the number of completed surveys
returned each day.
, Rationale: The nurse should report that the community acted in a collaborator role by
volunteering to count the completed surveys
The supplies for data collection were provided by residents. Rationale: The nurse should report
that community residents acted in a collaborator role by donating data collection supplies.
Wrong Answers: LEADERSHIP ROLE
- Residents attended information sessions presented by the nurse during the research process
- Residents developed informational brochures for the community before the research process
began.
A team of community health nurses is in the planning phase for community-engaged research.
Which of the following describes a role the nurses should take during the planning phase using
the nursing process?
Writing grants for funding of community-engaged research
A team of home health nurses is searching for data about pressure injury protocols for use in
the home setting. Which of the following resources should they use to find pressure injury
protocols?
Cochrane
Rationale: The nurses should identify that Cochrane is an international organization that
researches evidence to provide systematic reviews and recommendations for practice.
We have an expert-written solution to this problem!
A nurse at a county public health department is developing a breast cancer screening program
for a population of homeless individuals in the county. Which of the following resources should
they use to find evidence-based information from government sources? (Select all that apply.)
- National Institutes of Health (NIH) Office of Disease Prevention (ODP)
- The C.D.C. A public health nurse is facing challenges with the local public health team while
implementing evidence-based interventions in an immunization program. Which of the following
statements by team members should the nurse identify as knowledge-related barriers to
implementation of evidence-based practice? (Select all relevant options.) - "I do not really know
how to use the computer for anything other than checking email and updating the
spreadsheets."
- "I took a statistics course in college, but I have not really used any of it since then."
- "I am not really sure where to look for new evidence."
A program to meet the nutritional needs of school-age children is being developed by a school
nurse. Which of the following is a resource provided by Healthy People 2030 that includes
evidence-based guidelines the nurse can use?
Core objectives
Rationale: The nurse should use the core objectives within Healthy People 2030. Interventions
based on evidence serve as resources for practice that support core objectives. A community
health nurse is conducting research about emergency preparedness in a community. According
to Wilder's community-engagement research model, which of the following activities indicate to
the nurse that the community is engaged in the research in the leader role? (Select all that
apply.)
- Residents conduct door-to-door surveys.
- A group of residents begins to develop questions for a survey.
Community and Public Health Assessment
A school nurse has determined that playground safety needs to be improved. Using a quality
improvement process that mirrors the steps of evidence-based practice, which of the following
steps should the nurse take before selecting changes aimed at improving playground safety?
(Select all relevant options.) - Organizing an effort to work on improvement
Rationale: The nurse should identify that in the steps of the PDSA framework, organizing an
effort to work on improvement occurs before selecting changes aimed at performance
improvement
- Preparing for the change Justification: The nurse ought to point out that according to the
PDSA framework, selecting changes aimed at improving performance precedes planning the
change. - Clarifying current knowledge of the process
Rationale: The nurse should identify that in steps of the PDSA framework, clarifying current
knowledge of the process occurs before selecting changes aimed at performance improvement.
A school nurse is looking into how homelessness affects the vaccination rates of school-age
children. In what order will the nurse examine each item, from most robust type of evidence to
least robust? (Move the steps into the box on the right, placing them in the order of strength of
evidence. Make use of every step.) 1. Systematic reviews of all randomized controlled trials
about the effects of homelessness on child immunization rates that were published within the
past five years 2. A randomized controlled trial about the effects of homelessness on
immunization rates on one stat's population of school=age children
3. Observational cohort studies about immunization rates performed with a population of
homeless school-age children during the last 3 years.
4. An expert opinion presented in a conference in the current year from a pediatric
immunologist.
A nurse at a public health department is presenting information about Healthy People 2030 to a
group of community health workers. The nurse will discuss specific, evidence-based Healthy
People 2030 interventions in which of the following categories? Objectives
Justification: The nurse should talk about interventions based on evidence with Healthy People
2030 goals. A community health nurse is reporting their findings from research conducted about
the need for primary care clinics in a community. According to Wilder's community-engagement
research model, which of the following activities would the nurse report if the community was
engaged in the research in the collaborator role? (Select all relevant options.) - Residents filled
out questionnaires on the survey tool.
Justification: The nurse should mention that the community participated as a collaborator by
responding to surveys. - Residents volunteered to count the number of completed surveys
returned each day.
, Rationale: The nurse should report that the community acted in a collaborator role by
volunteering to count the completed surveys
The supplies for data collection were provided by residents. Rationale: The nurse should report
that community residents acted in a collaborator role by donating data collection supplies.
Wrong Answers: LEADERSHIP ROLE
- Residents attended information sessions presented by the nurse during the research process
- Residents developed informational brochures for the community before the research process
began.
A team of community health nurses is in the planning phase for community-engaged research.
Which of the following describes a role the nurses should take during the planning phase using
the nursing process?
Writing grants for funding of community-engaged research
A team of home health nurses is searching for data about pressure injury protocols for use in
the home setting. Which of the following resources should they use to find pressure injury
protocols?
Cochrane
Rationale: The nurses should identify that Cochrane is an international organization that
researches evidence to provide systematic reviews and recommendations for practice.
We have an expert-written solution to this problem!
A nurse at a county public health department is developing a breast cancer screening program
for a population of homeless individuals in the county. Which of the following resources should
they use to find evidence-based information from government sources? (Select all that apply.)
- National Institutes of Health (NIH) Office of Disease Prevention (ODP)
- The C.D.C. A public health nurse is facing challenges with the local public health team while
implementing evidence-based interventions in an immunization program. Which of the following
statements by team members should the nurse identify as knowledge-related barriers to
implementation of evidence-based practice? (Select all relevant options.) - "I do not really know
how to use the computer for anything other than checking email and updating the
spreadsheets."
- "I took a statistics course in college, but I have not really used any of it since then."
- "I am not really sure where to look for new evidence."
A program to meet the nutritional needs of school-age children is being developed by a school
nurse. Which of the following is a resource provided by Healthy People 2030 that includes
evidence-based guidelines the nurse can use?
Core objectives
Rationale: The nurse should use the core objectives within Healthy People 2030. Interventions
based on evidence serve as resources for practice that support core objectives. A community
health nurse is conducting research about emergency preparedness in a community. According
to Wilder's community-engagement research model, which of the following activities indicate to
the nurse that the community is engaged in the research in the leader role? (Select all that
apply.)
- Residents conduct door-to-door surveys.
- A group of residents begins to develop questions for a survey.
