Which are barriers to implementation of evidence-based practice? (Select all that apply.)

a. Lack of available time
b. Inferior quality of available research
c. Unwillingness of organizations to fund research
d. Inability to understand the evidence
e. Limited support from accreditors to im-plement evidence


ANS: A, B, C, D
Lack of time, inferior quality of research, unwillingness of organizations to fund research, and inability to understand the evidence are all barriers to the implementation of evidence-based practice. As public health departments are beginning to seek accreditation there is an increased emphasis on the use of evidence-based practice.

Nursing

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A parent is refusing to have a child vaccinated, preferring to have the child contract the illness and develop "natural immunity." Which response by the nurse is best?

A. "I'm sure you know what is best for your baby." B. "I'll have to report you to social work." C. "That practice is dangerous and illegal." D. "These diseases have many serious consequences."

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Directions: Using the West nomogram, determine the body surface area (BSA) for a child with the height and weight given

32 inches and 25 lb: _____ m2

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A nurse is performing an admission assessment of a newly admitted hospital client and has documented the client as being a member of the Native American subculture. A subculture is best described as which of the following?

A) A cultural group that has less than 5 million members in the United States B) A unique cultural group with unspecified geographic origins C) A cultural group with values that are incongruent with those of the dominant culture D) A unique cultural group that exists within the larger culture

Nursing

Which of the following measurements is not routinely made in pediatric patients younger than age 2 years?

1. height 2. weight 3. blood pressure 4. cranial circumference

Nursing