A nurse educator is searching for journal articles on the effectiveness of group versus individual teaching of adolescent recently diagnosed with type 2 diabetes mellitus (DM). Which question should the nurse use to search for the most relevant articles?
Do clients with type 2 diabetes mellitus prefer individual education or group education to help them manage their HgbA1C?
Should the nurse educator use individual education or group education to teach adolescents recently diagnosed with type 2 DM?
Among adolescents who were recently diagnosed with type 2 diabetes mellitus, is individual education effective in improving HbA1C?
How does group education compare to individual education in decreasing the HbA1C in adolescents recently diagnosed type 2 diabetes mellitus?
The Correct Answer is D
A. Focuses on client preference, not effectiveness of teaching methods.
B. A broad clinical question, less specific for literature search.
C. Examines only individual education without comparison to group education.
D. Clearly compares group vs. individual education and specifies the outcome (HbA1C decrease), making it the most focused and relevant question for searching effectiveness studies.
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Related Questions
Correct Answer is B
Explanation
A. A prospective study collects data moving forward in time, but the flood and subsequent admissions have already occurred.
B. A retrospective study reviews existing records to identify trends or increases in admissions after a past event like the flood.
C. A needs survey assesses current needs or perceptions but does not analyze past admission data.
D. A case study focuses on an in-depth analysis of one or a few cases, not a population-level trend after an event.
Correct Answer is D
Explanation
A. Setting alpha at 0.10 instead of 0.05 is a deliberate choice based on study goals, not necessarily "should have" been higher.
B. The statement refers to the error rate, not the proportion of clients who demonstrated the procedure.
C. Type II error relates to failing to detect a true effect, not directly to alpha level set at 0.10.
D. By setting a higher alpha (0.10), the researchers accept a higher risk of falsely identifying clients as unable (false positives), prioritizing caution in identifying those who may need further teaching.
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