A team of nurses is planning to develop evidence-based interventions to improve health outcomes for residents in all age groups in their community. Which questions should they use as appropriately worded PICOT questions? Select all that apply
in young adults, how does full-time employment compared to no employment affect the incidence of alcohol-related injuries before the age of 25 years?
In adults with hypertension, how does a group exercise program compare to an individual exercise program affect blood pressure after 6 months?
In older adults, how does a daily meal delivery service decrease the prevalence of nutritional deficits after one year?
How do community-sponsored tutoring programs affect mental health during the middle school and high school years?
How do after-school programs compare to recreational sports programs in decreasing average BMI over one year?
Correct Answer : A,B,E
Rationale:
A. This question is structured appropriately for PICOT because it specifies the Population (young adults), Intervention (full-time employment), Comparison (no employment), Outcome (incidence of alcohol-related injuries), and Timeframe (before age 25). It is specific, measurable, and suitable for evidence-based research.
B. This PICOT question is well-formulated. It identifies the Population (adults with hypertension), Intervention (group exercise program), Comparison (individual exercise program), Outcome (blood pressure), and Timeframe (6 months), meeting all PICOT criteria.
C. While it has a population (older adults) and intervention (daily meal delivery), it does not clearly specify a comparison group. PICOT questions should compare two interventions, exposures, or conditions to determine effectiveness, or at minimum clearly define a baseline for comparison.
D. This question lacks a clear comparison and does not specify a measurable outcome in a way that can be systematically assessed. "How do tutoring programs affect mental health?" is too broad without a comparison group or quantifiable measure.
E. This question meets PICOT criteria. It specifies the Population (children in after-school programs), Intervention (after-school programs), Comparison (recreational sports programs), Outcome (decreasing BMI), and Timeframe (one year), making it a well-structured evidence-based research question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Functional nursing is the most appropriate care delivery system in a situation where staffing is limited, such as during a winter storm. In functional nursing, tasks are divided among staff based on roles and skills rather than assigning care to specific patients. For example, one nurse might administer medications, another might handle vital signs, and UAPs may assist with hygiene and basic patient care. This method maximizes efficiency when there are fewer licensed nurses available to provide care to many patients.
B. Case management focuses on coordinating comprehensive care for patients across the continuum of care, often involving complex discharge planning, referrals, and collaboration with multiple disciplines. It is not practical in an acute staffing shortage because it requires more time and individualized attention than is feasible under minimal staffing conditions.
C. Primary nursing assigns one RN to oversee the total care of a patient from admission to discharge, with accountability for all aspects of care. This system requires adequate staffing and cannot be effectively implemented with only one RN and multiple patients, as continuity of care would be compromised.
D. Team nursing involves dividing patients among a team led by an RN, with LPNs and UAPs assisting. While normally effective, team nursing requires sufficient staff to form functional teams. In this scenario, the limited number of licensed staff (only one RN and two LPNs) makes true team nursing difficult to implement effectively.
Correct Answer is ["50"]
Explanation
Step 1: Identify the formula
gtt/min = (mL/hr × drop factor) ÷ 60
Step 2: Insert values
= (150 × 20) ÷ 60
Step 3: Calculate
= 3000 ÷ 60
= 50 gtt/min
Final Answer: 50
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