The nurse is comparing the effectiveness of two smoking cessation programs, Program A and Program B, which were designed for adolescent clients who reported smoking for one year or longer.
Adolescents in three high schools in the American southeast were randomly assigned to one of the two study programs.
Significantly more adolescents stopped smoking after completing Program A than those who completed Program B, and the effect size was 0.8. Based on these findings, which action should the community health nurse take?
Provide all smoking adolescents in the three high schools with Program A.
Investigate the effectiveness of other smoking cessation programs.
Replicate the study using adolescents from across the United States.
Survey the adolescents' families to determine how many family members smoke.
The Correct Answer is B
Choice A rationale:
Providing all smoking adolescents in the three high schools with Program A is not a justified action based solely on the effectiveness of Program A in this study. While Program A may have shown better results than Program B in this specific context, it does not necessarily mean it's the most effective program overall. Implementing such a decision without further investigation could be premature and may not consider individual variations and preferences among adolescents.
Choice B rationale:
Investigating the effectiveness of other smoking cessation programs is the most appropriate action. While Program A showed better results in this particular study, it's essential to explore a variety of smoking cessation programs to determine the most effective and suitable options for different individuals. Research should continuously seek to improve interventions and provide evidence-based recommendations.
Choice C rationale:
Replicating the study using adolescents from across the United States may not be the best course of action at this stage. The study was conducted in the American southeast, and its findings may not be directly applicable to adolescents from different regions with potentially varying demographics and smoking behaviors. It would be more appropriate to conduct studies or meta-analyses that examine the effectiveness of smoking cessation programs on a broader scale.
Choice D rationale:
Surveying the adolescents' families to determine how many family members smoke is not directly related to the comparison of the two smoking cessation programs (Program A and Program B). While family influences can be important in smoking cessation, this action does not address the immediate need to determine the most effective program among the two options being compared.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The review of the literature section provides an overview of existing research and background information related to the study's topic. It does not typically present study findings or results.
Choice B rationale:
The methodology section outlines the research methods, design, and procedures used in the study but does not present the study's actual findings.
Choice C rationale:
This is the correct answer. The sentence, "Distress after a natural disaster was high at 3 months and decreased monthly for a majority of the participants, although one-third of the survivors had higher distress at 13 months than at 3 months," appears in the results section. This section is dedicated to presenting the study's empirical findings and data.
Choice D rationale:
The discussion section is where researchers interpret and discuss the implications of their study's findings. It does not typically present the actual findings or data.
Correct Answer is A
Explanation
Choice A rationale:
True random sampling. True random sampling ensures that each client discharged from the postoperative orthopedic unit after joint replacement surgery has an equal and independent chance of being selected for the study. This approach minimizes bias and enhances the generalizability of the study findings to the entire population of interest.
Choice B rationale:
Stratified random sampling involves dividing the population into subgroups (strata) and then randomly selecting samples from each stratum. While this approach can be useful for ensuring representation of specific subgroups, it may not be necessary if the goal is to have an equal chance of participation for all clients.
Choice C rationale:
Convenience sampling involves selecting participants based on their availability and accessibility. It is not suitable for this study, as it may introduce bias and not ensure equal chances of participation for all clients.
Choice D rationale:
Quota sampling involves selecting participants based on predefined quotas for specific characteristics. It is not the most suitable method for ensuring equal chances of participation for all clients in this study.
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