A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of evidence with a newly licensed nurse.
Which of the following examples should the nurse provide when discussing Level I evidence?

Systematic review.

Credible websites.

Expert opinions.

Qualitative studies.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Systematic reviews are considered Level I evidence in the hierarchy of evidence in evidence-based practice (EBP). Systematic reviews involve the rigorous and comprehensive synthesis of multiple research studies on a specific topic. This approach minimizes bias and provides the highest level of evidence for making clinical decisions. Systematic reviews typically follow a structured methodology and offer a critical analysis of the existing literature, making them a strong foundation for EBP.

Choice B rationale:

Credible websites are not considered Level I evidence. While some websites may contain reliable information, they vary in quality, and the credibility of the source must be carefully assessed. Relying solely on websites is not the most robust approach in EBP, as it lacks the rigorous systematic review and critical appraisal process of Level I evidence.

Choice C rationale:

Expert opinions are not considered Level I evidence. While expert opinions can be valuable, they are often based on individual experiences and interpretations rather than systematic research. Expert opinions are generally considered lower in the hierarchy of evidence compared to systematic reviews and other forms of research evidence.

Choice D rationale:

Qualitative studies are not considered Level I evidence. Qualitative studies provide valuable insights into the experiences, perceptions, and meanings associated with a particular phenomenon. However, they are typically ranked lower in the hierarchy of evidence compared to systematic reviews and quantitative research studies. Qualitative studies are more appropriate for addressing research questions related to subjective experiences and understanding the "why" and "how" of a phenomenon.

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Correct Answer is A

Explanation

A. A client is scheduled to receive an influenza vaccination. B. A client who has a family history of breast cancer is scheduled for a mammogram. C. A client who is asymptomatic is not scheduled for a series of tests. D. A client who has heart failure is scheduled for an echocardiogram.

Correct Answer is B

Explanation

The correct answer is Choice B: A client who has a family history of breast cancer is scheduled for a mammogram.

Choice A rationale:

Receiving an influenza vaccination is an example of primary prevention, which aims to prevent the onset of disease.

Choice B rationale:

Scheduling a mammogram for a client with a family history of breast cancer is an example of secondary prevention. Secondary prevention involves the early detection and treatment of disease to reduce the impact of the disease. Mammograms help in the early detection of breast cancer, which can significantly improve treatment outcomes.

Choice C rationale:

Not scheduling tests for an asymptomatic client does not relate to secondary prevention. Secondary prevention involves screening and early detection of diseases in at-risk populations.

Choice D rationale:

Scheduling an echocardiogram for a client with heart failure is an example of tertiary prevention. Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects by helping patients manage long-term, complex health problems.

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A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of evidence with a newly licensed nurse.Which of the following examples should the nurse provide when discussing Level I evidence?

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A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of evidence with a newly licensed nurse.
Which of the following examples should the nurse provide when discussing Level I evidence?