A CHN Implemented an Education Program That Incorporated Computer Games

A CHN implemented an education program that incorporated computer games to reinforce learning in a community of older adults. Although earlier research had demonstrated evidence of improved retention of information by using this method, the CHN found exactly the opposite effect in this group of clients. What would be the most likely cause of the poor outcome in the education program?

A) Failure to consider client and contextual differences
B) Inadequate incorporation of evidence into practice
C) Inferior quality of the available research evidence
D) The CHN's lack of skills in evaluating the evidence