TESTwwBANKwwforwwPrimarywwCarewwThewwArtwwandwwSciencewwofwwAdvancedwwPracticewwNursingww–
, An Interprofessional Approach 6th Edition by Debera J. Dunph
ww ww ww ww ww ww ww ww ww
Chapterww1.w w Primaryw w Carew w inw w thew w Twenty-Firstw w Century:w w Aw w Circlew w ofw w Caring
1.wwAwwnursewwhaswwconductedwwawwliteraturewwreviewwwinwwanwweffortwwtowwidentifywwthewweffectwwofwwhand
washingwwonwwtwwhewwincidencewwofwwnosocomialww(hospital-
acquired)wwinfectionswwinwwacutewwcarewwsettings.wwAnwwarticlewwpresentedwwfindingswwatwwawwlevelwwofwwsi
gnificancew w ofww<0.01.wwThiswwindicateswwthat
A) thewwcontrolw w groupw w andww thew w experimentalw w groupww werew w morew w thanw w 99%w w similar.
B) thewwfindingsw w ofwwthew w studywwhavew w lessw w thanw w 1%w w chancew w ofw w beingw w attributablew w tow w chance.
C) theww effectsw w ofw w thew w interventionw w werew w nearlywwzero.
D) thewwclinicalw w significancew w ofwwthew w findingsw w wasw w lessw w thanw w 1:100.
Ans:w w B
Feedback:wwThewwlevelwwofwwsignificancewwiswwthewwlevelwwatwwwhichwwthewwresearcherwwbelieveswwthatwwthew
wstudywwresul wwtswwmost wwlikelywwrepresent wwawwnonchancewwevent.wwAwwlevel wwofwwsignificancewwofww<0.01w
windicates wwthatwwtherewwis w w lessw w thanw w 1%wwprobabilitywwthatwwthew w resultwwisw w duewwtowwchance.
2
2.wwAwwnursewwhaswwreadwwawwqualitativewwresearchwwstudywwinwworderwwtowwunderstandwwthewwlivedwwexperi
encewwofwwparewwntswwwhowwhavewwawwneonatalwwloss.wwWhichwwofwwthewwfollowingwwquestionswwshouldwwth
ewwnursewwprioritizewwwhenwwappraisingwwthewwresultswwofwwthiswwstudy?
A) Howwwwellw w didw w thew w authorsw w capturew w thew w personalw w experiencesw w ofwwthesew w parents?
B) Howwwwellw w didw w thew w authorsw w controlw w forw w confoundingw w variablesw w thatw w maywwhavew w affectedw w thew
ndings?
C) Didwwthew w authorsw w useww statisticalw w measuresw w thatw w werew w appropriatew w tow w thew w phenomenonw w inw w que
on?
D) Werewwthewwinstrumentsw w thatw w thew w researchersw w usedw w statisticallywwvalidw w andw w reliable?
Ans:w w A
Feedback:wwQualitativewwstudieswwarewwjudgedwwonwwthewwbasiswwofwwhowwwwellwwtheywwcapturewwandwwconv
eywwthewwsuwwbjectivewwexperienceswwofwwindividuals.wwStatisticalwwmeasureswwandwwvariableswwarewwnotwwdi
mensionswwofwwawwqualitwwativewwmethodology.
3.wwAwwnursewwhaswwexpressedwwskepticismwwtowwawwcolleaguewwaboutwwthewwvaluewwofwwnursingwwresearch,
wwclaimingwwthwwatwwnursingwwresearchwwhaswwlittlewwrelevancewwtowwpractice.wwHowwwcanwwthewwnurseswwco
lleaguewwbestwwdefendwwthew w importancewwofwwnursingwwresearch?
,A) Thewwexistencewwofwwnursingwwresearchwwmeanswwthatwwnurseswwarewwnowwwablewwtowwaccesswwfederalww
grantwwmonewwy,wwsomethingwwthatwwdidntwwusewwtowwbewwthewwcase.
B) Nursingwwresearchwwhaswwallowedwwthewwdevelopmentwwofwwmasterswwandwwdoctoralwwprogramswwandw
whaswwgreat wwlywwincreased wwthewwcredibilitywwofwwthewwprofession.
C) Thewwgrowthwwofwwnursingwwresearchwwhaswwcausedwwnursingwwtowwbewwviewedwwaswwawwtruewwprofessio
n,wwratherwwthwwanwwsimplywwaswwawwtradewworwwawwskill.
D) Thewwapplicationwwofwwnursingwwresearchwwhaswwthewwpotentialwwtowwimprovewwnursingwwpracticew
wandwwpatiewwntwwoutcomes.
Ans:w w D
Feedback:wwThewwgreatestwwvaluewwofwwnursingwwresearchwwlieswwinwwthewwpotentialwwtowwimprovewwpractice
wwand,wwultiwwmately,wwtowwimprovewwpatient wwoutcomes.wwThiswwsupersedes wwthewwcontributionswwofwwnursi
ngwwresearchwwtowweducawwtionwwprograms,wwgrantwwfunding,wworwwthewwpublicwwviewwwofwwthewwprofession.
4. Tracywwiswwawwnursewwwithwwawwbaccalaureatewwdegreewwwhowwworkswwinwwthewwlaborwwandwwdelivery
wwunitwwofwwawwbwwusywwurbanwwhospital.wwShewwhaswwnoticedwwthat wwmanywwnewwwmotherswwabandonwwb
reast-
feedingwwtheirwwbabieswwwhenw w theywwexperiencew w earlyw w challengesw w andw w wondersw w whatw w could
w w bew w donew w twwowwencouragewwmorewwwomenwwtowwcontinuewwbreast-
feeding.wwWhatw w rolewwiswwTracywwmostw w likelywwtowwplaywwinwwawwresearchwwprojectw w thatwwtestsw w anwwint
erventionw w aimedwwatwwpromotingwwbreast-feeding?
A) Applyingw w forw w grantw w fundingw w forw w thew w researchw w project
B) Posingwwthew w clinicalw w problemw w tow w onew w orw w morew w nursingw w researchers
C) Planningwwthew w methodologyw w ofwwthew w researchw w project
D) Carryingwwoutwwthewwinterventionwwandwwsubmittingwwthewwresultswwforwwpu
blicatiowwnwwAns:wwB
Feedback:wwAwwmajorwwrolewwforwwstaffwwnurseswwiswwtowwidentifywwquestionswworwwproblemswwforwwre
search.wwGrwwantwwapplications,wwmethodologicalwwplanning,wwandwwpublicationwwsubmissionwwareww
normallywwcarriedwwowwutwwbywwnurseswwwhowwhavewwadvancedwwdegreeswwinwwnursing.
5. Aw w patientw w signedw w thew w informedw w consentw w formw w forw w aw w drugw w trialw w thatw w wasw w explain
edw w tow w patientw w bwwywwawwresearchwwassistant.w w Later,wwthewwpatientwwadmittedwwtowwhiswwnursewwthatw
whewwdidwwnotwwunderstandwwthewwrew w searchwwassistantswwexplanationwworwwhis wwownwwrolewwinwwthewwst
udy.wwHowwwshouldwwthiswwpatientswwnursewwrespowwndwwtowwthiswwrevelation?
A) Explainwwthew w researchw w processw w tow w thew w patientw w inw w greaterw w detail.
B) Describewwthew w detailsw w ofwwaw w randomizedw w controlledw w trialw w forw w thew w patient.
, C) Informwwthew w researchw w assistantw w thatw w thew w patientsw w consentw w iswwlikelywwinvalid.
D) Explainwwtowwthew w patientw w thatw w hisw w writtenw w consentw w isw w nowww legallywwbinding.
Ans:w w C
Feedback:wwJustwwaswwthewwstaffwwnursewwiswwnotwwresponsiblewwforwwmedicalwwconsent,wwthewwstaffwwnursewwi
swwnotwwrespwwonsiblewwforwwresearchwwconsent.wwIfwwpatientswwwhowwhavewwagreedwwtowwparticipatewwexhibit
wwambivalencewworwwunwwcertaintywwabout wwparticipating, wwdowwnotwwtrywwtowwconvincewwthemwwtowwparticipa
te.wwAskwwthewwpersonwwfromwwthewwrwwesearchwwteamwwwhowwiswwmanagingwwconsentswwtowwspeakwwwithwwco
ncernedwwpatientswwaboutw w thewwstudy,wwevenwwaftew w rwwawwpatientwwhaswwsignedwwthewwconsentwwforms.
Multiplew w Selection
6. Aw w nursew w leaderw w isw w attemptingw w tow w increasew w thew w awarenessw w ofw w evidence-
basedwwpracticeww(EBP)wwamongwwthewwnurseswwonwwawwunit.wwAwwnursewwwhowwiswwimplementingwwEBPwwi
ntegrateswwwwwhichwwofwwthewwfollowing?ww(Selectwwallwwthatwwapply.)
A) Interdisciplinarywwconsensus
B) Nursingwwtradition
C) Researchwwstudies
D) Patientwwpreferencesww andww values
E) Clinicalwwexpertis
ewwAns:wwC,wwD,wwE
Feedback:w w Fineout-Overholt,w w Melnyk,w w Stillwell,w w andw w Williamsonw w definew w EBPw w asw w aw w problem-
solvingwwapproachwwtowwthewwdeliverywwofwwhealthcarewwthatwwintegrateswwthewwbestwwevidencewwfromwwstudi
eswwandwwpatwwientwwcarewwdatawwwithwwclinicianwwexpertisewwandwwpatientwwpreferenceswwandwwvalues.
Multiplew w Choice
7. Mrs.w w Mayesw w isw w aw w 73-year-
oldwwwomanwwwhowwhaswwawwdiabeticwwfootw w ulcerwwthatwwhaswwbeenwwextremelywwsloww w towwhealw w andw w w
hichw w noww w powwseswwawwthreatw w ofwwosteomyelitis.w w Thewwwoundwwcarewwnursewwwhowwhaswwbeenwwworki
ngwwwithwwMrs.wwMayeswwappliw w eswwevidence-
basedwwpracticeww(EBP)wwwheneverwwpossiblewwandwwhaswwproposedwwthewwusewwofwwmaggotwwtherapywwto
wwdebridewwnewwcroticwwtissue.wwMrs.wwMayes, wwhowever,wwfindswwthewwsuggestionwwrepugnant wwandwwada
mantlywwopposeswwthiswwtrewwatmentwwdespitewwthewwsizablewwbodywwofwwevidencewwsupportingwwit.wwHowww
shouldwwthewwnursewwreconcilewwMrs.wwMwwayeswwviewswwwithwwthewwprincipleswwofwwEBP?
A) Thewwnursew w shouldw w explainwwthatw w reliablew w andw w validw w researchw w evidencewwoverridesw w thew w patientsw
pinion.
B) Thewwnursew w shouldw w explainw w thew w evidencewwtow w thew w patientw w inw w greaterw w detail.
, An Interprofessional Approach 6th Edition by Debera J. Dunph
ww ww ww ww ww ww ww ww ww
Chapterww1.w w Primaryw w Carew w inw w thew w Twenty-Firstw w Century:w w Aw w Circlew w ofw w Caring
1.wwAwwnursewwhaswwconductedwwawwliteraturewwreviewwwinwwanwweffortwwtowwidentifywwthewweffectwwofwwhand
washingwwonwwtwwhewwincidencewwofwwnosocomialww(hospital-
acquired)wwinfectionswwinwwacutewwcarewwsettings.wwAnwwarticlewwpresentedwwfindingswwatwwawwlevelwwofwwsi
gnificancew w ofww<0.01.wwThiswwindicateswwthat
A) thewwcontrolw w groupw w andww thew w experimentalw w groupww werew w morew w thanw w 99%w w similar.
B) thewwfindingsw w ofwwthew w studywwhavew w lessw w thanw w 1%w w chancew w ofw w beingw w attributablew w tow w chance.
C) theww effectsw w ofw w thew w interventionw w werew w nearlywwzero.
D) thewwclinicalw w significancew w ofwwthew w findingsw w wasw w lessw w thanw w 1:100.
Ans:w w B
Feedback:wwThewwlevelwwofwwsignificancewwiswwthewwlevelwwatwwwhichwwthewwresearcherwwbelieveswwthatwwthew
wstudywwresul wwtswwmost wwlikelywwrepresent wwawwnonchancewwevent.wwAwwlevel wwofwwsignificancewwofww<0.01w
windicates wwthatwwtherewwis w w lessw w thanw w 1%wwprobabilitywwthatwwthew w resultwwisw w duewwtowwchance.
2
2.wwAwwnursewwhaswwreadwwawwqualitativewwresearchwwstudywwinwworderwwtowwunderstandwwthewwlivedwwexperi
encewwofwwparewwntswwwhowwhavewwawwneonatalwwloss.wwWhichwwofwwthewwfollowingwwquestionswwshouldwwth
ewwnursewwprioritizewwwhenwwappraisingwwthewwresultswwofwwthiswwstudy?
A) Howwwwellw w didw w thew w authorsw w capturew w thew w personalw w experiencesw w ofwwthesew w parents?
B) Howwwwellw w didw w thew w authorsw w controlw w forw w confoundingw w variablesw w thatw w maywwhavew w affectedw w thew
ndings?
C) Didwwthew w authorsw w useww statisticalw w measuresw w thatw w werew w appropriatew w tow w thew w phenomenonw w inw w que
on?
D) Werewwthewwinstrumentsw w thatw w thew w researchersw w usedw w statisticallywwvalidw w andw w reliable?
Ans:w w A
Feedback:wwQualitativewwstudieswwarewwjudgedwwonwwthewwbasiswwofwwhowwwwellwwtheywwcapturewwandwwconv
eywwthewwsuwwbjectivewwexperienceswwofwwindividuals.wwStatisticalwwmeasureswwandwwvariableswwarewwnotwwdi
mensionswwofwwawwqualitwwativewwmethodology.
3.wwAwwnursewwhaswwexpressedwwskepticismwwtowwawwcolleaguewwaboutwwthewwvaluewwofwwnursingwwresearch,
wwclaimingwwthwwatwwnursingwwresearchwwhaswwlittlewwrelevancewwtowwpractice.wwHowwwcanwwthewwnurseswwco
lleaguewwbestwwdefendwwthew w importancewwofwwnursingwwresearch?
,A) Thewwexistencewwofwwnursingwwresearchwwmeanswwthatwwnurseswwarewwnowwwablewwtowwaccesswwfederalww
grantwwmonewwy,wwsomethingwwthatwwdidntwwusewwtowwbewwthewwcase.
B) Nursingwwresearchwwhaswwallowedwwthewwdevelopmentwwofwwmasterswwandwwdoctoralwwprogramswwandw
whaswwgreat wwlywwincreased wwthewwcredibilitywwofwwthewwprofession.
C) Thewwgrowthwwofwwnursingwwresearchwwhaswwcausedwwnursingwwtowwbewwviewedwwaswwawwtruewwprofessio
n,wwratherwwthwwanwwsimplywwaswwawwtradewworwwawwskill.
D) Thewwapplicationwwofwwnursingwwresearchwwhaswwthewwpotentialwwtowwimprovewwnursingwwpracticew
wandwwpatiewwntwwoutcomes.
Ans:w w D
Feedback:wwThewwgreatestwwvaluewwofwwnursingwwresearchwwlieswwinwwthewwpotentialwwtowwimprovewwpractice
wwand,wwultiwwmately,wwtowwimprovewwpatient wwoutcomes.wwThiswwsupersedes wwthewwcontributionswwofwwnursi
ngwwresearchwwtowweducawwtionwwprograms,wwgrantwwfunding,wworwwthewwpublicwwviewwwofwwthewwprofession.
4. Tracywwiswwawwnursewwwithwwawwbaccalaureatewwdegreewwwhowwworkswwinwwthewwlaborwwandwwdelivery
wwunitwwofwwawwbwwusywwurbanwwhospital.wwShewwhaswwnoticedwwthat wwmanywwnewwwmotherswwabandonwwb
reast-
feedingwwtheirwwbabieswwwhenw w theywwexperiencew w earlyw w challengesw w andw w wondersw w whatw w could
w w bew w donew w twwowwencouragewwmorewwwomenwwtowwcontinuewwbreast-
feeding.wwWhatw w rolewwiswwTracywwmostw w likelywwtowwplaywwinwwawwresearchwwprojectw w thatwwtestsw w anwwint
erventionw w aimedwwatwwpromotingwwbreast-feeding?
A) Applyingw w forw w grantw w fundingw w forw w thew w researchw w project
B) Posingwwthew w clinicalw w problemw w tow w onew w orw w morew w nursingw w researchers
C) Planningwwthew w methodologyw w ofwwthew w researchw w project
D) Carryingwwoutwwthewwinterventionwwandwwsubmittingwwthewwresultswwforwwpu
blicatiowwnwwAns:wwB
Feedback:wwAwwmajorwwrolewwforwwstaffwwnurseswwiswwtowwidentifywwquestionswworwwproblemswwforwwre
search.wwGrwwantwwapplications,wwmethodologicalwwplanning,wwandwwpublicationwwsubmissionwwareww
normallywwcarriedwwowwutwwbywwnurseswwwhowwhavewwadvancedwwdegreeswwinwwnursing.
5. Aw w patientw w signedw w thew w informedw w consentw w formw w forw w aw w drugw w trialw w thatw w wasw w explain
edw w tow w patientw w bwwywwawwresearchwwassistant.w w Later,wwthewwpatientwwadmittedwwtowwhiswwnursewwthatw
whewwdidwwnotwwunderstandwwthewwrew w searchwwassistantswwexplanationwworwwhis wwownwwrolewwinwwthewwst
udy.wwHowwwshouldwwthiswwpatientswwnursewwrespowwndwwtowwthiswwrevelation?
A) Explainwwthew w researchw w processw w tow w thew w patientw w inw w greaterw w detail.
B) Describewwthew w detailsw w ofwwaw w randomizedw w controlledw w trialw w forw w thew w patient.
, C) Informwwthew w researchw w assistantw w thatw w thew w patientsw w consentw w iswwlikelywwinvalid.
D) Explainwwtowwthew w patientw w thatw w hisw w writtenw w consentw w isw w nowww legallywwbinding.
Ans:w w C
Feedback:wwJustwwaswwthewwstaffwwnursewwiswwnotwwresponsiblewwforwwmedicalwwconsent,wwthewwstaffwwnursewwi
swwnotwwrespwwonsiblewwforwwresearchwwconsent.wwIfwwpatientswwwhowwhavewwagreedwwtowwparticipatewwexhibit
wwambivalencewworwwunwwcertaintywwabout wwparticipating, wwdowwnotwwtrywwtowwconvincewwthemwwtowwparticipa
te.wwAskwwthewwpersonwwfromwwthewwrwwesearchwwteamwwwhowwiswwmanagingwwconsentswwtowwspeakwwwithwwco
ncernedwwpatientswwaboutw w thewwstudy,wwevenwwaftew w rwwawwpatientwwhaswwsignedwwthewwconsentwwforms.
Multiplew w Selection
6. Aw w nursew w leaderw w isw w attemptingw w tow w increasew w thew w awarenessw w ofw w evidence-
basedwwpracticeww(EBP)wwamongwwthewwnurseswwonwwawwunit.wwAwwnursewwwhowwiswwimplementingwwEBPwwi
ntegrateswwwwwhichwwofwwthewwfollowing?ww(Selectwwallwwthatwwapply.)
A) Interdisciplinarywwconsensus
B) Nursingwwtradition
C) Researchwwstudies
D) Patientwwpreferencesww andww values
E) Clinicalwwexpertis
ewwAns:wwC,wwD,wwE
Feedback:w w Fineout-Overholt,w w Melnyk,w w Stillwell,w w andw w Williamsonw w definew w EBPw w asw w aw w problem-
solvingwwapproachwwtowwthewwdeliverywwofwwhealthcarewwthatwwintegrateswwthewwbestwwevidencewwfromwwstudi
eswwandwwpatwwientwwcarewwdatawwwithwwclinicianwwexpertisewwandwwpatientwwpreferenceswwandwwvalues.
Multiplew w Choice
7. Mrs.w w Mayesw w isw w aw w 73-year-
oldwwwomanwwwhowwhaswwawwdiabeticwwfootw w ulcerwwthatwwhaswwbeenwwextremelywwsloww w towwhealw w andw w w
hichw w noww w powwseswwawwthreatw w ofwwosteomyelitis.w w Thewwwoundwwcarewwnursewwwhowwhaswwbeenwwworki
ngwwwithwwMrs.wwMayeswwappliw w eswwevidence-
basedwwpracticeww(EBP)wwwheneverwwpossiblewwandwwhaswwproposedwwthewwusewwofwwmaggotwwtherapywwto
wwdebridewwnewwcroticwwtissue.wwMrs.wwMayes, wwhowever,wwfindswwthewwsuggestionwwrepugnant wwandwwada
mantlywwopposeswwthiswwtrewwatmentwwdespitewwthewwsizablewwbodywwofwwevidencewwsupportingwwit.wwHowww
shouldwwthewwnursewwreconcilewwMrs.wwMwwayeswwviewswwwithwwthewwprincipleswwofwwEBP?
A) Thewwnursew w shouldw w explainwwthatw w reliablew w andw w validw w researchw w evidencewwoverridesw w thew w patientsw
pinion.
B) Thewwnursew w shouldw w explainw w thew w evidencewwtow w thew w patientw w inw w greaterw w detail.
