,PRIMARY CARE: THE ART AND SCIENCE OF
ADVANCED PRACTICE NURSING
COMPLETE TEST BANK – 6TH EDITION (DUNPHY,
2023)
CHAPTER ONE
1. A nurse has conducted a literature review in an effort to identify the
effect of handwashing on the incidence of nosocomial (hospital-
acquired) infections in acute care settings. An article presented findings
at a level of significance of <0.01. This indicates that:
A) The control group and the experimental group were more than 99%
similar.
B) The findings of the study have less than 1% chance of being attributable to
chance.
C) The effects of the intervention were nearly zero.
D) The clinical significance of the findings was less than 1:100.
Answer: B
Rationale: The level of significance is the level at which the researcher
believes that the study results most likely represent a nonchance event. A
level of significance of <0.01 indicates that there is less than 1% probability
that the result is due to chance.
Cognitive Level: Understanding
Difficulty: Easy
Topic: Evidence-Based Practice
,2. A nurse has read a qualitative research study in order to understand
the lived experience of parents who have a neonatal loss. Which of the
following questions should the nurse prioritize when appraising the
results of this study?
A) How well did the authors capture the personal experiences of these
parents?
B) How well did the authors control for confounding variables that may have
affected the findings?
C) Did the authors use statistical measures that were appropriate to the
phenomenon in question?
D) Were the instruments that the researchers used statistically valid and
reliable?
Answer: A
Rationale: Qualitative studies are judged on the basis of how well they
capture and convey the subjective experiences of individuals. Statistical
measures and variables are not dimensions of a qualitative methodology.
Cognitive Level: Applying
Difficulty: Medium
Topic: Research Methods
3. A nurse has expressed skepticism to a colleague about the value of
nursing research, claiming that nursing research has little relevance to
practice. How can the nurses colleague best defend the importance of
nursing research?
A) The existence of nursing research means that nurses are now able to access
federal grant money, something that didnt use to be the case.
,B) Nursing research has allowed the development of masters and doctoral
programs and has greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true
profession, rather than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice and patient outcomes.
Answer: D
Rationale: The greatest value of nursing research lies in the potential to
improve practice and, ultimately, to improve patient outcomes. This
supersedes the contributions of nursing research to education programs,
grant funding, or the public view of the profession.
Cognitive Level: Understanding
Difficulty: Easy
Topic: Evidence-Based Practice
4. Tracy is a nurse with a baccalaureate degree who works in the labor
and delivery unit of a busy urban hospital. She has noticed that many
new mothers abandon breast-feeding their babies when they experience
early challenges and wonders what could be done to encourage more
women to continue breast-feeding. What role is Tracy most likely to play
in a research project that tests an intervention aimed at promoting
breast-feeding?
A) Applying for grant funding for the research project
B) Posing the clinical problem to one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the intervention and submitting the results for publication
Answer: B
, Rationale: A major role for staff nurses is to identify questions or problems
for research. Grant applications, methodological planning, and publication
submission are normally carried out by nurses who have advanced degrees in
nursing.
Cognitive Level: Applying
Difficulty: Medium
Topic: Research Roles
5. A patient signed the informed consent form for a drug trial that was
explained to patient by a research assistant. Later, the patient admitted
to his nurse that he did not understand the research assistants
explanation or his own role in the study. How should this patients nurse
respond to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding.
Answer: C
Rationale: Just as the staff nurse is not responsible for medical consent, the
staff nurse is not responsible for research consent. If patients who have
agreed to participate exhibit ambivalence or uncertainty about participating,
do not try to convince them to participate. Ask the person from the research
team who is managing consents to speak with concerned patients about the
study, even after a patient has signed the consent forms.
Cognitive Level: Applying
Difficulty: Medium
Topic: Research Ethics
ADVANCED PRACTICE NURSING
COMPLETE TEST BANK – 6TH EDITION (DUNPHY,
2023)
CHAPTER ONE
1. A nurse has conducted a literature review in an effort to identify the
effect of handwashing on the incidence of nosocomial (hospital-
acquired) infections in acute care settings. An article presented findings
at a level of significance of <0.01. This indicates that:
A) The control group and the experimental group were more than 99%
similar.
B) The findings of the study have less than 1% chance of being attributable to
chance.
C) The effects of the intervention were nearly zero.
D) The clinical significance of the findings was less than 1:100.
Answer: B
Rationale: The level of significance is the level at which the researcher
believes that the study results most likely represent a nonchance event. A
level of significance of <0.01 indicates that there is less than 1% probability
that the result is due to chance.
Cognitive Level: Understanding
Difficulty: Easy
Topic: Evidence-Based Practice
,2. A nurse has read a qualitative research study in order to understand
the lived experience of parents who have a neonatal loss. Which of the
following questions should the nurse prioritize when appraising the
results of this study?
A) How well did the authors capture the personal experiences of these
parents?
B) How well did the authors control for confounding variables that may have
affected the findings?
C) Did the authors use statistical measures that were appropriate to the
phenomenon in question?
D) Were the instruments that the researchers used statistically valid and
reliable?
Answer: A
Rationale: Qualitative studies are judged on the basis of how well they
capture and convey the subjective experiences of individuals. Statistical
measures and variables are not dimensions of a qualitative methodology.
Cognitive Level: Applying
Difficulty: Medium
Topic: Research Methods
3. A nurse has expressed skepticism to a colleague about the value of
nursing research, claiming that nursing research has little relevance to
practice. How can the nurses colleague best defend the importance of
nursing research?
A) The existence of nursing research means that nurses are now able to access
federal grant money, something that didnt use to be the case.
,B) Nursing research has allowed the development of masters and doctoral
programs and has greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true
profession, rather than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing
practice and patient outcomes.
Answer: D
Rationale: The greatest value of nursing research lies in the potential to
improve practice and, ultimately, to improve patient outcomes. This
supersedes the contributions of nursing research to education programs,
grant funding, or the public view of the profession.
Cognitive Level: Understanding
Difficulty: Easy
Topic: Evidence-Based Practice
4. Tracy is a nurse with a baccalaureate degree who works in the labor
and delivery unit of a busy urban hospital. She has noticed that many
new mothers abandon breast-feeding their babies when they experience
early challenges and wonders what could be done to encourage more
women to continue breast-feeding. What role is Tracy most likely to play
in a research project that tests an intervention aimed at promoting
breast-feeding?
A) Applying for grant funding for the research project
B) Posing the clinical problem to one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the intervention and submitting the results for publication
Answer: B
, Rationale: A major role for staff nurses is to identify questions or problems
for research. Grant applications, methodological planning, and publication
submission are normally carried out by nurses who have advanced degrees in
nursing.
Cognitive Level: Applying
Difficulty: Medium
Topic: Research Roles
5. A patient signed the informed consent form for a drug trial that was
explained to patient by a research assistant. Later, the patient admitted
to his nurse that he did not understand the research assistants
explanation or his own role in the study. How should this patients nurse
respond to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding.
Answer: C
Rationale: Just as the staff nurse is not responsible for medical consent, the
staff nurse is not responsible for research consent. If patients who have
agreed to participate exhibit ambivalence or uncertainty about participating,
do not try to convince them to participate. Ask the person from the research
team who is managing consents to speak with concerned patients about the
study, even after a patient has signed the consent forms.
Cognitive Level: Applying
Difficulty: Medium
Topic: Research Ethics
