Primary Care: Art and Science of Advanced Practice Nursing, 5th Edition (Dunphy, 2026), Chapters 1-37 | All Chapters Covered Test Bank

TEST BANK FOR PRIMARY CARE ART AND SCIENCE OF
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ADVANCED
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INTERPROFESSIONAL APPROACH 5TH EDITION DUNPHY
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Chapter 1. Primary Care in the Twenty-First Century: A Circle of Caring
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1. A nurse has conducted a literature review in an effort to identify the effect of hand
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washing on the incidence of nosocomial (hospital-acquired) infections in acute care
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settings. An article presented findings at a level of significance of <0.01. This
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indicates that
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A) The control group and the experimental group were more than 99% similar.
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B) The findings of the study have less than 1% chance of being attributable to chance.
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C) The effects of the intervention were nearly zero.
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D) The clinical significance of the findings was less than 1:100.
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Ans: B a1H




Feedback: The level of significance is the level at which the researcher believes that the
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study results most likely represent a no chance event. A level of significance of <0.01
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indicates that there is less than 1% probability that the result is due to chance.
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2. A nurse has expressed skepticism to a colleague about the value of nursing research,
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claiming that nursing research has little relevance to practice. How can the nurses colleague
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best defend the importance of nursing research?
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,A) The existence of nursing research means that nurses are now able to access federal grant
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money, something that didnt use to be the case.
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,B) Nursing research has allowed the development of masters and doctoral programs and
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has greatly increased the credibility of the profession.
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C) The growth of nursing research has caused nursing to be viewed as a true
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profession, rather than simply as a trade or a skill.
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D) The application of nursing research has the potential to improve nursing practice and
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patient outcomes.
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Ans: D a1H




Feedback: The greatest value of nursing research lies in the potential to improve practice and,
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ultimately, to improve patient outcomes. This supersedes the contributions of nursing research to
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education programs, grant funding, or the public view of the profession.
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3. A nurse has read a qualitative research study in order to understand the lived
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experience of parents who have a neonatal loss. Which of the following questions should the
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nurse prioritize when appraising the results of this study?
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A) How well did the authors capture the personal experiences of these parents?
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, B) How well did the authors control for confounding variables that may have affected the
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findings?
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C) Did the authors use statistical measures that were appropriate to the phenomenon
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in question?
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D) Were the instruments that the researchers used statistically valid and reliable?
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Ans: A a1H




Feedback: Qualitative studies are judged on the basis of how well they capture and convey the
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subjective experiences of individuals. Statistical measures and variables are not dimensions of a
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qualitative methodology.
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4. Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of
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a busy urban hospital. She has noticed that many new mothers abandon breast-feeding their
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babies when they experience early challenges and wonders what could be done to encourage
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more women to continue breast-feeding. What role is Tracy most likely to play in a research
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project that tests an intervention aimed at promoting breast-feeding?
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A) Applying for grant funding for the research project a1H a1H a1H a1H a1H a1H a1H




B) Posing the clinical problem to one or more nursing researchers
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C) Planning the methodology of the research project a1H a1H a1H a1H a1H a1H




D) Carrying out the intervention and submitting the results for publication Ans: B
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Feedback: A major role for staff nurses is to identify questions or problems for research.
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Grant applications, methodological planning, and publication submission are normally
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carried out by nurses who have advanced degrees in nursing.
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5. A patient signed the informed consent form for a drug trial that was explained to
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patient by a research assistant. Later, the patient admitted to his nurse that he did not
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understand the research assistants explanation or his own role in the study. How should this
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patients nurse
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