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Primary Care: Art and Science of Advanced Practice
Nursing – An Interprofessional Approach (6th
edition ) Test Bank
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primary care: art and science of advanced practice nursing an inter-professionalapproach 6th edition dunphy test bank
chapter 01. primary care in the twenty-first century: a circle of caring
1. a nurse has conducted a literature review in an effort to identify the effect of hand washing on
theincidence 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.
Ans: b
feedback: 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.
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?
Ans: a
feedback: 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.
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?
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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.
Ans: d
feedback: 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.
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 Ans: b
feedback: 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.
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.
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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.
Ans: c
feedback: 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.
multiple selection
6. a nurse leader is attempting to increase the awareness of evidence-based practice (ebp) among
the nurses on a unit. a nurse who is implementing ebp integrates which of the following? (select all
that apply.)
A) interdisciplinary consensus
B) nursing tradition
C) research studies
D) patient preferences and values
E) clinical
expertise
Ans: c, d, e
feedback: fineout-overholt, melnyk, stillwell, and williamson define ebp as a problem-solving
approach to the delivery of healthcare that integrates the best evidence from studies and patient care
data with clinician expertise and patient preferences and values.
multiple choices
7. mrs. mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow to
heal and which now poses a threat of osteomyelitis. the wound care nurse who has been working
with mrs. mayes applies evidence-based practice (ebp) whenever possible and has proposed the use
of maggot therapy to debride necrotic tissue. mrs. mayes, however, finds the suggestion repugnant
and adamantly opposes this treatment despite the sizable body of evidence supporting it. how should
the nurse reconcile mrs. mayes views with the principles of ebp?
A) the nurse should explain that reliable and valid research evidence overrides the patients
opinion.
Primary Care: Art and Science of Advanced Practice
Nursing – An Interprofessional Approach (6th
edition ) Test Bank
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
primary care: art and science of advanced practice nursing an inter-professionalapproach 6th edition dunphy test bank
chapter 01. primary care in the twenty-first century: a circle of caring
1. a nurse has conducted a literature review in an effort to identify the effect of hand washing on
theincidence 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.
Ans: b
feedback: 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.
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?
Ans: a
feedback: 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.
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?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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.
Ans: d
feedback: 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.
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 Ans: b
feedback: 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.
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.
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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.
Ans: c
feedback: 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.
multiple selection
6. a nurse leader is attempting to increase the awareness of evidence-based practice (ebp) among
the nurses on a unit. a nurse who is implementing ebp integrates which of the following? (select all
that apply.)
A) interdisciplinary consensus
B) nursing tradition
C) research studies
D) patient preferences and values
E) clinical
expertise
Ans: c, d, e
feedback: fineout-overholt, melnyk, stillwell, and williamson define ebp as a problem-solving
approach to the delivery of healthcare that integrates the best evidence from studies and patient care
data with clinician expertise and patient preferences and values.
multiple choices
7. mrs. mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow to
heal and which now poses a threat of osteomyelitis. the wound care nurse who has been working
with mrs. mayes applies evidence-based practice (ebp) whenever possible and has proposed the use
of maggot therapy to debride necrotic tissue. mrs. mayes, however, finds the suggestion repugnant
and adamantly opposes this treatment despite the sizable body of evidence supporting it. how should
the nurse reconcile mrs. mayes views with the principles of ebp?
A) the nurse should explain that reliable and valid research evidence overrides the patients
opinion.
